Full Citation
Title: Multicomponent Obesity Prevention Intervention in Low-Income Preschoolers: Primary and Subgroup Analyses of the NET-Works Randomized Clinical Trial, 2012-2017.
Citation Type: Journal Article
Publication Year: 2018
ISBN:
ISSN: 1541-0048
DOI: 10.2105/AJPH.2018.304696
NSFID:
PMCID:
PMID: 30403521
Abstract: 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.
Url: http://www.ncbi.nlm.nih.gov/pubmed/30403521
Url: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=PMC6236759
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Authors: French, Simone A; Sherwood, Nancy E; Veblen-Mortenson, Sara; Crain, A Lauren; JaKa, Meghan M; Mitchell, Nathan R.; Hotop, Anne Marie; Berge, Jerica M; Kunin Batson, Alicia S; Truesdale, Kimberly P; Stevens, June; Pratt, Charlotte A; Esposito, Layla
Periodical (Full): American journal of public health
Issue: 12
Volume: 108
Pages: 1695-1706
Countries: