Short-Term Effects of an Obesity Prevention Program Among Low-Income Hispanic Families With Preschoolers |
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| Institution: | 1. US Department of Agriculture/Agricultural Research Service Children''s Nutrition Research Center, Department of Pediatrics, Baylor College of Medicine, Houston, TX;2. Department of Human Development, Washington State University, Pullman, WA;3. Department of Food, Bioprocessing, and Nutritional Sciences, North Carolina State University, Raleigh, NC;4. Department of Psychological, Health, and Learning Sciences, University of Houston, Houston, TX;5. Department of Pediatrics, Section of Nutrition, University of Colorado School of Medicine, Aurora, CO;1. Department of Human Development and Family Studies, Purdue University, West Lafayette, IN;2. School of Health Sciences, The Herbert H. and Grace A. Dow College of Health Professions, Central Michigan University, Mt Pleasant, MI;3. Yale Center for Emotional Intelligence, Yale Child Study Center, Yale School of Medicine, Yale University, New Haven, CT;1. Prevention Research Center, Department of Pediatrics, University of New Mexico Health Sciences Center, Albuquerque, NM, United States;2. Department of Internal Medicine, University of New Mexico Health Sciences Center, Albuquerque, NM, United States;1. Department of Pediatrics, University of Miami Miller School of Medicine, United States;2. Department of Public Health Sciences, University of Miami Miller School of Medicine, United States;3. College of Public Health, Florida International University, Miami, FL, United States;4. Department of Health Sciences, James Madison University, Harrisonburg, VA, United States;5. Department of Family, Youth and Community Sciences, University of Florida, Gainesville, FL, United States;6. The Children''s Trust, Miami, FL, United States;7. Early Learning Coalition, Miami, FL, United States;1. University of Maryland Baltimore School of Medicine, Department of Pediatrics, United States of America;2. RTI International, Department of Pediatrics, United States of America |
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| Abstract: | ObjectiveTo assess the short-term effects of an obesity prevention program promoting eating self-regulation and healthy food preferences in low-income Hispanic children.DesignRandomized controlled trial with pretest, posttest, and 6- and 12-month assessments.Setting and ParticipantsHead Start and similar early learning institutions in Houston, TX, and Pasco, WA. A total of 255 families with preschoolers randomized into prevention (n = 136) and control (n = 119) groups.InterventionMulticomponent family-based prevention program. Fourteen waves lasted 7 weeks each with 8–10 mother–child dyads in each group.Main Outcome MeasuresParent assessments included feeding practices, styles, and knowledge. Child assessments included child eating self-regulation, willingness to try new foods, and parent report of child fruit and vegetable preferences. Parent and child heights and weights were measured.AnalysisMultilevel analyses were employed to consider the nested nature of the data: time points within families within waves.ResultsThe program had predicted effects on parental feeding practices, styles, and knowledge in the pre- to post-comparisons. Effects on child eating behavior were minimal; only the number of different vegetables tried showed significant pre-post differences.Conclusions and ImplicationsShort-term effects of this prevention program highlight the importance of family-focused feeding approaches to combating child overweight and obesity. |
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