Jayne A. Fulkerson|Sarah Friend|Colleen Flattum|Melissa L. Horning|Michelle Draxten|Dianne Neumark?Sztainer|Olga Gurvich|Mary Story|Ann Garwick|Martha Kubik
Promoting healthful family meals to prevent obesity: HOME Plus, a randomized controlled trial
University of Minnesota|University of Minnesota|University of Minnesota|University of Minnesota|University of Minnesota|University of Minnesota|University of Minnesota|Duke University|University of Minnesota|University of Minnesota
family meal frequency shown strongly associated better dietary intake however associations weight status mixed family mealsfocused randomized controlled trials weight outcomes previously conducted therefore study purpose describe weightrelated outcomes home plus study first family mealsfocused randomized controlled trial prevent excess weight gain among youthfamilies n 160 812yearold children parentsguardians randomized intervention n 81 control n 79 groups data collected baseline 20112012 postintervention 12months postbaseline followup 21months postbaseline intervention included ten monthly group sessions nutrition education handson meal snack planning preparation skill development screen time reductions five motivational goalsetting phone calls main outcome child body mass index bmi zscoregeneral linear models adjusted baseline values demographics showed significant treatment group differences bmi zscores postintervention followup however promising reduction excess weight gain observed posthoc stratification pubertal onset indicated prepubescent children intervention group significantly lower bmi zscores control group counterpartsthe study used strong theoretical framework rigorous design quality measurement program high fidelity test family mealsfocused obesity prevention intervention showed modest decrease excess weight gain significant intervention effect among prepubescent children suggests intervention may efficacious among relatively young children although research appropriately powered samples needed replicate findingthis study registered wwwclinicaltrialsgov nct01538615 registered 01172012