TY - JOUR
T1 - Multicomponent obesity prevention intervention in low-income preschoolers
T2 - Primary and subgroup analyses of the NET-works randomized clinical trial, 2012-2017
AU - French, Simone A
AU - Sherwood, Nancy E
AU - Veblen-Mortenson, Sara
AU - Lauren Crain, A.
AU - JaKa, Meghan M.
AU - Mitchell, Nathan
AU - Hotop, Anne Marie
AU - Berge, Jerica M
AU - Kunin-Batson, Alicia S
AU - Truesdale, Kim
AU - Stevens, June
AU - Pratt, Charlotte
AU - Esposito, Layla
N1 - Funding Information:
This research was supported by award U01HD068990, with additional support from other members of Childhood Obesity Prevention and Treatment Research Consortium (awards U01HL103622, U01HL103629, U01HL103620, U01HL103561) from the National Heart, Lung, and Blood Institute; the Eunice Kennedy Shriver National Institute of Child Health and Human Development; and the Office of Behavioral and Social Sciences Research, National Institutes of Health.
PY - 2018/12
Y1 - 2018/12
N2 - Objectives. To evaluate a multicomponent obesity prevention intervention among diverse, low-income preschoolers. Methods. Parent-child dyads (n = 534) were randomized to the Now Everybody Together for Amazing and Healthful Kids (NET-Works) intervention or usual care in Minneapolis, MN (2012-2017). The intervention consisted of home visits, parenting classes, and telephone check-ins. The primary outcomes were adjusted 24- and 36-month body mass index (BMI). Results. Compared with usual care, the NET-Works intervention showed no significant difference in BMI change at 24 (-0.12 kg/m2; 95% confidence interval [CI] = -0.44, 0.19) or 36 months (-0.19 kg/m2; 95% CI = -0.64, 0.26). Energy intake was significantly lower in the NET-Works group at 24 (-90 kcal/day; 95% CI = -164, -16) and 36 months (-101 kcal/day; 95% CI = -164, -37). Television viewing was significantly lower in the NET-Works group at 24 (rate ratio = 0.84; 95% CI = 0.75, 0.93) and 36 months (rate ratio = 0.88; 95% CI = 0.78, 0.99). Children with baseline overweight or obesity had lower BMI in the NET-Works group than those in usual care at 36 months (-0.71 kg/m2; 95% CI = -1.30, -0.12). Hispanic children had lower BMI in the NET-Works group than those in usual care at 36 months (-0.59 kg/m2; 95% CI = -1.14, -0.04). Conclusions. In secondary analyses, NET-Works significantly reduced BMI over 3 years among Hispanic children and children with baseline overweight or obesity. Trial Registration: ClinicalTrials.gov Identifier: NCT01606891.
AB - Objectives. To evaluate a multicomponent obesity prevention intervention among diverse, low-income preschoolers. Methods. Parent-child dyads (n = 534) were randomized to the Now Everybody Together for Amazing and Healthful Kids (NET-Works) intervention or usual care in Minneapolis, MN (2012-2017). The intervention consisted of home visits, parenting classes, and telephone check-ins. The primary outcomes were adjusted 24- and 36-month body mass index (BMI). Results. Compared with usual care, the NET-Works intervention showed no significant difference in BMI change at 24 (-0.12 kg/m2; 95% confidence interval [CI] = -0.44, 0.19) or 36 months (-0.19 kg/m2; 95% CI = -0.64, 0.26). Energy intake was significantly lower in the NET-Works group at 24 (-90 kcal/day; 95% CI = -164, -16) and 36 months (-101 kcal/day; 95% CI = -164, -37). Television viewing was significantly lower in the NET-Works group at 24 (rate ratio = 0.84; 95% CI = 0.75, 0.93) and 36 months (rate ratio = 0.88; 95% CI = 0.78, 0.99). Children with baseline overweight or obesity had lower BMI in the NET-Works group than those in usual care at 36 months (-0.71 kg/m2; 95% CI = -1.30, -0.12). Hispanic children had lower BMI in the NET-Works group than those in usual care at 36 months (-0.59 kg/m2; 95% CI = -1.14, -0.04). Conclusions. In secondary analyses, NET-Works significantly reduced BMI over 3 years among Hispanic children and children with baseline overweight or obesity. Trial Registration: ClinicalTrials.gov Identifier: NCT01606891.
UR - http://www.scopus.com/inward/record.url?scp=85056376793&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85056376793&partnerID=8YFLogxK
U2 - 10.2105/AJPH.2018.304696
DO - 10.2105/AJPH.2018.304696
M3 - Article
C2 - 30403521
AN - SCOPUS:85056376793
SN - 0090-0036
VL - 108
SP - 1695
EP - 1706
JO - American journal of public health
JF - American journal of public health
IS - 12
ER -
