School of Nursing, University of Minnesota, Minneapolis, Minnesota, USA.
Obesity (Silver Spring). 2010 Feb;18 Suppl 1(Suppl 1):S69-74. doi: 10.1038/oby.2009.434.
The primary objective was to develop and test the feasibility and acceptability of the Healthy Home Offerings via the Mealtime Environment (HOME) program, a pilot childhood obesity prevention intervention aimed at increasing the quality of foods in the home and at family meals. Forty-four child/parent dyads participated in a randomized controlled trial (n = 22 in intervention and n = 22 in control conditions). The intervention program, held at neighborhood facilities, included five, 90-min sessions consisting of interactive nutrition education, taste testing, cooking skill building, parent discussion groups, and hands-on meal preparation. Children (8-10-year olds) and parents (89% mothers) completed assessments at their home at baseline, postintervention, and 6-month follow-up, including psychosocial surveys, anthropometry, 24-h dietary recalls, and home food availability and meal offering inventories. Feasibility/acceptability was assessed with participant surveys and process data. All families completed all three home-based assessments. Most intervention families (86%) attended at least four of five sessions. Nearly all parents (95%) and 71% of children rated all sessions very positively. General linear models indicated that at postintervention, compared to control children, intervention children were significantly more likely to report greater food preparation skill development (P < 0.001). There were trends suggesting that intervention children had higher consumption of fruits and vegetables (P < 0.08), and higher intakes of key nutrients (all P values <0.05) than control children. Obesity changes did not differ by condition. Not all findings were sustained at 6-month follow-up. Obesity prevention programming with families in community settings is feasible and well accepted. Results demonstrate the potential of the HOME program.
主要目标是开发和测试通过膳食环境(HOME)计划提供健康家居的可行性和可接受性,这是一个针对儿童肥胖预防的试点干预项目,旨在提高家庭食品质量和家庭用餐质量。44 对儿童/父母参加了一项随机对照试验(干预组 22 对,对照组 22 对)。该干预计划在社区设施中进行,包括五次 90 分钟的互动营养教育、品尝测试、烹饪技能培养、家长讨论小组和实际用餐准备。儿童(8-10 岁)和父母(89%为母亲)在基线、干预后和 6 个月随访时在家中完成评估,包括心理社会调查、人体测量学、24 小时膳食回忆和家庭食物供应和膳食提供清单。可行性/可接受性通过参与者调查和过程数据进行评估。所有家庭都完成了所有三次基于家庭的评估。大多数干预家庭(86%)参加了五节课中的至少四节。几乎所有的父母(95%)和 71%的孩子都对所有课程给予了非常积极的评价。一般线性模型表明,与对照组儿童相比,干预组儿童在干预后更有可能报告在食品准备技能方面有较大的发展(P <0.001)。有趋势表明,与对照组儿童相比,干预组儿童水果和蔬菜的摄入量更高(P <0.08),关键营养素的摄入量也更高(所有 P 值均<0.05)。肥胖变化在不同条件下没有差异。并非所有结果在 6 个月随访时都能维持。在社区环境中对家庭进行肥胖预防计划是可行且易于接受的。结果表明 HOME 计划具有潜力。