Source:Journal of the Academy of Nutrition and Dietetics
Author(s): Jayne A. Fulkerson, Sarah Friend, Melissa Horning, Colleen Flattum, Michelle Draxten, Dianne Neumark-Sztainer, Olga Gurvich, Ann Garwick, Mary Story, Martha Y. Kubik
BackgroundResearch has demonstrated a significant positive association between frequent family meals and children's dietary intake; however, the promotion of healthful family meals has not been rigorously tested for key food environment and nutrition-related behavioral outcomes in a randomized trial.ObjectiveTo describe family home food environment and nutrition-related parent and child personal and behavioral outcomes of the Healthy Home Offerings via the Mealtime Environment Plus program, the first rigorously tested family meals intervention targeting childhood obesity prevention.DesignRandomized controlled trial. Baseline, postintervention (12 months, 93% retention), and follow-up (21 months, 89% retention) data (surveys and dietary recalls) were collected.Participants/settingChildren aged 8 to 12 years (N=160) and their parents were randomized to intervention (n=81) or control (n=79) groups.InterventionThe intervention included five parent goal-setting calls and 10 monthly sessions delivered to families in community settings that focused on experiential nutrition activities and education, meal planning, cooking skill development, and reducing screen time.Main outcome measuresFamily home food environment outcomes and nutrition-related child and parent personal and behavioral outcomes.Statistical analyses performedAnalyses used generalized linear mixed models. Primary comparisons were contrasts between intervention and control groups at postintervention and follow-up, with adjustments for child age and parent education.ResultsCompared with control parents, intervention parents showed greater improvement over time in scores of self-efficacy for identifying appropriate portion sizes, with significant differences in adjusted means at both post-intervention (P=0.002) and follow-up (P=0.01). Intervention children were less likely to consume at least one sugar-sweetened beverage daily at post-intervention than control children (P=0.04).ConclusionsThe Healthy Home Offerings via the Mealtime Environment Plus program involved the entire family and targeted personal, behavioral, and environment factors important for healthful changes in the home food environment and children's dietary intake. The intervention improved two nutrition-related behaviors and this may inform the design of future family meal interventions.
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