The impact of a child obesity treatment intervention on parent child-feeding practices.
BACKGROUND
Effective treatment of childhood obesity requires a multi-factorial approach and should target factors impacting on a child's environment.


OBJECTIVE
To explore the impact of three treatment programs on parental child-feeding practices at 6, 12 and 24 months post-program. SUBJECTS/INTERVENTION: Overweight children (n=159) aged 5-7 years, recruited to the Hunter Illawarra Kids Challenge Using Parent Support (HIKCUPS) randomized controlled trial with three treatment arms; a dietary modification program, a physical activity skill development program or a combination of both programs. Main outcome measures. The Child Feeding Questionnaire (CFQ), a validated 31-item questionnaire measuring child-feeding practices, completed by parents. Statistical analysis. Linear mixed models were used to assess change over time and to determine differences by intervention group.


RESULTS
A significant decrease (p<0.01) in CFQ domain scores were reported and sustained at 24 months for all groups, in the domain of pressure to eat (mean+/-SEM, 1.8+/-0.06, 1.6+/-0.06) with increases in degree of monitoring (4.0+/-0.07, 4.2+/-0.06). The domain of restriction showed significant decreases in dietary intervention groups only (baseline 3.9+/-0.05, 24 months 3.7+/-0.06), the domain scores for concern were found to be strongly associated with child BMI z-score (r=0.73, p < 0.001) at baseline only.


CONCLUSIONS
This study provides evidence that specific child-feeding domains are modifiable in the context of a targeted obesity intervention and further that changes can be sustained over time. HIKCUPS study: National Centre for Clinical Trials (NCT): 00107692 clinicaltrials.gov Identifier: NCT00107692 http://clinicaltrials.gov/ct2/home.
Burrows
T
T
School of Health Sciences, Faculty of Health, University of Newcastle, Newcastle, NSW, Australia. Tracy.burrows@newcastle.edu.au
Warren
J M
JM
Collins
C E
CE
D050154:Adiposity; D002648:Child; D002652:Child Behavior; D002675:Child, Preschool; D003131:Combined Modality Therapy; D004038:Diet, Reducing; D005081:Exercise Therapy; D005247:Feeding Behavior; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D016014:Linear Models; D008297:Male; D009517:New South Wales; D009765:Obesity / Q000178:diet therapy / Q000503:physiopathology / Q000523:psychology / Q000628:therapy*; D016487:Parenting / Q000523:psychology*; D010290:Parents / Q000523:psychology*; D011795:Surveys and Questionnaires; D013997:Time Factors; D016896:Treatment Outcome