2021 journal article

Twelve-Month Efficacy of an Obesity Prevention Program Targeting Hispanic Families With Preschoolers From Low-Income Backgrounds

JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR, 53(8), 677–690.

By: S. Hughes *, T. Power *, A. Beck *, D. Betz *, L. Goodell  n, V. Hopwood, J. Jaramillo *, J. Lanigan * ...

author keywords: childhood obesity; prevention program; family-based; child eating self-regulation; child fruit and vegetable consumption
MeSH headings : Child; Child, Preschool; Feeding Behavior; Female; Hispanic or Latino; Humans; Mothers; Pediatric Obesity / prevention & control; Poverty
TL;DR: Program effects emphasize the importance of feeding approaches in reducing childhood obesity, with effects on child eating behavior minimal. (via Semantic Scholar)
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{"Label"=>"OBJECTIVE"} Assess effects of an obesity prevention program promoting eating self-regulation and healthy preferences in Hispanic preschool children. {"Label"=>"DESIGN"} Randomized controlled trial with pretest, posttest, 6- and 12-month assessments. Fourteen waves, each lasting 7 weeks. {"Label"=>"SETTING"} Families recruited from Head Start across 2 sites. {"Label"=>"PARTICIPANTS"} Two hundred fifty-five families randomized into prevention (n = 136) or control (n = 119). {"Label"=>"INTERVENTION"} Prevention received curriculum; control received no curriculum. {"Label"=>"MAIN OUTCOME MEASURE(S)"} Feeding knowledge/practices/styles (parent); body mass index percentile, eating self-regulation, trying new foods, and fruit/vegetable consumption (child). {"Label"=>"ANALYSIS"} Multilevel analyses for nested data (time points within families; families within waves) and multinomial regression. {"Label"=>"RESULTS"} Program increased mothers' repeated presentation of new foods (P < 0.05), measured portion sizes (P < 0.05), child involvement in food preparation (P < 0.001), feeding responsiveness (P < 0.001), knowledge of best feeding practices (P < 0.001), and feeding efficacy (P < 0.05); reduced feeding misconceptions (P < 0.01) and uninvolved feeding (P < 0.01). Effects on child eating behavior were minimal. At 12 months, children in the prevention group were less likely to have overweight (P < 0.05) or obesity (P < 0.05). {"Label"=>"CONCLUSIONS AND IMPLICATIONS"} Program effects emphasize the importance of feeding approaches in reducing childhood obesity.