The Effect of Parental Diabetes Prevention Program Participation on Weight Loss in Dependent Children: A Prospective Cohort Study

The Effect of Parental Diabetes Prevention Program Participation on Weight Loss in Dependent Children: A Prospective Cohort Study | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article The Effect of Parental Diabetes Prevention Program Participation on Weight Loss in Dependent Children: A Prospective Cohort Study Namratha Atluri, Joshua Thariath, Laura N. McEwen, Wen Ye, MinKyoung Song, and 1 more This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-1638060/v1 This work is licensed under a CC BY 4.0 License Status: Published Journal Publication published 10 Dec, 2023 Read the published version in Cardiovascular Diabetology - Endocrinology Reports → Version 1 posted 6 You are reading this latest preprint version Abstract Introduction: Obesity has reached epidemic proportions in children and adolescents in the United States. Children’s behaviors are strongly influenced by parental behaviors, and weight loss in parents is positively associated with weight changes in their overweight/obese children. Research is limited on how parents’ National Diabetes Prevention Program (DPP) participation affects the health outcomes of their dependent children. Analyzing the impact of parental DPP participation on weight loss in their dependent children may provide valuable insight into an important secondary benefit of DPP participation. Methods: In this study, we identified 128 adults with prediabetes who were offered the opportunity to participate in a DPP (n = 54 DPP participants and n = 74 DPP non-participants) and who had at least one child 3 to 17 years of age living with them. Age and BMI percentile for dependent children were collected from insurance claims data for 203 children (n = 90 children of DPP participants and n = 113 children of DPP non-participants). Children’s changes in diet and physical activity, as assessed by parental surveys, were reported as secondary outcomes. Results: There were no significant changes in BMI percentiles of overweight or obese children (i.e. BMI percentile ≥ 50%) of DPP participants vs DPP non-participants with prediabetes over one-year. Parents who enrolled and did not enroll in the DPP did not differ in the advice they reported giving to their children about eating a healthy diet or engaging in regular physical activity. Discussion: These results are not consistent with the literature that suggests parent-based interventions may influence their children’s weight trajectories. Limitations include small sample size, short time span of intervention, and limited availability of additional health/biographic data on dependent children. Future studies should collect primary outcome data on children, investigate whether there is a minimum duration of parental involvement and level of parental adherence, and assess the effect of parent-child dynamics on child weight trajectories. national diabetes prevention program prediabetes children obesity Full Text Cite Share Download PDF Status: Published Journal Publication published 10 Dec, 2023 Read the published version in Cardiovascular Diabetology - Endocrinology Reports → Version 1 posted Editorial decision: Minor revision 09 Oct, 2023 Reviewers agreed at journal 12 Sep, 2022 Reviewers invited by journal 12 Sep, 2022 Editorial decision: Accept 17 May, 2022 Editor assigned by journal 16 May, 2022 First submitted to journal 13 May, 2022 You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. 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Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-1638060","acceptedTermsAndConditions":true,"allowDirectSubmit":false,"archivedVersions":[],"articleType":"Research Article","associatedPublications":[],"authors":[{"id":135991451,"identity":"2128f870-69b8-4aef-9306-da581148b94d","order_by":0,"name":"Namratha Atluri","email":"","orcid":"https://orcid.org/0000-0003-1944-8123","institution":"University of Michigan Medical School","correspondingAuthor":false,"submittingAuthor":false,"prefix":"","firstName":"Namratha","middleName":"","lastName":"Atluri","suffix":""},{"id":135991452,"identity":"29eefacc-e85a-4504-a8bc-3197708f9928","order_by":1,"name":"Joshua Thariath","email":"","orcid":"","institution":"University of Michigan Medical School","correspondingAuthor":false,"submittingAuthor":false,"prefix":"","firstName":"Joshua","middleName":"","lastName":"Thariath","suffix":""},{"id":135991453,"identity":"13ffc73f-5e36-4b57-8582-21ead608c1e2","order_by":2,"name":"Laura N. 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Children’s behaviors are strongly influenced by parental behaviors, and weight loss in parents is positively associated with weight changes in their overweight/obese children. Research is limited on how parents’ National Diabetes Prevention Program (DPP) participation affects the health outcomes of their dependent children. Analyzing the impact of parental DPP participation on weight loss in their dependent children may provide valuable insight into an important secondary benefit of DPP participation.\u0026nbsp;\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eMethods:\u003c/strong\u003e In this study, we identified 128 adults with prediabetes who were offered the opportunity to participate in a DPP (n = 54 DPP participants and n = 74 DPP non-participants) and who had at least one child 3 to 17 years of age living with them. Age and BMI percentile for dependent children were collected from insurance claims data for 203 children (n = 90 children of DPP participants and n = 113 children of DPP non-participants). Children’s changes in diet and physical activity, as assessed by parental surveys, were reported as secondary outcomes.\u0026nbsp;\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eResults: \u003c/strong\u003eThere were no significant changes in BMI percentiles of overweight or obese children (i.e. BMI percentile ≥ 50%) of DPP participants vs DPP non-participants with prediabetes over one-year. 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Future studies should collect primary outcome data on children, investigate whether there is a minimum duration of parental involvement and level of parental adherence, and assess the effect of parent-child dynamics on child weight trajectories.\u003c/p\u003e","manuscriptTitle":"The Effect of Parental Diabetes Prevention Program Participation on Weight Loss in Dependent Children: A Prospective Cohort Study","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2022-09-21 18:19:25","doi":"10.21203/rs.3.rs-1638060/v1","editorialEvents":[{"type":"communityComments","content":0},{"type":"decision","content":"Minor revision","date":"2023-10-09T07:14:01+00:00","index":"","fulltext":""},{"type":"reviewerAgreed","content":"","date":"2022-09-12T12:23:34+00:00","index":0,"fulltext":""},{"type":"reviewersInvited","content":"","date":"2022-09-12T11:55:23+00:00","index":"","fulltext":""},{"type":"decision","content":"Accept","date":"2022-05-17T13:50:07+00:00","index":"","fulltext":""},{"type":"editorAssigned","content":"","date":"2022-05-17T00:45:21+00:00","index":"","fulltext":""},{"type":"submitted","content":"Clinical Diabetes and Endocrinology","date":"2022-05-13T07:50:37+00:00","index":"","fulltext":""}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"cardiovascular-diabetology-endocrinology-reports","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"cden","sideBox":"Learn more about [Clinical Diabetes and Endocrinology](http://clindiabetesendo.biomedcentral.com/)","snPcode":"40842","submissionUrl":"https://submission.springernature.com/new-submission/40842/3","title":"Cardiovascular Diabetology - Endocrinology Reports","twitterHandle":"@BioMedCentral","acdcEnabled":true,"dfaEnabled":true,"editorialSystem":"stoa","reportingPortfolio":"BMC/SO AJ","inReviewEnabled":true,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"998a2c0a-1285-430e-a278-1392e85f85db","owner":[],"postedDate":"September 21st, 2022","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"published-in-journal","subjectAreas":[],"tags":[],"updatedAt":"2023-12-11T15:03:45+00:00","versionOfRecord":{"articleIdentity":"rs-1638060","link":"https://doi.org/10.1186/s40842-023-00154-5","journal":{"identity":"cardiovascular-diabetology-endocrinology-reports","isVorOnly":false,"title":"Cardiovascular Diabetology - Endocrinology Reports"},"publishedOn":"2023-12-10 15:01:11","publishedOnDateReadable":"December 10th, 2023"},"versionCreatedAt":"2022-09-21 18:19:25","video":"","vorDoi":"10.1186/s40842-023-00154-5","vorDoiUrl":"https://doi.org/10.1186/s40842-023-00154-5","workflowStages":[]},"version":"v1","identity":"rs-1638060","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-1638060","identity":"rs-1638060","version":["v1"]},"buildId":"FbvkV6FR0MCFSLy54lSbu","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}