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The Healthy Dads, Healthy Kids randomized controlled trial: Efficacy of a healthy lifestyle program for overweight fathers and their children

Journal Article


Abstract


  • Objective: To evaluate the feasibility and efficacy of the ‘Healthy Dads, Healthy Kids’ (HDHK) program, which was designed to

    help overweight fathers lose weight and be a role model of positive health behaviors for their children.

    Design: Randomized controlled trial.

    Participants: A total of 53 overweight/obese men (mean (s.d.) age¼40.6 (7.1) years; body mass index (BMI)¼33.2 (3.9)) and

    their primary school-aged children (n¼71, 54% boys; mean (s.d.) age¼8.2 (2.0) years) were randomly assigned (family unit)

    to either (i) the HDHK program (n¼27 fathers, n¼39 children) or (ii) a wait-list control group (n¼26 fathers, n¼32 children).

    Intervention: Fathers in the 3-month program attended eight face-to-face education sessions. Children attended three of these

    sessions.

    Outcomes: The primary outcome was fathers’ weight. Fathers and their children were assessed at baseline, and at 3- and

    6-month follow-up, for weight, waist circumference, BMI, blood pressure, resting heart rate (RHR), objectively measured

    physical activity and self-reported dietary intake.

    Results: Intention-to-treat analysis revealed significant between-group differences at 6 months for weight loss (Po0.001), with

    HDHK fathers losing more weight (7.6 kg; 95% confidence interval (CI) 9.2, 6.0; d¼0.54) than control group fathers (0.0 kg;

    95% CI 1.4, 1.6). Significant treatment effects (Po0.05) were also found for waist circumference (d¼0.62), BMI (d¼0.53),

    systolic blood pressure (d¼0.92), RHR (d¼0.66) and physical activity (d¼0.91), but not for dietary intake. In children, significant

    treatment effects (Po0.05) were found for physical activity (d¼0.74), RHR (d¼0.51) and dietary intake (d¼0.84).

    Conclusion: The HDHK program resulted in significant weight loss and improved health-related outcomes in fathers and

    improved eating and physical activity among children. Targeting fathers is a novel and efficacious approach to improving health

    behavior in their children.

Authors


  •   Morgan, Philip J. (external author)
  •   Lubans, David R. (external author)
  •   Callister, Robin (external author)
  •   Okely, Anthony D.
  •   Burrows, Tracy L. (external author)
  •   Fletcher, R (external author)
  •   Collins, Clare E. (external author)

Publication Date


  • 2011

Citation


  • Morgan, P., Lubans, D. R., Callister, R., Okely, A. D., Burrows, T., Fletcher, R. & Collins, C. (2011). The Healthy Dads, Healthy Kids randomized controlled trial: Efficacy of a healthy lifestyle program for overweight fathers and their children. International Journal of Obesity, 35 (3), 436-447.

Scopus Eid


  • 2-s2.0-79952697550

Ro Metadata Url


  • http://ro.uow.edu.au/edupapers/1163

Has Global Citation Frequency


Number Of Pages


  • 11

Start Page


  • 436

End Page


  • 447

Volume


  • 35

Issue


  • 3

Abstract


  • Objective: To evaluate the feasibility and efficacy of the ‘Healthy Dads, Healthy Kids’ (HDHK) program, which was designed to

    help overweight fathers lose weight and be a role model of positive health behaviors for their children.

    Design: Randomized controlled trial.

    Participants: A total of 53 overweight/obese men (mean (s.d.) age¼40.6 (7.1) years; body mass index (BMI)¼33.2 (3.9)) and

    their primary school-aged children (n¼71, 54% boys; mean (s.d.) age¼8.2 (2.0) years) were randomly assigned (family unit)

    to either (i) the HDHK program (n¼27 fathers, n¼39 children) or (ii) a wait-list control group (n¼26 fathers, n¼32 children).

    Intervention: Fathers in the 3-month program attended eight face-to-face education sessions. Children attended three of these

    sessions.

    Outcomes: The primary outcome was fathers’ weight. Fathers and their children were assessed at baseline, and at 3- and

    6-month follow-up, for weight, waist circumference, BMI, blood pressure, resting heart rate (RHR), objectively measured

    physical activity and self-reported dietary intake.

    Results: Intention-to-treat analysis revealed significant between-group differences at 6 months for weight loss (Po0.001), with

    HDHK fathers losing more weight (7.6 kg; 95% confidence interval (CI) 9.2, 6.0; d¼0.54) than control group fathers (0.0 kg;

    95% CI 1.4, 1.6). Significant treatment effects (Po0.05) were also found for waist circumference (d¼0.62), BMI (d¼0.53),

    systolic blood pressure (d¼0.92), RHR (d¼0.66) and physical activity (d¼0.91), but not for dietary intake. In children, significant

    treatment effects (Po0.05) were found for physical activity (d¼0.74), RHR (d¼0.51) and dietary intake (d¼0.84).

    Conclusion: The HDHK program resulted in significant weight loss and improved health-related outcomes in fathers and

    improved eating and physical activity among children. Targeting fathers is a novel and efficacious approach to improving health

    behavior in their children.

Authors


  •   Morgan, Philip J. (external author)
  •   Lubans, David R. (external author)
  •   Callister, Robin (external author)
  •   Okely, Anthony D.
  •   Burrows, Tracy L. (external author)
  •   Fletcher, R (external author)
  •   Collins, Clare E. (external author)

Publication Date


  • 2011

Citation


  • Morgan, P., Lubans, D. R., Callister, R., Okely, A. D., Burrows, T., Fletcher, R. & Collins, C. (2011). The Healthy Dads, Healthy Kids randomized controlled trial: Efficacy of a healthy lifestyle program for overweight fathers and their children. International Journal of Obesity, 35 (3), 436-447.

Scopus Eid


  • 2-s2.0-79952697550

Ro Metadata Url


  • http://ro.uow.edu.au/edupapers/1163

Has Global Citation Frequency


Number Of Pages


  • 11

Start Page


  • 436

End Page


  • 447

Volume


  • 35

Issue


  • 3