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Title: Parent weight change predicts child weight change in family-based weight control program for pre-school children (Buffalo healthy tots)

item QUATTRIN, TERESA - University Of Buffalo
item Roemmich, James
item PALUCH, ROCCO - University Of Buffalo
item YU, JIHNHEE - University Of Buffalo
item EPSTEIN, LEONARD - University Of Buffalo
item ECKER, MICHELLE - University Of Buffalo

Submitted to: Pediatric Academic Society
Publication Type: Abstract Only
Publication Acceptance Date: 1/9/2012
Publication Date: 4/28/2012
Citation: Quattrin, T., Roemmich, J.N., Paluch, R., Yu, J., Epstein, L.H., Ecker, M.A. 2012. Parent weight change predicts child weight change in family-based weight control program for pre-school children (Buffalo healthy tots). Pediatric Academic Society. E-PAS2012:3175.2.

Interpretive Summary:

Technical Abstract: Title: PARENT WEIGHT CHANGE PREDICTS CHILD WEIGHT CHANGE IN FAMILY-BASED WEIGHT CONTROL PROGRAM FOR PRE-SCHOOL CHILDREN (BUFFALO HEALTHY TOTS), Teresa Quattrin, MOl, James N Roemmich, PhDI, Rocco Paluch, MAl, Jihnhee Yu, PhD2, Leonard H Epstein, PhDI and Michelle A Ecker, RD, CDEI . lpediatrics, University at Buffalo-Women & Children's Hospital, BUffalo, NY, United States and 2Biostatistics, University at BUffalo, Buffalo, NY, United States. Background: Overweight starts early and children depend on their parents to begin and maintain weight (wt) control behaviors changes. Objective: To test the efficacy of a family-based intervention (I) conducted in pediatricians' offices to treat overweight pre-school youth and parents, and to explore the relationship between parent and child wt control. Design/Methods: Children with BMI .2: 8Sth percentile and an overweight parent were randomized to I or Information Control (IC). Trained staff delivered dietary, physical and sedentary activity education to parents (13 group meetings and 13 calls over 12 months). Parents in I received training on parenting skills and 1: 1 coaching. Pediatricians, blind to group assignment, provided follow-up every 6 months, Child wt changes (mean±SD) are expressed as % over BMI (%OBMI) defined as [(child's actual BMI minus BMI at the 50th percentile)/BMI at the 50th percentile] * 100. Mixed ANOVA models tested wt changes differences and parent BMI as moderator of wt change differences over time. Results: Ninety-six out of 105 randomized families started the program. The data from 81 child-parent dyads' (42 I, 39 IC) in cohorts that reached the 12-month time point are presented and include 55 F & 26 M 4.S±1.1 yrs old children, 62 mothers and 19 fathers (36.2±4.8yrs) with 28,4% minority youth. Family income was $63,625±30,345 with 6% <$20,000. Baseline characteristics did not differ between groups. In I child %OBMI was 30.S±S.9, 24.7±6.2, and 2S.S±6.8 at 0,6 and 12 month respectively vs. 30,4±S.9, 28,4± 6.0 and 30,4±6.2 in Ie. Parents' BMI was 37.0±1.1, 3S.0±1.2 and 34.7±1.3 at 0,6 and 12 months respectively vs. 37.0±1.1, 36.3±1.1, and 36.8±1.1 in Ie. Children and parents in I had greater %OBMI (p<0.009) and BMI (p< 0.0001) decreases over time. At 12 months children (p