Clinical trial NCT02725970: Healthy Eating and Lifestyle for Total Health
Official title: Healthy Eating and Lifestyle for Total Health
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Eating Behavior
Keywords: HEALTH
barriers
facilitators
DGA
BMI
Public Schools
Lead sponsor: Baylor College of Medicine
Sponsor class: OTHER
Collaborators: name: United States Department of Agriculture (USDA)
name: Dairy Management Inc.
First posted: 2016-04-01
Enrollment: 836
Sex: ALL
Minimum age (years): 8
Maximum age (years): 64
Standard ages: CHILD
ADULT
Accepts healthy volunteers: yes
Observational model: FAMILY_BASED
Time perspective: CROSS_SECTIONAL
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Fifth-grade children and their caregivers, or a caregiver of a 5th grade child attending a public school.

Brief summary: The Dietary Guidelines for Americans provide recommendations for making better food and physical activity choices that promote health and help prevent disease. Yet, few Americans meet the Dietary Guidelines for Americans (DGA) and a large percentage are overweight.

Detailed description: The goal of the research was to examine the association between weight and the barriers and facilitators to meeting the DGA in a multi-site study using a cross-sectional survey. 836 caregiver-child dyads enrolled and completed the HEALTH study questionnaire across six sites among three race/ethnic groups participating in the HEALTH Study. Barriers and facilitators to meeting the DGA were assessed using a validated questionnaire which was developed specifically for the HEALTH Study. Heights and weights were measured. A series of bivariate regression analyses were conducted to examine the association between the caregivers BMI or the children BMI z-score and the barriers and facilitators to meeting the DGA, adjusting for appropriate covariates in the models. Path analysis was used to examine the relationship of caregivers and children barriers and facilitators to their relative BMI.

Eligibility criteria: 1. Children in grade 5 and primary caregiver of a child in the 5th grade (the primary caregiver was defined as the person responsible for the health of the child and who has the most influence in what the child eats most days of the week)
2. Attend public school and caregiver to a child in a public school
3. Fell in one of three racial/ethnic groups (African Americans, Hispanics, White)

Exclusion Criteria:

1. Pregnant women were not recruited as their dietary intake was different because of pregnancy.
2. Children not attending 5th grade in public school.
3. Parents of children not attending 5th grade in public school
4. parents of children attending 5th grade in public school but who were not responsible for the health of the child and who did not have the most influence in what the qualified child ate most days of the week.

Primary outcomes:
measure: Measuring and Reporting on the Barriers and Facilitators to Meeting the Dietary Guidelines of Americans among 5th Graders and the Caregivers of 5th Graders Was Assessed Using Questionnaires.
timeFrame: 3/2010- 7/2012
Secondary outcomes:
Other outcomes:
Locations:
city: Houston
country: United States
facility: USDA/ARS Children's Nutrition Research Center
state: Texas
Study officials:
affiliation: Baylor College of Medicine
name: Theresa A Nicklas, DrPH
role: PRINCIPAL_INVESTIGATOR
References:
citation: Nicklas TA, Jahns L, Bogle ML, Chester DN, Giovanni M, Klurfeld DM, Laugero K, Liu Y, Lopez S, Tucker KL. Barriers and facilitators for consumer adherence to the dietary guidelines for Americans: the HEALTH study. J Acad Nutr Diet. 2013 Oct;113(10):1317-31. doi: 10.1016/j.jand.2013.05.004. Epub 2013 Jul 17.
citation: Nicklas T, Liu Y, Giovanni M, Jahns L, Tucker K, Laugero K, Bogle M, Chester D. Association between barriers and facilitators to meeting the Dietary Guidelines for Americans and body weight status of caregiver-child dyads: the Healthy Eating and Lifestyle for Total Health Study. Am J Clin Nutr. 2016 Jul;104(1):143-54. doi: 10.3945/ajcn.115.123372. Epub 2016 May 18.