Effects of a Multipronged Beverage Intervention on Young Children’s Beverage Intake and Weight: A Cluster-Randomized Pilot Study

Details

• Personal Author:
  Alkon A ; Brindis CD ; Cabana MD ; Grummon AH ; Hecht AA ; McCulloch CE ; Patel AI
• Description:
  Objective: To evaluate whether a multipronged pilot intervention promoting healthier beverage consumption improved at-home beverage consumption and weight status among young children. Design: In this exploratory pilot study, we randomly assigned four childcare centres to a control (delayed-intervention) condition or a 12-week intervention that promoted consumption of healthier beverages (water, unsweetened low- or non-fat milk) and discouraged consumption of less-healthy beverages (juice, sugar-sweetened beverages, high-fat or sweetened milk). The multipronged intervention was delivered via childcare centres; simultaneously targeted children, parents and childcare staff; and included environmental changes, policies and education. Outcomes were measured at baseline and immediately post-intervention and included children's (n 154) at-home beverage consumption (assessed via parental report) and overweight/obese status (assessed via objectively measured height and weight). We estimated intervention impact using difference-in-differences models controlling for children's demographics and classroom. Setting: Two northern California cities, USA, 2013-2014. Participants: Children aged 2-5 years and their parents. Results: Relative to control group children, intervention group children reduced their consumption of less-healthy beverages from baseline to follow-up by 5·9 ounces/d (95 % CI -11·2, -0·6) (-174·5 ml/d; 95 % CI -331·2, -17·7) and increased their consumption of healthier beverages by 3·5 ounces/d (95 % CI -2·6, 9·5) (103·5 ml/d; 95 % CI -76·9, 280·9). Children's likelihood of being overweight decreased by 3 percentage points (pp) in the intervention group and increased by 3 pp in the control group (difference-in-differences: -6 pp; 95 % CI -15, 3). Conclusions: Our exploratory pilot study suggests that interventions focused comprehensively on encouraging healthier beverage consumption could improve children's beverage intake and weight. Findings should be confirmed in longer, larger studies. [Description provided by NIOSH]
• Subjects:
  Body Weight Diet Family Occupational Health Safety
• Keywords:
  Author Keywords: Child Care Beverage Consumption Body Weight Children Early Childhood Families Intervention Effectiveness Nutrition Obesity Obesity Prevention Intervention Overweight Sugar-sweetened Beverages Water

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• ISSN:
  1368-9800
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  California ; Maryland ; North Carolina ; OSHA Region 3 ; OSHA Region 4 ; OSHA Region 9
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  22
• Issue:
  15
• NIOSHTIC Number:
  nn:20063019
• Citation:
  Public Health Nutr 2019 Oct; 22(15):2856-2867
• Contact Point Address:
  Anisha I Patel, Department of Pediatrics, Stanford University, 1265 Welch Road MSOB X240, Mailcode 5459, Stanford, CA 94305, USA
• Email:
  anipatel@stanford.edu
• Federal Fiscal Year:
  2020
• Performing Organization:
  University of California, Berkeley
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  Public Health Nutrition
• End Date:
  20250630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:76b828c0c54c750ff10ce90dcc4acb0e197c0fb4b89a61dbd4bc425531ff8d83ea825357dd5159817b103d83d3d2bb860c7b4f7ada170cb31fc57d76505c02c0
• Download URL:
  https://stacks.cdc.gov/view/cdc/226151/cdc_226151_DS1.pdf
• File Type:
  [PDF - 515.19 KB ]