The Effects of a Multisector, Multilevel Intervention on Child Dietary Intake: California Childhood Obesity Research Demonstration Study
Consuming too few fruits and vegetables and excess fat can increase the risk of childhood obesity. Interventions which target mediators such as caregivers’ dietary intake, parenting strategies, and the family meal context can improve children’s diets. A quasi-experimental, pre–post intervention with...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-10-01
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| Series: | Nutrients |
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| Online Access: | https://www.mdpi.com/2072-6643/15/20/4449 |
| _version_ | 1797572676793925632 |
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| author | Shih-Fan Lin Michelle Murphy Zive Emily Schmied Jonathan Helm Guadalupe X. Ayala |
| author_facet | Shih-Fan Lin Michelle Murphy Zive Emily Schmied Jonathan Helm Guadalupe X. Ayala |
| author_sort | Shih-Fan Lin |
| collection | DOAJ |
| description | Consuming too few fruits and vegetables and excess fat can increase the risk of childhood obesity. Interventions which target mediators such as caregivers’ dietary intake, parenting strategies, and the family meal context can improve children’s diets. A quasi-experimental, pre–post intervention with four conditions (healthcare (HC-only), public health (PH-only), HC + PH, and control) was implemented to assess the effects of the interventions and the effects of the mediators. HC (implemented with the Obesity Care Model) and PH interventions entailed capacity building; policy, system, and environment changes; and a small-scale media campaign to promote healthy eating. Linear mixed models were used to assess intervention effects and the mediation analysis was performed. Predominantly Hispanic/Latino children and caregivers from rural communities in Imperial County, California, were measured at baseline (N = 1186 children/848 caregivers) and 12 months post-baseline (N = 985/706, respectively). Children who were overweight/obese in the HC-only condition (M = 1.32) consumed more cups of fruits at the 12-month follow-up than those in the control condition (M = 1.09; <i>p</i> = 0.04). No significant mediation was observed. Children in the PH-only condition consumed a significantly higher percentage of energy from fat (M = 36.01) at the follow-up than those in the control condition (M = 34.94, <i>p</i> < 0.01). An obesity intervention delivered through healthcare settings slightly improved fruit intake among at-risk children, but the mechanisms of effect remain unclear. |
| first_indexed | 2024-03-10T20:59:24Z |
| format | Article |
| id | doaj.art-2cdbbc25c93b4bcfa2622c75f1ebd14e |
| institution | Directory Open Access Journal |
| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-03-10T20:59:24Z |
| publishDate | 2023-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-2cdbbc25c93b4bcfa2622c75f1ebd14e2023-11-19T17:39:03ZengMDPI AGNutrients2072-66432023-10-011520444910.3390/nu15204449The Effects of a Multisector, Multilevel Intervention on Child Dietary Intake: California Childhood Obesity Research Demonstration StudyShih-Fan Lin0Michelle Murphy Zive1Emily Schmied2Jonathan Helm3Guadalupe X. Ayala4Institute for Behavioral and Community Health (IBACH), San Diego, CA 92123, USAHerbert Wertheim School of Public Health, University of California, San Diego, CA 92093, USAInstitute for Behavioral and Community Health (IBACH), San Diego, CA 92123, USADepartment of Psychology, San Diego State University, San Diego, CA 92182, USAInstitute for Behavioral and Community Health (IBACH), San Diego, CA 92123, USAConsuming too few fruits and vegetables and excess fat can increase the risk of childhood obesity. Interventions which target mediators such as caregivers’ dietary intake, parenting strategies, and the family meal context can improve children’s diets. A quasi-experimental, pre–post intervention with four conditions (healthcare (HC-only), public health (PH-only), HC + PH, and control) was implemented to assess the effects of the interventions and the effects of the mediators. HC (implemented with the Obesity Care Model) and PH interventions entailed capacity building; policy, system, and environment changes; and a small-scale media campaign to promote healthy eating. Linear mixed models were used to assess intervention effects and the mediation analysis was performed. Predominantly Hispanic/Latino children and caregivers from rural communities in Imperial County, California, were measured at baseline (N = 1186 children/848 caregivers) and 12 months post-baseline (N = 985/706, respectively). Children who were overweight/obese in the HC-only condition (M = 1.32) consumed more cups of fruits at the 12-month follow-up than those in the control condition (M = 1.09; <i>p</i> = 0.04). No significant mediation was observed. Children in the PH-only condition consumed a significantly higher percentage of energy from fat (M = 36.01) at the follow-up than those in the control condition (M = 34.94, <i>p</i> < 0.01). An obesity intervention delivered through healthcare settings slightly improved fruit intake among at-risk children, but the mechanisms of effect remain unclear.https://www.mdpi.com/2072-6643/15/20/4449childhood obesityhealthy dietcaregiver–child intakeparenting strategiesfamily meal context |
| spellingShingle | Shih-Fan Lin Michelle Murphy Zive Emily Schmied Jonathan Helm Guadalupe X. Ayala The Effects of a Multisector, Multilevel Intervention on Child Dietary Intake: California Childhood Obesity Research Demonstration Study Nutrients childhood obesity healthy diet caregiver–child intake parenting strategies family meal context |
| title | The Effects of a Multisector, Multilevel Intervention on Child Dietary Intake: California Childhood Obesity Research Demonstration Study |
| title_full | The Effects of a Multisector, Multilevel Intervention on Child Dietary Intake: California Childhood Obesity Research Demonstration Study |
| title_fullStr | The Effects of a Multisector, Multilevel Intervention on Child Dietary Intake: California Childhood Obesity Research Demonstration Study |
| title_full_unstemmed | The Effects of a Multisector, Multilevel Intervention on Child Dietary Intake: California Childhood Obesity Research Demonstration Study |
| title_short | The Effects of a Multisector, Multilevel Intervention on Child Dietary Intake: California Childhood Obesity Research Demonstration Study |
| title_sort | effects of a multisector multilevel intervention on child dietary intake california childhood obesity research demonstration study |
| topic | childhood obesity healthy diet caregiver–child intake parenting strategies family meal context |
| url | https://www.mdpi.com/2072-6643/15/20/4449 |
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