Changes in diet quality and home food environment in preschool children following weight management
BACKGROUND: Family-based obesity treatment interventions can successfully reduce energy intake in preschoolers. An implicit goal of obesity treatment interventions is to improve diet quality, but diet quality has been less examined as a treatment outcome in studies of preschoolers. The purpose of th...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6360745/ https://www.ncbi.nlm.nih.gov/pubmed/30717746 http://dx.doi.org/10.1186/s12966-019-0777-6 |
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author | Robson, Shannon M. Ziegler, Melissa L. McCullough, Mary Beth Stough, Cathleen Odar Zion, Cynthia Simon, Stacey L. Ittenbach, Richard F. Stark, Lori J. |
author_facet | Robson, Shannon M. Ziegler, Melissa L. McCullough, Mary Beth Stough, Cathleen Odar Zion, Cynthia Simon, Stacey L. Ittenbach, Richard F. Stark, Lori J. |
author_sort | Robson, Shannon M. |
collection | PubMed |
description | BACKGROUND: Family-based obesity treatment interventions can successfully reduce energy intake in preschoolers. An implicit goal of obesity treatment interventions is to improve diet quality, but diet quality has been less examined as a treatment outcome in studies of preschoolers. The purpose of this study was to conduct a secondary analysis comparing the change in diet quality and home food environment in preschoolers assigned to a behavioral family-based obesity intervention (LAUNCH), motivational interviewing (MI) condition, or standard care (STC) condition. METHODS: Three 24-h dietary recalls were completed at baseline and 6-months and were analyzed using NDS-R software; diet quality was assessed using the Healthy Eating Index-2010 (HEI-2010). Availability of foods and beverages in the home was assessed through direct observation using the Home Health Environment tool that classifies foods and beverages as ‘red’ or ‘green’ based upon fat and sugar content. Repeated measures linear mixed effects models were used to examine changes in diet quality and home food environment between conditions (LAUNCH, MI, STC). RESULTS: At 6-months, preschoolers in the LAUNCH condition had a higher HEI-2010 total score (62.8 ± 13.7) compared to preschoolers in the MI (54.7 ± 13.4, P = 0.022) and STC (55.8 ± 11.6, P = 0.046) conditions. Regarding the home food environment, families in LAUNCH had significantly less ‘red’ foods in their home at 6-months (12.5 ± 3.4 ‘red’ foods) compared to families in MI (14.0 ± 3.7 ‘red’ foods, P = 0.030), and STC (14.3 ± 3.4 ‘red’ foods, P = 0.006). There were no statistically significant differences across home food environments for number of ‘green’ foods. CONCLUSION: Family-based obesity treatment interventions for preschoolers can improve overall diet quality and alter the home food environment through reductions in ‘red’ foods. TRIAL REGISTRATION: Clinicaltrials.gov, NCT01546727. Registered March 7, 2012. |
format | Online Article Text |
id | pubmed-6360745 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-63607452019-02-08 Changes in diet quality and home food environment in preschool children following weight management Robson, Shannon M. Ziegler, Melissa L. McCullough, Mary Beth Stough, Cathleen Odar Zion, Cynthia Simon, Stacey L. Ittenbach, Richard F. Stark, Lori J. Int J Behav Nutr Phys Act Research BACKGROUND: Family-based obesity treatment interventions can successfully reduce energy intake in preschoolers. An implicit goal of obesity treatment interventions is to improve diet quality, but diet quality has been less examined as a treatment outcome in studies of preschoolers. The purpose of this study was to conduct a secondary analysis comparing the change in diet quality and home food environment in preschoolers assigned to a behavioral family-based obesity intervention (LAUNCH), motivational interviewing (MI) condition, or standard care (STC) condition. METHODS: Three 24-h dietary recalls were completed at baseline and 6-months and were analyzed using NDS-R software; diet quality was assessed using the Healthy Eating Index-2010 (HEI-2010). Availability of foods and beverages in the home was assessed through direct observation using the Home Health Environment tool that classifies foods and beverages as ‘red’ or ‘green’ based upon fat and sugar content. Repeated measures linear mixed effects models were used to examine changes in diet quality and home food environment between conditions (LAUNCH, MI, STC). RESULTS: At 6-months, preschoolers in the LAUNCH condition had a higher HEI-2010 total score (62.8 ± 13.7) compared to preschoolers in the MI (54.7 ± 13.4, P = 0.022) and STC (55.8 ± 11.6, P = 0.046) conditions. Regarding the home food environment, families in LAUNCH had significantly less ‘red’ foods in their home at 6-months (12.5 ± 3.4 ‘red’ foods) compared to families in MI (14.0 ± 3.7 ‘red’ foods, P = 0.030), and STC (14.3 ± 3.4 ‘red’ foods, P = 0.006). There were no statistically significant differences across home food environments for number of ‘green’ foods. CONCLUSION: Family-based obesity treatment interventions for preschoolers can improve overall diet quality and alter the home food environment through reductions in ‘red’ foods. TRIAL REGISTRATION: Clinicaltrials.gov, NCT01546727. Registered March 7, 2012. BioMed Central 2019-02-04 /pmc/articles/PMC6360745/ /pubmed/30717746 http://dx.doi.org/10.1186/s12966-019-0777-6 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Robson, Shannon M. Ziegler, Melissa L. McCullough, Mary Beth Stough, Cathleen Odar Zion, Cynthia Simon, Stacey L. Ittenbach, Richard F. Stark, Lori J. Changes in diet quality and home food environment in preschool children following weight management |
title | Changes in diet quality and home food environment in preschool children following weight management |
title_full | Changes in diet quality and home food environment in preschool children following weight management |
title_fullStr | Changes in diet quality and home food environment in preschool children following weight management |
title_full_unstemmed | Changes in diet quality and home food environment in preschool children following weight management |
title_short | Changes in diet quality and home food environment in preschool children following weight management |
title_sort | changes in diet quality and home food environment in preschool children following weight management |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6360745/ https://www.ncbi.nlm.nih.gov/pubmed/30717746 http://dx.doi.org/10.1186/s12966-019-0777-6 |
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