Parenting support to prevent overweight during regular well-child visits in 0-3 year old children (BBOFT+ program), a cluster randomized trial on the effectiveness on child BMI and health behaviors and parenting

Autor: M. Beltman, Monique P. L’Hoir, Magda M. Boere-Boonekamp, Hein Raat, E. Vlasblom, Amy van Grieken
Přispěvatelé: Public Health, Health Technology & Services Research
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Male
European People
Pediatric Obesity
Multivariate analysis
Physiology
Office Visits
Child Health Services
Health Behavior
Psychological intervention
Breastfeeding
Social Sciences
Overweight
Pediatrics
Education
Nonprofessional
Body Mass Index
law.invention
Families
Child Development
0302 clinical medicine
Sociology
Randomized controlled trial
law
Surveys and Questionnaires
Medicine and Health Sciences
Psychology
Ethnicities
Cluster Analysis
Public and Occupational Health
030212 general & internal medicine
Cluster randomised controlled trial
Early childhood
Parent-Child Relations
Children
Netherlands
Multidisciplinary
Parenting
Child Health
Primary Prevention
Physiological Parameters
Child
Preschool
Medicine
Female
medicine.symptom
Behavioral and Social Aspects of Health
Research Article
Adult
Childhood Obesity
Science
Parenting Behavior
030209 endocrinology & metabolism
Education
03 medical and health sciences
medicine
Humans
Life Science
Obesity
Life Style
Educational Attainment
Dutch People
Global Nutrition
Wereldvoeding
Behavior
business.industry
Body Weight
Infant
Newborn
Biology and Life Sciences
Infant
Age Groups
People and Places
Population Groupings
business
Body mass index
Program Evaluation
Demography
Zdroj: PLoS ONE 15 (2020) 8
PLoS ONE
PLoS One (print), 15(8):e0237564. Public Library of Science
PLoS ONE, 15(8)
PLoS ONE, Vol 15, Iss 8, p e0237564 (2020)
PLoS ONE, 15(8):e0237564. Public Library of Science
ISSN: 1932-6203
Popis: BACKGROUND: Prevention of overweight during early childhood seems promising. OBJECTIVE: To evaluate the effectiveness of the parenting-based BBOFT+ overweight prevention program on child BMI, child health behavior and parenting behavior among 0-36 month old children. BBOFT+ is an acronym for the key healthy lifestyle behaviors that are targeted in the BBOFT+ intervention: breastfeeding (B), daily breakfast (B), daily going outdoors (O), limiting sweet beverages (in Dutch, F) and minimal TV or computer time (T), complemented with healthy sleep behavior and improvement of parenting skills (+). METHODS: A cluster randomized controlled trial in newborn children visiting well-baby clinics, comparing the BBOFT+ intervention (N = 901) with care as usual (CAU) (N = 1094). In both groups, parents received regular well-child visits (±11 visits in the first 3 years). In the intervention group, care was supplemented with the BBOFT+ program, which focuses on improving parenting skills from birth onwards to increase healthy behavior. Questionnaires were filled in at child's age 2-4 weeks, 6, 14 and 36 months. In multivariate analyses we corrected for child's birthweight, age, ethnic background, mother's educational level and BMI. RESULTS: No differences were found in weight status at 36 months between intervention and control group children. At 6 months, BBOFT+ parents reported their child drinking less sweet beverages than control parents (48% vs 54%;p = .027), and going outdoors daily with their child less often (57% vs 62%;p = .03). At 14 months, more BBOFT+ parents than control parents reported to have breastfed for six months or longer (32% vs 29%;p = .022). At 36 months, more BBOFT+ parents than control parents reported their child going outside daily (78% vs 72%;p = .011) and having less TV/computer time on week- (38% vs 46%;p = .001) and weekend days (48% vs 56%;p = .002). Also, BBOFT+ parents reported having more parental control than control parents (3.92 vs 3.89;p = .02). No significant differences were found for daily breakfast, sleep duration and parenting practices in adjusted analyses. CONCLUSION: The BBOFT+ overweight prevention program showed small improvements in parent-reported child health behaviors, compared to care as usual; no effect was observed on child BMI. The identified modifiable elements are potentially relevant for interventions that aim to prevent overweight.
Databáze: OpenAIRE
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