Abstract:
OBJECTIVE:To examine whether a healthy weight intervention embedded in the Parents as Teachers (PAT) home visiting program, which was previously found to improve mothers' body mass index (BMI) and obesity-related behaviors, changed the BMI of preschool children or maternal feeding practices. METHODS:This stratified randomized trial included preschool-aged children at risk for overweight whose mothers were overweight or had obesity (n = 179). The Healthy Eating and Active Living Taught at Home (HEALTH) intervention was based on the Diabetes Prevention Program. Differences were examined using repeated-measures mixed-ANOVA models. RESULTS:Compared with PAT usual care, the HEALTH intervention had no effect on children's BMI or maternal feeding practices. However, combined analyses showed that children's BMI percentile decreased (P = .007), BMI z-scores were maintained (P = .19), and 3 of 8 feeding practices improved over time (P < .05). CONCLUSIONS AND IMPLICATIONS:Additional research is needed to assess the effectiveness of PAT to prevent preschool-age obesity using rigorous designs (eg, group-randomized trials) and to identify its active components. HEALTH is ready to be scaled up to prevent maternal weight gain through embedding within the national PAT program.
journal_name
J Nutr Educ Behavjournal_title
Journal of nutrition education and behaviorauthors
Morshed AB,Tabak RG,Schwarz CD,Haire-Joshu Ddoi
10.1016/j.jneb.2018.09.001subject
Has Abstractpub_date
2019-02-01 00:00:00pages
237-244issue
2eissn
1499-4046issn
1878-2620pii
S1499-4046(18)30787-5journal_volume
51pub_type
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journal_title:Journal of nutrition education and behavior
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journal_title:Journal of nutrition education and behavior
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journal_title:Journal of nutrition education and behavior
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journal_title:Journal of nutrition education and behavior
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