Shari L. Barkin|William J. Heerman|Evan C. Sommer|Nina Martin|Maciej S. Buchowski|David G. Schlundt|Eli K. Po’e|Laura E. Burgess|Juan Escarfuller|Charlotte Pratt|Kimberly P. Truesdale|June Stevens
Effect of a Behavioral Intervention for Underserved Preschool-Age Children on Change in Body Mass Index
Vanderbilt University|Vanderbilt University Medical Center|Vanderbilt University Medical Center|Vanderbilt University|Vanderbilt University Medical Center|Vanderbilt University|Vanderbilt University Medical Center|Vanderbilt University Medical Center|Vanderbilt University Medical Center|National Heart Lung and Blood Institute|University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill
h3importanceh3 prevention obesity childhood critical children underserved populations obesity prevalence risk chronic disease highest h3objectiveh3 test effect multicomponent behavioral intervention child body mass index bmi calculated weight kilograms divided height meters squared growth trajectories 36 months among preschoolage children risk obesity h3design setting participantsh3 randomized clinical trial assigned 610 parentchild pairs underserved communities nashville tennessee 36month intervention targeting health behaviors schoolreadiness control eligible children ages 3 5 years risk obesity yet obese enrollment occurred august 2012 may 2014 36month followup occurred october 2015 june 2017 h3interventionsh3 intervention n 304 pairs 36month familybased communitycentered program consisting 12 weekly skillsbuilding sessions followed monthly coaching telephone calls 9 months 24month sustainability phase providing cues action control n 306 pairs consisted 6 schoolreadiness sessions delivered 36month study conducted nashville public library h3main outcomes measuresh3 primary outcome child bmi trajectory 36 months seven prespecified secondary outcomes included parentreported child dietary intake community center use benjaminihochberg procedure corrected multiple comparisons h3resultsh3 participants predominantly latino 914 baseline mean sd child age 43 09 years 519 female household income 25 000 567 families retention 902 36 months mean sd child bmi 178 22 intervention group 178 21 control group significant difference existed primary outcome bmi trajectory 36 months ipi 39 intervention group children lower mean caloric intake 1227 kcald compared control group children 1323 kcald adjusted difference 994 kcal 95 ci 1607 380 correctedipi 003 intervention group parents used community centers children control group parents 568 intervention 444 control risk ratio 129 95 ci 108 153 correctedipi 006 h3conclusions relevanceh3 36month multicomponent behavioral intervention change bmi trajectory among underserved preschoolage children nashville tennessee compared control program whether would effectiveness types behavioral interventions implementation cities would require research h3trial registrationh3 clinicaltrialsgov identifiernct01316653