A Community‐Based Intervention Program's Effects on Dietary Intake Behaviors

Chang, Mei-Wei; Brown, Roger; Nitzke, Susan

doi:10.1002/oby.21862

Cited by 10 publications

(11 citation statements)

References 33 publications

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“…Lesson four included effective ways to help with parenting (e.g., listen and talk to children, be consistent, get down to the child’s eye level to communicate with the child, and use a responsibility chart). A detailed description of lessons five to ten (healthy eating and physical activity) has been published elsewhere [21, 23].…”

Section: Methodsmentioning

confidence: 99%

“…To summarize, we did not find significant differences in body weight between the intervention and comparison groups at the end of the intervention (T2) and at three-month follow-up (T3) [20]. The secondary outcomes of MIM included dietary intake, which has been previously published [21]; physical activity (to be published elsewhere); and psychosocial health: stress, depressive symptoms, and positive and negative affect. The analyses for the secondary outcomes focused on examining the differences in these variables between the intervention and comparison groups.…”

Section: Introductionmentioning

confidence: 99%

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Mothers In Motion intervention effect on psychosocial health in young, low-income women with overweight or obesity

2019

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BackgroundMothers in Motion (MIM), a community-based intervention program, was designed to help young, low-income women with overweight or obesity prevent further weight gain by promoting stress management, healthy eating, and physical activity. This paper presents the MIM’s intervention effect on self-efficacy to cope with stress, emotional coping response, social support for stress management, stress, depressive symptoms, and positive and negative affect.MethodsParticipants (N = 612) were recruited from the Special Supplemental Nutrition Program for Women, Infants, and Children in Michigan. They were randomly assigned to an intervention group (410 participants) or comparison group (202 participants). During the 16-week intervention, intervention participants watched ten video lessons at home and joined ten peer support group teleconferences. Surveys with established validity and reliability were used to measure self-efficacy to cope with stress, emotional coping response, and social support for stress management. The Perceived Stress Scale, Center for Epidemiologic Studies Depression Scale, and Positive and Negative Affect Scale were used to measure stress, depressive symptoms, and positive and negative affect, respectively. A general linear mixed model was applied to test the intervention effect at the end of the 16-week intervention (T2, n = 338) and at three-month follow-up (T3, n = 311).ResultsAt T2, the intervention group reported significantly higher self-efficacy to cope with stress (effect size [Cohen’s d] = 0.53), better emotional coping response (d = 0.38), less stress (d = 0.34), fewer depressive symptoms (d = − 0.27), and more positive affect (d = 0.31) than the comparison group. However, there were no significant differences in social support for stress management and negative affect between these two groups. At T3, the intervention group still reported significantly higher self-efficacy to cope with stress (d = 0.32) and better emotional coping response (d = 0.34) than the comparison group but did not report significantly higher social support for stress management, stress, depressive symptoms, and positive and negative affect.ConclusionsTo help young, low-income women with overweight or obesity manage stress, researchers and program planners may consider focusing on building self-efficacy to cope with stress.Trial registrationClinical Trials NCT01839708; registered February 28, 2013.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Mothers In Motion intervention effect on psychosocial health in young, low-income women with overweight or obesity

2019

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“…Without links between stress and fat or fast food intake in the model, the intervention did not reduce fat intake (top section of Table 1), which contradicts a published result using different analyses [21]. The non-significant finding is attributed to a negative indirect effect (intervention → stress → fat intake; Table 1 bottom section) added to a positive direct effect (intervention → fat intake; Table 1 middle section) resulting in a small and non-significant positive total effect (intervention → fat intake; Table 1 top section).…”

Section: Total Effects Of Intervention and Covariatesmentioning

confidence: 57%

“…Chang and colleagues conducted a randomized controlled community-based lifestyle behavior intervention (16-week) for low-income overweight or obese mothers of young children [19]. They found that the intervention significantly reduced stress [p < 0.01, Cohen D (d) = 0.34] [20], and fat (p < 0.05, d = 0.24) and fast food intakes (p < 0.05, d = 0.33) [21] at the end of the 16-week lifestyle intervention after adjusting baseline assessment. In the current secondary analysis, we conducted new analyses using cross-sectional data from 338 low-income overweight or obese mothers of young children (intervention group = 212, comparison group = 126) who completed the phone interview at the end of the 16 week-intervention.…”

Section: Introductionmentioning

confidence: 99%

Perceived Stress Can Mediate the Associations between a Lifestyle Intervention and Fat and Fast Food Intakes

2020

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This secondary analysis study addressed a gap of knowledge: whether perceived stress reduction created by a lifestyle intervention might serve as a mediator for reducing fat and fast food intakes in low-income overweight or obese mothers of young children. This analysis included 338 low-income overweight or obese mothers of young children who completed a phone interview immediately after the 16-week lifestyle intervention. Valid surveys were used to assess perceived stress and fat and fast food intakes. Composite indicator structural equation modeling was performed to test the mediation effects. The overall effect of the intervention was not significant for fat intake but was significant for fast food intake (B = −0.53, p < 0.05). When assessing the potential role of perceived stress as a mediator, the indirect effects of the intervention on fat (B = −0.39, p < 0.01) and fast food (B = −0.27, p < 0.01) intakes were both significant. Future dietary intervention studies aimed to reduce fat and fast food intakes in low-income overweight or obese mothers of young children might consider including practical strategies aimed at reducing perceived stress.

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“…It could reach more people and offer support that is more continuous while it was hard to continue face-to-face peer support for some people, busy middle-aged worker especially ( 13 ). Notably, the positive effect of peer support on individuals’ dietary intake behaviors did not appear to last at follow-up assessment, partly because they had relapsed to previous habits without awareness after intervention ( 29 ). Peer support intervention might be a feasible alternative for individuals with over-weight and obesity in places with limited professional resources, and innovative approaches with continuous peer support are needed.…”

Section: Discussionmentioning

confidence: 99%

The Effect of Peer Support on Individuals with Overweight and Obesity: A Meta-Analysis

Chen

Yang

et al. 2021

ijph

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Background: Scarce data exists about the effect of peer support on individuals with overweight or obesity. This study aimed to conduct a meta-analysis regarding the effect of peer support on weight, BMI, waist circumference, blood pressure, quality of life, social support and depressive symptoms in individuals with overweight and obesity. Methods: PubMed, Embase, and CENTRAL were searched for relevant studies from their inceptions to 1 Mar 2020, and 14 randomized controlled trials (RCTS) were included. Data were pooled with Review Manager 5.3. Results: Significantly small improvement in weight (-0.78 kg) was found in individuals who received peer support than those who received usual care (MD= -0.78 kg, 95% CI-1.33 to -0.22, P=0.02). And peer support appeared to be associated with significant decrease in BMI levels (MD= -0.16 kg/m2, 95% CI -0.32 to -0.01, P=0.04). However, there was no statistically significant improvement in the levels of waist circumference, systolic blood pressure, diastolic blood pressure, quality of life, social support and depressive symptoms after peer support. Conclusion: Peer support appears to be associated with decreased weight and BMI levels in individuals with overweight and obesity. However, additional research is warranted due to insufficient evidence for the effects of peer support on the other health indicators.

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A Community‐Based Intervention Program's Effects on Dietary Intake Behaviors

Abstract: The intervention group improved dietary intakes of fat and fast foods but not fruits, vegetables, or beverages over the short term. Our intervention had no long-term effect on dietary intake behaviors.

Cited by 10 publications

References 33 publications

Mothers In Motion intervention effect on psychosocial health in young, low-income women with overweight or obesity

Mothers In Motion intervention effect on psychosocial health in young, low-income women with overweight or obesity

Perceived Stress Can Mediate the Associations between a Lifestyle Intervention and Fat and Fast Food Intakes

The Effect of Peer Support on Individuals with Overweight and Obesity: A Meta-Analysis

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