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- W2617922401 abstract "PURPOSE: The Family Nutrition and Physical Activity survey (FNPA) is a validated health behavior survey for assessing childhood obesity risk, but it has not been evaluated as a tool to track behavior change over time. The current study assessed FNPA in youth who completed a pediatric weight management program, and compared associations between FNPA and adiposity changes. METHODS: Youth 5-16 years old with a BMI≥85th percentile participated in FitKids360, a 6-week, multidisciplinary, family-based intervention aimed at improving physical activity, nutrition, and sedentary behaviors. The FNPA was parent-reported pre and post intervention, and height and weight were assessed via trained program staff. Total FNPA and subscale scores were calculated, including screen time, physical activity, family meals, food and beverage choices, parental food restrictions and rewards, and sleep routines. Participants were grouped based on BMI percentile (BMI%) changes during treatment, after which FNPA scores were compared across genders, age groups, and BMI-change categories. RESULTS: A total of 1102 youth (10.7±3.0 years) initiated treatment, and 790 completed the program (72% retention). Mean FNPA scores significantly increased 5.6±7.4 points (p<0.001) while BMI% decreased -0.43±2.12 percentile points (p<0.001). After adjusting for baseline FNPA, youth <11 years of age had higher post FNPA scores than older youth (p<0.001), but FNPA did not differ between genders. When grouped by high (≤-0.5%), moderate (-0.5 to 0.0%), and low (≥0.0%) BMI% changes, youth with high reductions had healthier FNPA scores (63.2±7.8) than those with low BMI% changes (59.6±8.1) (p=0.005), and a trend towards higher scores than those with moderate reductions (61.7±7.3) (p=0.080). FNPA subscales also differed between BMI% groups, such that greater adiposity reductions were associated with healthier beverage choices (p=0.034) and lower screen time (p=0.005). CONCLUSIONS: FitKids360 completers improved FNPA scores and reduced age- and sex-adjusted BMI. After adjusting for baseline differences, youth with the highest post-treatment FNPA scores had the greatest improvements in adiposity. The FNPA appears to be a useful tool for tracking progress in obesity-related health behavior changes during family-based pediatric weight management." @default.
- W2617922401 created "2017-06-05" @default.
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- W2617922401 date "2017-05-01" @default.
- W2617922401 modified "2023-09-26" @default.
- W2617922401 title "Improvements in Family Nutrition and Physical Activity during FitKids360" @default.
- W2617922401 doi "https://doi.org/10.1249/01.mss.0000519371.96257.da" @default.
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