Abstract
Background: Family meal frequency has been shown to be strongly associated with better dietary intake; however, associations with weight status have been mixed. Family meals-focused randomized controlled trials with weight outcomes have not been previously conducted. Therefore, this study purpose was to describe weight-related outcomes of the HOME Plus study, the first family meals-focused randomized controlled trial to prevent excess weight gain among youth. Methods: Families (n = 160 8-12-year-old children and their parents/guardians) were randomized to intervention (n = 81) or control (n = 79) groups. Data were collected at baseline (2011-2012), post-intervention (12-months post-baseline) and follow-up (21-months post-baseline). The intervention included ten monthly group sessions (nutrition education; hands-on meal and snack planning, preparation, and skill development; screen time reductions) and five motivational, goal-setting phone calls. The main outcome was child body mass index (BMI) z-score. Results: General linear models, adjusted for baseline values and demographics, showed no significant treatment group differences in BMI z-scores at post-intervention or follow-up; however, a promising reduction in excess weight gain was observed. Post-hoc stratification by pubertal onset indicated prepubescent children in the intervention group had significantly lower BMI z-scores than their control group counterparts. Conclusions: The study used a strong theoretical framework, rigorous design, quality measurement and a program with high fidelity to test a family meals-focused obesity prevention intervention. It showed a modest decrease in excess weight gain. The significant intervention effect among prepubescent children suggests the intervention may be more efficacious among relatively young children, although more research with appropriately powered samples are needed to replicate this finding. Trial registration: This study is registered at www.clinicaltrials.govNCT01538615. Registered 01/17/2012.
| Original language | English (US) |
|---|---|
| Article number | 154 |
| Journal | International Journal of Behavioral Nutrition and Physical Activity |
| Volume | 12 |
| Issue number | 1 |
| DOIs | |
| State | Published - Dec 15 2015 |
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Keywords
- Behavioral strategies
- Childhood obesity
- Clinical trials
- Family based interventions
- Family meals
- Prevention
Cite this
Promoting healthful family meals to prevent obesity : HOME Plus, a randomized controlled trial. / Fulkerson, Jayne A.; Friend, Sarah; Flattum, Colleen; Horning, Melissa; Draxten, Michelle; Neumark-Sztainer, Dianne; Gurvich, Olga; Story, Mary; Garwick, Ann; Kubik, Martha Y.
In: International Journal of Behavioral Nutrition and Physical Activity, Vol. 12, No. 1, 154, 15.12.2015.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Promoting healthful family meals to prevent obesity
T2 - HOME Plus, a randomized controlled trial
AU - Fulkerson, Jayne A.
AU - Friend, Sarah
AU - Flattum, Colleen
AU - Horning, Melissa
AU - Draxten, Michelle
AU - Neumark-Sztainer, Dianne
AU - Gurvich, Olga
AU - Story, Mary
AU - Garwick, Ann
AU - Kubik, Martha Y.
PY - 2015/12/15
Y1 - 2015/12/15
N2 - Background: Family meal frequency has been shown to be strongly associated with better dietary intake; however, associations with weight status have been mixed. Family meals-focused randomized controlled trials with weight outcomes have not been previously conducted. Therefore, this study purpose was to describe weight-related outcomes of the HOME Plus study, the first family meals-focused randomized controlled trial to prevent excess weight gain among youth. Methods: Families (n = 160 8-12-year-old children and their parents/guardians) were randomized to intervention (n = 81) or control (n = 79) groups. Data were collected at baseline (2011-2012), post-intervention (12-months post-baseline) and follow-up (21-months post-baseline). The intervention included ten monthly group sessions (nutrition education; hands-on meal and snack planning, preparation, and skill development; screen time reductions) and five motivational, goal-setting phone calls. The main outcome was child body mass index (BMI) z-score. Results: General linear models, adjusted for baseline values and demographics, showed no significant treatment group differences in BMI z-scores at post-intervention or follow-up; however, a promising reduction in excess weight gain was observed. Post-hoc stratification by pubertal onset indicated prepubescent children in the intervention group had significantly lower BMI z-scores than their control group counterparts. Conclusions: The study used a strong theoretical framework, rigorous design, quality measurement and a program with high fidelity to test a family meals-focused obesity prevention intervention. It showed a modest decrease in excess weight gain. The significant intervention effect among prepubescent children suggests the intervention may be more efficacious among relatively young children, although more research with appropriately powered samples are needed to replicate this finding. Trial registration: This study is registered at www.clinicaltrials.govNCT01538615. Registered 01/17/2012.
AB - Background: Family meal frequency has been shown to be strongly associated with better dietary intake; however, associations with weight status have been mixed. Family meals-focused randomized controlled trials with weight outcomes have not been previously conducted. Therefore, this study purpose was to describe weight-related outcomes of the HOME Plus study, the first family meals-focused randomized controlled trial to prevent excess weight gain among youth. Methods: Families (n = 160 8-12-year-old children and their parents/guardians) were randomized to intervention (n = 81) or control (n = 79) groups. Data were collected at baseline (2011-2012), post-intervention (12-months post-baseline) and follow-up (21-months post-baseline). The intervention included ten monthly group sessions (nutrition education; hands-on meal and snack planning, preparation, and skill development; screen time reductions) and five motivational, goal-setting phone calls. The main outcome was child body mass index (BMI) z-score. Results: General linear models, adjusted for baseline values and demographics, showed no significant treatment group differences in BMI z-scores at post-intervention or follow-up; however, a promising reduction in excess weight gain was observed. Post-hoc stratification by pubertal onset indicated prepubescent children in the intervention group had significantly lower BMI z-scores than their control group counterparts. Conclusions: The study used a strong theoretical framework, rigorous design, quality measurement and a program with high fidelity to test a family meals-focused obesity prevention intervention. It showed a modest decrease in excess weight gain. The significant intervention effect among prepubescent children suggests the intervention may be more efficacious among relatively young children, although more research with appropriately powered samples are needed to replicate this finding. Trial registration: This study is registered at www.clinicaltrials.govNCT01538615. Registered 01/17/2012.
KW - Behavioral strategies
KW - Childhood obesity
KW - Clinical trials
KW - Family based interventions
KW - Family meals
KW - Prevention
UR - http://www.scopus.com/inward/record.url?scp=84949635121&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84949635121&partnerID=8YFLogxK
U2 - 10.1186/s12966-015-0320-3
DO - 10.1186/s12966-015-0320-3
M3 - Article
C2 - 26667110
AN - SCOPUS:84949635121
VL - 12
JO - International Journal of Behavioral Nutrition and Physical Activity
JF - International Journal of Behavioral Nutrition and Physical Activity
SN - 1479-5868
IS - 1
M1 - 154
ER -