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The Effect of a Family-Based Dietary Intervention on Dietary Fiber Density in Children Aged 6 to 11 Years

Nobles, Jennifer, MS, RD, LD; McNamara, Jade, PhD; Tovar, Alison, PhD, MPH; Marchand, Stephanie, PhD, RD, LDN; Xu, Furong, PhD; Greene, Geoffrey, PhD, RD, LDN

doi: 10.1097/TIN.0000000000000173
Dietary Interventions and Education

Dietary fiber plays an important role for weight management; yet, few interventions have explored changes in fiber intake pre- and postintervention. This study determined whether a family-based weight management intervention had an effect on energy-adjusted dietary fiber intake. Sixty children aged 6 to 11 years and their caregivers participated in a 16-week nutrition and physical activity intervention that included completing a Food Frequency Questionnaire. Children increased fiber intake from 8.62 ± 2.02 to 9.45 ± 2.25 g/1000 kcal (P < .001). Energy intake decreased from 2141.88 ± 480.81 to 1913.36 ± 435.96 kcal (P < .001). The intervention was associated with an increase in fiber density intake and a reduction in energy intake.

Weeks Medical Center, Lancaster, New Hampshire (Ms Nobles); School of Food and Agriculture, University of Maine, Orono (Dr McNamara); Departments of Nutrition and Food Sciences (Drs Tovar and Greene) and Kinesiology (Dr Xu), University of Rhode Island, Kingston; and Department of Pediatrics Warren Alpert School of Medicine at Brown University and Department of Pediatric Gastroenterology Hasbro Children's Hospital, Providence, Rhode Island (Dr Marchand).

Correspondence: Geoffrey Greene, PhD, RD, LDN, Department of Nutrition and Food Sciences, University of Rhode Island, 125 Fogarty Hall, 41 Lower College Rd, Kingston, RI 02881 (

The authors thank all the participants and their guardians/caretakers for taking part in South County Food Fitness and Fun. The authors also thank Rachel Clough of Busy Bodies Studio for providing the exercise portion of the program letting them use her studio. Finally, the authors thank Coastal Medical pediatricians and family physicians, and other community members, for their referrals and ongoing support for the program.

Disclosure: The authors of the study have worked closely with the South County Food Fitness and Fun program. Authors Stephanie Marchand, Furong Xu, Geoffrey Greene, and Jennifer Nobles are currently or have worked for the Food Fitness and Fun program. The other authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article.

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