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Pediatric Overweight Prevention through a Parent Training Program for 2–4 year old Latino Children
Author(s) -
Slusser Wendelin,
Neumann Charlotte,
Cumberland William,
Renenger Kristel,
Fischer Heidi,
Frankel Fred
Publication year - 2012
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.26.1_supplement.257.6
Subject(s) - overweight , medicine , psychological intervention , randomized controlled trial , demography , imputation (statistics) , missing data , physical therapy , gerontology , obesity , psychiatry , surgery , machine learning , sociology , computer science
The objective of this study was to measure over a one‐year period, whether a parent training based on social learning theory combined with evidenced based interventions to promote optimal nutrition and physical activity will reduce the upward trend of BMI z‐scores in groups of 2–4 year old Latino children living in low‐income households. Methods A randomized controlled pilot study evaluated the effectiveness of the intervention contrasting 61 children whose mothers were randomized to receive Parent Training (PT) with 60 Wait‐list (WL) subjects. 7 weekly classes with 2 booster classes were delivered to mothers. Forty subjects did not attend the one‐year follow up assessment resulting in 81 subjects who have measurements for both baseline, and one‐year follow up assessments. To adjust for differential dropout rates and missing observations, imputation of missing data was done using a carefully constructed model. Results There were no significant subject differences between groups at baseline for family characteristics and BMI categories for child and mother. Children in the intervention group decreased their z scores significantly on average by .20 (SE= .08) compared to children in the control group who increased z scores on average by .04 (SE=.09) at one year (P<.05). Conclusion PT is effective to reduce the risk of overweight in preschool Latino children living in low‐income households.