Promoting healthful family meals to prevent obesity: HOME Plus, a randomized controlled trial

Research output: Contribution to journalArticle

29 Citations (Scopus)

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 languageEnglish (US)
Article number154
JournalInternational Journal of Behavioral Nutrition and Physical Activity
Volume12
Issue number1
DOIs
StatePublished - Dec 15 2015

Fingerprint

Meals
Randomized Controlled Trials
Obesity
Weight Gain
Body Mass Index
Weights and Measures
Snacks
Linear Models
Parents
Demography
Education
Control Groups
Research
Therapeutics

Keywords

  • Behavioral strategies
  • Childhood obesity
  • Clinical trials
  • Family based interventions
  • Family meals
  • Prevention

Cite this

@article{3f308a4402704ba79c336ad078696358,
title = "Promoting healthful family meals to prevent obesity: HOME Plus, a randomized controlled trial",
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.",
keywords = "Behavioral strategies, Childhood obesity, Clinical trials, Family based interventions, Family meals, Prevention",
author = "Fulkerson, {Jayne A.} and Sarah Friend and Colleen Flattum and Melissa Horning and Michelle Draxten and Dianne Neumark-Sztainer and Olga Gurvich and Mary Story and Ann Garwick and Kubik, {Martha Y.}",
year = "2015",
month = "12",
day = "15",
doi = "10.1186/s12966-015-0320-3",
language = "English (US)",
volume = "12",
journal = "International Journal of Behavioral Nutrition and Physical Activity",
issn = "1479-5868",
publisher = "BioMed Central",
number = "1",

}

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 -