1. Behavior Modification of Diet and Parent Feeding Practices in a Community- Vs Primary Care-Centered Intervention for Childhood Obesity
- Author
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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, and Yan Liu
- Subjects
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 - Abstract
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.
- Published
- 2017