Association of the Family Nutrition and Physical Activity Screening Tool with Weight Status, Percent Body Fat, and Acanthosis Nigricans in Children from a Low Socioeconomic, Urban Community

Yee, Kimbo E.; Pfeiffer, Karin A.; Turek, Kelly C.; Bakhoya, Marion; Carlson, Joseph J.; Sharman, Mahesh; Lamb, Erin Gentry; Eisenmann, Joey C.

doi:10.18865/ed.25.4.399

Cited by 20 publications

(18 citation statements)

References 19 publications

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“…Total FNPA scores ranged from 20 to 80, with a more obesogenic environment represented by a lower FNPA score and a less obesogenic environment as a higher FNPA score (Ihmels et al, ). Obesity risk categories were determined from tertiles established in a study implementing the tool in a similar low socioeconomic urban community who categorized the total FNPA score based on risk for obesity (Yee et al, ). For this study, high risk for obesity was an FNPA score of 53 or less, moderate risk was a score of 54 to 66, and low risk for obesity was a score of 67 or greater.…”

Section: Methodsmentioning

confidence: 99%

“…Obesity risk categories were determined from tertiles established in a study implementing the tool in a similar low socioeconomic urban community who categorized the total FNPA score based on risk for obesity (Yee et al, 2015). For this study, high risk for obesity was an FNPA score of 53 or less, moderate risk was a score of 54 to 66, and low risk for obesity was a score of 67 or greater.…”

Section: Interventionsmentioning

confidence: 99%

“…Tucker et al () identified the applicability of the FNPA tool for preventing and treating obesity, by not only detecting obesity risk factors in normal weight children but acting as a guide for practitioners to initiate treatments with those currently overweight or obese. Furthermore, the FNPA tool has shown proven utility in screening for childhood obesity risk and its association with body fat percentage and acanthosis nigricans in low socioeconomic, racially diverse children (Yee et al, ).…”

Section: Introductionmentioning

confidence: 99%

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Effects of family nutrition and physical activity screening for obesity risk in school‐age children

Herbenick

James

Milton

et al. 2018

Specialist Pediatric Nursing

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Purpose An obesogenic home environment is a major contributor to overeating and sedentariness in school‐aged children, as children have less autonomy during this phase of development and are influenced by family environmental cues. The purpose of this study was to implement a screening tool at a low socioeconomic elementary school clinic to identify children at risk of developing obesity and provide standardization for practitioners on educating parents regarding child obesity risk factors. Design and Methods An evidence‐based practice design utilizing the Family Nutrition and Physical Activity (FNPA) tool was completed at all visits of patients ages 4 to 11. Parents completed the 20‐item screening tool related to 10 factors (family meal patterns, family eating habits, food choices, beverage choices, restriction/reward, screen time behavior and monitoring, healthy environment, family activity involvement, child activity involvement, family routine). The nurse practitioner (NP) provided parents with education regarding healthy home practices based on American Academy of Pediatrics (AAP) recommendations. Level of obesity risk (low, moderate, and high) was determined based on the FNPA score and body mass index (BMI) of the patient. Patients identified as at‐risk were scheduled for a 2‐month follow‐up and rescreened to determine if lifestyle modifications were made. Results Twenty‐seven children were screened using the FNPA tool, with an initial mean FNPA score of 64. Ninety‐three percent were classified as a moderate or high risk for obesity (BMI percentile 85th or greater and/or moderate‐high risk FNPA scores). Seven percent had a healthy BMI and low‐risk FNPA scores and did not require follow‐up intervention. Sixty‐seven percent of patients scores improved at follow‐up, with an average FNPA score of 70. Effect size stratified by risk category was low‐risk score 0.07 and moderate‐risk score 1.49 with a standard deviation of 5.36. Practice Implications Implementation of the FNPA tool at a school‐based clinic is a feasible opportunity to identify children at risk for obesity and allows for anticipatory guidance by the NP to increase awareness of parental influence as role models for healthy lifestyle behaviors.

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Section: Methodsmentioning

confidence: 99%

Section: Interventionsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Effects of family nutrition and physical activity screening for obesity risk in school‐age children

Herbenick

James

Milton

et al. 2018

Specialist Pediatric Nursing

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“…41 The 21-item family nutrition and physical activity screening tool for families with children 6-12 years designed for a medical clinic setting was extensively researched, including validation studies with measured BMI, body fat, lipids, and a clinical assessment of Acanthosis nigricans. 42,43 Third, a 15-item evaluation tool developed for families with children 3-11 years participating in EFNEP was validated by comparing it with other self-reported behavioral assessments for diet, lifestyle, and parenting. 44 Despite the harm caused by pediatric obesity, with its effect on long-term health and its impact on medical costs, 6 rigorously validated tools for participants of federal nutrition programs are few and even fewer for limited literacy participants.…”

Section: Comparison To Other Validation Studiesmentioning

confidence: 99%

Obesity Risk Assessment Tool among 3–5 Year Olds: Validation with Biomarkers of Low-Grade Chronic Inflammation

et al. 2020

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Background: Many families with young children practice nutrition, parenting, and lifestyle behaviors that set their children on trajectories for unhealthful weight gain. Potential adverse health effects of excessive body fat can result in the secretion of proinflammatory molecules and increased risk of inflammation and metabolic diseases. A pediatric obesity risk assessment tool named Healthy Kids (HK), demonstrated validity in a longitudinal study with child's measured BMI and 36-hour diet, screen, sleep, and activity logs. Our objective was to provide additional evidence of validity with low-income families with literacy issues using an inflammation index composed of four proinflammatory biomarkers. Methods: Parent/child pairs (n = 104) from Head Start and Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) provided HK, blood samples, and measured heights/weights. Select child inflammatory markers were discretized into two groups of HK scores. Data were analyzed with a mixed model adjusted for children's age and BMI. Results: A significant HK-time interaction effect was shown for the child inflammation index with two data collection points 1 year apart (p did = 0.039). This index increased over 12 months in children with less healthful behaviors (p = 0.007), but not in children with more healthful profiles (p = 0.58). Conclusions: Children with less healthful HK scores had an elevated inflammation index indicating a low-grade chronic systemic inflammatory state. Taken together with our previously published findings, the HK tool has potential as a rapid and easy-toadminister assessment of the family environment and the child's obesity risk. HK can be useful for federal nutrition programs for evaluation, risk assessment, goal setting, and/or program planning in clinical and community environments.

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“…Total FNPA scores ranged from 20 to 80, with a more obesogenic environment represented by a lower FNPA score and a less obesogenic environment as a higher FNPA score (Ihmels et al, 2009). Overweight risk categories were determined from tertiles established in a study implementing the tool in a similar low socioeconomic urban community who categorized the total FNPA score based on risk for obesity (Yee et al, 2015).…”

Section: Interventionsmentioning

confidence: 99%

The Weight of a Healthy Home: Early Screening for Childhood Obesity Risk

Herbenick¹,

James²,

Milton³

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Association of the Family Nutrition and Physical Activity Screening Tool with Weight Status, Percent Body Fat, and Acanthosis Nigricans in Children from a Low Socioeconomic, Urban Community

Cited by 20 publications

References 19 publications

Effects of family nutrition and physical activity screening for obesity risk in school‐age children

Effects of family nutrition and physical activity screening for obesity risk in school‐age children

Obesity Risk Assessment Tool among 3–5 Year Olds: Validation with Biomarkers of Low-Grade Chronic Inflammation

The Weight of a Healthy Home: Early Screening for Childhood Obesity Risk

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