HomeStyles-2: Randomized controlled trial protocol for a web-based obesity prevention program for families with children in middle childhood

Byrd‐Bredbenner, Carol; Santiago, Elena; Eck, K.; Delaney, Colleen; Quick, Virginia; Pozzoli, Angelica; Worobey, John; Shelnutt, Karla P.; Olfert, Melissa D.

doi:10.1016/j.cct.2021.106644

Cited by 6 publications

(21 citation statements)

References 101 publications

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“…All participants gave informed consent by clicking the “agree to participate” button prior to completing the online study survey. The study reported here is a secondary analysis of data from the cross-sectional Home Obesogenicity Measure of EnvironmentS-2 (HOMES-2) [ 52 ].…”

Section: Methodsmentioning

confidence: 99%

Maternal Mental Health Status Is Associated with Weight-Related Parenting Cognitions, Home Food Environment Characteristics, and Children’s Behaviors

Keresztes

Delaney

Byrd‐Bredbenner

2022

IJERPH

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Women experience anxiety, depression, and stress at higher levels than men and have more parenting responsibilities, especially establishing health practices in the home. Given children’s vulnerability, this study aimed to increase understanding of how mothers’ mental health status relates to maternal weight-related cognitions, home food environments, and child health via a cross-sectional survey design. In a cluster analysis, using maternal anxiety, depression, and stress assessments, we placed the sample of 531 mothers of school-age children into four clusters: Cluster 1 had the best mental health status, Cluster 2 had high stress, Cluster 3 had anxiety and moderate stress, and Cluster 4 had anxiety, depression, and high stress. Our results indicate an overall downward trend in weight-related cognitions as mental health worsened. Similarly, as mental health declined, so did home food environment characteristics, such as the greater use of non-recommended child feeding practices, fewer family meals, and greater sugar-sweetened beverage supplies. As mothers’ mental health status became poorer, children’s general health and mental health quality of life declined, and sugar-sweetened beverage intake increased. Our findings suggest that maternal stress, anxiety, and depression are moderately to strongly linked with mothers’ cognitions, home food environments, and children’s health. Our results also suggest that mental health interventions for mothers should assess cognitions and home food environments and consider the extent to which these factors are affecting family health.

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Section: Methodsmentioning

confidence: 99%

Maternal Mental Health Status Is Associated with Weight-Related Parenting Cognitions, Home Food Environment Characteristics, and Children’s Behaviors

Keresztes

Delaney

Byrd‐Bredbenner

2022

IJERPH

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“…English-speaking mothers between the ages of 24 and 54 years, with at least one child between the ages of 6 and 11 years, and who were the primary household food gatekeeper (i.e., made all or most decisions about foods purchased and prepared in the home) were recruited to complete the online “ H ome O besogenicity M easure of E nvironment S — F amilies with S chool- A ge K ids-2” (HOMES-2) survey [ 21 ]. Mothers were studied because, compared to fathers, they have a greater burden of handling child care responsibilities (i.e., managing children’s schedules/activities, caring for children when they are sick, playing with or doing activities with children, disciplining children) as well as handling household chores and responsibilities whether or not they are employed outside the home.…”

Section: Methodsmentioning

confidence: 99%

“…The HOMES-2 survey assessed weight-related aspects of households with school age children, including family support for engaging in behaviors supportive of healthy body weights, as well as weight-related behaviors. The development of this survey followed a carefully constructed and executed plan designed to incorporate best practices for questionnaire development to ensure assessments were valid and reliable; details are reported elsewhere [ 21 ].…”

Section: Methodsmentioning

confidence: 99%

“…These included the Block Fruit/Vegetable screener to determine the number of servings of fruits and vegetables children ate each day [ 25 , 26 , 27 ]. Children’s breakfast frequency was equal to the number of days per week children regularly ate breakfast [ 21 ]. The HOMES Sugar-Sweetened Beverages Frequency was used to estimate children’s total daily servings of sugar-sweetened beverages (i.e., soft drinks, fruit and other sweetened drinks, sweetened coffee, energy drinks, sports drinks, smoothie drinks) [ 21 , 28 , 29 ].…”

Section: Methodsmentioning

confidence: 99%

“…Children’s breakfast frequency was equal to the number of days per week children regularly ate breakfast [ 21 ]. The HOMES Sugar-Sweetened Beverages Frequency was used to estimate children’s total daily servings of sugar-sweetened beverages (i.e., soft drinks, fruit and other sweetened drinks, sweetened coffee, energy drinks, sports drinks, smoothie drinks) [ 21 , 28 , 29 ]. Children’s physical activity was assessed using the Streamlined, Enhanced Self-Report Physical Activity Measure which has a score range of 0 to 42 [ 30 , 31 , 32 ] as well as time spent in sedentary screentime activities daily.…”

Section: Methodsmentioning

confidence: 99%

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Family Social Support and Weight-Related Behaviors of School-Age Children: An Exploratory Analysis

Delaney

Byrd‐Bredbenner

2022

IJERPH

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Families are a key provider of support that may encourage positive weight-related behaviors. Yet little is known about the relation of family support to children’s performance of weight-related behaviors. Mothers (N = 524) who completed an online survey were categorized as having low, moderate, or high family support for fruit/vegetable intake, breakfast intake, limiting sugar-sweetened beverage intake, physical activity, limiting sedentary screentime, and sleep. ANOVA revealed that children in families with high support for breakfast ate this meal significantly more often. Additionally, children in families with low support for limiting sugar-sweetened beverages had significantly greater intake. Surprisingly, families with moderate support for physical activity and sleep tended to have children with lower physical activity level, sleep duration, and sleep quality, and fewer days/week with set bedtimes than those with low and high support. Binomial logistic regression revealed that high family support for eating breakfast, limiting sugar-sweetened beverages, and getting sufficient sleep had greater odds of meeting recommendations for these behaviors. Findings suggest that greater family support for healthy weight-related behaviors tends to be associated with children’s performance of these behaviors. Future interventions should further examine the impact of different types of family support on weight-related behaviors to better understand this complex interplay.

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Interventions to prevent obesity in children aged 5 to 11 years old

Spiga,

Davies,

Tomlinson

et al. 2024

Cochrane Database of Systematic Reviews

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Background Prevention of obesity in children is an international public health priority given the prevalence of the condition (and its significant impact on health, development and well‐being). Interventions that aim to prevent obesity involve behavioural change strategies that promote healthy eating or 'activity' levels (physical activity, sedentary behaviour and/or sleep) or both, and work by reducing energy intake and/or increasing energy expenditure, respectively. There is uncertainty over which approaches are more effective and numerous new studies have been published over the last five years, since the previous version of this Cochrane review. Objectives To assess the effects of interventions that aim to prevent obesity in children by modifying dietary intake or ‘activity’ levels, or a combination of both, on changes in BMI, zBMI score and serious adverse events. Search methods We used standard, extensive Cochrane search methods. The latest search date was February 2023. Selection criteria Randomised controlled trials in children (mean age 5 years and above but less than 12 years), comparing diet or 'activity' interventions (or both) to prevent obesity with no intervention, usual care, or with another eligible intervention, in any setting. Studies had to measure outcomes at a minimum of 12 weeks post baseline. We excluded interventions designed primarily to improve sporting performance. Data collection and analysis We used standard Cochrane methods. Our outcomes were body mass index (BMI), zBMI score and serious adverse events, assessed at short‐ (12 weeks to < 9 months from baseline), medium‐ (9 months to < 15 months) and long‐term (≥ 15 months) follow‐up. We used GRADE to assess the certainty of the evidence for each outcome. Main results This review includes 172 studies (189,707 participants); 149 studies (160,267 participants) were included in meta‐analyses. One hundred forty‐six studies were based in high‐income countries. The main setting for intervention delivery was schools (111 studies), followed by the community (15 studies), the home (eight studies) and a clinical setting (seven studies); one intervention was conducted by telehealth and 31 studies were conducted in more than one setting. Eighty‐six interventions were implemented for less than nine months; the shortest was conducted over one visit and the longest over four years. Non‐industry funding was declared by 132 studies; 24 studies were funded in part or wholly by industry. Dietary interventions versus control Dietary interventions, compared with control, may have little to no effect on BMI at short‐term follow‐up (mean difference (MD) 0, 95% confidence interval (CI) ‐0.10 to 0.10; 5 studies, 2107 participants; low‐certainty evidence) and at medium‐term follow‐up (MD ‐0.01, 95% CI ‐0.15 to 0.12; 9 studies, 6815 participants; low‐cer...

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HomeStyles-2: Randomized controlled trial protocol for a web-based obesity prevention program for families with children in middle childhood

Cited by 6 publications

References 101 publications

Maternal Mental Health Status Is Associated with Weight-Related Parenting Cognitions, Home Food Environment Characteristics, and Children’s Behaviors

Maternal Mental Health Status Is Associated with Weight-Related Parenting Cognitions, Home Food Environment Characteristics, and Children’s Behaviors

Family Social Support and Weight-Related Behaviors of School-Age Children: An Exploratory Analysis

Interventions to prevent obesity in children aged 5 to 11 years old

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