Behavior Modification of Diet and Parent Feeding Practices in a Community- Vs Primary Care-Centered Intervention for Childhood Obesity
| Autor: | Stephen J. Pont, Sarah E. Barlow, Nancy F. Butte, Courtney E. Byrd-Williams, Anne L. Adolph, Deanna M. Hoelscher, Theresa A. Wilson, Paul M. Sacher, Shreela V. Sharma, Yan Liu |
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| Rok vydání: | 2017 |
| Předmět: |
Male
Parents Pediatric Obesity 030309 nutrition & dietetics Psychological intervention Medicine (miscellaneous) 030209 endocrinology & metabolism Primary care Child Nutrition Sciences Health Promotion Childhood obesity law.invention Food group 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Behavior Therapy Environmental health Intervention (counseling) medicine Humans Community Health Services Child 0303 health sciences Nutrition and Dietetics Primary Health Care business.industry Neophobia Feeding Behavior Hispanic or Latino medicine.disease Obesity Texas Diet Black or African American Child Preschool Female Diet Healthy business |
| Zdroj: | Journal of nutrition education and behavior. 51(2) |
| ISSN: | 1878-2620 |
| Popis: | To evaluate behavior modification of diet and parent feeding practices in childhood obesity interventions.Secondary analysis of randomized, controlled trial comparing Mind, Exercise, Nutrition … Do It! (MEND2-5 and MEND/Coordinated Approach to Child Health [CATCH6-12]) vs Next Steps at baseline and 3 and 12 months.Austin and Houston, TX.A total of 549 Hispanic and black children randomized to programs by age groups (2-5, 6-8, and 9-12 years) INTERVENTIONS: Twelve-month MEND2-5 and MEND/CATCH6-12 vs Next Steps.Diet (MEND-friendly/unfriendly food groups and Healthy Eating Index-2010) and parent feeding practices (parental overt control, discipline, limit setting, monitoring, reinforcement, modeling, and covert control; and food neophobia).Mixed-effects linear regression.Changes in diet quality, consumption of MEND-unfriendly foods, and parent feeding practices did not differ between programs. In both interventions, MEND-unfriendly vegetables, grains, dairy and protein, added fat and desserts/sugar-sweetened beverages declined in 2-5- and 6-8-year-olds (P.001). Healthy Eating Index-2010 improved in 2-5- (treatment; P = .002) and 6-8-year-olds (P = .001). Parental overt control decreased and limit setting, discipline, monitoring, reinforcement, and covert control increased with both interventions in 2-5- and 6-8-year-olds (P0.01-0.001).Diet quality, consumption of MEND-unfriendly foods, and parent feeding practices were altered constructively in 2 pediatric obesity interventions, especially in 2-5- and 6-8-year-olds. |
| Databáze: | OpenAIRE |
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