Feasibility and Efficacy of the “FUNPALs Playgroup” Intervention to Improve Toddler Dietary and Activity Behaviors: A Pilot Randomized Controlled Trial

Cepni, Aliye B.; Taylor, Ashley; Crumbley, Christine; Thompson, Debbe; Moran, Nancy E.; Olvera, Norma; O’Connor, Daniel P.; Arlinghaus, Katherine R.; Johnston, Craig A.; Ledoux, Tracey

doi:10.3390/ijerph18157828

Cited by 9 publications

(5 citation statements)

References 66 publications

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“…The Abriendo Caminos intervention significantly decreased SSBs intake among children in the intervention arm. Changes in SSBs consumption are consistent with findings from other studies that aimed to decrease intake in Hispanic children [ 10 , 42 , 43 , 44 ]. A nine-month intervention aimed to improve dietary behaviors in young Hispanic children observed a decrease in SSBs consumption and increased water and milk intake [ 43 ].…”

Section: Discussionsupporting

confidence: 89%

Reducing Obesogenic Eating Behaviors in Hispanic Children through a Family-Based, Culturally-Tailored RCT: Abriendo Caminos

Barragán

Luna

Hammons

et al. 2022

IJERPH

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Family-based interventions that incorporate culturally-tailored multi-component curricula and are grounded on evidence-based information and theoretical frameworks can help reduce the prevalence of obesity among Hispanic children. Abriendo Caminos: Clearing the Path to Hispanic Health is a multi-site culturally-tailored randomized control trial that aims to reduce obesity rates in Hispanic families by delivering education on nutrition, family wellness, and physical activity. This study evaluated the effect of the Abriendo Caminos six-week intervention on dietary behaviors of Hispanic children (6–18 years). Mothers (n = 365) reported their child’s eating behavior intake using the U.S. Department of Education’s Early Childhood Longitudinal Study protocol (ECLS). Pre/post dietary changes were evaluated using separate generalized estimating equation models adjusted for site, child sex, and child age group. Findings indicate a reduction in the frequency of sugar-sweetened beverages (OR 0.55, 95% CI 0.35, 0.87, p = 0.01), French fries (OR 0.56, 95% CI 0.36, 0.86, p = 0.009), and fast food (OR 0.55, 95% CI 0.36, 0.84, p = 0.006) consumption among children in the intervention arm. Additionally, children in the intervention arm increased their frequency of vegetable consumption (OR 1.84, 95% CI 1.08, 3.12, p = 0.03). The Abriendo Caminos intervention effectively improved four of eight eating behaviors in a short-term intervention.

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Section: Discussionsupporting

confidence: 89%

Reducing Obesogenic Eating Behaviors in Hispanic Children through a Family-Based, Culturally-Tailored RCT: Abriendo Caminos

Barragán

Luna

Hammons

et al. 2022

IJERPH

Self Cite

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“…The primary analysis found that sleep interventions were associated with 10.5 minutes (95% CI, 5.6-15.4; P < .001) longer nocturnal sleep duration compared with the control condition. Figure 2 shows the primary meta-analysis forest plot, with quality assessments . There was marked heterogeneity across study estimates ( I 2 = 87.2%).…”

Section: Resultsmentioning

confidence: 99%

Nonpharmacological Interventions to Lengthen Sleep Duration in Healthy Children

et al. 2022

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ImportanceAdequate sleep duration is necessary for many aspects of child health, development, and well-being, yet sleep durations for children are declining, and effective strategies to increase sleep in healthy children remain to be elucidated.ObjectiveTo determine whether nonpharmaceutical interventions to improve sleep duration in healthy children are effective and to identify the key components of these interventions.Data SourcesCENTRAL, MEDLINE, Embase, PsycINFO, Web of Science Core collection, ClinicalTrials.gov, and WHO trials databases were searched from inception to November 15, 2021.Study SelectionRandomized clinical trials of interventions to improve sleep duration in healthy children were independently screened by 2 researchers. A total of 28 478 studies were identified.Data Extraction and SynthesisData were processed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) reporting guideline. Random-effects meta-analytic models were used to estimate pooled effect sizes.Main Outcomes and MeasuresDifference in sleep duration, measured in minutes.ResultsA total of 13 539 child participants from 45 randomized clinical trials were included. Of these, 6897 (50.9%) were in the intervention group and 6642 (49.1%) in the control group, and the mean age ranged from 18 months to 19 years. Pooled results indicate that sleep interventions were associated with 10.5 minutes (95% CI, 5.6-15.4) longer nocturnal sleep duration. There was substantial variation between trials. Sources of variation that were not associated with the study effect size included age group, whether the population was identified as having a sleep problem or being at a socioeconomic disadvantage (eg, coming from a low-income family or area), method of assessment of sleep duration (objective vs subjective), location of intervention delivery (home vs school), whether interventions were delivered in person or used parental involvement, whether behavioral theory was used, environmental change, or had greater or lower intensity. Interventions that included earlier bedtimes were associated with a 47-minute sleep extension (95% CI, 18.9-75.0; 3 trials) compared with remaining studies (7.4 minutes; 95% CI, 2.9-11.8; 42 trials) (P = .006 for group difference). Trials of shorter duration (6 months or less) had larger effects.Conclusions and RelevanceInterventions focused on earlier bedtimes may offer a simple, pragmatic, effective way to meaningfully increase sleep duration that could have important benefits for child health.

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“…In contrast, obesogenic food availability was negatively associated with parental feeding practices. Two early childhood studies present feasibility and efficacy results from the FUNPALS Playgroup and the Prevention of Overweight in Infancy randomised control trials ( 16 , 17 ) ; however, no significant differences or associations were found for home food availability. Although healthy and unhealthy food availability may indicate some aspects of a child’s diet, there is limited evidence that home food availability influences desired outcomes or improves because of an intervention.…”

mentioning

confidence: 98%

“…First, although the HFI scores were generally associated with food and nutrient intake, Fulkerson and colleagues (13) only examined five out of thirteen major category scores from the HFI and compared the five scores against a limited number of food and nutrient intake indicators. Second, despite its use with early childhood samples (15)(16)(17)(18)(19) , the HFI was validated using a sample of 10-17-year-old children, who have different energy and nutrient needs than their younger counterparts. Relatedly, most of the early childhood research has largely relied on cross-sectional designs, limiting our understanding of changes in home food availability over time.…”

mentioning

confidence: 99%

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Longitudinal changes in home food availability and concurrent associations with food and nutrient intake among children at 24–48 months

Barton,

McMath,

Montgomery

et al. 2024

Public Health Nutr.

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Objectives: To describe changes in home food availability during early childhood, including modified, developmentally sensitive obesogenic scores, and to determine whether home food availability is associated with food and nutrient intakes of children concurrently, over time. Design: Data were drawn from the STRONG Kids 2 longitudinal, birth cohort to achieve the study objectives. Home food availability was assessed with the Home Food Inventory (HFI) and included 15 food groups (e.g., fruit, vegetables) and 3 obesogenic scores (1 original and 2 modified). Food and nutrient intakes were measured using the Block Food Frequency Questionnaire and included 27 food groups and 18 nutrients (e.g., vitamins A and C, protein). HFI and FFQ were completed by trained researchers or mothers, respectively, at 24, 36, and 48 months. Repeated measures ANOVAs and Spearman correlations were used to achieve the study objectives. Setting: Central Illinois, United States. Participants: 468 children at 24, 36 and 48 months of age. Results: Availability of less nutritious foods and obesogenic foods and beverages increased as children aged, and availability of both nutritious and less nutritious foods were associated with child food and nutrient intake. The 3 obesogenic scores demonstrated similar, positive associations with the intake of energy, saturated fat, added sugars, and kilocalories from sweets. Conclusion: These findings offer novel insight into changes in home food availability and associations with food and nutrient intake during early childhood. Additional attention is needed examining antecedents (e.g., built environments, purchasing behaviors) and consequences (e.g., child diet quality, weight) of home food availability.

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Feasibility and Efficacy of the “FUNPALs Playgroup” Intervention to Improve Toddler Dietary and Activity Behaviors: A Pilot Randomized Controlled Trial

Cited by 9 publications

References 66 publications

Reducing Obesogenic Eating Behaviors in Hispanic Children through a Family-Based, Culturally-Tailored RCT: Abriendo Caminos

Reducing Obesogenic Eating Behaviors in Hispanic Children through a Family-Based, Culturally-Tailored RCT: Abriendo Caminos

Nonpharmacological Interventions to Lengthen Sleep Duration in Healthy Children

Longitudinal changes in home food availability and concurrent associations with food and nutrient intake among children at 24–48 months

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