Baseline dietary patterns of children enrolled in an urban family weight management study: associations with demographic characteristics

Assassi, Parisa; Selwyn, Beatrice J.; Lounsbury, David W.; Chan, Wenyaw; Harrell, Melissa B.; Wylie‐Rosett, Judith

doi:10.1080/2574254x.2020.1863741

Cited by 1 publication

(1 citation statement)

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“…This suggests increased consumption of foods such as carrots, tomato-based dishes, and fresh or canned fruits (apples, cherries, oranges). Of note, assessment of the dietary intake of the children in this study highlighted a “pizza and pasta”–based pattern, which was associated with their parents/guardian being born in the mainland United States and having a higher educational level ( 56 ). This highlights the important of parental acculturation status in influencing dietary behaviors of the family.…”

Section: Discussionmentioning

confidence: 82%

Spillover Effects of a Family-Based Childhood Weight-Management Intervention on Parental Nutrient Biomarkers and Cardiometabolic Risk Factors

Matthan

Barger

Wylie‐Rosett

et al. 2022

Current Developments in Nutrition

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Background Parental involvement has been shown to favorably affect childhood weight management interventions, but whether these interventions influence parental diet and cardiometabolic health outcomes is unclear. Objective To evaluate whether a 1-year family-based childhood weight management intervention altered parental nutrient biomarker concentrations and cardiometabolic risk factors (CMRF). Methods Secondary analysis from a randomized-controlled, parallel-arm clinical trial (NCT00851201). Families were recruited from a largely Hispanic population and assigned to either Standard Care (SC; American Academy of Pediatrics overweight/obesity recommendations), or Standard Care + Enhanced Program (SC + EP; targeted diet/physical activity strategies, skill building and monthly support sessions). Nutrient biomarkers (plasma carotenoids and fat-soluble vitamins, RBC fatty acid profiles) and CMRF (BMI, blood pressure, glucose, insulin, lipoprotein profile, inflammatory and endothelial dysfunction markers, adipokines) were measured in archived samples collected from parents of participating children at baseline and end of the 1-year intervention. Results Parents in both groups (SC = 106 and SC + EP = 99) had significant reductions in trans fatty acid (–14%), and increases in MUFA (2%), PUFAn-6 (2%), PUFAn-3 (7%) and beta-carotene (20%) concentrations, indicative of lower partially-hydrogenated fat and higher vegetable oil, fish, and fruit/vegetable intake, respectively. Significant reductions in hsCRP (–21%) TNFα (–19%), IL-6 (–19%) and triglycerides (–6%) were also observed in both groups. An additional significant improvement in serum insulin concentrations (–6%) was observed in the SC + EP parents. However, no major reductions in BMI or blood pressure, and significant unfavorable trajectories in LDL-cholesterol and endothelial dysfunction markers (P-selectin, sICAM, thrombomodulin) were observed. Higher carotenoid, MUFA, PUFA (n-6 and n-3), and lower SFA and trans fatty acid concentrations were associated with improvements in circulating glucose and lipid measures, inflammatory markers, and adipokines. Conclusions The benefits of a family-based childhood weight management intervention can spill over to parents, resulting in apparent healthier dietary shifts that are associated with modest improvements in some CMRF. Lay Summary The benefits of a family-based lifestyle intervention focused on children with overweight and obesity can spill-over to parents, improving diet quality and some cardiometabolic risk factors.

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Section: Discussionmentioning

confidence: 82%