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Randomized Controlled Trial
. 2019 Aug;14(8):e12523.
doi: 10.1111/ijpo.12523. Epub 2019 Mar 14.

The Healthy Homes/Healthy Kids 5-10 Obesity Prevention Trial: 12 and 24-month outcomes

Nancy E Sherwood  1 , Rona L Levy  2 , Elisabeth M Seburg  3 , A Lauren Crain  3 , Shelby L Langer  2   4 , Meghan M JaKa  5 , Alicia Kunin-Batson  6 , Robert W Jeffery  1
Affiliations
Randomized Controlled Trial

The Healthy Homes/Healthy Kids 5-10 Obesity Prevention Trial: 12 and 24-month outcomes

Nancy E Sherwood et al. Pediatr Obes. 2019 Aug.

Abstract

Background: Pediatric primary care is an important setting for addressing obesity prevention.

Objective: The Healthy Homes/Healthy Kids 5-10 randomized controlled trial evaluated the efficacy of an obesity prevention intervention integrating pediatric primary care provider counseling and parent-targeted phone coaching.

Methods: Children aged 5 to 10 years with a BMI between the 70th and 95th percentile and their parents were recruited from pediatric primary care clinics. Participants received well-child visit provider counseling about obesity and safety/injury prevention and were then randomized to a 14-session phone-based obesity prevention (OP; n = 212) or safety and injury prevention contact control (CC; n = 209) intervention. The primary outcome was 12 and 24-month child BMI percentile.

Results: There was no overall significant treatment effect on child BMI percentile. Caloric intake was significantly lower among OP compared with CC participants at 12 months (P < .005). In planned subgroup analyses, OP condition girls had significantly lower BMI percentile (P < .05) and BMI z-score (P < .02) at 12 and 24 months relative to CC girls and were less likely to be overweight (38.0% vs 53.0%, P < .01) or (obese 3.4% vs 8.8%, P < .10) at follow-up.

Conclusions and relevance: An obesity prevention intervention integrating brief provider counseling and parent-targeted phone counseling did not impact 12 and 24-month BMI status overall but did have a significant impact on BMI in girls.

Keywords: Obesity prevention; overweight; pediatric obesity; primary care.

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Conflict of interest statement

CONFLICTS OF INTEREST

No conflict of interest was declared.

Figures

FIGURE 1
FIGURE 1
Healthy Homes/Healthy Kids Modified CONSORT Diagram
FIGURE 2
FIGURE 2
BMI percentile patterns by gender
See this image and copyright information in PMC

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