Results of a Multi-level Intervention to Prevent and Control Childhood Obesity among Latino Children: The Aventuras Para Nios Study
Results of a Multi-level Intervention to Prevent and Control Childhood Obesity among Latino Children: The Aventuras Para Nios Study
复制标题
DOI：
10.1007/s12160-011-9332-7
复制
发表时间：
2012-02-01
影响因子：
3.8
通讯作者：
Arredondo, Elva M.
中科院分区：
文献类型：
--
作者：
Crespo, Noe C.;Elder, John P.;Arredondo, Elva M.
需要以社区为基础的干预措施来减轻儿童肥胖的负担。为了评估以社区健康顾问为基础的多级促进者(社区健康顾问)干预对促进健康饮食和体育活动并防止拉美裔儿童超重增加的影响。13所小学被随机分为四种干预条件之一：个人/家庭水平(仅限家庭)、学校/社区水平(仅限社区)、综合(家庭+社区)或仅限测量条件。参与者是808名拉丁裔家长和他们的孩子，他们从幼儿园到二年级。测量包括父母和孩子的身体质量指数(BMI)和一项自我管理的父母调查，该调查评估了几种父母和孩子的行为。对儿童的BMI z分数没有显著的干预效果。家庭干预改变了几个与肥胖相关的儿童行为(例如，水果/蔬菜的消费)，这些改变是通过父母养育变量的变化(例如，父母监测)来调节的。基于促进剂的行为干预在改变父母因素和儿童肥胖相关健康行为方面是有效的。
Community-based interventions are needed to reduce the burden of childhood obesity.To evaluate the impact of a multi-level promotora-based (Community Health Advisor) intervention to promote healthy eating and physical activity and prevent excess weight gain among Latino children.Thirteen elementary schools were randomized to one of four intervention conditions: individual/family level (Family-only), school/community level (Community-only), combined (Family + Community), or a measurement-only condition. Participants were 808 Latino parents and their children enrolled in kindergarten through 2(nd) grade. Measures included parent and child body mass index (BMI) and a self-administered parent survey that assessed several parent and child behaviors.There were no significant intervention effects on children's BMI z-score. The family intervention changed several obesity-related child behaviors (e.g., fruit/vegetable consumption) and these were mediated by changes in parenting variables (e.g., parent monitoring).A promotora-based behavioral intervention was efficacious at changing parental factors and child obesity-related health behaviors.