Faculty Collaboration Database

Comparative Effectiveness Trial of an Obesity Prevention Intervention in EFNEP and SNAP-ED: Primary Outcomes. Nutrients 2019 May 05;11(5)

Date

05/08/2019

Pubmed ID

31060275

Pubmed Central ID

PMC6566246

DOI

10.3390/nu11051012

Scopus ID

2-s2.0-85065664409 (requires institutional sign-in at Scopus site)   11 Citations

Abstract

There is a need to disseminate evidence-based childhood obesity prevention interventions on a broader scale to reduce obesity-related disparities among underserved children. The purpose of this study was to test the comparative effectiveness of an evidence-based obesity prevention intervention, Hip-Hop to Health (HH), delivered through Expanded Food and Nutrition Education Program (EFNEP) and the Supplemental Nutrition Assistance Program-Education (SNAP-Ed) versus the standard curriculum delivered by the programs (Standard Nutrition Education (NE)). A nonequivalent control group design was delivered to compare the effectiveness of HH to NE on weight gain prevention and health behavior outcomes at EFNEP and SNAP-Ed sites. One hundred and fifty-three caregiver-child dyads (n = 103 in the HH group; n = 50 in the NE group) participated in the study. HH is an evidence-based dietary and physical activity intervention for low-income preschool children. The NE curriculum provided lessons for children that are consistent with the Dietary Guidelines for Americans 2010. Data were collected on demographics, anthropometrics, and behavioral variables for parent-child dyads at baseline and postintervention. Mixed model methods with random effects for site and participant were utilized. No differences in child or caregiver diet, physical activity, or screen time by group were found. No between-group differences in child BMI z-score were found; however, caregivers in the HH group lost significantly more weight than those in the NE group. Results from this trial can inform future dissemination efforts of evidenced-based programs for underserved families.

Author List

Buscemi J, Odoms-Young A, Stolley MR, Schiffer L, Blumstein L, Clark MH, Berbaum ML, McCaffrey J, Braunschweig C, Fitzgibbon ML

Author

Melinda Stolley PhD Center Associate Director, Professor in the Medicine department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Child, Preschool
Diet
Exercise
Female
Food Assistance
Health Education
Health Promotion
Humans
Male
Nutrition Policy
Nutritional Status
Pediatric Obesity
Poverty
Weight Reduction Programs