Latina mothers as agents of change in children's eating habits: findings from the randomized controlled trial Entre Familia: Reflejos de Salud.
Latina mothers as agents of change in children's eating habits: findings from the randomized controlled trial Entre Familia: Reflejos de Salud.
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DOI：
10.1186/s12966-018-0714-0
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发表时间：
2018-10-01
期刊：
影响因子：
--
通讯作者：
Elder JP
中科院分区：
文献类型：
--
作者：
Arredondo EM;Ayala GX;Soto S;Slymen DJ;Horton LA;Parada H;Campbell N;Ibarra L;Engelberg M;Elder JP
很少有儿童摄入足够的水果和蔬菜。旨在改善儿童膳食摄入量的干预措施往往针对父母层面的因素，但有限的研究审查了父母因素对儿童膳食摄入量的中介作用。这项研究检查了来自Entre Familia：Reflejos de Salud(在家庭中：健康的反映)试验的10个月的跟踪数据，以调查(1)对儿童饮食摄入量的干预效果，包括持续的和新的变化，以及(2)母亲饮食摄入量的变化，她的父母养育策略，以及在家庭中促进健康饮食的行为策略是否调节了儿童饮食摄入量的变化。参与者是居住在加利福尼亚州帝国郡的361个墨西哥裔家庭。这些家庭被随机分配到为期4个月的饮食干预或延迟治疗对照组。干预是由推动者(社区卫生工作者)通过家访和电话进行的。评估在基线、基线后4个月和10个月进行。在基线后10个月，观察到对儿童报告的各种蔬菜摄入量的持续干预效果，随着时间的推移，差异越来越大。然而，由于控制组与干预组相比变化较小，控制组对快餐的不同干预效果并未持续。对含糖饮料的食用观察到了新的干预效果。然而，干预措施仍然对儿童报告的水果和蔬菜摄入量以及所食用的水果种类没有影响。母亲报告的增加纤维和降低脂肪的行为策略在干预与儿童各种蔬菜摄入量之间的关系中起到了中介作用。母亲从脂肪中获得的能量百分比和降低脂肪的行为策略是孩子们每天摄入的含糖饮料的中介。这项研究表明，由推动者领导的基于家庭的干预可以为母亲提供技能，促进儿童饮食的适度变化。研究与父母相关的变化机制将为未来改善儿童饮食的重要目标的干预措施提供信息。Https://clinicaltrials.gov/.NCT02441049。追溯注册时间为2015年6月5日。
Few children consume sufficient servings of fruits and vegetables. Interventions aiming to improve children’s dietary intake often target parent level factors, but limited research has examined the mediating role of parental factors on children’s dietary intake. This study examined 10-month follow up data from the Entre Familia: Reflejos de Salud (Within the Family: Reflections of Health) trial to investigate (1) intervention effects on children’s dietary intake, both sustained and new changes, and (2) whether changes in mothers’ dietary intake, her parenting strategies, and behavioral strategies to promoting healthy eating in the home mediated changes in children’s dietary intake. Participants were 361 Mexican-origin families living in Imperial County, California. Families were randomly assigned to a 4-month dietary intervention or a delayed treatment control group. The intervention was delivered by promotoras (community health workers) via home visits and telephone calls. Assessments occurred at baseline, and 4- and 10-months post-baseline. At 10-months post-baseline, sustained intervention effects were observed on children’s reported intake of varieties of vegetables, with differences getting larger over time. However, differential intervention effects on fast food were not sustained due to significant reductions in the control group compared with smaller changes in the intervention group. New intervention effects were observed on servings of sugar-sweetened beverages. However, the intervention continued to have no effect on children’s reported fruit and vegetable servings, and varieties of fruits consumed. Mother-reported behavioral strategies to increase fiber and lower fat mediated the relationship between the intervention and children’s intake of varieties of vegetables. Mothers’ percent energy from fat and behavioral strategies to lower fat were mediators of children’s daily servings of sugar-sweetened beverages. This study suggests that a promotora-led family based intervention can provide mothers with skills to promote modest changes in children’s diet. Examining the parent related mechanisms of change will inform future interventions on important targets for improving children’s diet. https://clinicaltrials.gov/. NCT02441049. Retrospectively registered 05.06.2015.
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影响因子：
4.4
作者：
Ayala, Guadalupe X.;Ibarra, Leticia;Elder, John P.
通讯作者：
Elder, John P.
影响因子：
4.2
作者：
Horton, Lucy A.;Ayala, Guadalupe X.;Elder, John P.
通讯作者：
Elder, John P.
影响因子：
5.4
作者：
Hedrick VE;Dietrich AM;Estabrooks PA;Savla J;Serrano E;Davy BM
通讯作者：
Davy BM
DOI：
10.1111/j.1748-0361.2012.00411.x
发表时间：
2012
期刊：
The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association
影响因子：
--
作者：
Befort CA;Nazir N;Perri MG
通讯作者：
Perri MG
影响因子：
5.4
作者：
Blissett, Jackie
通讯作者：
Blissett, Jackie