Efficacy of a food parenting intervention for mothers with low income to reduce preschooler's solid fat and added sugar intakes: A randomized controlled trial

Jennifer O. Fisher; Elena L. Serrano; Gary D. Foster; Chantelle N. Hart; Adam Davey; Yasmeen P. Bruton; Linda Kilby; Lisa Harnack; Karen J. Ruth; Alexandria Kachurak; Hannah G. Lawman; Anna Martin; Heather M. Polonsky

doi:10.1186/s12966-018-0764-3

Efficacy of a food parenting intervention for mothers with low income to reduce preschooler's solid fat and added sugar intakes: A randomized controlled trial

Jennifer O. Fisher, Elena L. Serrano, Gary D. Foster, Chantelle N. Hart, Adam Davey, Yasmeen P. Bruton, Linda Kilby, Lisa Harnack, Karen J. Ruth, Alexandria Kachurak, Hannah G. Lawman, Anna Martin, Heather M. Polonsky

Epidemiology & Community Health

Research output: Contribution to journal › Article › peer-review

23 Scopus citations

Abstract

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)
Article number	6
Journal	International Journal of Behavioral Nutrition and Physical Activity
Volume	16
Issue number	1
DOIs	https://doi.org/10.1186/s12966-018-0764-3
State	Published - Jan 17 2019

Bibliographical note

Funding 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.

Publisher Copyright:
© 2019 The Author(s).

Keywords

Added sugars
Authoritative
Dietary intervention
Food parenting
Low-income
Preschooler
Prevention
Randomized controlled trial
Solid fats
Parenting
Health Promotion/methods
Humans
Child, Preschool
Dietary Fats/administration & dosage
Male
Mothers
Young Adult
Child Behavior
Adult
Female
Retrospective Studies
Food
Dietary Sugars/administration & dosage
Poverty
Feeding Behavior
Treatment Outcome
Energy Intake
Diet

PubMed: MeSH publication types

Research Support, U.S. Gov't, Non-P.H.S.
Randomized Controlled Trial
Journal Article

Publisher link

10.1186/s12966-018-0764-3

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6335764

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Fisher, J. O., Serrano, E. L., Foster, G. D., Hart, C. N., Davey, A., Bruton, Y. P., Kilby, L., Harnack, L., Ruth, K. J., Kachurak, A., Lawman, H. G., Martin, A., & Polonsky, H. M. (2019). Efficacy of a food parenting intervention for mothers with low income to reduce preschooler's solid fat and added sugar intakes: A randomized controlled trial. International Journal of Behavioral Nutrition and Physical Activity, 16(1), [6]. https://doi.org/10.1186/s12966-018-0764-3

Efficacy of a food parenting intervention for mothers with low income to reduce preschooler's solid fat and added sugar intakes: A randomized controlled trial. / Fisher, Jennifer O.; Serrano, Elena L.; Foster, Gary D. et al.
In: International Journal of Behavioral Nutrition and Physical Activity, Vol. 16, No. 1, 6, 17.01.2019.

Research output: Contribution to journal › Article › peer-review

Fisher, JO, Serrano, EL, Foster, GD, Hart, CN, Davey, A, Bruton, YP, Kilby, L, Harnack, L, Ruth, KJ, Kachurak, A, Lawman, HG, Martin, A & Polonsky, HM 2019, 'Efficacy of a food parenting intervention for mothers with low income to reduce preschooler's solid fat and added sugar intakes: A randomized controlled trial', International Journal of Behavioral Nutrition and Physical Activity, vol. 16, no. 1, 6. https://doi.org/10.1186/s12966-018-0764-3

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abstract = "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.",

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author = "Fisher, {Jennifer O.} and Serrano, {Elena L.} and Foster, {Gary D.} and Hart, {Chantelle N.} and Adam Davey and Bruton, {Yasmeen P.} and Linda Kilby and Lisa Harnack and Ruth, {Karen J.} and Alexandria Kachurak and Lawman, {Hannah G.} and Anna Martin and Polonsky, {Heather M.}",

note = "Funding 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. Publisher Copyright: {\textcopyright} 2019 The Author(s).",

year = "2019",

month = jan,

day = "17",

doi = "10.1186/s12966-018-0764-3",

language = "English (US)",

volume = "16",

journal = "International Journal of Behavioral Nutrition and Physical Activity",

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TY - JOUR

T1 - Efficacy of a food parenting intervention for mothers with low income to reduce preschooler's solid fat and added sugar intakes

T2 - A randomized controlled trial

AU - Fisher, Jennifer O.

AU - Serrano, Elena L.

AU - Foster, Gary D.

AU - Hart, Chantelle N.

AU - Davey, Adam

AU - Bruton, Yasmeen P.

AU - Kilby, Linda

AU - Harnack, Lisa

AU - Ruth, Karen J.

AU - Kachurak, Alexandria

AU - Lawman, Hannah G.

AU - Martin, Anna

AU - Polonsky, Heather M.

N1 - Funding 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. Publisher Copyright: © 2019 The Author(s).

PY - 2019/1/17

Y1 - 2019/1/17

N2 - 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.

AB - 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.

KW - Added sugars

KW - Authoritative

KW - Dietary intervention

KW - Food parenting

KW - Low-income

KW - Preschooler

KW - Prevention

KW - Randomized controlled trial

KW - Solid fats

KW - Parenting

KW - Health Promotion/methods

KW - Humans

KW - Child, Preschool

KW - Dietary Fats/administration & dosage

KW - Male

KW - Mothers

KW - Young Adult

KW - Child Behavior

KW - Adult

KW - Female

KW - Retrospective Studies

KW - Food

KW - Dietary Sugars/administration & dosage

KW - Poverty

KW - Feeding Behavior

KW - Treatment Outcome

KW - Energy Intake

KW - Diet

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U2 - 10.1186/s12966-018-0764-3

DO - 10.1186/s12966-018-0764-3

M3 - Article

C2 - 30654818

AN - SCOPUS:85060140750

SN - 1479-5868

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Efficacy of a food parenting intervention for mothers with low income to reduce preschooler's solid fat and added sugar intakes: A randomized controlled trial

Abstract

Bibliographical note

Keywords

PubMed: MeSH publication types

Publisher link

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