Prediction of BMI Change in Young Children with the Family Nutrition and Physical Activity (FNPA) Screening Tool

Ihmels, Michelle; Welk, Gregory J.; Eisenmann, Joey C.; Nusser, Sarah M.; Myers, Esther F.

doi:10.1007/s12160-009-9126-3

Cited by 86 publications

(87 citation statements)

References 34 publications

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“…Further, FNPA scores increased, which shows promise of improved health behaviors after this intervention and may be correlated with improved trajectory of growth. 34 Though z-score change of the subjects increased during the 6 months, those available for measurement were small in number and overrepresentative of overweight patients (43% compared to 32% at baseline). A larger sample would be needed to understand its significance and compare this change with previously reported trends, which correct for BMI percentile distribution of the subject population.…”

Section: Provider and Patient Outcomesmentioning

confidence: 92%

“…It is a 20-question survey that was tested in a cross-sectional study among parents of first-grade students with good reliability and validity. 33,34 We developed and pilot tested a practice-based intervention that involves implementing the use of the FNPA assessment, a study-developed coaching tool and provider training in MI. This intervention was used during all health supervision visits of children ages 4-16 years.…”

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confidence: 99%

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Pairing Motivational Interviewing with a Nutrition and Physical Activity Assessment and Counseling Tool in Pediatric Clinical Practice: A Pilot Study

et al. 2014

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The FNPA assessment with an MI-based counseling tool shows promise as an approach to identify and address obesigenic behaviors during pediatric well-child visits. It has the potential to improve provider efficacy in obesity prevention and also influence patient health behaviors, which can possibly impact childhood excessive weight gain. After refinement, this practice intervention will be used in a larger trial.

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Section: Provider and Patient Outcomesmentioning

confidence: 92%

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confidence: 99%

Pairing Motivational Interviewing with a Nutrition and Physical Activity Assessment and Counseling Tool in Pediatric Clinical Practice: A Pilot Study

et al. 2014

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“…Questions on the tool center on infant’s food and beverage intake in the past week, parental soothing practices, sleep hygiene, the infant activity, media behavior, and environment. The tool was developed using the Centers for Disease Control and Prevention’s Infant Feeding Practices Study II [36, 37], the INSIGHT trial, [30] and HALF materials [35]. The EHL risk assessment tool is triggered by each scheduled well-child visit to capture time-sensitive developmental changes.…”

Section: Methodsmentioning

confidence: 99%

A patient-centered, coordinated care approach delivered by community and pediatric primary care providers to promote responsive parenting: pragmatic randomized clinical trial rationale and protocol

et al. 2018

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BackgroundEconomically disadvantaged families receive care in both clinical and community settings, but this care is rarely coordinated and can result in conflicting educational messaging. WEE Baby Care is a pragmatic randomized clinical trial evaluating a patient-centered responsive parenting (RP) intervention that uses health information technology (HIT) strategies to coordinate care between pediatric primary care providers (PCPs) and the Special Supplemental Nutrition Program for Women, Infant and Children (WIC) community nutritionists to prevent rapid weight gain from birth to 6 months. It is hypothesized that data integration and coordination will improve consistency in RP messaging and parent self-efficacy, promoting shared decision making and infant self-regulation, to reduce infant rapid weight gain from birth to 6 months.Methods/designTwo hundred and ninety mothers and their full-term newborns will be recruited and randomized to the “RP intervention” or “standard care control” groups. The RP intervention includes: 1) parenting and nutrition education developed using the American Academy of Pediatrics Healthy Active Living for Families curriculum in conjunction with portions of a previously tested RP curriculum delivered by trained pediatric PCPs and WIC nutritionists during regularly scheduled appointments; 2) parent-reported data using the Early Healthy Lifestyles (EHL) risk assessment tool; and 3) data integration into child’s electronic health records with display and documentation features to inform counseling and coordinate care between pediatric PCPs and WIC nutritionists. The primary study outcome is rapid infant weight gain from birth to 6 months derived from sex-specific World Health Organization adjusted weight-for-age z-scores. Additional outcomes include care coordination, messaging consistency, parenting behaviors (e.g., food to soothe), self-efficacy, and infant sleep health. Infant temperament and parent depression will be explored as moderators of RP effects on infant outcomes.DiscussionThis pragmatic patient-centered RP intervention integrates and coordinates care across clinical and community sectors, potentially offering a fundamental change in the delivery of pediatric care for prevention and health promotion. Findings from this trial can inform large scale dissemination of obesity prevention programs.Trial registrationRestrospective Clinical Trial Registration: NCT03482908. Registered March 29, 2018.

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“…13 However, these previous studies involved participants that were primarily Caucasian from socioeconomically healthy communities, and, with the exception of the study by Yee et al, 12 have not examined the association with other health consequences. Additional research examining the utility of the FNPA screening tool in varied and diMichigan.…”

Section: Introductionmentioning

confidence: 99%

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

et al. 2015

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Objective: To examine the association of the Family Nutrition and Physical Activity (FNPA) screening tool with weight status, percent body fat, and acanthosis nigricans (AN) in 6- to 13-year-old children from a low socioeconomic, urban community.Methods: Children (N=415) from four elementary schools located around Flint, Michigan were assessed for body mass index, percent body fat, and AN. The FNPA screening tool was completed by parents. Mann-Whitney U tests were used to assess differences in FNPA score by sex and presence of AN. Logistic regression was used to evaluate the association of the FNPA (tertiles) with weight status and AN.Results: Children with AN (13.7%) had a significantly lower FNPA score (56.3 + 7.1) compared with children without AN (61.0 + 7.1; P<.05). Children with FNPA scores in the lowest tertile (high-risk) had odds ratios of 1.74 (95% CI =1.05 – 2.91) and 2.77 (95% CI =1.22 – 6.27) compared with children with FNPA scores in the highest tertile (low-risk) for being overfat and having AN, respectively.Conclusion: Although the FNPA screening tool did not predict risk for being overweight or obese, it was significantly associated with an increased odds of children at risk for being overfat or having AN. Ethn Dis. 2015;25(4):399-404; doi:10.18865/ ed.25.4.399

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Prediction of BMI Change in Young Children with the Family Nutrition and Physical Activity (FNPA) Screening Tool

Abstract: This study demonstrates the potential validity of a simple, easy-to-use screening tool for identifying children that may be at risk for becoming overweight.

Cited by 86 publications

References 34 publications

Pairing Motivational Interviewing with a Nutrition and Physical Activity Assessment and Counseling Tool in Pediatric Clinical Practice: A Pilot Study

Pairing Motivational Interviewing with a Nutrition and Physical Activity Assessment and Counseling Tool in Pediatric Clinical Practice: A Pilot Study

A patient-centered, coordinated care approach delivered by community and pediatric primary care providers to promote responsive parenting: pragmatic randomized clinical trial rationale and protocol

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

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