Cluster randomized control trial promoting child self-regulation around energy-dense food.
Appetite
; 133: 156-165, 2019 02 01.
Article
em En
| MEDLINE
| ID: mdl-30391226
ABSTRACT
Children with lower inhibitory control have greater weight gain over time and consume more snack food. Our goal was to test whether a pilot program based on enhancing self-regulation in preschool children could decrease consumption of energy-dense foods. Ninety-two preschool children were randomized to the intervention or control group. The intervention was a three-week, play-based program that focused on enhancing executive function skills and decreasing consumption of energy dense snack foods. Controls met for a similar length of time, but focused on dental hygiene, good sleep habits/routines, and physical activity. Primary outcome included calories consumed during the post-intervention "Eating in the Absence of Hunger" paradigm, controlling for baseline calories consumed. Inhibitory control was assessed using the "Day/Night" and "Less is More" tasks. There were no differences in post-intervention calories consumed between groups (pâ¯=â¯0.42). However, post-hoc analysis revealed a significant interaction between group and weight status (pâ¯=â¯0.04). In the intervention group, overweight/obese and healthy weight children consumed a similar number of calories (118.0â¯kcals vs. 124.1â¯kcals respectively, pâ¯=â¯0.64). However, in the control group, overweight/obese children consumed more than normal weight children (155.9â¯kcals vs. 103.6â¯kcals respectively; pâ¯=â¯0.01). With regards to inhibitory control, post-hoc analysis revealed a significant interaction between group and age (pâ¯=â¯0.03), with younger children in the intervention group scoring higher than younger children in the control group (0.93 vs 0.78 respectively, pâ¯=â¯0.007). No differences were observed between groups among older children (0.93 vs 0.96, pâ¯=â¯0.42). These types of programs for preschool children may help to temper consumption of excess calories among overweight/obese children. Further development and investigation of pediatric programs that prevent consumption of excess calories are warranted. TRIAL REGISTRATION Clinicaltrials.gov NCT02077387.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Ingestão de Energia
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Comportamento Alimentar
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Autocontrole
Tipo de estudo:
Clinical_trials
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Prognostic_studies
Limite:
Child, preschool
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Female
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Humans
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Male
Idioma:
En
Revista:
Appetite
Ano de publicação:
2019
Tipo de documento:
Article