Kelly R Ylitalo, Kathryn M Janda, Reanna Clavon, Sheri Raleigh-Yearby, Catherine Kaliszewski, Jade Rumminger, Burritt Hess, Katie Walter, Wendy Cox
Cross-Sector Partnerships for Improved Cooking Skills, Dietary Behaviors, and Belonging: Findings from a Produce Prescription and Cooking Education Pilot Program at a Federally Qualified Health Center
Nutrients
young children overweight increased risk becoming obese developing type 2 diabetes cardiovascular disease later life therefore early intervention critical paper describes rationale design methodology sample characteristics 5year cluster randomized controlled trial conducted eight elementary schools rural north carolina united states first aim trial examine effects twophased intervention weight status adiposity nutrition exercise health behaviors selfefficacy overweight obese 2nd 3 rd 4th grade children overweight obese parents primary outcome children stabilization bmi percentile trajectory baseline 18 months primary outcome parents decrease bmi baseline 18 months secondary outcomes children parents include adiposity nutrition exercise health behaviors selfefficacy baseline 18 months secondary aim trial examine experimental group relationships parents childrens changes weight status adiposity nutrition exercise health behaviors selfefficacy exploratory aim determine whether african american hispanic nonhispanic white children parents experimental group benefit differently intervention weight status adiposity health behaviors selfefficacya total 358 african american nonhispanic white bilingual hispanic children bmi 85th percentile 358 parents bmi 25 kgm inducted 3 12 years randomized cohort either experimental waitlisted control group experimental group receives 12week intensive intervention nutrition exercise education coping skills training exercise phase 9 months continued monthly contact phase ii 6 months followup safety endpoints include adverse event reporting intentiontotreat analysis applied data findings trial may lead effective intervention assist children parents work together improve nutrition exercise patterns making small lifestyle pattern changes nct01378806