Desiree Sierra Velez1, Meg Simione2, Ines Castro2, Meghan Perkins2, Man Luo2, Elsie M Taveras2,3, Lauren Fiechtner1,2. 1. Divisions of Pediatric Gastroenterology and Nutrition, MassGeneral Hospital for Children, Boston, MA, USA. 2. Divisions of General Academic Pediatrics, MassGeneral Hospital for Children, Boston, MA, USA. 3. Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Abstract
Background: Few studies have examined the associations of pediatric weight management interventions (PWMIs) with reduction in parental stress. We sought to examine the extent to which a PWMI reduces parental stress and whether changes in parental healthful feeding practices and support for physical activity are associated with reduction in parental stress. Methods: We analyzed data from the Clinic and Community Approaches to Healthy Weight randomized controlled trial (RCT). Parental stress change over 12 months was analyzed using a multivariate mixed linear model. We then examined associations of changes in healthful feeding practices and support for physical activity over 12 months with changes in stress using a multivariate linear model. Results: In multivariate-adjusted models, participation in a PWMI was associated with decrease in parental stress at 12 months, with a mean difference (MD) of -0.24 U [95% confidence interval (CI): -0.45, -0.04]. Increases in scores for exercising regularly [MD = -0.27 (95% CI: -0.52, -0.03)] and keeping healthy food at home [MD = -0.38 (95% CI: -0.66, -0.10)] were associated with decrease in stress. Conclusions: Participation in a PWMI was associated with decrease in parental stress. Encouraging parents of children with overweight and obesity to keep healthy food in the house and exercise regularly may represent important strategies to improve parental stress. PWMI effectiveness studies should consider parental stress as an outcome while addressing social determinants of health that may influence parental stress. Clinical Trial Registration Number: NCT03012126.
Background: Few studies have examined the associations of pediatric weight management interventions (PWMIs) with reduction in parental stress. We sought to examine the extent to which a PWMI reduces parental stress and whether changes in parental healthful feeding practices and support for physical activity are associated with reduction in parental stress. Methods: We analyzed data from the Clinic and Community Approaches to Healthy Weight randomized controlled trial (RCT). Parental stress change over 12 months was analyzed using a multivariate mixed linear model. We then examined associations of changes in healthful feeding practices and support for physical activity over 12 months with changes in stress using a multivariate linear model. Results: In multivariate-adjusted models, participation in a PWMI was associated with decrease in parental stress at 12 months, with a mean difference (MD) of -0.24 U [95% confidence interval (CI): -0.45, -0.04]. Increases in scores for exercising regularly [MD = -0.27 (95% CI: -0.52, -0.03)] and keeping healthy food at home [MD = -0.38 (95% CI: -0.66, -0.10)] were associated with decrease in stress. Conclusions: Participation in a PWMI was associated with decrease in parental stress. Encouraging parents of children with overweight and obesity to keep healthy food in the house and exercise regularly may represent important strategies to improve parental stress. PWMI effectiveness studies should consider parental stress as an outcome while addressing social determinants of health that may influence parental stress. Clinical Trial Registration Number: NCT03012126.
Authors: Jerica M Berge; Allan Tate; Amanda Trofholz; Angela R Fertig; Michael Miner; Scott Crow; Dianne Neumark-Sztainer Journal: Pediatrics Date: 2017-12 Impact factor: 7.124
Authors: Jennifer Coto; Elizabeth R Pulgaron; Paulo A Graziano; Daniel M Bagner; Manuela Villa; Jamil A Malik; Alan M Delamater Journal: Matern Child Health J Date: 2019-07
Authors: K Shankardass; R McConnell; M Jerrett; C Lam; J Wolch; J Milam; F Gilliland; K Berhane Journal: Pediatr Obes Date: 2013-12-05 Impact factor: 4.000
Authors: Cynthia L Ogden; Margaret D Carroll; Tala H Fakhouri; Craig M Hales; Cheryl D Fryar; Xianfen Li; David S Freedman Journal: MMWR Morb Mortal Wkly Rep Date: 2018-02-16 Impact factor: 17.586
Authors: Emily W Flanagan; Robbie A Beyl; S Nicole Fearnbach; Abby D Altazan; Corby K Martin; Leanne M Redman Journal: Obesity (Silver Spring) Date: 2020-12-18 Impact factor: 9.298