Effects of the healthy start randomized intervention on psychological stress and sleep habits among obesity-susceptible healthy weight children and their parents.

Poor sleep and psychological stress are obesity determinants that are rarely included in obesity prevention programs. The aim was to report the effects of the Healthy Start randomized intervention on the secondary outcomes psychological stress and sleep duration and onset latency. Data was obtained...

Full description

Bibliographic Details
Main Authors: Nanna Julie Olsen, Sofus Christian Larsen, Jeanett Friis Rohde, Maria Stougaard, Mina Nicole Händel, Ina Olmer Specht, Berit Lilienthal Heitmann
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0264514
_version_ 1817975510953623552
author Nanna Julie Olsen
Sofus Christian Larsen
Jeanett Friis Rohde
Maria Stougaard
Mina Nicole Händel
Ina Olmer Specht
Berit Lilienthal Heitmann
author_facet Nanna Julie Olsen
Sofus Christian Larsen
Jeanett Friis Rohde
Maria Stougaard
Mina Nicole Händel
Ina Olmer Specht
Berit Lilienthal Heitmann
author_sort Nanna Julie Olsen
collection DOAJ
description Poor sleep and psychological stress are obesity determinants that are rarely included in obesity prevention programs. The aim was to report the effects of the Healthy Start randomized intervention on the secondary outcomes psychological stress and sleep duration and onset latency. Data was obtained from the Healthy Start randomized intervention conducted in 2009-2012 among Danish healthy weight children aged 2-6 years, who had either a high birth weight (>4,000 g), high maternal pre-pregnancy body mass index (>28 kg/m2), or low maternal educational level (≤10 years of schooling) and their parents. The intervention was designed to deliver improvements in diet and physical activity habits, optimization of sleep habits, and reduction of psychological family stress. The average intervention period was 15 months. Children with information on a 7-day sleep record, sleep onset latency, Strengths and Difficulties Questionnaire (SDQ), and a modified version of Parenting Stress Index (PSI) were included. The effects of the intervention on sleep habits, PSI scores, SDQ Total Difficulties (SDQ-TD) and Pro-social Behavior scores, and 95% Confidence Intervals (95% CI) were analyzed using linear regression intention-to-treat (n = 543 (intervention group n = 271, control group n = 272)) analyses. No statistically significant effects on sleep duration, sleep onset latency, PSI score, or SDQ Pro-social Behavior score were observed. Values both before and after the intervention were within the normal range both for children in the intervention and children in the control group. Mean change in SDQ-TD was 0.09 points (95% CI -0.57;0.59) in the intervention group, and -0.69 points (95% CI -1.16; -0.23) in the control group (p = 0.06). In conclusion, there were no intervention effects in relation to sleep duration, sleep onset latency, PSI score, or SDQ Pro-social behavior. There was an indication that children in the intervention group had slightly more behavioral problems than the control group after the intervention, but values were within normal range both before and after the intervention, and the difference is not considered to be clinically meaningful.
first_indexed 2024-04-13T21:50:57Z
format Article
id doaj.art-5ee00e6f05384c5a989504cc5915ca46
institution Directory Open Access Journal
issn 1932-6203
language English
last_indexed 2024-04-13T21:50:57Z
publishDate 2022-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS ONE
spelling doaj.art-5ee00e6f05384c5a989504cc5915ca462022-12-22T02:28:25ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-01173e026451410.1371/journal.pone.0264514Effects of the healthy start randomized intervention on psychological stress and sleep habits among obesity-susceptible healthy weight children and their parents.Nanna Julie OlsenSofus Christian LarsenJeanett Friis RohdeMaria StougaardMina Nicole HändelIna Olmer SpechtBerit Lilienthal HeitmannPoor sleep and psychological stress are obesity determinants that are rarely included in obesity prevention programs. The aim was to report the effects of the Healthy Start randomized intervention on the secondary outcomes psychological stress and sleep duration and onset latency. Data was obtained from the Healthy Start randomized intervention conducted in 2009-2012 among Danish healthy weight children aged 2-6 years, who had either a high birth weight (>4,000 g), high maternal pre-pregnancy body mass index (>28 kg/m2), or low maternal educational level (≤10 years of schooling) and their parents. The intervention was designed to deliver improvements in diet and physical activity habits, optimization of sleep habits, and reduction of psychological family stress. The average intervention period was 15 months. Children with information on a 7-day sleep record, sleep onset latency, Strengths and Difficulties Questionnaire (SDQ), and a modified version of Parenting Stress Index (PSI) were included. The effects of the intervention on sleep habits, PSI scores, SDQ Total Difficulties (SDQ-TD) and Pro-social Behavior scores, and 95% Confidence Intervals (95% CI) were analyzed using linear regression intention-to-treat (n = 543 (intervention group n = 271, control group n = 272)) analyses. No statistically significant effects on sleep duration, sleep onset latency, PSI score, or SDQ Pro-social Behavior score were observed. Values both before and after the intervention were within the normal range both for children in the intervention and children in the control group. Mean change in SDQ-TD was 0.09 points (95% CI -0.57;0.59) in the intervention group, and -0.69 points (95% CI -1.16; -0.23) in the control group (p = 0.06). In conclusion, there were no intervention effects in relation to sleep duration, sleep onset latency, PSI score, or SDQ Pro-social behavior. There was an indication that children in the intervention group had slightly more behavioral problems than the control group after the intervention, but values were within normal range both before and after the intervention, and the difference is not considered to be clinically meaningful.https://doi.org/10.1371/journal.pone.0264514
spellingShingle Nanna Julie Olsen
Sofus Christian Larsen
Jeanett Friis Rohde
Maria Stougaard
Mina Nicole Händel
Ina Olmer Specht
Berit Lilienthal Heitmann
Effects of the healthy start randomized intervention on psychological stress and sleep habits among obesity-susceptible healthy weight children and their parents.
PLoS ONE
title Effects of the healthy start randomized intervention on psychological stress and sleep habits among obesity-susceptible healthy weight children and their parents.
title_full Effects of the healthy start randomized intervention on psychological stress and sleep habits among obesity-susceptible healthy weight children and their parents.
title_fullStr Effects of the healthy start randomized intervention on psychological stress and sleep habits among obesity-susceptible healthy weight children and their parents.
title_full_unstemmed Effects of the healthy start randomized intervention on psychological stress and sleep habits among obesity-susceptible healthy weight children and their parents.
title_short Effects of the healthy start randomized intervention on psychological stress and sleep habits among obesity-susceptible healthy weight children and their parents.
title_sort effects of the healthy start randomized intervention on psychological stress and sleep habits among obesity susceptible healthy weight children and their parents
url https://doi.org/10.1371/journal.pone.0264514
work_keys_str_mv AT nannajulieolsen effectsofthehealthystartrandomizedinterventiononpsychologicalstressandsleephabitsamongobesitysusceptiblehealthyweightchildrenandtheirparents
AT sofuschristianlarsen effectsofthehealthystartrandomizedinterventiononpsychologicalstressandsleephabitsamongobesitysusceptiblehealthyweightchildrenandtheirparents
AT jeanettfriisrohde effectsofthehealthystartrandomizedinterventiononpsychologicalstressandsleephabitsamongobesitysusceptiblehealthyweightchildrenandtheirparents
AT mariastougaard effectsofthehealthystartrandomizedinterventiononpsychologicalstressandsleephabitsamongobesitysusceptiblehealthyweightchildrenandtheirparents
AT minanicolehandel effectsofthehealthystartrandomizedinterventiononpsychologicalstressandsleephabitsamongobesitysusceptiblehealthyweightchildrenandtheirparents
AT inaolmerspecht effectsofthehealthystartrandomizedinterventiononpsychologicalstressandsleephabitsamongobesitysusceptiblehealthyweightchildrenandtheirparents
AT beritlilienthalheitmann effectsofthehealthystartrandomizedinterventiononpsychologicalstressandsleephabitsamongobesitysusceptiblehealthyweightchildrenandtheirparents