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

Jayne A. Fulkerson; Sarah Friend; Colleen Flattum; Melissa Horning; Michelle Draxten; Dianne Neumark-Sztainer; Olga Gurvich; Mary Story; Ann Garwick; Martha Y. Kubik

doi:10.1186/s12966-015-0320-3

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

Jayne A. Fulkerson, Sarah Friend, Colleen Flattum, Melissa Horning, Michelle Draxten, Dianne Neumark-Sztainer, Olga Gurvich, Mary Story, Ann Garwick, Martha Y. Kubik

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

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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	https://doi.org/10.1186/s12966-015-0320-3
State	Published - Dec 15 2015

Bibliographical note

Funding Information:
Research reported in this publication was supported by the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) of the National Institutes of Health (NIH) under Award Number R01DK08400 (J. Fulkerson, PI). The content is solely the responsibility of the authors and does not necessarily represent the views of the NIH. Software support was also provided by the University of Minnesota’s Clinical and Translational Science Institute (Grant Number UL1TR000114 from the National Center for Advancing Translational Sciences of the NIH).

Publisher Copyright:
© 2015 Fulkerson et al.

Keywords

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

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1186/s12966-015-0320-3

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Fulkerson, J. A., Friend, S., Flattum, C., Horning, M., Draxten, M., Neumark-Sztainer, D., Gurvich, O., Story, M., Garwick, A., & Kubik, M. Y. (2015). Promoting healthful family meals to prevent obesity: HOME Plus, a randomized controlled trial. International Journal of Behavioral Nutrition and Physical Activity, 12(1), [154]. https://doi.org/10.1186/s12966-015-0320-3

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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.",

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AU - Horning, Melissa

AU - Draxten, Michelle

AU - Neumark-Sztainer, Dianne

AU - Gurvich, Olga

AU - Story, Mary

AU - Garwick, Ann

AU - Kubik, Martha Y.

N1 - Funding Information: Research reported in this publication was supported by the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) of the National Institutes of Health (NIH) under Award Number R01DK08400 (J. Fulkerson, PI). The content is solely the responsibility of the authors and does not necessarily represent the views of the NIH. Software support was also provided by the University of Minnesota’s Clinical and Translational Science Institute (Grant Number UL1TR000114 from the National Center for Advancing Translational Sciences of the NIH). Publisher Copyright: © 2015 Fulkerson et al.

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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.

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

Abstract

Bibliographical note

Keywords

UN SDGs

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