Association between the Family Nutrition and Physical Activity Screening Tool and obesity severity in youth referred to weight management

Tucker, Jared M.; Howard, Kathleen A; Guseman, Emily Hill; Yee, Kimbo E.; Saturley, Heather; Eisenmann, Joey C.

doi:10.1016/j.orcp.2016.09.007

Cited by 20 publications

(28 citation statements)

References 29 publications

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“…The FNPA risk assessment is a valid tool to identify risk factors associated with overweight and obesity among school‐aged and preschool‐aged children. The results with children aged 6–9 align with previous research demonstrating that the FNPA summary score is associated with odds of overweight, obesity and severe obesity . Prevention prior to age 5 years is essential as obesity tends to persist once established ; however, no risk assessments were identified for children as young as age 2 years when the study was designed.…”

Section: Discussionsupporting

confidence: 79%

“…The family nutrition and physical activity (FNPA) risk assessment tool could serve as a standardized tool to meet these clinical guidelines as it assesses parenting practices, child behaviours and home environmental characteristics that predispose children to becoming obese . In school‐aged children, the tool demonstrates utility in longitudinal analyses to predict a child's risk for obesity , and the summary risk score has been related to adiposity measures, severity of obesity, cardiovascular disease risk and glucose intolerance . Furthermore, the FNPA has been shown to enable paediatric providers to quickly assess risk and provide behaviourally anchored counselling during WCVs .…”

Section: Introductionmentioning

confidence: 99%

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Feasibility of enhancing well‐child visits with family nutrition and physical activity risk assessment on body mass index

Bailey‐Davis

Kling

Wood³

et al. 2019

Obesity Science & Practice

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Summary Objective Integration of behavioural risk assessment into well‐child visits is recommended by clinical guidelines, but its feasibility and impact is unknown. Methods A quasi‐experimental study evaluated the feasibility and effectiveness of risk assessment on body mass index (BMI) at 1‐year follow‐up. Children with assessments (intervention) were compared with those who did not complete assessments (non‐respondent) and those who received standard care (non‐exposed). Results Analyses included 10,647 children aged 2–9 years (2,724 intervention, 3,324 non‐respondent and 4,599 non‐exposed). Forty‐five per cent of parents completed the assessments. Intervention and non‐respondent groups differed in change in BMI z ‐score at 1 year by −0.05 (confidence interval [CI]: −0.08, −0.02; P = 0.0013); no difference was observed with non‐exposed children. The intervention group had a smaller increase in BMI z ‐score (0.07 ± 0.63) than non‐respondent group (0.13 ± 0.63). For children with normal weight at baseline, intervention versus non‐respondent groups differed in BMI z ‐score change by −0.06 (CI: −0.10, −0.02; P = 0.0025). However, children with overweight at baseline in the intervention versus the non‐exposed group differed in BMI z ‐score change (0.07 [CI: 0.02, 0.14]; P = 0.016). When analysed by age, results were similar for 2‐ to 5‐year‐olds, but no differences were found for 6‐ to 9‐year‐olds. Conclusion Automating risk assessment in paediatric care is feasible and effective in promoting healthy weight among preschool but not older children.

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Section: Discussionsupporting

confidence: 79%

Section: Introductionmentioning

confidence: 99%

Feasibility of enhancing well‐child visits with family nutrition and physical activity risk assessment on body mass index

Bailey‐Davis

Kling

Wood³

et al. 2019

Obesity Science & Practice

View full text Add to dashboard Cite

show abstract

“…The FNPA survey has been used in a number of studies and populations [22,23,24,25,26,27,28], including as a clinical screening tool to facilitate counseling and early intervention [27]. Previous research has supported both the construct [21] and predictive validity [22] of the FNPA in young children; however, it has not been examined in older youth.…”

Section: Introductionmentioning

confidence: 99%

Construct Validity of an Obesity Risk Screening Tool in Two Age Groups

Peyer

Welk

2017

IJERPH

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Home environment influences child health, but the impact varies as children move into adolescence. The Family Nutrition and Physical Activity (FNPA) screening tool has been used to evaluate home environments, but studies have not compared the utility of the tool in different age groups. The purpose of this study was to examine the efficacy of the FNPA tool in first and tenth grade samples. Parents of first grade (n = 250) and tenth grade (n = 99) students completed the FNPA and results were linked to body mass index (BMI) data. FNPA scores were examined by gender, income, race, and school-level socioeconomic status (SES). Correlations examined associations between FNPA scores and several BMI indicators. Logistic and linear regression analyses evaluated the construct validity of the FNPA in both groups. Mean FNPA score differed by age group, by SES in both age groups, and by race in the first grade sample only. Correlations between FNPA score and BMI indicators were higher in the first grade sample, but SES was significantly associated with BMI only in tenth graders. The FNPA has stronger utility in younger children, while school SES is a stronger predictor of adolescent weight status.

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“…The FNPA scale has shown reasonable internal reliability in the American population, with a Cronbach's alpha coefficient report of 0.72 (Ihmels et al., 2009). The FNPA has correlated negatively with adiposity measures in children (Ihmels et al., 2009; Jackson et al., 2017; Peyer & Welk, 2017; Tucker et al., 2017; Yee, Eisenmann, Carlson, & Pfeiffer, 2011). In the current study, the Cronbach's alpha coefficient for the total FNPA scale was 0.73.…”

Section: The Studymentioning

confidence: 99%

Two sides of the same well‐child visit: Analysis of nurses’ and families’ perspectives on empowerment in health counselling

Rodrigues

Parisod

Barros

et al. 2020

Journal of Advanced Nursing

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Aims To explore the degree of empowering health counselling in well‐child visits, considering nurse and family perspectives and to examine its associated factors. Background Empowerment has gained high priority in the world health strategy, being claimed for its benefits for people's health and well‐being. Design The design includes an exploratory cross‐sectional, correlational study. Methods We collected data between January 2018‐October 2019 from a convenience sample of 82 families attending a 5‐year‐old well‐child visit and 25 nurses at Portuguese health centres. Families and nurses assessed the same counselling session using parallel statements of the Portuguese Empowering Speech Practice Scale, grouped in two subscales (nurses’ action and families’ action). Questionnaires also included the Parent's Longitudinal Continuity in Primary Care scale, the Family Nutrition and Physical Activity tool and anthropometric and sociodemographic questions. We employed descriptive statistics, paired‐samples t‐test, analysis of variance and regression analysis. Results Both nurses and families reported that empowerment had been practiced in high degree. The most practiced elements were those from nurses’ action subscale (e.g. constructing a positive atmosphere) and the least practiced were from families’ action (e.g. disclosure). A discrepancy between nurses’ and families’ ratings were found for individualized information and advice, disclosure and asking questions, with families reporting higher scores. Nurses’ formal training in empowerment and obesity was associated with higher scores on the nurses’ action subscale. The families’ limited experience with a regular health centre and nurse and families having children with overweight were both associated with lower scores on the two subscales. Conclusions Although the positive experience by nurses and families is an important finding, the reasons for the differences in perceptions of empowerment require further research. Impact The Portuguese Empowering Speech Practice Scale can be a useful tool to evaluate services, both from professionals’ and families’ perspectives and to identify areas of improvement.

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Association between the Family Nutrition and Physical Activity Screening Tool and obesity severity in youth referred to weight management

Cited by 20 publications

References 29 publications

Feasibility of enhancing well‐child visits with family nutrition and physical activity risk assessment on body mass index

Feasibility of enhancing well‐child visits with family nutrition and physical activity risk assessment on body mass index

Construct Validity of an Obesity Risk Screening Tool in Two Age Groups

Two sides of the same well‐child visit: Analysis of nurses’ and families’ perspectives on empowerment in health counselling

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