2.50
Hdl Handle:
http://hdl.handle.net/10755/335444
Category:
Full-text
Type:
Presentation
Title:
Overweight and Obesity in Young Children: A Critical Period for Intervention
Other Titles:
Symposium: Working with Communities to Address Obesity Across the Lifespan
Author(s):
Small, Leigh
Lead Author STTI Affiliation:
Beta Upsilon
Author Details:
Leigh Small, PhD, RN, CPNP-PC, FNAP, FAANP, FAAN, lsmall2@vcu.edu
Abstract:
Session presented on Saturday, July 26, 2014: Background and Significance: While there has been a surge in prevalence rates of overweight and obese children over the last three decades; recent epidemiological data suggest that the trends have stabilized for all child age groups except preschool-aged children. Furthermore, the increase in the prevalence of obesity across child age groups continues to be the greatest between the preschool and school-age groups; underscoring the importance of intervening with young children. Purpose: The purpose of the study was to appreciate the effect of a parent-focused intervention conducted in an office setting on child (4-8 years of age) anthropometric and behavioral outcomes. Methods: Following IRB approval, study recruitment and baseline assessments, parent-child dyads (N = 60) were randomly assigned to either the treatment or control condition. Four intervention sessions were conducted with the parents in their child's healthcare office. The impact of the intervention was evaluated by assessing child anthropometric (e.g., waist, waist-by-height ratio, BMI) and behavioral measures (e.g., internalizing and externalizing behaviors) immediately, 3, and 6 months following the intervention period. Results: ANOVA models suggested that children in the experimental group were found to have significantly reduced waist circumference and waist-by-height ratio immediately following the intervention that persisted for 3 and 6 months. BMI and BMI percentile decreased over time but was not differentially affected. The internalizing scores decreased significantly following the intervention but there were not significant differences 3-, or 6-months later. The parent-reported externalizing behaviors of hyperactivity and aggression significantly decreased at each time point when compared with baseline. Conclusion: Specific child weight-related and behavioral factors have been found to be reliably predictive of adult obesity and can be identified during adiposity rebound suggesting that this may be a critical period related to weight development. This intervention demonstrated arrest of obesity-related anthropometric measures and improved child behavioral changes.
Keywords:
childhood obesity; behavioral factors
Repository Posting Date:
17-Nov-2014
Date of Publication:
11 ; 11
Other Identifiers:
INRC14H09
Conference Date:
2014
Conference Name:
25th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Hong Kong
Description:
International Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kong

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleOverweight and Obesity in Young Children: A Critical Period for Interventionen
dc.title.alternativeSymposium: Working with Communities to Address Obesity Across the Lifespanen
dc.contributor.authorSmall, Leighen
dc.contributor.departmentBeta Upsilonen
dc.author.detailsLeigh Small, PhD, RN, CPNP-PC, FNAP, FAANP, FAAN, lsmall2@vcu.eduen
dc.identifier.urihttp://hdl.handle.net/10755/335444-
dc.description.abstractSession presented on Saturday, July 26, 2014: Background and Significance: While there has been a surge in prevalence rates of overweight and obese children over the last three decades; recent epidemiological data suggest that the trends have stabilized for all child age groups except preschool-aged children. Furthermore, the increase in the prevalence of obesity across child age groups continues to be the greatest between the preschool and school-age groups; underscoring the importance of intervening with young children. Purpose: The purpose of the study was to appreciate the effect of a parent-focused intervention conducted in an office setting on child (4-8 years of age) anthropometric and behavioral outcomes. Methods: Following IRB approval, study recruitment and baseline assessments, parent-child dyads (N = 60) were randomly assigned to either the treatment or control condition. Four intervention sessions were conducted with the parents in their child's healthcare office. The impact of the intervention was evaluated by assessing child anthropometric (e.g., waist, waist-by-height ratio, BMI) and behavioral measures (e.g., internalizing and externalizing behaviors) immediately, 3, and 6 months following the intervention period. Results: ANOVA models suggested that children in the experimental group were found to have significantly reduced waist circumference and waist-by-height ratio immediately following the intervention that persisted for 3 and 6 months. BMI and BMI percentile decreased over time but was not differentially affected. The internalizing scores decreased significantly following the intervention but there were not significant differences 3-, or 6-months later. The parent-reported externalizing behaviors of hyperactivity and aggression significantly decreased at each time point when compared with baseline. Conclusion: Specific child weight-related and behavioral factors have been found to be reliably predictive of adult obesity and can be identified during adiposity rebound suggesting that this may be a critical period related to weight development. This intervention demonstrated arrest of obesity-related anthropometric measures and improved child behavioral changes.en
dc.subjectchildhood obesityen
dc.subjectbehavioral factorsen
dc.date.available2014-11-17T13:52:38Z-
dc.date.issued11/17/2014-
dc.date.issued11/17/2014en
dc.date.accessioned2014-11-17T13:52:38Z-
dc.conference.date2014en
dc.conference.name25th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationHong Kongen
dc.descriptionInternational Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kongen
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