Childhood Obesity, Feeding Behavior, Physical Activity
Conditions
Keywords
pediatric obesity, preschool children, non-responsive feeding, body mass index, parenting
Brief summary
Primary care offers a promising setting for promoting parenting practices that shape healthy eating and physical activity behaviors of young children. This study assessed the impact of a parent-based, primary care intervention on the feeding habits, health behaviors, and body mass index (BMI) of 2-5 year olds with elevated or rapidly-increasing BMI. Four private pediatric offices in West Michigan were assigned as control (n=2) or intervention (n=2) sites based on patient load and demographics. Treatment families were recruited at well-child visits to receive physician health-behavior counseling and four visits with a registered dietitian nutritionist (RDN) over a 6-month period. Outcomes included percent of the 95th BMI percentile (%BMI95), the Family Nutrition and Physical Activity survey (FNPA), and the Feeding Practices and Structure Questionnaire (FPSQ).
Interventions
BEHAVIORALBehavior-based parental intervention
Behavioral intervention designed to promote healthy feeding behaviors in parents of 2-5 year olds, and to modify parenting practices in a way that encourages adequate physical activity, sufficient sleep, and healthy nutrition, while limiting sedentary behaviors.
Sponsors
Blue Care Network of Michigan
We Are For Children, LLC
Corewell Health West
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
We Are for Children, LLC (WAFC), is a collaboration of non-profit pediatric practices in West Michigan formed to help members respond to healthcare needs. Four primary care pediatric offices from WAFC were selected to participate in the current study based on site interest and capacity. Participating pediatric offices were then matched into pairs based on similarities in office size (i.e. physician FTEs and patient load) and patient demographics characteristics, after which one of each matched pair was assigned as a treatment or control site.
Eligibility
Sex/Gender
ALL
Age
2 Years to 5 Years
Healthy volunteers
No
Inclusion criteria
* Age between 2 and 5 years * BMI ≥85th percentile for age and sex, using the 2000 CDC growth chart, or BMI percentile increase within the past year equivalent to crossing at least two growth chart lines per year on a standard CDC growth chart, excluding the 5th percentile (e.g., 10th & 25th, 25th & 50th, 50th & 75th, 75th & 85th). This rate of increase is equivalent to ≥0.67 standard deviations per year (BMI z-score), and, when occurring in this age group, has been shown to increase risk of adult obesity
Exclusion criteria
* Known disorder of the HPA axis * Use of glucocorticoid medication * Non-English speaking
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Anthropometry | Change from baseline to follow-up at 6 months | Age- and sex-specific body mass index such as percent of the 95th BMI percentile |
| FNPA | Change from baseline to follow-up at 6 months | Family Nutrition and Physical Activity screening tool |
| FPSQ | Change from baseline to follow-up at 6 months | Feeding Practices and Structure Questionnaire |
Outcome results
None listed