Parent-focused change to prevent obesity in preschoolers: Results from the KAN-DO study

PREVENTIVE MEDICINE

卷:55

Article

Ostbye, Truls^1,9  Krause, Katrina M.⁹  Stroo, Marissa⁹  Lovelady, Cheryl A.²  Evenson, Kelly R.³  Peterson, Bercedis L.⁴  Bastian, Lori A.^5,6  Swamy, Geeta K.⁷  West, Deborah G.²  Brouwer, Rebecca J. N.⁹  Zucker, Nancy L.⁸ 

[1] Duke NUS Grad Med Sch, Singapore, Singapore

[2] Univ N Carolina, Dept Nutr, Greensboro, NC 27412 USA

[3] Univ N Carolina, Dept Epidemiol, Gillings Sch Global Publ Hlth, Chapel Hill, NC USA

[4] Duke Univ, Med Ctr, Dept Biostat & Bioinformat, Durham, NC 27710 USA

[5] Duke Univ, Med Ctr, Dept Med, Durham, NC 27710 USA

[6] Vet Affairs Med Ctr, Durham, NC USA

[7] Duke Univ, Med Ctr, Dept Obstet & Gynecol, Durham, NC 27710 USA

[8] Duke Univ, Med Ctr, Dept Psychiat & Behav Sci, Durham, NC 27710 USA

[9] Duke Univ, Med Ctr, Dept Community & Family Med, Durham, NC 27710 USA

关键词: Obesity;    Randomized controlled trial;    Parenting;    Emotion regulation;    Physical activity;    Dietary intake;   

DOI  :  10.1016/j.ypmed.2012.06.005

来源: Elsevier

【 摘 要 】

Objective. The study presents the immediate post-intervention results of Kids and Adults Now Defeat Obesity!, a randomized controlled trial to enhance healthy lifestyle behaviors in mother-preschooler (2-5 years old) dyads in North Carolina (2007-2011). The outcomes include change from baseline in the child's diet, physical activity and weight, and in the mother's parenting behaviors, diet, physical activity, and weight. Method. The intervention targeted parenting through maternal emotion regulation, home environment, feeding practices, and modeling of healthy behaviors. 400 mother-child dyads were randomized. Results. Mothers in the intervention arm, compared to the control arm, reduced instrumental feeding ( 024 vs. 0.01, p<0.001) and TV snacks (-.069 vs. -0.24, p = 0.001). There were also improvements in emotional feeding (p = 0.03), mother's sugary beverage (p = 0.03) and fruit/vegetable (p = 0.04) intake, and dinners eaten in front of TV (p = 0.01); these differences were not significant after adjustment for multiple comparisons. Conclusion. KAN-DO, designed to maximize the capacity of mothers as agents of change, improved several channels of maternal influence. There were no group differences in the primary outcomes, but differences were observed in the parenting and maternal outcomes and there were trends toward improvement in the preschoolers' diets. Long-term follow-up will address whether these short-term trends ultimately improve weight status. (C) 2012 Elsevier Inc. All rights reserved.

【 授权许可】

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