The Effect of Three Different Dietary Messages on Dietary Intake and Health in Families - Full Text View

Purpose

Examine the effect of three different dietary messages on dietary intake and the health of parents and their children.

Condition	Intervention	Phase
Obesity	Behavioral: Increase Fruits and Vegetables Behavioral: Decrease Snack Foods Behavioral: Increase Fruits and Vegetables and Decrease Snack Foods	Phase 2 Phase 3

Study Type:	Interventional
Study Design:	Allocation: Randomized Intervention Model: Factorial Assignment Masking: Single Blind (Outcomes Assessor) Primary Purpose: Prevention
Official Title:	The Effect of Three Different Dietary Messages on Dietary Intake and Health in Families

Resource links provided by NLM:

MedlinePlus related topics: Obesity

U.S. FDA Resources

Further study details as provided by University of Tennessee:

Primary Outcome Measures:

Change in Dietary intake [ Time Frame: baseline and 6 months ] [ Designated as safety issue: No ]
Changes in F&Vs, SFs, energy density, overall energy, and percent energy from fat intake, will be assessed by a three-day food record (two weekdays, one weekend day).

Secondary Outcome Measures:

Change in Anthropometrics [ Time Frame: baseline and 6 months ] [ Designated as safety issue: No ]
child and parent height, weight, BMI, and z-BMI
Change in Parent Feeding Styles [ Time Frame: baseline and 6 months ] [ Designated as safety issue: No ]
Includes 7 topics: perceived responsibility, perceived parent weight, perceived child weight, concern about child weight, restriction, pressure to eat, and monitoring.
Change in Parenting Styles [ Time Frame: baseline and 6 months ] [ Designated as safety issue: No ]
Assesses practices associated with different parenting styles
Change in Eating Pathology [ Time Frame: baseline and 6 months ] [ Designated as safety issue: Yes ]
Kids eating disorder survey and eating in the absence of hunger survey
Change in Physical Activity [ Time Frame: baseline and 6 months ] [ Designated as safety issue: No ]
Previous day physical activity recall- looks at 2 weekdays and 1 weekend day. For parents and children to complete
Change in Obesogenic Home Food Availability [ Time Frame: baseline and 6 months ] [ Designated as safety issue: No ]
self-report on foods that are available in the home.

Estimated Enrollment:	45
Study Start Date:	January 2012
Estimated Study Completion Date:	July 2013
Estimated Primary Completion Date:	July 2013 (Final data collection date for primary outcome measure)

Arms	Assigned Interventions
Experimental: Decrease Condition In the Decrease Snack Foods condition participants will reduce intake of SFs (i.e., candy, cookies, cakes, ice cream, chips, nuts) to < 3 servings/week (for children aged 6 to 12 years, the solid fats and added sugar energy limit is 840 kcals/week and the DECREASE goal will help with meeting this limit). Children and parents will gradually work towards meeting these goals and self-monitor these behaviors.	Behavioral: Decrease Snack Foods This condition will reduce intake of SFs (i.e., candy, cookies, cakes, ice cream, chips, nuts) to < 3 servings/week (for children aged 6 to 12 years, the solid fats and added sugar energy limit is 840 kcals/week and the DECREASE goal will help with meeting this limit). Children and parents will gradually work towards meeting these goals and self-monitor these behaviors.
Experimental: Increase + Decrease Condition Families will be encouraged to increase fruits and vegetables and decrease snack foods.	Behavioral: Increase Fruits and Vegetables and Decrease Snack Foods Will combine the goals of the increase and decrease conditions.
Experimental: Increase Condition A parent and child will be encouraged to increase fruits and vegetables. Children will be encouraged to consume 1 cup/day and 1.5 cups/day of whole fruit, and 1.5 cups/day and 2 cups/day of vegetables for children aged 6 to 8 years and 9 to 12 years, respectively. Children will gradually work towards these goals. Parents will also work towards F&V goals, with 2 cups/day of whole fruit and 2.5 cups/day of vegetables.	Behavioral: Increase Fruits and Vegetables Children will be encouraged to consume 1 cup/day and 1.5 cups/day of whole fruit, and 1.5 cups/day and 2 cups/day of vegetables for children aged 6 to 8 years and 9 to 12 years, respectively. Children will gradually work towards these goals. Parents will also work towards F&V goals, with 2 cups/day of whole fruit and 2.5 cups/day of vegetables. Both parent and child will self-monitor these behaviors. As one barrier to consuming F&Vs is perceived cost of these foods, information regarding lower-cost options for F&Vs will be included in the manual.

Detailed Description:

The goal of this pilot study is to conduct a randomized controlled trial examining three dietary messages: increase fruits and vegetables [INCREASE], decrease energy-dense, non-nutrient dense snack foods [DECREASE], or increase fruits and vegetables plus decrease snack foods [INCREASE+DECREASE], within a 6-month, family-based obesity prevention intervention. Each condition will also focus on increasing family evening meals and physical activity. Primary hypotheses are: 1) INCREASE + DECREASE will consume a greater ratio of F&Vs:SFs than INCREASE and DECREASE at 6 months.

2)INCREASE + DECREASE will consume less energy than INCREASE and DECREASE at 6 months.

Eligibility

Ages Eligible for Study:	6 Years to 12 Years
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	Yes

Criteria

Inclusion Criteria:

Children between ages 6-12 years
BMI percentile > 5th and < 85th percentile for age and sex
Have a parent aged > 21 years with a BMI > 25
Have an overweight/obese parent willing to attend intervention meetings
Parent and child speak and read English
Not moving out of the metropolitan area during the course of the investigation

Exclusion Criteria:

Reporting that the child and parent planning to participate have dietary restrictions related to fruit and vegetable intake
Physical activity restrictions
A parent reporting that she is pregnant, planning to become pregnant, or currently breastfeeding

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT01510678

Locations

United States, Tennessee
The University of Tennessee	Not yet recruiting
Knoxville, Tennessee, United States, 37996-1920
Contact: Hollie Raynor, Ph.D. 865-974-6259 hraynor@utk.edu
Contact: Lauren Gellar, Ph.D. 865-974-6254 lgellar@utk.edu
Principal Investigator: Hollie Raynor, Ph.D.
Principal Investigator: Lauren Gellar, Ph.D.
Healthy Eating and Activity Laboratory, University of Tennessee	Recruiting
Knoxville, Tennessee, United States, 37996
Contact: Hollie Raynor, PhD, RD 865-974-0752

Sponsors and Collaborators

University of Tennessee

Investigators

Principal Investigator:

Hollie Raynor, PhD, RD

University of Tennessee

More Information

Publications:

Birch LL, Ventura AK. Preventing childhood obesity: what works? Int J Obes (Lond). 2009 Apr;33 Suppl 1:S74-81.

Kral TV, Faith MS. Influences on child eating and weight development from a behavioral genetics perspective. J Pediatr Psychol. 2009 Jul;34(6):596-605. Epub 2008 Apr 10. Review.

Carter FA, Bulik CM. Childhood obesity prevention programs: how do they affect eating pathology and other psychological measures? Psychosom Med. 2008 Apr;70(3):363-71. Epub 2008 Mar 31. Review. Update in: Cochrane Database Syst Rev. 2011;12:CD001871.

Golan M, Crow S. Parents are key players in the prevention and treatment of weight-related problems. Nutr Rev. 2004 Jan;62(1):39-50. Review.

Birch LL, Fisher JO. Development of eating behaviors among children and adolescents. Pediatrics. 1998 Mar;101(3 Pt 2):539-49. Review.

Spear BA. Does dieting increase the risk for obesity and eating disorders? J Am Diet Assoc. 2006 Apr;106(4):523-5. No abstract available.

Butryn ML, Wadden TA. Treatment of overweight in children and adolescents: does dieting increase the risk of eating disorders? Int J Eat Disord. 2005 May;37(4):285-93. Review.

Neumark-Sztainer D. Preventing obesity and eating disorders in adolescents: what can health care providers do? J Adolesc Health. 2009 Mar;44(3):206-13. Review.

Epstein LH, Paluch RA, Consalvi A, Riordan K, Scholl T. Effects of manipulating sedentary behavior on physical activity and food intake. J Pediatr. 2002 Mar;140(3):334-9.

Epstein LH, Roemmich JN, Paluch RA, Raynor HA. Influence of changes in sedentary behavior on energy and macronutrient intake in youth. Am J Clin Nutr. 2005 Feb;81(2):361-6.

Epstein LH, Roemmich JN, Paluch RA, Raynor HA. Physical activity as a substitute for sedentary behavior in youth. Ann Behav Med. 2005 Jun;29(3):200-9.

Epstein LH, Paluch RA, Beecher MD, Roemmich JN. Increasing healthy eating vs. reducing high energy-dense foods to treat pediatric obesity. Obesity (Silver Spring). 2008 Feb;16(2):318-26.

Faith MS, Scanlon KS, Birch LL, Francis LA, Sherry B. Parent-child feeding strategies and their relationships to child eating and weight status. Obes Res. 2004 Nov;12(11):1711-22. Review.

Kuczmarski RJ, Ogden CL, Grummer-Strawn LM, Flegal KM, Guo SS, Wei R, Mei Z, Curtin LR, Roche AF, Johnson CL. CDC growth charts: United States. Adv Data. 2000 Jun 8;(314):1-27.

Whitaker RC, Wright JA, Pepe MS, Seidel KD, Dietz WH. Predicting obesity in young adulthood from childhood and parental obesity. N Engl J Med. 1997 Sep 25;337(13):869-73.

Donnelly JE, Blair SN, Jakicic JM, Manore MM, Rankin JW, Smith BK; American College of Sports Medicine. American College of Sports Medicine Position Stand. Appropriate physical activity intervention strategies for weight loss and prevention of weight regain for adults. Med Sci Sports Exerc. 2009 Feb;41(2):459-71. Erratum in: Med Sci Sports Exerc. 2009 Jul;41(7):1532.

Ard JD, Fitzpatrick S, Desmond RA, Sutton BS, Pisu M, Allison DB, Franklin F, Baskin ML. The impact of cost on the availability of fruits and vegetables in the homes of schoolchildren in Birmingham, Alabama. Am J Public Health. 2007 Feb;97(2):367-72. Epub 2006 Nov 30.

Birch LL, Fisher JO, Grimm-Thomas K, Markey CN, Sawyer R, Johnson SL. Confirmatory factor analysis of the Child Feeding Questionnaire: a measure of parental attitudes, beliefs and practices about child feeding and obesity proneness. Appetite. 2001 Jun;36(3):201-10.

Childress AC, Brewerton TD, Hodges EL, Jarrell MP. The Kids' Eating Disorders Survey (KEDS): a study of middle school students. J Am Acad Child Adolesc Psychiatry. 1993 Jul;32(4):843-50.

Fisher JO, Birch LL. Restricting access to foods and children's eating. Appetite. 1999 Jun;32(3):405-19.

Faith MS, Berkowitz RI, Stallings VA, Kerns J, Storey M, Stunkard AJ. Eating in the absence of hunger: a genetic marker for childhood obesity in prepubertal boys? Obesity (Silver Spring). 2006 Jan;14(1):131-8.

Weston AT, Petosa R, Pate RR. Validation of an instrument for measurement of physical activity in youth. Med Sci Sports Exerc. 1997 Jan;29(1):138-43.

Epstein LH, Gordy CC, Raynor HA, Beddome M, Kilanowski CK, Paluch R. Increasing fruit and vegetable intake and decreasing fat and sugar intake in families at risk for childhood obesity. Obes Res. 2001 Mar;9(3):171-8.

Responsible Party:	University of Tennessee
ClinicalTrials.gov Identifier:	NCT01510678 History of Changes
Other Study ID Numbers:	8721-B
Study First Received:	January 5, 2012
Last Updated:	September 5, 2012
Health Authority:	United States: Institutional Review Board

Keywords provided by University of Tennessee:

Diet Quality

Additional relevant MeSH terms:

Obesity
Overnutrition
Nutrition Disorders

Overweight
Body Weight
Signs and Symptoms

ClinicalTrials.gov processed this record on May 19, 2013