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Published on: February 2, 2017
Impact of a Home-Based Obesity Prevention Intervention on Children's and Parents' BMI: Findings From the Guelph
Raphaëlle Jacob1, Andrea C Buchholz1, Gerarda Darlington2
1Department of Family Relations and Applied Nutrition, University of Guelph, Guelph, Ontario, Canada.
Insights
A home-based obesity prevention program showed no significant impact on children's or parents' body mass index (BMI) after six months or one year. The intervention did not yield additional benefits compared to standard health information for families.
Area of Science:
- Pediatrics
- Public Health
- Obesity Prevention
Background:
- Early life interventions are crucial for preventing obesity and related comorbidities.
- Assessing the impact of home-based strategies on pediatric and parental body mass index (BMI) is essential.
Purpose of the Study:
- To evaluate a 6-month home-based obesity prevention intervention's effect on children's and parents' BMI.
- To compare the intervention's effectiveness against a control group receiving general child health information.
Main Methods:
- A randomized controlled trial involving 285 families with preschool-aged children.
- Intervention focused on healthful household routines (meals, screen time, physical activity, sleep).
- Control group received 6 emails on child health behaviors; analysis included 376 children and 481 parents.
Main Results:
- No significant differences in children's or parents' BMI between intervention and control groups at post-intervention or 1-year follow-up.
- Both groups showed non-significant decreases in BMI from baseline to post-intervention and 1-year follow-up.
- The intervention demonstrated no additional effect on BMI compared to the control group.
Conclusions:
- The home-based obesity prevention intervention did not significantly impact children's or parents' BMI.
- The intervention provided no added benefit over the control group's health information over time.
- Further data collection is needed to examine long-term effects as children age.
Background:
To prevent the development of obesity and related comorbidities, interventions must begin early in life. This study aimed to assess the impact of a home-based obesity prevention intervention on children's and parents' body mass index (BMI).
Methods:
The Guelph Family Health Study is a randomised controlled trial of a 6-month obesity prevention intervention aimed at establishing healthful household routines regarding family meals, children's screen time, physical activity and sleep among 285 families with preschool-aged children. The control group received 6 emails on child health behaviours. The analytic sample included 376 children (3.6 ± 1.3 years old, 20.2% at risk for overweight, 8.2% with overweight/obesity) and 481 parents (58.2% with overweight/obesity).
Results:
Compared to controls, the intervention had no significant impact on children's or parents' BMI at post-intervention and 1 year after the intervention. Children in both the intervention and control groups had a non-significant decrease in BMI from baseline to post-intervention [intervention; -0.23 kg/m2 (95% CI, -0.46, 0.002); control; -0.17 kg/m2 (95% CI, -0.40, 0.06)] and from baseline to 1-year follow-up [intervention, -0.29 kg/m2 (95% CI, -0.67, 0.08); control, -0.06 kg/m2 (95% CI, -0.42, 0.30)].
Conclusions:
Compared to controls, this home-based obesity prevention intervention had no significant impact on children's or parents' BMI immediately after the intervention or after 1 year of follow-up, indicating that the intervention had no additional effect compared to the control group on children's or parents' BMI over time. Future data collection phases will allow for the examination of the intervention effect on BMI as children age.
Trial Registration:
This study is registered at clinicaltrial.gov identifier: NCT02939261.
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