The Healthy Kids & Families study: Outcomes of a 24-month childhood obesity prevention intervention.
Behaviour
Change
Health equity
Health promotion
Lifestyle change
Obesity prevention
Journal
Preventive medicine reports
ISSN: 2211-3355
Titre abrégé: Prev Med Rep
Pays: United States
ID NLM: 101643766
Informations de publication
Date de publication:
Feb 2023
Feb 2023
Historique:
received:
27
05
2022
revised:
30
11
2022
accepted:
01
12
2022
entrez:
23
2
2023
pubmed:
24
2
2023
medline:
24
2
2023
Statut:
epublish
Résumé
Socioeconomically disadvantaged children experience a high burden of obesity but few interventions address obesity prevention in this population subgroup. The Healthy Kids & Families study tested the effect of a parent-focused community health worker (CHW)-delivered lifestyle intervention to prevent childhood obesity. Participants were child-parent/guardian (Kindergarten to 6th grade at baseline) dyads (n = 247) recruited through schools located in socioeconomically disadvantaged neighborhoods in Worcester, MA, USA. Using a quasi-experimental design, the study tested the impact of Healthy Kids & Families, a theory-based, low-intensity, parent-focused, CHW-delivered intervention to improve children's weight, healthy eating and physical activity. The attention-control comparison condition was a positive parenting intervention. The primary outcome was change in child body mass index (BMI) z-score at 24 months. Secondary outcomes included number of positive child and parent changes in selected diet and physical activity behaviors targeted by the intervention and change in parent BMI. Outcomes were assessed following the intent-to-treat principle and using multivariable generalized linear mixed models. Compared to the attention-control comparison condition, the Healthy Kids & Families intervention led to a greater reduction in children's BMI z-score (β = -0.17, 95 %CI: -1.92 to -0.36; p = 0.057) and a greater number of positive behavior changes among children (β = 0.57, 95 %CI: 0.08-1.06; p = 0.02) at 24 months. There was no significant change in parent outcomes. The Healthy Kids & Families intervention shows promise for obesity prevention among children in socioeconomically disadvantaged communities.
Identifiants
pubmed: 36820371
doi: 10.1016/j.pmedr.2022.102086
pii: S2211-3355(22)00393-X
pmc: PMC9938323
doi:
Types de publication
Journal Article
Langues
eng
Pagination
102086Subventions
Organisme : NIDDK NIH HHS
ID : P30 DK111022
Pays : United States
Organisme : ACL HHS
ID : U48DP005031
Pays : United States
Commentaires et corrections
Type : ErratumIn
Informations de copyright
© 2022 The Authors.
Déclaration de conflit d'intérêts
The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
Références
Obes Rev. 2012 Jun;13(6):499-508
pubmed: 22221298
Int J Behav Nutr Phys Act. 2015 Dec 15;12:154
pubmed: 26667110
Arch Pediatr Adolesc Med. 2010 Nov;164(11):1007-14
pubmed: 21041593
Health Psychol. 2012 Jan;31(1):126-129
pubmed: 21928901
Am J Health Promot. 1996 Mar-Apr;10(4):282-98
pubmed: 10159709
Int J Obes (Lond). 2012 Jan;36(1):1-11
pubmed: 22041985
Obes Res. 2003 Mar;11(3):452-6
pubmed: 12634444
Circulation. 2009 Apr 21;119(15):e489-517
pubmed: 19332458
BMC Obes. 2019 Jun 03;6:19
pubmed: 31171975
J Public Health (Oxf). 2010 Jun;32(2):219-29
pubmed: 19933120
Child Obes. 2012 Feb;8(1):52-9
pubmed: 22799481
Int J Behav Nutr Phys Act. 2010 May 11;7:40
pubmed: 20459784
Cochrane Database Syst Rev. 2019 Jul 23;7:CD001871
pubmed: 31332776
J Am Diet Assoc. 2005 Jan;105(1):131-8
pubmed: 15635359
J Acad Nutr Diet. 2018 Feb;118(2):240-251
pubmed: 28578900
Pediatr Obes. 2018 Nov;13(11):686-696
pubmed: 27884047
Exp Biol Med (Maywood). 2014 Nov;239(11):1531-40
pubmed: 24719380
Obes Rev. 2008 Sep;9(5):474-88
pubmed: 18331423
Am J Clin Nutr. 2006 Aug;84(2):274-88
pubmed: 16895873
J Am Diet Assoc. 2010 Jun;110(6):879-91
pubmed: 20497777
J Public Health (Oxf). 2012 Aug;34(3):360-9
pubmed: 22267291
J Pediatr. 2016 Aug;175:188-194.e1
pubmed: 27112040
J Am Diet Assoc. 2009 Sep;109(9):1587-92
pubmed: 19699839
Med Sci Sports Exerc. 1997 Oct;29(10):1344-9
pubmed: 9346166
BMC Health Serv Res. 2012 Oct 30;12:374
pubmed: 23110376
JAMA. 2003 Apr 9;289(14):1813-9
pubmed: 12684360
Am J Prev Med. 2010 Jan;38(1):27-38
pubmed: 20117554
J Am Diet Assoc. 2010 Aug;110(8):1227-32
pubmed: 20656099
Ethn Dis. 2003 Winter;13(1 Suppl 1):S40-53
pubmed: 12713210
Community Ment Health J. 2017 Oct;53(7):832-841
pubmed: 28168431
Pediatrics. 2012 Sep;130(3):445-56
pubmed: 22869834
Child Obes. 2015 Feb;11(1):23-36
pubmed: 25575095
Int J Environ Res Public Health. 2018 May 14;15(5):
pubmed: 29757941
Pediatrics. 2017 Nov;140(5):
pubmed: 29089403
Lancet. 2014 Aug 30;384(9945):766-81
pubmed: 24880830
Am J Prev Med. 2002 May;22(4):267-84
pubmed: 11988383
J Am Coll Cardiol. 2014 Jul 1;63(25 Pt B):2985-3023
pubmed: 24239920
MMWR Morb Mortal Wkly Rep. 2018 Feb 16;67(6):186-189
pubmed: 29447142
Int J Behav Nutr Phys Act. 2011 Sep 21;8:98
pubmed: 21936895
J Multidiscip Healthc. 2016 May 04;9:211-7
pubmed: 27217764
Obesity (Silver Spring). 2010 Sep;18(9):1801-4
pubmed: 20035278
J Am Coll Cardiol. 2013 Oct 8;62(15):1309-19
pubmed: 23954339
Pediatr Obes. 2014 Jun;9(3):218-31
pubmed: 23754782
Pediatrics. 2003 Jun;111(6 Pt 2):1541-71
pubmed: 12777595
J Fam Psychol. 2018 Jun;32(4):517-527
pubmed: 29878812
Diabetes Educ. 2003 Nov-Dec;29(6):1006-17
pubmed: 14692374
Pediatrics. 2004 May;113(5):1187-94
pubmed: 15121928
Prev Med. 2014 Mar;60:41-7
pubmed: 24345602
Obes Rev. 2004 May;5 Suppl 1:4-104
pubmed: 15096099
Child Obes. 2013 Apr;9(2):104-15
pubmed: 23470091
Pediatrics. 2007 Dec;120 Suppl 4:S229-53
pubmed: 18055653
Pediatrics. 2005 Jan;115(1):22-7
pubmed: 15629977