BACKGROUND: Few interventions have shown efficacy to influence key energy balance behaviors during the preschool years.
OBJECTIVE: A randomized controlled trial (RCT) was used to evaluate the efficacy of Food, Fun, and Families (FFF), a 12 week authoritative food parenting intervention for mothers with low-income levels, to reduce preschool-aged children's intake of calories from solid fat and added sugar (SoFAS).
METHODS: Mothers were randomly assigned to receive FFF (n = 59) or to a delayed treatment control (n = 60). The primary outcome was children's daily energy intake from SoFAS at the end of the 12 week intervention, controlling for baseline levels, assessed by 24-h dietary recalls. Secondary outcomes included children's daily energy intake, children's BMI z-scores, and meal observations of maternal food parenting practices targeted in FFF (e.g. providing guided choices).
RESULTS: Participating mothers were predominantly African American (91%), with 39% educated beyond high school and 66% unemployed. Baseline demographics and child SoFAS intakes did not differ by group. Lost to follow-up was 13% and did not differ between groups. At post-intervention, FFF children consumed ~ 94 kcal or 23% less daily energy from SoFAS than children in the control group, adjusting for baseline levels (307.8 (95%CI = 274.1, 341.5) kcal vs. 401.9 (95%CI = 369.8, 433.9) kcal, FFF vs. control; p < 0.001). FFF mothers also displayed a greater number of authoritative parenting practices when observed post-intervention with their child at a buffet-style meal (Wilcoxon z = - 2.54, p = 0.012). Neither child total daily energy intake nor BMI z-scores differed between groups post-intervention.
CONCLUSIONS: Findings demonstrate the initial efficacy of an authoritative food parenting intervention for families with low-income to reduce SoFAS intake in early childhood. Additional research is needed to evaluate longer-term effects on diet and growth.
TRIAL REGISTRATION: Retrospectively registered at ClinicalTrials.gov : #NCT03646201.
|Original language||English (US)|
|Journal||International Journal of Behavioral Nutrition and Physical Activity|
|State||Published - Jan 17 2019|
Bibliographical noteFunding Information:
This project was supported by Agriculture and Food Research Initiative Grant no. 2011–68001-30148 from the USDA National Institute of Food and Agriculture, Childhood Obesity Prevention: Integrated Research, Education and Extension to Prevent Childhood Obesity-A2101.
© 2019 The Author(s).
- Added sugars
- Dietary intervention
- Food parenting
- Randomized controlled trial
- Solid fats
- Health Promotion/methods
- Child, Preschool
- Dietary Fats/administration & dosage
- Young Adult
- Child Behavior
- Retrospective Studies
- Dietary Sugars/administration & dosage
- Feeding Behavior
- Treatment Outcome
- Energy Intake
PubMed: MeSH publication types
- Research Support, U.S. Gov't, Non-P.H.S.
- Randomized Controlled Trial
- Journal Article