Childhood Obesity
Conditions
Brief summary
The purpose of this study is to learn whether a combination of two research-proven programs, a responsive caregiving parenting program and a childhood obesity prevention program, will have an effect on toddlers' healthy nutrition and physical activity behaviors. Investigators hypothesize that the children participating in the intervention will have significantly lower BMI z-scores, lower intake of sugar sweetened beverages, and increased number of servings of fruits and vegetables, and minutes of physical activity.
Interventions
BEHAVIORALENRICH
The intervention, called ENRICH (Encouraging Nurturing Responsiveness to Improve Child Health), is a 10-week home-based parent-centered curriculum designed to facilitate parents' mastery of skills for interacting with their toddler to increase opportunities for healthy eating and activity. Each weekly session is a 60 minute session implemented by a trained coach.
BEHAVIORALControl - monthly handouts
The control group receives monthly handouts (one per month) for 3 months that provides information on various topics including child cognitive and language development and child behaviors as it pertains to 2 and 3 year old children.
Sponsors
The University of Texas Health Science Center, Houston
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
24 Months to 48 Months
Healthy volunteers
No
Inclusion criteria
* child is 2 - 3 years at the time of enrollment * child is \>85th percentile for BMI * ability of the parents to speak and read in English at the 4th grade level * provide primarily in-home care for the children at the time of enrollment * child is Medicaid eligible
Exclusion criteria
* acute secondary complications of obesity for child (e.g., severe respiratory insufficiency) * child with endocrine abnormalities * child with severe obesity (\>99.5th BMI percentile) * children who have participated in an obesity treatment program within the past year * parent with significant sensory impairments (e.g. deaf, blind) * parent with BMI \>40.0
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| change in child Body Mass Index | baseline and 10 weeks |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| change in intake of servings of sugar sweetened beverages for the child as assessed using 24 hour parent-reported recalls | baseline and 10 weeks | investigators will assess intake of sugar sweetened beverages per day as collected using multiple 24 hour recalls with the parents conducted by trained interviewers. |
| change in total intake of servings fruits and vegetables for the child as assessed using 24 hour parent-reported recalls | baseline and 10 weeks | investigators will assess total intake of servings of fruit and vegetable per day as collected using multiple 24 hour recalls with the parents conducted by trained interviewers. |
| change in daily minutes of physical activity for the child as assessed using accelerometers | baseline and 10 weeks | — |
Countries
United States
Contacts
Primary ContactShreela Sharma, PhD, RD
Outcome results
None listed