Do High-Risk Preschoolers or Overweight Mothers Meet AAP-Recommended Behavioral Goals for Reducing Obesity?

Turer, Christy B.; Stroo, Marissa; Brouwer, Rebecca J. Namenek; Krause, Katrina M.; Lovelady, Cheryl A.; Bastian, Lori A.; Peterson, Bercedis L.; Østbye, Truls

doi:10.1016/j.acap.2013.01.003

Cited by 15 publications

(18 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our findings are consistent with previous studies in school aged and adolescent children, with rates of ‘5-2-1-0’ attainment ranging between 0 and 2% ( Foltz et al, 2011 , Kunin-Batson et al, 2015 , Haughton et al, 2016 ). Studies in preschool-aged children have shown similar findings of attainment for individual recommendations ( Briefel et al, 2015 , Turer et al, 2013 , Schrempft et al, 2015 ) with the exception of Briefel et al who reported higher fruit and vegetable intake compared to our study ( Briefel et al, 2015 ). Attainment of the ‘5-2-1-0’ recommendations collectively have not been reported in preschool-aged children.…”

Section: Discussionsupporting

confidence: 77%

“…Few studies have examined adherence to the ‘5-2-1-0’ recommendations collectively and assessed predictors of attainment ( Foltz et al, 2011 , Kunin-Batson et al, 2015 , Rogers et al, 2013 , Haughton et al, 2016 , Gonzalez et al, 2015 , Iannotti and Wang, 2013 , Briefel et al, 2015 , Turer et al, 2013 ). Furthermore, there is a paucity of studies that have assessed the association of ‘5-2-1-0’ recommendations with BMI z-score or weight status in preschool-aged children ( Schrempft et al, 2015 , Gortmaker et al, 2015 ), which is important to consider given that 80% of children in this age group use screens daily ( Rideout et al, 2003 ).…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, there is a paucity of studies that have assessed the association of ‘5-2-1-0’ recommendations with BMI z-score or weight status in preschool-aged children ( Schrempft et al, 2015 , Gortmaker et al, 2015 ), which is important to consider given that 80% of children in this age group use screens daily ( Rideout et al, 2003 ). Of the studies examining adherence to the ‘5-2-1-0’ recommendations, most have relied on self-reported data ( Rogers et al, 2013 , Haughton et al, 2016 , Gonzalez et al, 2015 , Iannotti and Wang, 2013 , Briefel et al, 2015 ) and have focused on school aged children ( Kunin-Batson et al, 2015 , Rogers et al, 2013 , Haughton et al, 2016 , Gonzalez et al, 2015 ) or adolescents ( Foltz et al, 2011 , Haughton et al, 2016 , Iannotti and Wang, 2013 ) instead of preschoolers ( Briefel et al, 2015 , Turer et al, 2013 , Schrempft et al, 2015 ). No study to our knowledge has used objective measures to examine adherence in preschool-aged children who attend child care.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Attainment of ‘5-2-1-0’ obesity recommendations in preschool-aged children

Khalsa

Kharofa

Ollberding

et al. 2017

Preventive Medicine Reports

View full text Add to dashboard Cite

Obesity prevention guidelines recommend children eat ≥ 5 servings of fruits and vegetables, view ≤ 2 h of screen time, participate in 1 h of physical activity, and consume 0 sugar-sweetened beverages daily, commonly known as ‘5-2-1-0’. We sought to determine: the extent to which preschool-aged children attending child care meet these guidelines, predictors of attainment, and associations of attainment with weight status. We analyzed in 2016, 24-hour dietary, physical activity, and screen time data collected in 2009–10 from 398 preschool-aged children in 30 child-care centers in Cincinnati, OH. Dietary intake, screen time and body-mass index (BMI) were obtained by research staff during child care and from parents when at home. Accelerometers measured physical activity. Mixed-effects models and generalized estimating equations were used to determine associations between ‘5-2-1-0’ recommendations, demographic variables, and BMI z-scores. Average child age was 4.3 ± 0.7 years; 26% had a BMI ≥ 85th percentile. Seventeen percent of children with complete dietary data (n = 307) consumed ≥ 5 servings of fruits and vegetables and 50% consumed 0 sugar-sweetened beverages. < 1% with complete physical activity data (n = 386) met the activity recommendation; 81% of children (n = 379) had ≤ 2 h of screen time. Only 1 child met all of the ‘5-2-1-0’ recommendations. There were no consistent demographic predictors of attaining individual recommendations. An additional hour of screen time was associated with a 0.11 (SD 0.06) increase in BMI z-score. Our data suggests there is ample room to increase fruit and vegetable intake and physical activity in preschool-aged children.

show abstract

Section: Discussionsupporting

confidence: 77%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Attainment of ‘5-2-1-0’ obesity recommendations in preschool-aged children

Khalsa

Kharofa

Ollberding

et al. 2017

Preventive Medicine Reports

View full text Add to dashboard Cite

show abstract

“…b coefficients, odds ratios, and confidence intervals are reported in tables. All cross-sectional multivariable models were adjusted for gender, race, and SES, with additional models adjusted for amount of maternal BMI 26,27 and television viewing 28,29 given the potential effects of these items on SSB consumption and/ or weight status.…”

Section: Discussionmentioning

confidence: 99%

Sugar-Sweetened Beverages and Weight Gain in 2- to 5-Year-Old Children

2013

View full text Add to dashboard Cite

WHAT'S KNOWN ON THIS SUBJECT: Sugar-sweetened beverage (SSB) consumption in school-age children and adolescents is linked to heavier weight, and decreased SSB consumption results in less weight gain. Reports regarding these associations among children aged 2 to 5 years have been mixed. WHAT THIS STUDY ADDS:Preschool-aged and kindergarten children drinking SSB compared with infrequent/nondrinkers had higher BMI z scores. SSB consumption is also associated with higher weight status among children aged 2 to 5 years. abstract BACKGROUND AND OBJECTIVE: Although sugar-sweetened beverage (SSB) consumption has been tightly linked to weight status among older children, the data regarding these relationships in children aged 2 to 5 years have been mixed. Our objective was to evaluate longitudinal and cross-sectional relationships between SSB consumption and weight status among children aged 2 to 5 years. METHODS:We assessed SSB consumption and BMI z scores among 9600 children followed in the Early Childhood Longitudinal SurveyBirth Cohort, using linear and logistic regression and adjusting for race/ethnicity, socioeconomic status, mother' s BMI, and television viewing. RESULTS:Higher rates of SSB consumption were associated with higher BMI z scores among children age 4 (P , .05) and 5 (P , .001) but not yet at 2 years. Children aged 5 years who drank SSB regularly (compared with infrequent/nondrinkers) had a higher odds ratio for being obese (1.43, confidence interval 1.10-1.85, P , .01). In prospective analysis, children drinking SSB at 2 years (compared with infrequent/nondrinkers) had a greater subsequent increase in BMI z score over the ensuing 2 years (P , .05). CONCLUSIONS:Similar to what is seen among older children, children aged 2 to 5 years drinking SSB demonstrate both prospective and cross-sectional correlations with higher BMI z score. Pediatricians and parents should discourage SSB consumption to help avoid potential unhealthy weight gain in young children. From a public health standpoint, strong consideration should be made toward policy changes leading to decreases in SSB consumption among children.

show abstract

“…Parental perspectives regarding primary‐care weight‐management strategies for school‐age children are needed, because intervention strategies that incorporate views of target participants have a greater likelihood of success (Institute of Medicine ), and because maternal behaviours appear to influence child behaviours (Turer et al . ). Current primary‐care weight‐management recommendations for primary‐care providers are based on expert consensus (US Preventive Services Task Force ), incorporate experiences of clinicians (Story et al .…”

Section: Introductionmentioning

confidence: 97%

Parental perspectives regarding primary‐care weight‐management strategies for school‐age children

Turer

Mehta

Durante

et al. 2014

Maternal & Child Nutrition

Self Cite

View full text Add to dashboard Cite

To identify parental perspectives regarding weight-management strategies for school-age children, focus groups were conducted of parents of overweight and obese (BMI ≥ 85th percentile) 6–12 year-old children recruited from primary-care clinics. Questions focused on the role of the primary-care provider, effective components of weight-management strategies, and feasibility of specific dietary strategies. Focus groups were recorded, transcribed, and analyzed using margin-coding and grounded theory. Six focus groups were held. The mean age (in years) for parents was 32, and for children, eight; 44% of participants were Latino, 33%, African-American, and 23%, white. Parents’ recommendations on the primary-care provider’s role in weight management included monitoring weight, providing guidance regarding health risks and lifestyle changes, consistent follow-up, and using discretion during weight discussions. Weight-management components identified as key included emphasizing healthy lifestyles and enjoyment, small changes to routines, and parental role-modeling. Parents prefer guidance regarding healthy dietary practices rather than specific weight-loss diets, but identified principles that could enhance the acceptability of these diets. For dietary guidance to be feasible, parents recommended easy-to-follow instructions and emphasizing servings over counting calories. Effective weight-management strategies identified by parents include primary-care provider engagement in weight management, simple instructions regarding healthy lifestyle changes, parental involvement, and deemphasizing specific weight-loss diets. These findings may prove useful in developing primary-care weight-management strategies for children that maximize parental acceptance.

show abstract

Do High-Risk Preschoolers or Overweight Mothers Meet AAP-Recommended Behavioral Goals for Reducing Obesity?

Cited by 15 publications

References 26 publications

Attainment of ‘5-2-1-0’ obesity recommendations in preschool-aged children

Attainment of ‘5-2-1-0’ obesity recommendations in preschool-aged children

Sugar-Sweetened Beverages and Weight Gain in 2- to 5-Year-Old Children

Parental perspectives regarding primary‐care weight‐management strategies for school‐age children

Contact Info

Product

Resources

About