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Targeting Pediatric Obesity via a Healthy Lifestyle Summer Camp Intervention: How Necessary Is a Parenting Component?
Jennifer Coto1, Paulo A Graziano2
1Department of Otolaryngology, University of Miami Miller School of Medicine, Miami, FL, USA.
Insights
Both family-based and child-based interventions improved health outcomes in Hispanic children with overweight or obesity. These programs were feasible and acceptable, showing positive changes in BMI, fitness, and nutrition knowledge.
Area of Science:
- Public Health
- Pediatric Obesity Research
- Intervention Studies
Background:
- Pediatric obesity is a critical public health issue, disproportionately affecting Hispanic school-aged children.
- Existing interventions often focus solely on children, potentially overlooking the crucial role of parental involvement.
- There is a need to evaluate comprehensive, family-centered approaches for managing childhood obesity.
Purpose of the Study:
- To compare the efficacy of a family-based intervention (Healthy Lifestyle Summer Camp and Parenting program - HLSC+HLPP) against a child-based intervention (Healthy Lifestyle Summer Camp - HLSC).
- To assess the impact of these interventions on anthropometric, physical activity, nutrition, and parenting outcomes in overweight/obese Hispanic children.
- To determine the feasibility and acceptability of both intervention models.
Main Methods:
- A randomized trial involving 24 overweight or obese children (ages 4-9, predominantly Hispanic) and their primary caregivers.
- Participants were assigned to either the HLSC+HLPP group or the HLSC group.
- Outcomes including BMI z-score, fitness, nutritional knowledge, and parental monitoring were measured pre- and post-intervention.
Main Results:
- Both the HLSC+HLPP and HLSC interventions were found to be feasible and acceptable.
- While no statistically significant differences were observed between the groups, both interventions led to improvements.
- Key improvements included decreased child BMI z-scores, enhanced child fitness, better nutritional health classification, increased nutrition knowledge, and improved parental monitoring.
Conclusions:
- Both the family-based and child-focused summer camp interventions are effective and well-received for improving child health outcomes.
- The findings underscore the importance of lifestyle interventions for pediatric obesity, particularly in vulnerable populations.
- Future research should investigate long-term effects through follow-up assessments and larger, more diverse participant samples.
Abstract:
Pediatric obesity represents a significant public health concern, especially for Hispanic school-aged children. This study examined via a randomized trial the efficacy of a family-based intervention [Healthy Lifestyle Summer Camp and Parenting program (HLSC+HLPP)] compared with a child-based camp intervention [Healthy Lifestyle Summer Camp (HLSC)] on improving child and parent health outcomes. Participants included 24 children (n = 11 HLSC+HLPP; n = 13 HLSC) with a mean age of 6.17 years (range 4-9 years) who were mostly Hispanic (87.5%) and were classified as overweight or obese, and their primary caregiver. Various anthropometric, physical activity, nutrition, and parenting outcomes were collected pre-/post-intervention. Results indicated that both interventions were feasible and acceptable. There were no statistically significant differences between groups; however, both groups demonstrated a decrease in child BMI z-score (HLSC+HLPP: g = -0.31; HLSC: g = -0.31) and increase in child fitness (HLSC+HLPP: g = 1.70; HLSC: g = 1.77), nutritional health classification (HLSC+HLPP: g = 1.54; HLSC: g = 0.82), nutrition expressive knowledge (HLSC+HLPP: g = 1.03; HLSC: g = 1.06), and parental monitoring (HLSC+HLPP: g = 0.51; HLSC: g = 0.49) after the intervention. These findings highlight the feasibility, acceptability, and improvement of child health outcomes after both interventions. Future research should examine group differences during a follow-up period as well as employ a larger sample.
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