Emily Hall

The University of Texas at Austin

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Diane Berry

Sarepta Therapeutics (United States)

Todd A. Schwartz

University of North Carolina at Chapel Hill

Madeline Neal

University of North Carolina at Chapel Hill

Robert G. McMurray

University of Ulster

Reuben Adatorwovor

University of Kentucky

Alison M. Stuebe

University of North Carolina at Chapel Hill

Anne H. Skelly

University of North Carolina at Chapel Hill

Sarah Verbiest

University of North Carolina at Chapel Hill

Natnaree Aimyong

Mahidol University

Alison G. Cahill

The University of Texas at Austin

Cooperative Institutions

National Institute for Health Research

1,360

Intensive Care National Audit & Research Centre

1,352

Public Health Scotland

1,266

NIHR Clinical Research Network

1,231

National Records of Scotland

1,159

Nepal Health Research Council

1,065

University Hospitals Birmingham NHS Foundation Trust

1,011

Public Health England

849

Oxford University Clinical Research Unit

782

Eijkman Institute for Molecular Biology

570

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The family partners for health study: a cluster randomized controlled trial for child and parent weight management

Nutrition and Diabetes (2014)

Diane Berry Todd A. Schwartz Robert G. McMurray Anne H. Skelly Madeline Neal

The purpose of this study was to test a two-phased nutrition and exercise education, coping skills training, and exercise intervention program for overweight or obese low-income ethnic minority 2nd to 4th grade children and their parents in rural North Carolina, USA. A cluster randomized controlled trial was carried out with 358 children (7–10 years) and a parent for each child (n=358). General linear mixed models were used to determine the effects of the intervention on weight, adiposity, health behaviors, and eating and exercise self-efficacy by examining changes in children and parents from baseline to completion of the study (18 months). At 18 months, children in the experimental group did not have a significantly decreased body mass index (BMI) percentile (P=0.470); however, they showed a reduction in the growth rate of their triceps (P=0.001) and subscapular skinfolds (P<0.001) and an improvement in dietary knowledge (P=0.018) and drank less than one glass of soda per day (P=0.052) compared with the control group. Parents in the experimental group had decreased BMI (P=0.001), triceps (P<0.001) and subscapular skinfolds (P<0.001) and increased nutrition (P=0.003) and exercise (P<0.001) knowledge and more often drank water or unsweetened drinks (P=0.029). At 18 months, children in the experimental group did not show significant improvement in eating (P=0.956) or exercise self-efficacy (P=0.976). Experimental parents demonstrated improved socially acceptable eating self-efficacy (P=0.013); however, they did not show significant improvement in self-efficacy pertaining to emotional eating (P=0.155) and exercise (P=0.680). The results suggest that inclusion of children and parents in the same intervention program is an effective way to decrease adiposity and improve nutrition behaviors in both children and parents and improve weight and eating self-efficacy in parents.

Weight management

10.1038/nutd.2013.42

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Citations (28)

84 Increasing Number of Cervical Examinations in Labor: Does a Risk of Intrapartum Fever Actually Exist?

American Journal of Obstetrics and Gynecology (2024)

C. Christopher Calvert Mı́riam Álvarez Jeny Ghartey Emily Hall Elaine Avshman

Cervical dilatation

10.1016/j.ajog.2023.11.107

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Citations (0)

The Family Partners for Health Study: A Randomized Cluster Control Trial for Child and Parent Weight Management

Sigma Theta Tau International's 25th International Nursing Research Congress (2014)

Diane Berry Madeline Neal Natnaree Aimyong Robert G. McMurray Gail D’Eramo Melkus

Weight management

Weight control

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Relationships of physical activity and sedentary time in obese parent-child dyads: a cross-sectional study

Carolina Digital Repository (University of North Carolina at Chapel Hill) (2016)

Robert G. McMurray Diane Berry Todd A. Schwartz Emily Hall Madeline Neal

Cross-sectional study

Screen Time

Sedentary Behavior

10.17615/tyna-jq50

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Citations (0)

Results of the Optimizing Outcomes in Women with Gestational Diabetes Mellitus and Their Infants, a Cluster Randomized, Controlled Pilot Study: Lessons Learned.

PubMed (2016)

Diane Berry Emily Hall Madeline Neal Reuben Adatorwovor Todd A. Schwartz

The purpose of this pilot study was as follows: Aim I was to determine the feasibility of the intervention, including its acceptability, and tofurther refine intervention materials and study procedures including recruitment, enrollment, intervention, retention, and data collection. Aim 2 was to test the initial effects of the intervention on the primary outcome of fasting blood glucose and secondary outcomes including metabolic, clinical, adiposity, health behavior, and self-efficacy outcomes in women. Aim 3 examined infant feeding. Infant weight and adiposity growth are discussed in this manuscript. The intervention group received the Phase I intervention, which included 14 classes, each lasting 60 minutes, with the first class delivered during pregnancy on the benefits of breastfeeding for maternal metabolic control andfor infant health. The classes resumed 6 weeks postpartum and were delivered weekly. The Phase II intervention included 3 monthly classes, each lasting 60 minutes, during which the interventionist facilitated a group discussion and assisted the women with problems related to breastfeeding, nutrition, or exercise. Results demonstrated that 100 women were enrolled in the study; however, secondary to the majority of women returning to work part-time or full-time, the retention for the intervention and data collection was poor. In addition, statistical significancefor the primary outcomes was not achieved. However, women made some changes in adiposity and health behaviors, and infants made changes in adiposity growth. Both lessons learned and future research are discussed.

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Correction to: A cluster randomized controlled trial for child and parent weight management: children and parents randomized to the intervention group have correlated changes in adiposity

Carolina Digital Repository (University of North Carolina at Chapel Hill) (2018)

Diane Berry Robert G. McMurray Todd A. Schwartz Emily Hall Madeline Neal

Weight management

10.17615/k563-4k04

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Citations (0)

A cluster randomized controlled trial for child and parent weight management: children and parents randomized to the intervention group have correlated changes in adiposity

BMC Obesity (2017)

Diane Berry Robert G. McMurray Todd A. Schwartz Emily Hall Madeline Neal

Studies have suggested that obesity is linked within families and that successful interventions involve both the parent and child with obesity. However little information exists regarding similarities in adiposity and weight loss between the parent and child, especially in low socio-economic ethnically diverse households. The purpose of this study was to examine the relationships between the changes from baseline over time in adiposity, weight, health behaviors, and self-efficacy in children (n = 184) and parents (n = 184) participating in an 18-month weight loss program. Within the intervention group only and for each post-baseline time point, Pearson correlation coefficients were computed for children's changes (from baseline) in adiposity, weight, health behaviors, and self-efficacy, with their parents' corresponding changes from baseline, to determine how strongly the dyads were correlated. At the completion of 18 months, the intervention group parents demonstrated strong positive correlations between parent and child change in waist circumference (r = 0.409, p < 0.001), triceps (r = 0.332, p < 0.001), and subscapular (r = 0.292, p = 0.002) skinfolds. There were no significant correlations between weight, health behaviors, eating, and exercise self-efficacy. The results suggest that in the Southern United States low-income parents and their children with obesity are strongly correlated. NCT01378806 Retrospectively Registered on June 22, 2011.

Child obesity

Weight management

10.1186/s40608-017-0175-z

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Citations (12)

Relationships of physical activity and sedentary time in obese parent-child dyads: a cross-sectional study

BMC Public Health (2015)

Robert G. McMurray Diane Berry Todd A. Schwartz Emily Hall Madeline Neal

Research suggests physical activity is linked to obesity. Further, the physical activity of healthy parents and their children is associated with each other. However, this relationship has not been examined in obese parents and their obese children. The purpose of this study was to compare the physical activity and sedentary time of obese, low-income, ethnic minority parents and their children on weekdays and weekend days using accelerometry. Data were obtained from eight rural sites in the middle and eastern part of North Carolina (N.C.), United States (U.S.) from 2007-2010 using a rolling enrollment. One hundred and ninety-nine obese parents (94 % female) and their obese children (54 % female) wore accelerometers simultaneously for three weekdays and one weekend day. Total physical activity, moderate-to-vigorous physical activity (MVPA) and sedentary time and proportions were determined. Parents' and children's total physical activity and MVPA levels were lower on weekend days than weekdays. Total counts per minute for children on weekdays and weekend days were greater than for parents (p < 0.001). Total counts per minute were more highly correlated on weekend days than weekdays (r = 0.352, p < 0.0002 versus r = 0.165, p < 0.025). Parents' performed MVPA for 14 (SD = ±25) and 9 (SD = ±16) minutes/day on weekdays and weekend days, respectively; children performed MVPA for 37 (SD = ±25) and 31(SD = ±38) minutes/day for weekdays and weekend days, respectively. Correlations between parents and children for MVPA were higher on weekend days versus weekdays (r = 0.253 and 0.177, respectively; p < 0.015). Associations for sedentary time followed a similar trend, with r = 0.33 (p < 0.0002) for weekend days and r = 0.016 (p < 0.026) for weekdays. Associations between obese parent-child dyads on sedentary time were stronger for girls, while associations between dyads on MVPA were stronger for boys. However, formal interaction analyses were not significant (p > 0.13). Since physical activity levels of obese parents and their obese child are somewhat related, especially on weekend days, combined parent-child obesity programs focused on reducing sedentary time could be beneficial, particularly for the child. In conclusion, this study of the physical activity levels of obese parents and their obese children found some relationships between the parents' and children's physical activity and sedentary behavior patterns, especially on weekend days. NCT01378806 .

Sedentary Behavior

Biostatistics

Weekend effect

Screen Time

Cross-sectional study

10.1186/s12889-016-2795-5

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Citations (40)

Who Counts? Care, Disability, and the Questionnaire in Jesse Ball’s Census

Journal of Medical Humanities (2024)

Emily Hall

Disability studies