Childhood obesity prevention in rural settings: background, rationale, and study design of ‘4-Health,’ a parent-only intervention

Lynch, Wesley C.; Martz, Jill; Eldridge, Gary R.; Bailey, S. J.; Benke, C.; Paul, Lynn

doi:10.1186/1471-2458-12-255

Cited by 11 publications

(6 citation statements)

References 32 publications

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“…Briefly, the HEAL program consisted of 12 weekly self-guided educational and behavioral sessions available online with printed hard copies made available to participants per requests. The initial curriculum was developed based on the “4-Health” program, a childhood obesity prevention program in rural settings by the US Department of Agriculture (USDA) [26]. The adaption of the curriculum was directly informed by qualitative research that identified targeted nutrition and physical activity needs and specific barriers for childhood ALL survivors [27].…”

Section: Methodsmentioning

confidence: 99%

Early Lifestyle Intervention for Obesity Prevention in Pediatric Survivors of Acute Lymphoblastic Leukemia

Zhang

Kelly

et al. 2019

Nutrients

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Patients with pediatric acute lymphoblastic leukemia (ALL) experience rapid weight gain during treatment and increases in weight are maintained throughout treatment and beyond. Without prompt interventions, altered dietary and physical activity behaviors may become difficult to reverse, contributing to obesity risk long-term. Fifteen children, aged 3–9 years, diagnosed with pediatric ALL who were on maintenance therapy or within two years of treatment completion (mean BMI percentile: 70.4th) and one parent from each family, were enrolled into a 12-week lifestyle intervention delivered remotely through web-based sessions and phone calls with a lifestyle coach. Outcomes were assessed at baseline and end of the intervention. Thirteen of the 15 enrolled families (86.7%) completed the intervention. Parents reduced the “pressure to eat” feeding practice (change in mean score: −0.60, 95% CI: −1.12 to −0.07; p-value = 0.03) post intervention. Children increased the consumption of milk (0.54 serving/d, 0.02 to 1.07; p-value = 0.04) and percent of calories from protein (2.54%, 0.22 to 4.87%; p-value = 0.04) and reduced the consumption of potatoes (−0.16 serving/d, -0.30 to −0.03; p-value = 0.02). No significant changes were observed for children’s levels of physical activity, BMI, or waist circumference. Results from this pilot support the feasibility and preliminary efficacy of early lifestyle intervention among pediatric ALL survivors.

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Section: Methodsmentioning

confidence: 99%

Early Lifestyle Intervention for Obesity Prevention in Pediatric Survivors of Acute Lymphoblastic Leukemia

Zhang

Kelly

et al. 2019

Nutrients

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“…The background, rationale, and study design have been described in detail previously (Lynch et al, 2012). The following is a brief summary of methods relevant to the present report.…”

Section: Methodsmentioning

confidence: 99%

“…The curriculum was revised after an 8month pilot test in three counties. For additional details on the pilot study and background to intervention development (see Lynch et al, 2012).…”

Section: Experimental Curriculum Development and Deliverymentioning

confidence: 99%

Effects of parent-only childhood obesity prevention programs on BMIz and body image in rural preteens

et al. 2016

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This experiment compared body image (BI) and BMI changes resulting from two parent-only obesity prevention interventions aimed at 8-12 year olds. Parents in the experimental intervention attended ten face-to-face educational sessions, while parents in the minimal (control) intervention received similar mailed information. Parent-child dyads (N=150) were semi-randomly assigned to intervention groups. Children were assessed before, after, and 6 months following the interventions; children did not attend experimental intervention sessions. Child BI assessments included weight and size perception, weight management goals, body esteem, and appearance attitudes. Significant effects included small decreases in BMIz scores and overweight dissatisfaction, as well as improvements in aspects of body esteem and appearance attitudes. Some BI effects were gender-specific. Decreases in overweight dissatisfaction were greater following the experimental treatment. Neither treatment reduced body size misperception. Thus, parent-only obesity prevention interventions can reduce body weight and body image concerns among rural preteens.

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“…The Healthy Eating and Active Living (HEAL) program, currently in its pilot phase, was adapted from existing childhood obesity interventions studies [ 9 , 10 , 14 - 16 ]. The program was developed to provide resources to parents of ALL survivors and to assist them in setting actionable plans to transition their families into healthier eating and physical activity habits.…”

Section: Introductionmentioning

confidence: 99%

Parent and Health Care Provider Perceptions for Development of a Web-Based Weight Management Program for Survivors of Pediatric Acute Lymphoblastic Leukemia: A Mixed Methods Study

et al. 2017

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BackgroundSurvivors of pediatric acute lymphoblastic leukemia (ALL) may experience unhealthy weight gain during treatment, which has been associated with higher risk for chronic health issues.ObjectiveThe purpose of this study was to obtain feedback on weight management in pediatric ALL survivors and on the content and implementation of a Web-based weight management program.MethodsStudy participants included 54 parent survey respondents and 19 pediatric oncology professionals in 4 focus groups. Survey questions included report of child weight status and interest in participating in weight management programming at various time points. Pediatric oncology professionals were asked about the preferred topics and timing, as well as their role. Focus group data were analyzed by a multidisciplinary research team for common themes.ResultsThe mean age of survivors was 6.5 years. By parent report, 19% of children were overweight and 25% were obese. Preferred timing for weight management program participation was within 3 months of starting maintenance chemotherapy (23/53, 43%) or within 12 months after completion of all cancer treatments (18/53, 34%). Pediatric oncology professionals likewise considered the maintenance phase appropriate. They considered parenting to be an important topic to include and indicated that their most appropriate roles would be promotion and support.ConclusionsParents and pediatric oncology professionals are interested in and supportive of early weight management in pediatric ALL survivors. Future research needs to identify strategies to integrate this into pediatric cancer care and to evaluate the feasibility and efficacy of these strategies.

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Childhood obesity prevention in rural settings: background, rationale, and study design of ‘4-Health,’ a parent-only intervention

Cited by 11 publications

References 32 publications

Early Lifestyle Intervention for Obesity Prevention in Pediatric Survivors of Acute Lymphoblastic Leukemia

Early Lifestyle Intervention for Obesity Prevention in Pediatric Survivors of Acute Lymphoblastic Leukemia

Effects of parent-only childhood obesity prevention programs on BMIz and body image in rural preteens

Parent and Health Care Provider Perceptions for Development of a Web-Based Weight Management Program for Survivors of Pediatric Acute Lymphoblastic Leukemia: A Mixed Methods Study

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