Dietary intake in a randomized-controlled pilot of NOURISH: A parent intervention for overweight children

被引:15
作者
Bean, Melanie K. [1 ,2 ]
Wilson, Diane Baer [3 ,4 ]
Thornton, Laura M. [5 ]
Kelly, Nichole
Mazzeo, Suzanne E. [1 ,2 ]
机构
[1] Virginia Commonwealth Univ, Dept Psychol, Richmond, VA 23284 USA
[2] Virginia Commonwealth Univ, Childrens Hosp Richmond, Dept Pediat, Richmond, VA 23298 USA
[3] Virginia Commonwealth Univ, Med Coll Virginia, Massey Canc Ctr, Richmond, VA 23298 USA
[4] Virginia Commonwealth Univ, Med Coll Virginia, Dept Internal Med, Richmond, VA 23298 USA
[5] Univ N Carolina, Dept Psychiat, Chapel Hill, NC 27599 USA
基金
美国国家卫生研究院;
关键词
Parent; Diet; Pediatric obesity; CHILDHOOD OBESITY; HEALTH;
D O I
10.1016/j.ypmed.2012.06.016
中图分类号
R1 [预防医学、卫生学];
学科分类号
100235 [预防医学];
摘要
Objective. NOURISH is a community-based treatment program for parents of overweight and obese children (ages 6-11, BMI >= 85th percentile). This study examined the impact of Nourishing Our Understanding of Role modeling to Improve Support and Health on child and parent dietary intake, secondary trial outcomes. Methods. In Virginia from 2008 to 2009, this randomized controlled pilot was implemented and dietary assessment of parents and children conducted at baseline, post-test, and 6-month follow-up. Parents (85% female, 62% African American, mean BMI = 34.1 +/- 9.1) were randomized into intervention (n = 46) or control (n = 50) groups. Children's (mean age = 8.6 +/- 1.5) mean Body Mass Index percentile was 98.1 +/- 2.6. Parents completed 24-hour dietary records for themselves and their child(ren). Repeated measures analyses assessed treatment effects over time. T-tests evaluated within-group changes from baseline to post-test and to follow-up, using a modified intent-to-treat approach. Results. Both groups reported significant dietary changes, with few treatment effects found. For parents in NOURISH, significant improvements were found in intakes of total kilocalories/day, grams/day of carbohydrates and sugar, and percent calories from protein (p<0.05). Among control group children, significant improvements in total kilocalories/day and grams/day of carbohydrates and sugar were found (p<0.05). Conclusions. Among parents who self-select into a childhood obesity program, minimal intervention can elicit short-term dietary changes comparable to those of a structured intervention. (C) 2012 Elsevier Inc. All rights reserved.
引用
收藏
页码:224 / 227
页数:4
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