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Published on: August 12, 2016
Physical changes in the home environment to reduce television viewing and sugar-sweetened beverage consumption among
S A French1, N E Sherwood2, M M JaKa3
1Division of Epidemiology & Community Health, University of Minnesota, Minneapolis, Minnesota, USA. frenc001@umn.edu.
Insights
A home-based intervention effectively reduced television viewing in overweight children from lower-income families. However, it did not significantly impact sugar-sweetened beverage intake or body mass index (BMI) z-scores.
Area of Science:
- Pediatric Health
- Behavioral Interventions
- Obesity Prevention
Background:
- Childhood obesity is a significant public health concern, particularly in lower-income populations.
- Excessive television viewing and high sugar-sweetened beverage consumption are contributing factors to childhood overweight and obesity.
- Home environment interventions show promise for modifying children's health behaviors.
Purpose of the Study:
- To evaluate the feasibility of a home-based intervention designed to decrease sugar-sweetened beverage intake and television viewing in overweight children.
- To assess the intervention's impact on television viewing hours, sugar-sweetened beverage consumption, and body mass index (BMI) z-scores.
Main Methods:
- A randomized controlled trial was conducted with 40 overweight children (aged 5-12 years) from lower-income families.
- The intervention group received a 6-month home environment intervention including TV locking devices and delivery of non-caloric beverages.
- A control group received no intervention. Data were collected at baseline and 6 months.
Main Results:
- The intervention group showed a significant reduction in daily television viewing hours compared to the control group (1.7 vs. 2.6 hours/day, P < .01).
- Sugar-sweetened beverage intake was marginally lower in the intervention group (0.21 vs. 0.45 servings/day, P < .09).
- No significant difference in body mass index (BMI) z-score was observed between the groups after 6 months.
Conclusions:
- A home-based intervention can successfully reduce television viewing in overweight, lower-income children.
- The intervention did not significantly alter sugar-sweetened beverage intake or BMI z-scores in this population.
- Further research is needed to optimize home-based strategies for comprehensive obesity prevention in children.
Abstract:
This study evaluated the feasibility of a home-based intervention to reduce sugar-sweetened beverage intake and television viewing among children. Lower income parents of overweight children aged 5-12 years (n = 40) were randomized to a home environment intervention to reduce television viewing with locking devices and displace availability of sugar-sweetened beverages with home delivery of non-caloric beverages (n = 25), or to a no-intervention control group (n = 15) for 6 months. Data were collected at baseline and 6 months. After 6 months, television viewing hours per day was significantly lower in the intervention group compared with the control group (1.7 [SE = .02] vs. 2.6 [SE = .25] hours/day, respectively, P < .01). Sugar-sweetened beverage intake was marginally significantly lower among intervention group compared to control group children (0.21 [SE = .09] vs. 0.45 [SE = .10], respectively, P < .09). Body mass index (BMI) z-score was not significantly lower among intervention compared to control children. Among a lower income sample of children, a home-based intervention reduced television viewing, but not sugar-sweetened beverage intake or BMI z-score.
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