Multicomponent obesity prevention intervention in low-income preschoolers: Primary and subgroup analyses of the NET-works randomized clinical trial, 2012-2017

Simone A French, Nancy E Sherwood, Sara Veblen-Mortenson, A. Lauren Crain, Meghan M. JaKa, Nathan Mitchell, Anne Marie Hotop, Jerica M Berge, Alicia S Kunin-Batson, Kim Truesdale, June Stevens, Charlotte Pratt, Layla Esposito

Research output: Contribution to journalArticle

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Abstract

Objectives. To evaluate a multicomponent obesity prevention intervention among diverse, low-income preschoolers. Methods. Parent-child dyads (n = 534) were randomized to the Now Everybody Together for Amazing and Healthful Kids (NET-Works) intervention or usual care in Minneapolis, MN (2012-2017). The intervention consisted of home visits, parenting classes, and telephone check-ins. The primary outcomes were adjusted 24- and 36-month body mass index (BMI). Results. Compared with usual care, the NET-Works intervention showed no significant difference in BMI change at 24 (-0.12 kg/m2; 95% confidence interval [CI] = -0.44, 0.19) or 36 months (-0.19 kg/m2; 95% CI = -0.64, 0.26). Energy intake was significantly lower in the NET-Works group at 24 (-90 kcal/day; 95% CI = -164, -16) and 36 months (-101 kcal/day; 95% CI = -164, -37). Television viewing was significantly lower in the NET-Works group at 24 (rate ratio = 0.84; 95% CI = 0.75, 0.93) and 36 months (rate ratio = 0.88; 95% CI = 0.78, 0.99). Children with baseline overweight or obesity had lower BMI in the NET-Works group than those in usual care at 36 months (-0.71 kg/m2; 95% CI = -1.30, -0.12). Hispanic children had lower BMI in the NET-Works group than those in usual care at 36 months (-0.59 kg/m2; 95% CI = -1.14, -0.04). Conclusions. In secondary analyses, NET-Works significantly reduced BMI over 3 years among Hispanic children and children with baseline overweight or obesity. Trial Registration: ClinicalTrials.gov Identifier: NCT01606891.

Original languageEnglish (US)
Pages (from-to)1695-1706
Number of pages12
JournalAmerican journal of public health
Volume108
Issue number12
DOIs
StatePublished - Dec 1 2018

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Randomized Controlled Trials
Obesity
Confidence Intervals
Body Mass Index
Hispanic Americans
House Calls
Television
Parenting
Energy Intake
Telephone

PubMed: MeSH publication types

  • Journal Article
  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural

Cite this

Multicomponent obesity prevention intervention in low-income preschoolers : Primary and subgroup analyses of the NET-works randomized clinical trial, 2012-2017. / French, Simone A; Sherwood, Nancy E; Veblen-Mortenson, Sara; Lauren Crain, A.; JaKa, Meghan M.; Mitchell, Nathan; Hotop, Anne Marie; Berge, Jerica M; Kunin-Batson, Alicia S; Truesdale, Kim; Stevens, June; Pratt, Charlotte; Esposito, Layla.

In: American journal of public health, Vol. 108, No. 12, 01.12.2018, p. 1695-1706.

Research output: Contribution to journalArticle

French, Simone A ; Sherwood, Nancy E ; Veblen-Mortenson, Sara ; Lauren Crain, A. ; JaKa, Meghan M. ; Mitchell, Nathan ; Hotop, Anne Marie ; Berge, Jerica M ; Kunin-Batson, Alicia S ; Truesdale, Kim ; Stevens, June ; Pratt, Charlotte ; Esposito, Layla. / Multicomponent obesity prevention intervention in low-income preschoolers : Primary and subgroup analyses of the NET-works randomized clinical trial, 2012-2017. In: American journal of public health. 2018 ; Vol. 108, No. 12. pp. 1695-1706.
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abstract = "Objectives. To evaluate a multicomponent obesity prevention intervention among diverse, low-income preschoolers. Methods. Parent-child dyads (n = 534) were randomized to the Now Everybody Together for Amazing and Healthful Kids (NET-Works) intervention or usual care in Minneapolis, MN (2012-2017). The intervention consisted of home visits, parenting classes, and telephone check-ins. The primary outcomes were adjusted 24- and 36-month body mass index (BMI). Results. Compared with usual care, the NET-Works intervention showed no significant difference in BMI change at 24 (-0.12 kg/m2; 95{\%} confidence interval [CI] = -0.44, 0.19) or 36 months (-0.19 kg/m2; 95{\%} CI = -0.64, 0.26). Energy intake was significantly lower in the NET-Works group at 24 (-90 kcal/day; 95{\%} CI = -164, -16) and 36 months (-101 kcal/day; 95{\%} CI = -164, -37). Television viewing was significantly lower in the NET-Works group at 24 (rate ratio = 0.84; 95{\%} CI = 0.75, 0.93) and 36 months (rate ratio = 0.88; 95{\%} CI = 0.78, 0.99). Children with baseline overweight or obesity had lower BMI in the NET-Works group than those in usual care at 36 months (-0.71 kg/m2; 95{\%} CI = -1.30, -0.12). Hispanic children had lower BMI in the NET-Works group than those in usual care at 36 months (-0.59 kg/m2; 95{\%} CI = -1.14, -0.04). Conclusions. In secondary analyses, NET-Works significantly reduced BMI over 3 years among Hispanic children and children with baseline overweight or obesity. Trial Registration: ClinicalTrials.gov Identifier: NCT01606891.",
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T2 - Primary and subgroup analyses of the NET-works randomized clinical trial, 2012-2017

AU - French, Simone A

AU - Sherwood, Nancy E

AU - Veblen-Mortenson, Sara

AU - Lauren Crain, A.

AU - JaKa, Meghan M.

AU - Mitchell, Nathan

AU - Hotop, Anne Marie

AU - Berge, Jerica M

AU - Kunin-Batson, Alicia S

AU - Truesdale, Kim

AU - Stevens, June

AU - Pratt, Charlotte

AU - Esposito, Layla

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