A parent focused child obesity prevention intervention improves some mother obesity risk behaviors: the Melbourne inFANT Program

International Journal of Behavioral Nutrition and Physical Activity

Sarah A McNaughton¹  Kylie Hesketh¹  Alison C Spence¹  David Crawford¹  Karen J Campbell¹  Sandrine Lioret¹ 

[1] Centre for Physical Activity and Nutrition Research; C-PAN, School of Exercise and Nutrition Sciences; Deakin University, 221 Burwood Hwy, Burwood, Victoria, 3125, Australia

关键词: Mothers;    Randomized controlled trial;    TV viewing;    Physical activity;    Dietary pattern;   

Others  :  812003
DOI  :  10.1186/1479-5868-9-100

 received in 2011-12-13, accepted in 2012-08-15,  发布年份 2012

【 摘 要 】

Background

The diets, physical activity and sedentary behavior levels of both children and adults in Australia are suboptimal. The family environment, as the first ecological niche of children, exerts an important influence on the onset of children’s habits. Parent modeling is one part of this environment and a logical focus for child obesity prevention initiatives. The focus on parent’s own behaviors provides a potential opportunity to decrease obesity risk behaviors in parents as well.

Objective

To assess the effect of a parent-focused early childhood obesity prevention intervention on first-time mothers’ diets, physical activity and TV viewing time.

Methods

The Melbourne InFANT Program is a cluster-randomized controlled trial which involved 542 mothers over their newborn’s first 18 months of life. The intervention focused on parenting skills and strategies, including parental modeling, and aimed to promote development of healthy child and parent behaviors from birth, including healthy diet, increased physical activity and reduced TV viewing time. Data regarding mothers’ diet (food frequency questionnaire), physical activity and TV viewing times (self-reported questionnaire) were collected using validated tools at both baseline and post-intervention. Four dietary patterns were derived at baseline using principal components analyses including frequencies of 55 food groups. Analysis of covariance was used to measure the impact of the intervention.

Results

The scores of both the "High-energy snack and processed foods" and the "High-fat foods" dietary patterns decreased more in the intervention group: -0.22 (−0.42;-0.02) and −0.25 (−0.50;-0.01), respectively. No other significant intervention vs. control effects were observed regarding total physical activity, TV viewing time, and the two other dietary patterns, i.e. “Fruits and vegetables” and “Cereals and sweet foods”.

Conclusions

These findings suggest that supporting first-time mothers to promote healthy lifestyle behaviors in their infants impacts maternal dietary intakes positively. Further research needs to assess ways in which we might further enhance those lifestyle behaviors not impacted by the InFANT intervention.

【 授权许可】

   
2012 Lioret et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1 .

【 参考文献 】

• [1]Lobstein T, Baur L, Uauy R: Obesity in children and young people: a crisis in public health. Obes Rev 2004, 5(suppl 1):S4-S104.
• [2]Booth ML, Dobbins T, Okely AD, Denney-Wilson E, Hardy LL: Trends in the prevalence of overweight and obesity among young Australians, 1985, 1997, and 2004. Obesity (Silver Spring) 2007, 15(5):1089-1095.
• [3]Wake M, Nicholson JM, Hardy P, Smith K: Preschooler obesity and parenting styles of mothers and fathers: Australian national population study. Pediatrics 2007, 120(6):1520-1527.
• [4]Fox MK, Reidy K, Novak T, Ziegler P: Sources of energy and nutrients in the diets of infants and toddlers. J Am Diet Assoc 2006, 106(suppl 1):S28-S42.
• [5]Northstone K, Emmett PM: Are dietary patterns stable throughout early and mid-childhood? A birth cohort study. Br J Nutr 2008, 100(5):1069-1076.
• [6]Biddle SJ, Pearson N, Ross GM, Braithwaite R: Tracking of sedentary behaviours of young people: a systematic review. Prev Med 2010, 51(5):345-351.
• [7]Davison KK, Francis LA, Birch LL: Reexamining Obesigenic Families: Parents' Obesity-related Behaviors Predict Girls' Change in BMI. Obes Rev 2005, 13(11):1980-1990.
• [8]Rankinen T, Zuberi A, Chagnon YC, Weisnagel SJ, Argyropoulos G, Walts B, Perusse L, Bouchard C: The human obesity gene map: the 2005 update. Obesity (Silver Spring) 2006, 14(4):529-644.
• [9]Campbell K, Hesketh K, Silverii A, Abbott G: Maternal self-efficacy regarding children's eating and sedentary behaviours in the early years: associations with children's food intake and sedentary behaviours. Int J Pediatr Obes 2010, 5(6):501-508.
• [10]Vereecken CA, Keukelier E, Maes L: Influence of mother's educational level on food parenting practices and food habits of young children. Appetite 2004, 43(1):93-103.
• [11]van der Horst K, Oenema A, Ferreira I, Wendel-Vos W, Giskes K, van Lenthe F, Brug J: A systematic review of environmental correlates of obesity-related dietary behaviors in youth. Health Educ Res 2007, 22(2):203-226.
• [12]Pearson N, Biddle SJ, Gorely T: Family correlates of fruit and vegetable consumption in children and adolescents: a systematic review. Public Health Nutr 2009, 12(2):267-283.
• [13]Campbell K, Hesketh K, Davison KK: The role of parents in preventing child overweight and obesity: An ecological approach. In Obesity Epidemiology From Aetiology To Public Health Second Edition. Edited by Crawford D, Jeffery RW, Ball K, Brug J. Oxford University Press, Oxford; 2010.
• [14]Robinson S, Marriott L, Poole J, Crozier S, Borland S, Lawrence W, Law C, Godfrey K, Cooper C, Inskip H: Dietary patterns in infancy: the importance of maternal and family influences on feeding practice. Br J Nutr 2007, 98(5):1029-1037.
• [15]Brekke HK, van Odijk J, Ludvigsson J: Predictors and dietary consequences of frequent intake of high-sugar, low-nutrient foods in 1-year-old children participating in the ABIS study. Br J Nutr 2007, 97(1):176-181.
• [16]Hesketh KD, Campbell KJ: Interventions to prevent obesity in 0–5 year olds: an updated systematic review of the literature. Obesity (Silver Spring) 2010, 18(suppl 1):S27-S35.
• [17]Goldfeld SR, Wright M, Oberklaid F: Parents, infants and health care: utilization of health services in the first 12 months of life. J Paediatr Child Health 2003, 39(4):249-253.
• [18]Campbell K, Hesketh K, Crawford D, Salmon J, Ball K, McCallum Z: The Infant Feeding Activity and Nutrition Trial (INFANT) an early intervention to prevent childhood obesity: cluster-randomised controlled trial. BMC Publ Health 2008, 8:103. BioMed Central Full Text
• [19]Nelson CS, Wissow LS, Cheng TL: Effectiveness of anticipatory guidance: recent developments. Curr Opin Pediatr 2003, 15(6):630-635.
• [20]Hodge A, Patterson AJ, Brown WJ, Ireland P, Giles G: The Anti Cancer Council of Victoria FFQ: relative validity of nutrient intakes compared with weighed food records in young to middle-aged women in a study of iron supplementation. Aust N Z J Public Health 2000, 24(6):576-583.
• [21]Ireland P, Jolley D, Giles G: Development of the Melbourne FFQ: a food frequency questionnaire for use in an Australian prospective study involving an ethnically diverse cohort. APJCN 1994, 19:19-31.
• [22]Newby PK, Tucker KL: Empirically derived eating patterns using factor or cluster analysis: a review. Nutr Rev 2004, 62(5):177-203.
• [23]Timperio A, Salmon J, Bull F, Rosenberg M: Validation of adult physical activity questions for use in Australian population surveys. Commonwealth Department of Health and Ageing, Camberra; 2002.
• [24]Brown WJ, Trost SG, Bauman A, Mummery K, Owen N: Test-retest reliability of four physical activity measures used in population surveys. J Sci Med Sport 2004, 7(2):205-215.
• [25]Armstrong T, Bauman A, Davies J: Physical activity patterns of Australian adults. Results of the 1999 National Physical Activity Survey. Australian Institute of Health and Welfare, Camberra; 2000.
• [26]Lioret S, McNaughton SA, Crawford D, Spence AC, Hesketh K, Campbell KJ: Parents' dietary patterns are significantly correlated: findings from the Melbourne Infant Feeding Activity and Nutrition Trial Program. Br J Nutr 2012, 108(3):518-526. Epub 2011 Nov 1
• [27]Kline P: An Easy Guide to Factor Analysis. Routledge, London; 1994.
• [28]Cattell RB: The screen test for the number of factors. Multivariate Behav Res 1966, 1:245-276.
• [29]Vickers AJ, Altman DG: Statistics notes: analysing controlled trials with baseline and follow up measurements. BMJ 2001, 323(7321):1123-1124.
• [30]Moher D, Hopewell S, Schulz KF, Montori V, Gotzsche PC, Devereaux PJ, Elbourne D, Egger M, Altman DG: CONSORT 2010 explanation and elaboration: updated guidelines for reporting parallel group randomised trials. BMJ 2010, 340:869.
• [31]Women's health Australia: The Australian Longitudinal Study on Women's weight. Australian women and their weight - a growing problem. [http://www.alswh.org.au/Reports/Achievements/achievements-weight.pdf], 2005. [accessed 13th December 2011 webcite]
• [32]Ball K, Crawford D, Warren N: How feasible are healthy eating and physical activity for young women? Public Health Nutr 2004, 7(3):433-441.
• [33]Bellows-Riecken KH, Rhodes RE: A birth of inactivity? A review of physical activity and parenthood. Prev Med 2008, 46(2):99-110.
• [34]Miller YD, Trost SG, Brown WJ: Mediators of physical activity behavior change among women with young children. Am J Prev Med 2002, 23(suppl 2):S98-S103.
• [35]Hesketh K, Campbell K: Opportunities for intervention research during transitions in the lifecycle: The Melbourne InFANT Program. Australian Epidemiologist 2009, 16(3):30-31.
• [36]Hartman MA, Hosper K, Stronks K: Targeting physical activity and nutrition interventions towards mothers with young children: a review on components that contribute to attendance and effectiveness. Public Health Nutr 2011, 14(8):1364-1381.
• [37]Giskes K, Turrell G, Patterson C, Newman B: Socio-economic differences in fruit and vegetable consumption among Australian adolescents and adults. Public Health Nutr 2002, 5(5):663-669.
• [38]Consultative Council on Obstetric and Paediatric Mortality and Morbidity: Births in Victoria 2005 and 2006. Victorian Department of Human Services, Melbourne; 2008.