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Harshman SG, Castro I, Perkins M, et al. Pediatric weight management interventions improve prevalence of overeating behaviors. Int J Obes (Lond). 2021;doi: 10.1038/s41366-021-00989-x.
Harshman, S. G., Castro, I., Perkins, M., Luo, M., Barrett Mueller, K., Cena, H., Portale, S., Raspini, B., Taveras, E., & Fiechtner, L. (2021). Pediatric weight management interventions improve prevalence of overeating behaviors. International journal of obesity (2005), . https://doi.org/10.1038/s41366-021-00989-x
Harshman, Stephanie G, et al. "Pediatric weight management interventions improve prevalence of overeating behaviors." International journal of obesity (2005) vol. (2021). doi: https://doi.org/10.1038/s41366-021-00989-x
Harshman SG, Castro I, Perkins M, Luo M, Barrett Mueller K, Cena H, Portale S, Raspini B, Taveras E, Fiechtner L. Pediatric weight management interventions improve prevalence of overeating behaviors. Int J Obes (Lond). 2021 Dec 03; doi: 10.1038/s41366-021-00989-x. Epub 2021 Dec 03. PMID: 34862470.
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Int J Obes (Lond). 2021 Dec 03; doi: 10.1038/s41366-021-00989-x. Epub 2021 Dec 03.

Pediatric weight management interventions improve prevalence of overeating behaviors.

International journal of obesity (2005)

Stephanie G Harshman, Ines Castro, Meghan Perkins, Man Luo, Katelee Barrett Mueller, Hellas Cena, Sandra Portale, Benedetta Raspini, Elsie Taveras, Lauren Fiechtner

Affiliations

  1. Neuroendocrine Unit, Massachusetts General Hospital, 55 Fruit Street, Boston, MA, USA. [email protected].
  2. Eating Disorders Clinical and Research Program, Massachusetts General Hospital, 55 Fruit Street, Boston, MA, USA. [email protected].
  3. Division of General Academic Pediatrics, Department of Pediatrics, MassGeneral Hospital for Children, 125 Nashua Street, Suite 860, Boston, MA, USA.
  4. Laboratory of Dietetics and Clinical Nutrition, Department of Public Health, Experimental and Forensic Medicine, University of Pavia, Pavia, Italy.
  5. Clinical Nutrition and Dietetics Service, Unit of Internal Medicine and Endocrinology, ICS Maugeri IRCCS, Pavia, Italy.
  6. Department of Gastroenterology and Nutrition, MassGeneral Hospital for Children, 175 Cambridge St, Boston, MA, USA.
  7. Greater Boston Food Bank, 70S. Bay Avenue, Boston, MA, 02118, USA.

PMID: 34862470 DOI: 10.1038/s41366-021-00989-x

Abstract

OBJECTIVE: To examine changes in prevalence of overeating behaviors in a comparative effectiveness study of two pediatric weight management interventions.

METHODS: Four-hundred and seven children, ages 6-12 years, with a BMI ≥ 85th percentile were enrolled in a comparative effectiveness trial of two pediatric weight management interventions. Prevalence of "sneaking, hiding or hoarding food", and 'eating in the absence of hunger' was evaluated at baseline and 12 months. Statistical methods included McNemar's test and longitudinal logistic regression.

RESULTS: Prevalence of "sneak, hide, or hoard food" significantly decreased in all participants from 29.1% to 20.7% at 12 months. The prevalence of "eating in the absence of hunger" decreased in all participants from 46.7% to 22.4% at 12 months. Use of SNAP benefits, free/reduced meals at school, parental stress, housing, and food insecurity at baseline were associated with an increased likelihood of endorsing overeating behaviors at 12 months. Conversely, those who engaged in at least one session of the pediatric weight management intervention were significantly less likely to endorse "eating in the absence of hunger" at 12 months.

CONCLUSIONS: Participation in pediatric weight management interventions improves the prevalence of overeating behaviors and is associated with participant engagement and social determinants of health, specifically food security status. Efforts to engage populations impacted by food insecurity and other social determinants of health risk factors will be critical for success of weight management interventions.

CLINICAL TRIAL REGISTRATION: This trial has been registered at ClinicalTrials.gov (identifier: NCT03012126).

© 2021. The Author(s), under exclusive licence to Springer Nature Limited.

References

  1. US Preventive Services Task F, Grossman DC, Bibbins-Domingo K, Curry SJ, Barry MJ, Davidson KW, et al. Screening for obesity in children and adolescents. JAMA. 2017;317:2417–26. https://doi.org/10.1001/jama.2017.6803 - PubMed
  2. US Preventive Services Task Force. Screening for obesity in children and adolescents: recommendation statement. JAMA. 2017;317:2417–26. https://doi.org/10.1001/jama.2017.6803 - PubMed
  3. Kumar S, Kelly AS. Review of childhood obesity: from epidemiology, etiology, and comorbidities to clinical assessment and treatment. Mayo Clin Proc. 2017;92:251–65. https://doi.org/10.1016/j.mayocp.2016.09.017 - PubMed
  4. Skelton JA, Palakshappa D, Moore JB, Irby MB, Montez K, Rhodes SD. Community engagement and pediatric obesity: Incorporating social determinants of health into treatment. J Clin Transl Sci. 2019;4:279–85. https://doi.org/10.1017/cts.2019.447 - PubMed
  5. Graham H, White PCL. Social determinants and lifestyles: integrating environmental and public health perspectives. Public Health. 2016;141:270–8. https://doi.org/10.1016/j.puhe.2016.09.019 - PubMed
  6. Hanson KL, Connor LM. Food insecurity and dietary quality in US adults and children: a systematic review. Am J Clin Nutr. 2014;100:684–92. https://doi.org/10.3945/ajcn.114.084525 - PubMed
  7. Leung CW, Epel ES, Ritchie LD, Crawford PB, Laraia BA. Food insecurity is inversely associated with diet quality of lower-income adults. J Acad Nutr Diet. 2014;114:1943–e2. https://doi.org/10.1016/j.jand.2014.06.353 - PubMed
  8. Bruening M, MacLehose R, Loth K, Story M, Neumark-Sztainer D. Feeding a family in a recession: food insecurity among Minnesota parents. Am J Public Health. 2012;102:520–6. https://doi.org/10.2105/AJPH.2011.300390 - PubMed
  9. Seligman HK, Berkowitz SA. Aligning programs and policies to support food security and public health goals in the United States. Annu Rev Public Health. 2019;40:319–37. https://doi.org/10.1146/annurev-publhealth-040218-4132 - PubMed
  10. Tester JM, Lang TC, Laraia BA. Disordered eating behaviors and food insecurity: a qualitative study about children with obesity in low-income households. Obes Res Clin Pract. 2016;10:544–52. https://doi.org/10.1016/j.orcp.2015.11.007 - PubMed
  11. Hooper L, Telke S, Larson N, Mason SM, Neumark-Sztainer D. Household food insecurity: associations with disordered eating behaviours and overweight in a population-based sample of adolescents. Public Health Nutr. 2020;23:3126–35. https://doi.org/10.1017/S1368980020000464 - PubMed
  12. Fiechtner L, Perkins M, Biggs V, Langhans N, Sharifi M, O'connor G, et al. Rationale and design of the clinic and community approaches to healthy weight randomized trial. Contemp Clin Trials. 2018;67:16–22. https://doi.org/10.1016/j.cct.2018.01.002 - PubMed
  13. Giuse NB, Koonce TY, Kusnoor SV, Prather AA, Gottlieb LM, Huang LC, et al. Institute of medicine measures of social and behavioral determinants of health: a feasibility study. Am J Prev Med. 2017;52:199–206. https://doi.org/10.1016/j.amepre.2016.07.033 - PubMed
  14. Elo AL, Leppänen A, Jahkola A. Validity of a single-item measure of stress symptoms. Scand J Work Environ Health. 2003;29:444–51. https://doi.org/10.5271/sjweh.752 - PubMed
  15. Atkins M, Castro I, Sharifi M, Perkins M, O'connor G, Sandel M, et al. Unmet social needs and adherence to pediatric weight management interventions: Massachusetts, 2017–-9. Am J Public Health. 2020;110:S251–S257. https://doi.org/10.2105/AJPH.2020.305772 - PubMed
  16. Urban Institute and Child Trends. National Survey of America’s Familities (NASF); 2002 - PubMed
  17. Hager ER, Quigg AM, Black MM, Coleman SM, Heeren T, Rose-Jacobs R, et al. Development and validity of a 2-item screen to identify families at risk for food insecurity. Pediatrics. 2010;126:e26–e32 - PubMed
  18. Nobles JD, Perez A, Skelton JA, Spence ND, Ball GD. The engagement pathway: a conceptual framework of engagement-related terms in weight management. Obes Res Clin Pract. 2018;12:133–8. https://doi.org/10.1016/j.orcp.2017.12.005 - PubMed
  19. Khanal S, Choi L, Innes-Hughes C, Rissel C. Dose response relationship between program attendance and children’s outcomes in a community based weight management program for children and their families. BMC Public Health. 2019;19:716 https://doi.org/10.1186/s12889-019-7094-5 - PubMed
  20. Sonneville KR, Horton NJ, Micali N, Crosby RD, Swanson SA, Solmi F, et al. Longitudinal associations between binge eating and overeating and adverse outcomes among adolescents and young adults: does loss of control matter? JAMA Pediatr. 2013;167:149–55. https://doi.org/10.1001/2013.jamapediatrics.12 - PubMed
  21. Russell H, Oliver C. The assessment of food-related problems in individuals with Prader-Willi syndrome. Br J Clin Psychol. 2003;42:379–92. https://doi.org/10.1348/014466503322528928 - PubMed
  22. Yanovski SZ, Marcus MD, Wadden TA, Walsh BT. The Questionnaire on Eating and Weight Patterns-5: an updated screening instrument for binge eating disorder. Int J Eat Disord. 2015;48:259–61. https://doi.org/10.1002/eat.22372 - PubMed
  23. Johnson WG, Grieve FG, Adams CD, Sandy J. Measuring binge eating in adolescents: adolescent and parent versions of the questionnaire of eating and weight patterns. Int J Eat Disord. 1999;26:301–14. 10.1002/(sici)1098-108x(199911)26:3<301::aid-eat8>3.0.co;2-m - PubMed
  24. Fairburn CG. Overcoming binge eating, Second Edition: The proven program to learn why you binge and how you can stop. Guilford Publications; 2013 - PubMed
  25. Rasmusson G, Lydecker JA, Coffino JA, White MA, Grilo CM. Household food insecurity is associated with binge-eating disorder and obesity. Int J Eat Disord. 2019;52:28–35. https://doi.org/10.1002/eat.22990 - PubMed
  26. West CE, Goldschmidt AB, Mason SM, Neumark‐Sztainer D. Differences in risk factors for binge eating by socioeconomic status in a community‐based sample of adolescents: findings from Project EAT. Int J Eat Disord. 2019;52:659–68 - PubMed
  27. Leung CW, Stewart AL, Portela-Parra ET, Adler NE, Laraia BA, Epel ES. Understanding the psychological distress of food insecurity: a qualitative study of children’s experiences and related coping strategies. J Acad Nutr Diet. 2020;120:395–403. https://doi.org/10.1016/j.jand.2019.10.012 - PubMed
  28. West CE, Goldschmidt AB, Mason SM, Neumark‐Sztainer D. Differences in risk factors for binge eating by socioeconomic status in a community‐based sample of adolescents: Findings from Project EAT. Int J Eat Disord. 2019;52:659–68 - PubMed
  29. Fram MS, Frongillo EA, Jones SJ, Williams RC, Burke MP, DeLoach KP, et al. Children are aware of food insecurity and take responsibility for managing food resources. J Nutr. 2011;141:1114–9. https://doi.org/10.3945/jn.110.135988 - PubMed
  30. Brown AGM, Esposito LE, Fisher RA, Nicastro HL, Tabor DC, Walker JR. Food insecurity and obesity: research gaps, opportunities, and challenges. Transl Behav Med. 2019;9:980–7. https://doi.org/10.1093/tbm/ibz117 - PubMed
  31. Berger AT, Widome R, Erickson DJ, Laska MN, Harnack LJ. Changes in association between school foods and child and adolescent dietary quality during implementation of the Healthy, Hunger-Free Kids Act of 2010. Ann Epidemiol. 2020;47:30–36. https://doi.org/10.1016/j.annepidem.2020.05.013 - PubMed
  32. Tester JM, Leung CW, Crawford PB, Revised WIC. Food package and children’s diet quality. Pediatrics. 2016;137:e20153557 https://doi.org/10.1542/peds.2015-3557 - PubMed
  33. Eicher-Miller HA. A review of the food security, diet and health outcomes of food pantry clients and the potential for their improvement through food pantry interventions in the United States. Physiol Behav. 2020;220:112871 https://doi.org/10.1016/j.physbeh.2020.112871 - PubMed
  34. Trude ACB, Kharmats AY, Hurley KM, Anderson Steeves E, Talegawkar SA, Gittelsohn J. Household, psychosocial, and individual-level factors associated with fruit, vegetable, and fiber intake among low-income urban African American youth. BMC Public Health. 2016;16:872 https://doi.org/10.1186/s12889-016-3499-6 - PubMed
  35. Nightingale CM, Rudnicka AR, Ram B, Shankar A, Limb ES, Procter D, et al. Housing, neighbourhood and sociodemographic associations with adult levels of physical activity and adiposity: baseline findings from the ENABLE London study. BMJ Open. 2018;8:e021257 https://doi.org/10.1136/bmjopen-2017-021257 - PubMed
  36. Nobari TZ, Whaley SE, Blumenberg E, Prelip ML, Wang MC. Severe housing-cost burden and obesity among preschool-aged low-income children in Los Angeles County. Prev Med Rep. 2019;13:139–45. https://doi.org/10.1016/j.pmedr.2018.12.003 - PubMed
  37. Lohman BJ, Stewart S, Gundersen C, Garasky S, Eisenmann JC. Adolescent overweight and obesity: links to food insecurity and individual, maternal, and family stressors. J Adolesc Health. 2009;45:230–7. https://doi.org/10.1016/j.jadohealth.2009.01.003 - PubMed
  38. Parks EP, Kumanyika S, Moore RH, Stettler N, Wrotniak BH, Kazak A. Influence of stress in parents on child obesity and related behaviors. Pediatrics. 2012;130:e1096–104. https://doi.org/10.1542/peds.2012-0895 - PubMed
  39. Shankardass K, McConnell R, Jerrett M, Lam C, Wolch J, Milam J, et al. Parental stress increases body mass index trajectory in pre-adolescents. Pediatr Obes. 2014;9:435–42. https://doi.org/10.1111/j.2047-6310.2013.00208.x - PubMed
  40. Parks EP, Kazak A, Kumanyika S, Lewis L, Barg FK. Perspectives on stress, parenting, and children’s obesity-related behaviors in black families. Health Educ Behav. 2016;43:632–40. https://doi.org/10.1177/1090198115620418 - PubMed
  41. Baskind MJ, Taveras EM, Gerber MW, Fiechtner L, Horan C, Sharifi M. Parent-perceived stress and its association with children’s weight and obesity-related behaviors. Prev Chronic Dis. 2019;16:180368 https://doi.org/10.5888/pcd16.180368 - PubMed
  42. Adam TC, Epel ES. Stress, eating and the reward system. Physiol Behav. 2007;91:449–58. https://doi.org/10.1016/j.physbeh.2007.04.011 - PubMed
  43. Tomiyama AJ, Dallman MF, Epel ES. Comfort food is comforting to those most stressed: evidence of the chronic stress response network in high-stress women. Psychoneuroendocrinology. 2011;36:1513–9. https://doi.org/10.1016/j.psyneuen.2011.04.005 - PubMed
  44. Torres SJ, Nowson CA. Relationship between stress, eating behavior, and obesity. Nutrition. 2007;23:887–94. https://doi.org/10.1016/j.nut.2007.08.008 - PubMed
  45. Goulding AN, Rosenblum KL, Miller AL, Peterson KE, Chen YP, Kaciroti N, et al. Associations between maternal depressive symptoms and child feeding practices in a cross-sectional study of low-income mothers and their young children. Int J Behav Nutr Phys Act. 2014;11:75 https://doi.org/10.1186/1479-5868-11-75 - PubMed
  46. Bronte-Tinkew J, Zaslow M, Capps R, Horowitz A, McNamara M. Food insecurity works through depression, parenting, and infant feeding to influence overweight and health in toddlers. J Nutr. 2007;137:2160–5. https://doi.org/10.1093/jn/137.9.2160 - PubMed
  47. Tate EB, Wood W, Liao Y, Dunton GF. Do stressed mothers have heavier children? A meta-analysis on the relationship between maternal stress and child body mass index. Obes Rev. 2015;16:351–61. https://doi.org/10.1111/obr.12262 - PubMed
  48. Golan M, Kaufman V, Shahar DR. Childhood obesity treatment: targeting parents exclusively v. parents and children. Br J Nutr. 2006;95:1008–15. https://doi.org/10.1079/bjn20061757 - PubMed
  49. Wrotniak BH, Epstein LH, Paluch RA, Roemmich JN. The relationship between parent and child self-reported adherence and weight loss. Obes Res. 2005;13:1089–96. https://doi.org/10.1038/oby.2005.127 - PubMed
  50. Saelens BE, McGrath AM. Self-monitoring adherence and adolescent weight control efficacy. Child Health Care. 2003;32:137–52. https://doi.org/10.1207/S15326888CHC3202_5 - PubMed
  51. Germann JN, Kirschenbaum DS, Rich BH. Child and parental self-monitoring as determinants of success in the treatment of morbid obesity in low-income minority children. J Pediatr Psychol. 2007;32:111–21. https://doi.org/10.1093/jpepsy/jsl007 - PubMed
  52. Steele MM, Steele RG, Hunter HL. Family adherence as a predictor of child outcome in an intervention for pediatric obesity: different outcomes for self-report and objective measures. Child Health Care. 2009;38:64–75. https://doi.org/10.1080/02739610802615898 - PubMed
  53. Theim KR, Sinton MM, Goldschmidt AB, Van Buren DJ, Doyle AC, Saelens BE, et al. Adherence to behavioral targets and treatment attendance during a pediatric weight control trial. Obesity. 2013;21:394–7. https://doi.org/10.1002/oby.20281 - PubMed
  54. Cena H, Stanford FC, Ochner L, Fonte ML, Biino G, De Giuseppe R, et al. Association of a history of childhood-onset obesity and dieting with eating disorders. Eat Disord. 2017;25:216–29. https://doi.org/10.1080/10640266.2017.1279905 - PubMed
  55. Fairburn CG, Wilson GT, Schleimer K. Binge eating: nature, assessment, and treatment. Guilford Press; 1993 - PubMed
  56. Gormally J, Black S, Daston S, Rardin D. The assessment of binge eating severity among obese persons. Addict Behav. 1982;7:47–55. https://doi.org/10.1016/0306-4603(82)90024-7 - PubMed
  57. Goldschmidt AB. Are loss of control while eating and overeating valid constructs? A critical review of the literature. Obes Rev. 2017;18:412–49. https://doi.org/10.1111/obr.12491 - PubMed

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