Title: efficacy of a food parenting intervention for mothers with low income to reduce preschooler’s solid fat and added sugar intakes: a randomized controlled trial
Tóm tắt
Few interventions have shown efficacy to influence key energy balance behaviors during the preschool years. A randomized controlled trial (RCT) was used to evaluate the efficacy of Food, Fun, and Families (FFF), a 12 week authoritative food parenting intervention for mothers with low-income levels, to reduce preschool-aged children’s intake of calories from solid fat and added sugar (SoFAS). Mothers were randomly assigned to receive FFF (n = 59) or to a delayed treatment control (n = 60). The primary outcome was children’s daily energy intake from SoFAS at the end of the 12 week intervention, controlling for baseline levels, assessed by 24-h dietary recalls. Secondary outcomes included children’s daily energy intake, children’s BMI z-scores, and meal observations of maternal food parenting practices targeted in FFF (e.g. providing guided choices). Participating mothers were predominantly African American (91%), with 39% educated beyond high school and 66% unemployed. Baseline demographics and child SoFAS intakes did not differ by group. Lost to follow-up was 13% and did not differ between groups. At post-intervention, FFF children consumed ~ 94 kcal or 23% less daily energy from SoFAS than children in the control group, adjusting for baseline levels (307.8 (95%CI = 274.1, 341.5) kcal vs. 401.9 (95%CI = 369.8, 433.9) kcal, FFF vs. control; p < 0.001). FFF mothers also displayed a greater number of authoritative parenting practices when observed post-intervention with their child at a buffet-style meal (Wilcoxon z = − 2.54, p = 0.012). Neither child total daily energy intake nor BMI z-scores differed between groups post-intervention. Findings demonstrate the initial efficacy of an authoritative food parenting intervention for families with low-income to reduce SoFAS intake in early childhood. Additional research is needed to evaluate longer-term effects on diet and growth. Retrospectively registered at
ClinicalTrials.gov
: #NCT03646201.
Tài liệu tham khảo
Monasta L, Batty GD, Macaluso A, Ronfani L, Lutje V, Bavcar A, et al. Interventions for the prevention of overweight and obesity in preschool children: a systematic review of randomized controlled trials. Obes Rev. 2011;12(5):e107–18.
Birch LL, Anzman SL. Learning to eat in an obesogenic environment: a developmental systems perspective on childhood obesity. Child Dev Perspect. 2011;4:138–43.
Beckerman JP, Alike Q, Lovin E, Tamez M, Mattei J. The development and public health implications of food preferences in children. Front Nutr. 2017;4:66.
Wilcox S, Sharpe PA, Liese AD, Dunn CG, Hutto B. Socioeconomic factors associated with diet quality and meeting dietary guidelines in disadvantaged neighborhoods in the Southeast United States. Ethn Health. 2018:1–17.
Rehm CD, Penalvo JL, Afshin A, Mozaffarian D. Dietary intake among US adults, 1999-2012. JAMA. 2016;315(23):2542–53.
Laws R, Campbell KJ, van der Pligt P, Russell G, Ball K, Lynch J, et al. The impact of interventions to prevent obesity or improve obesity related behaviours in children (0-5 years) from socioeconomically disadvantaged and/or indigenous families: a systematic review. BMC Public Health. 2014;14:779.
Nicklas TA, O'Neil CE. Development of the SoFAS (solid fats and added sugars) concept: the 2010 dietary guidelines for Americans. Adv Nutr. 2015;6(3):368S–75S.
U.S. Department of Health and Human Services and U.S. Department of Agriculture. 2015–2020 Dietary Guidelines for Americans. 8th Edition. Available from: http://health.gov/dietaryguidelines/2015/guidelines/.
Te Morenga L, Montez JM. Health effects of saturated and trans-fatty acid intake in children and adolescents: systematic review and meta-analysis. PLoS One. 2017;12(11):e0186672.
Vos MB, Kaar JL, Welsh JA, Van Horn LV, Feig DI, Anderson CAM, et al. Added sugars and cardiovascular disease risk in children: a scientific statement from the American Heart Association. Circulation. 2017;135(19):e1017–e34.
Slining MM, Popkin BM. Trends in intakes and sources of solid fats and added sugars among U.S. children and adolescents: 1994-2010. Pediatr Obes. 2013;8(4):307–24.
Powell ES, Smith-Taillie LP, Popkin BM. Added sugars intake across the distribution of US children and adult consumers: 1977-2012. J Acad Nutr Diet. 2016;116(10):1543–50 e1.
Golan M. Parents as agents of change in childhood obesity- from research to practice. Int J Pediatr Obes. 2006;1(2):66–76.
Ash T, Agaronov A, Young T, Aftosmes-Tobio A, Davison KK. Family-based childhood obesity prevention interventions: a systematic review and quantitative content analysis. Int J Behav Nutr Phys Act. 2017;14(1):113.
Yin Z, Parra-Medina D, Cordova A, He M, Trummer V, Sosa E, et al. Miranos! Look at us, we are healthy! An environmental approach to early childhood obesity prevention. Child Obes. 2012;8(5):429–39.
Bender MS, Nader PR, Kennedy C, Gahagan S. A culturally appropriate intervention to improve health behaviors in Hispanic mother-child dyads. Child Obes. 2013;9(2):157–63.
Willis TA, George J, Hunt C, Roberts KP, Evans CE, Brown RE, et al. Combating child obesity: impact of HENRY on parenting and family lifestyle. Pediatr Obes. 2014;9(5):339–50.
Cloutier MM, Wiley J, Huedo-Medina T, Ohannessian CM, Grant A, Hernandez D, et al. Outcomes from a pediatric primary care weight management program: steps to growing up healthy. J Pediatr. 2015;167(2):372–7 e1.
Hingle MD, O'Connor TM, Dave JM, Baranowski T. Parental involvement in interventions to improve child dietary intake: a systematic review. Prev Med. 2010;51(2):103–11.
Shloim N, Edelson LR, Martin N, Hetherington MM. Parenting styles, feeding styles, feeding practices, and weight status in 4-12 year-old children: a systematic review of the literature. Front Psychol. 2015;6:1849.
Vaughn AE, Ward DS, Fisher JO, Faith MS, Hughes SO, Kremers SP, et al. Fundamental constructs in food parenting practices: a content map to guide future research. Nutr Rev. 2016;74(2):98–117.
Wang YC, Orleans CT, Gortmaker SL. Reaching the healthy people goals for reducing childhood obesity: closing the energy gap. Am J Prev Med. 2012;42(5):437–44.
Fisher JO, Wright G, Herman AN, Malhotra K, Serrano EL, Foster GD, et al. "snacks are not food". Low-income, urban mothers' perceptions of feeding snacks to their preschool-aged children. Appetite. 2015;84:61–7.
Herman AN, Malhotra K, Wright G, Fisher JO, Whitaker RC. A qualitative study of the aspirations and challenges of low-income mothers in feeding their preschool-aged children. Int J Behav Nutr Phys Act. 2012;9:132.
Malhotra K, Herman AN, Wright G, Bruton Y, Fisher JO, Whitaker RC. Perceived benefits and challenges for low-income mothers of having family meals with preschool-aged children: childhood memories matter. J Acad Nutr Diet. 2013;113(11):1484–93.
Yee AZ, Lwin MO, Ho SS. The influence of parental practices on child promotive and preventive food consumption behaviors: a systematic review and meta-analysis. Int J Behav Nutr Phys Act. 2017;14(1):47.
DiSantis KI, Birch LL, Davey A, Serrano EL, Zhang J, Bruton Y, et al. Plate size and children's appetite: effects of larger dishware on self-served portions and intake. Pediatrics. 2013;131(5):e1451–8.
Robinson TN, Matheson DM. Environmental strategies for portion control in children. Appetite. 2015;88:33–8.
Hollands GJ, Shemilt I, Marteau TM, Jebb SA, Lewis HB, Wei Y, et al. Portion, package or tableware size for changing selection and consumption of food, alcohol and tobacco. Cochrane Database Syst Rev. 2015;9:CD011045.
Ramsay SA, Branen LJ, Johnson SL. How much is enough? Tablespoon per year of age approach meets nutrient needs for children. Appetite. 2012;58(1):163–7.
Keast DR, Fulgoni VL 3rd, Nicklas TA, O'Neil CE. Food sources of energy and nutrients among children in the United States: National Health and nutrition examination survey 2003-2006. Nutrients. 2013;5(1):283–301.
Dunford EK, Popkin BM. 37 year snacking trends for US children 1977-2014. Pediatr Obes 2017.
Shriver LH, Marriage BJ, Bloch TD, Spees CK, Ramsay SA, Watowicz RP, et al. Contribution of snacks to dietary intakes of young children in the United States. Matern Child Nutr. 2018;14(1).
Michie S, Richardson M, Johnston M, Abraham C, Francis J, Hardeman W, et al. The behavior change technique taxonomy (v1) of 93 hierarchically clustered techniques: building an international consensus for the reporting of behavior change interventions. Ann Behav Med. 2013;46(1):81–95.
Feskanich D, Sielaff BH, Chong K, Buzzard IM. Computerized collection and analysis of dietary intake information. Comput Methods Prog Biomed. 1989;30(1):47–57.
Schakel SF, Sievert YA, Buzzard IM. Sources of data for developing and maintaining a nutrient database. J Am Diet Assoc. 1988;88(10):1268–71.
Sievert YA, Schakel SF, Buzzard IM. Maintenance of a nutrient database for clinical trials. Control Clin Trials. 1989;10(4):416–25.
Lohman TG, Roche AF, Martorell R. Anthropometric standardization reference manual. Champaign, IL: Human Kinetics Books; 1988.
Kuczmarski RJ, Ogden CL, Grummer-Strawn LM, Flegal KM, Guo SS, Wei R, et al. CDC growth charts: United States. Adv Data. 2000;314:1–27.
Barlow SE, Expert C. Expert committee recommendations regarding the prevention, assessment, and treatment of child and adolescent overweight and obesity: summary report. Pediatrics. 2007;120(Suppl 4):S164–92.
NHLBI Obesity Education Initiative Expert Panel on the Identification E, and Treatment of Obesity in Adults,. Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults: The Evidence Report. Bethesda, MD: National Heart, Lung, and Blood Institute; 1998.
Cohen J. Statistical power analysis for the behavioral sciences. Second edition. Hillsdale, NJ: Eribaum; 1988.
De Bock F, Breitenstein L, Fischer JE. Positive impact of a pre-school-based nutritional intervention on children's fruit and vegetable intake: results of a cluster-randomized trial. Public Health Nutr. 2012;15(3):466–75.
Haire-Joshu D, Elliott MB, Caito NM, Hessler K, Nanney MS, Hale N, et al. High 5 for kids: the impact of a home visiting program on fruit and vegetable intake of parents and their preschool children. Prev Med. 2008;47(1):77–82.
Castro DC, Samuels M, Harman AE. Growing healthy kids: a community garden-based obesity prevention program. Am J Prev Med. 2013;44(3 Suppl 3):S193–9.
Tucker SJ, Ytterberg KL, Lenoch LM, Schmit TL, Mucha DI, Wooten JA, et al. Reducing pediatric overweight: nurse-delivered motivational interviewing in primary care. J Pediatr Nurs. 2013;28(6):536–47.
Skouteris H, Hill B, McCabe M, Swinburn B, Busija L. A parent-based intervention to promote healthy eating and active behaviours in pre-school children: evaluation of the MEND 2-4 randomized controlled trial. Pediatr Obes. 2016;11(1):4–10.
Reedy J, Krebs-Smith SM. Dietary sources of energy, solid fats, and added sugars among children and adolescents in the United States. J Am Diet Assoc. 2010;110(10):1477–84.
Subar AF, Freedman LS, Tooze JA, Kirkpatrick SI, Boushey C, Neuhouser ML, et al. Addressing current criticism regarding the value of self-report dietary data. J Nutr. 2015;145(12):2639–45.
Cui Z, Seburg EM, Sherwood NE, Faith MS, Ward DS. Recruitment and retention in obesity prevention and treatment trials targeting minority or low-income children: a review of the clinical trials registration database. Trials. 2015;16:564.
Lawman HG, Ogden CL, Hassink S, Mallya G, Vander Veur S, Foster GD. Comparing methods for identifying biologically implausible values in height, weight, and body mass index among youth. Am J Epidemiol. 2015;182(4):359–65.