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Annals of Behavioral Medicine
Published in: Annals of Behavioral Medicine 1/2009

01-08-2009 | Original Article

Prediction of BMI Change in Young Children with the Family Nutrition and Physical Activity (FNPA) Screening Tool

Authors: Michelle A. Ihmels, Ph.D., Gregory J. Welk, Ph.D., Joey C. Eisenmann, Ph.D., Sarah M. Nusser, Ph.D., Esther F. Myers, Ph.D., R.D.

Published in: Annals of Behavioral Medicine | Issue 1/2009

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Abstract

Background

Youth obesity prevention practices would be enhanced if modifiable risk factors can be identified before children become overweight.

Purpose

This study evaluated the predictive validity of the Family Nutrition and Physical Activity (FNPA) screening tool, a behaviorally based screening tool designed to assess family environments and behaviors that may predispose youth to becoming overweight.

Methods

Parents from a large urban school district completed the FNPA screening when children were in first grade. One-year change in measured body mass index (BMI) was used as the primary outcome, and this was computed using the relative change in distance from the BMI value at the 50th percentile. Descriptive, correlation, and mixed modeling analyses were used for survey validation.

Results

Over half of the participants exhibited an increase in BMI percentile over the 1-year follow-up with an average change of 0.51 ± 11.5% which is indicative of trends to overweight. Although baseline BMI predicted BMI at follow-up, the FNPA total score explained unique variance in child BMI at follow-up after accounting for baseline BMI, parent BMI, and other demographic variables (p = 0.049).

Conclusions

This study demonstrates the potential validity of a simple, easy-to-use screening tool for identifying children that may be at risk for becoming overweight.
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Metadata
Title
Prediction of BMI Change in Young Children with the Family Nutrition and Physical Activity (FNPA) Screening Tool
Authors
Michelle A. Ihmels, Ph.D.
Gregory J. Welk, Ph.D.
Joey C. Eisenmann, Ph.D.
Sarah M. Nusser, Ph.D.
Esther F. Myers, Ph.D., R.D.
Publication date
01-08-2009
Publisher
Springer-Verlag
Published in
Annals of Behavioral Medicine / Issue 1/2009
Print ISSN: 0883-6612
Electronic ISSN: 1532-4796
DOI
https://doi.org/10.1007/s12160-009-9126-3

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