Impact of ¡Míranos! on parent-reported home-based healthy energy balance-related behaviors in low-income Latino preschool children: a clustered randomized controlled trial
Abstract Background Widespread establishment of home-based healthy energy balance-related behaviors (EBRBs), like diet, physical activity, sedentary behavior, screen time, and sleep, among low-income preschool-aged children could curb the childhood obesity epidemic. We examined the effect of an 8-mo...
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| Format: | Article |
| Language: | English |
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BMC
2023-03-01
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| Series: | International Journal of Behavioral Nutrition and Physical Activity |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12966-023-01427-z |
| _version_ | 1797863524571021312 |
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| author | Sarah L. Ullevig Deborah Parra-Medina Yuanyuan Liang Jeffrey Howard Erica Sosa Vanessa M. Estrada-Coats Vanessa Errisuriz Shiyu Li Zenong Yin |
| author_facet | Sarah L. Ullevig Deborah Parra-Medina Yuanyuan Liang Jeffrey Howard Erica Sosa Vanessa M. Estrada-Coats Vanessa Errisuriz Shiyu Li Zenong Yin |
| author_sort | Sarah L. Ullevig |
| collection | DOAJ |
| description | Abstract Background Widespread establishment of home-based healthy energy balance-related behaviors (EBRBs), like diet, physical activity, sedentary behavior, screen time, and sleep, among low-income preschool-aged children could curb the childhood obesity epidemic. We examined the effect of an 8-month multicomponent intervention on changes in EBRBs among preschool children enrolled in 12 Head Start centers. Methods The Head Start (HS) centers were randomly assigned to one of three treatment arms: center-based intervention group (CBI), center-based plus home-based intervention group (CBI + HBI), or control. Before and following the intervention, parents of 3-year-olds enrolled in participating HS centers completed questionnaires about their child’s at-home EBRBs. Adult-facilitated physical activity (PA) was measured by an index based on questions assessing the child’s level of PA participation at home, with or facilitated by an adult. Fruit, vegetable, and added sugar intake were measured via a short food frequency questionnaire, and sleep time and screen time were measured using 7-day logs. A linear mixed effects model examined the intervention’s effect on post-intervention changes in PA, intake of fruit, vegetable, and added sugar, sleep time, and screen time from baseline to post-intervention. Results A total of 325 parents participated in the study (CBI n = 101; CBI + HBI n = 101; and control n = 123). Compared to control children, CBI and CBI + HBI parents reported decreases in children’s intake of added sugar from sugar-sweetened beverages. Both CBI and CBI + HBI parents also reported smaller increases in children’s average weekday screen time relative to controls. In addition, CBI + HBI parents reported CBI + HBI parents reported increases in children’s adult-facilitated PA, fruit and vegetable intake, and daily sleep time during weekdays (excluding weekends) and the total week from baseline to post-intervention, while children in the CBI increased sleep time over the total week compared to the children in the control group. Conclusions Parent engagement strengthened the improvement in parent-reported EBRBs at home in young children participating in an evidence-based obesity prevention program in a childcare setting. Future studies should investigate equity-related contextual factors that influence the impact of obesity prevention in health-disparity populations. Trial registration ClinicalTrials.gov, NCT03590834. Registered July 18, 2018, https://clinicaltrials.gov/ct2/show/NCT03590834 |
| first_indexed | 2024-04-09T22:36:53Z |
| format | Article |
| id | doaj.art-28a85e0f605e40658fb3f97adfd35e5e |
| institution | Directory Open Access Journal |
| issn | 1479-5868 |
| language | English |
| last_indexed | 2024-04-09T22:36:53Z |
| publishDate | 2023-03-01 |
| publisher | BMC |
| record_format | Article |
| series | International Journal of Behavioral Nutrition and Physical Activity |
| spelling | doaj.art-28a85e0f605e40658fb3f97adfd35e5e2023-03-22T12:24:54ZengBMCInternational Journal of Behavioral Nutrition and Physical Activity1479-58682023-03-0120111410.1186/s12966-023-01427-zImpact of ¡Míranos! on parent-reported home-based healthy energy balance-related behaviors in low-income Latino preschool children: a clustered randomized controlled trialSarah L. Ullevig0Deborah Parra-Medina1Yuanyuan Liang2Jeffrey Howard3Erica Sosa4Vanessa M. Estrada-Coats5Vanessa Errisuriz6Shiyu Li7Zenong Yin8College for Health, Community and Policy, University of Texas at San AntonioLatino Research Institute, University of Texas at AustinDepartment of Epidemiology and Public Health, University of Maryland School of MedicineDepartment of Public Health, University of Texas at San AntonioDepartment of Public Health, University of Texas at San AntonioDepartment of Public Health, University of Texas at San AntonioLatino Research Institute, University of Texas at AustinSchool of Nursing, UT Health San AntonioDepartment of Public Health, University of Texas at San AntonioAbstract Background Widespread establishment of home-based healthy energy balance-related behaviors (EBRBs), like diet, physical activity, sedentary behavior, screen time, and sleep, among low-income preschool-aged children could curb the childhood obesity epidemic. We examined the effect of an 8-month multicomponent intervention on changes in EBRBs among preschool children enrolled in 12 Head Start centers. Methods The Head Start (HS) centers were randomly assigned to one of three treatment arms: center-based intervention group (CBI), center-based plus home-based intervention group (CBI + HBI), or control. Before and following the intervention, parents of 3-year-olds enrolled in participating HS centers completed questionnaires about their child’s at-home EBRBs. Adult-facilitated physical activity (PA) was measured by an index based on questions assessing the child’s level of PA participation at home, with or facilitated by an adult. Fruit, vegetable, and added sugar intake were measured via a short food frequency questionnaire, and sleep time and screen time were measured using 7-day logs. A linear mixed effects model examined the intervention’s effect on post-intervention changes in PA, intake of fruit, vegetable, and added sugar, sleep time, and screen time from baseline to post-intervention. Results A total of 325 parents participated in the study (CBI n = 101; CBI + HBI n = 101; and control n = 123). Compared to control children, CBI and CBI + HBI parents reported decreases in children’s intake of added sugar from sugar-sweetened beverages. Both CBI and CBI + HBI parents also reported smaller increases in children’s average weekday screen time relative to controls. In addition, CBI + HBI parents reported CBI + HBI parents reported increases in children’s adult-facilitated PA, fruit and vegetable intake, and daily sleep time during weekdays (excluding weekends) and the total week from baseline to post-intervention, while children in the CBI increased sleep time over the total week compared to the children in the control group. Conclusions Parent engagement strengthened the improvement in parent-reported EBRBs at home in young children participating in an evidence-based obesity prevention program in a childcare setting. Future studies should investigate equity-related contextual factors that influence the impact of obesity prevention in health-disparity populations. Trial registration ClinicalTrials.gov, NCT03590834. Registered July 18, 2018, https://clinicaltrials.gov/ct2/show/NCT03590834https://doi.org/10.1186/s12966-023-01427-zPreschool childrenNutritionSleepScreen timeIntervention |
| spellingShingle | Sarah L. Ullevig Deborah Parra-Medina Yuanyuan Liang Jeffrey Howard Erica Sosa Vanessa M. Estrada-Coats Vanessa Errisuriz Shiyu Li Zenong Yin Impact of ¡Míranos! on parent-reported home-based healthy energy balance-related behaviors in low-income Latino preschool children: a clustered randomized controlled trial International Journal of Behavioral Nutrition and Physical Activity Preschool children Nutrition Sleep Screen time Intervention |
| title | Impact of ¡Míranos! on parent-reported home-based healthy energy balance-related behaviors in low-income Latino preschool children: a clustered randomized controlled trial |
| title_full | Impact of ¡Míranos! on parent-reported home-based healthy energy balance-related behaviors in low-income Latino preschool children: a clustered randomized controlled trial |
| title_fullStr | Impact of ¡Míranos! on parent-reported home-based healthy energy balance-related behaviors in low-income Latino preschool children: a clustered randomized controlled trial |
| title_full_unstemmed | Impact of ¡Míranos! on parent-reported home-based healthy energy balance-related behaviors in low-income Latino preschool children: a clustered randomized controlled trial |
| title_short | Impact of ¡Míranos! on parent-reported home-based healthy energy balance-related behaviors in low-income Latino preschool children: a clustered randomized controlled trial |
| title_sort | impact of miranos on parent reported home based healthy energy balance related behaviors in low income latino preschool children a clustered randomized controlled trial |
| topic | Preschool children Nutrition Sleep Screen time Intervention |
| url | https://doi.org/10.1186/s12966-023-01427-z |
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