Reducing Screen-Based Sedentary Behavior Among Overweight and Obese Hispanic Adolescents Through a Family-Based Intervention.
Reducing Screen-Based Sedentary Behavior Among Overweight and Obese Hispanic Adolescents Through a Family-Based Intervention.
复制标题
通过基于家庭的干预措施减少超重和肥胖西班牙裔青少年基于屏幕的久坐行为。
DOI：
10.1123/jpah.2022-0050
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发表时间：
2022
影响因子：
3.1
通讯作者：
Prado,Guillermo
中科院分区：
文献类型：
--
作者：
Perrino,Tatiana;Brincks,AhnaleeM;Estrada,Yannine;Messiah,SarahE;Prado,Guillermo
背景：久坐行为，包括基于屏幕的活动，与肥胖，心血管和心理健康风险有关。在美国，少数民族和社会经济弱势青年从事大量久坐，需要有针对性的干预。Familias Unidas for Health and Wellness（FUHW）是一项家庭干预措施，旨在降低西班牙裔青少年超重和肥胖的风险。分析研究了（1）FUHW对父母和青少年基于屏幕的久坐行为的影响，以及（2）青少年性别，内化症状和体重指数的差异干预效果。方法：共有280名超重/肥胖的西班牙裔中学生和父母被随机分配到FUHW或对照组，并在2015年至2019年的基线，6，12和24个月进行评估。线性增长模型显示，随着时间的推移，暴露于FUHW与父母久坐行为无关（B=-0.11，P = .32），但与青少年久坐行为的减少有关（B=-0.27，P = .03）。无论是性别还是内化症状调节干预效果，但有身体质量指数的差异影响。与对照组相比，FUHW显示超重（B=-0.85，P <0.01）和肥胖（B=-0.79，P <0.01）青年的久坐行为显著减少，但严重肥胖青年的久坐行为没有减少。患有严重肥胖症的青少年需要额外的干预。
Background:Sedentary behaviors, including screen-based activities, are associated with obesity, cardiovascular, and mental health risks. In the US, minority and socioeconomically disadvantaged youth engage in substantial sedentariness, requiring targeted interventions. Familias Unidas for Health and Wellness (FUHW) is a family intervention to reduce risks among Hispanic youth with overweight and obesity. Analyses examined (1) FUHW’s impact on parent and adolescent screen-based sedentary behavior and (2) differential intervention effects by adolescent gender, internalizing symptoms, and body mass index.Methods:A total of 280 overweight/obese Hispanic middle schoolers and parents were randomized to FUHW or control and assessed at baseline, 6, 12, and 24 months between 2015 and 2019.Results:Linear growth models showed that exposure to FUHW was not associated with parent sedentary behavior over time (b= −0.11,P= .32) but was associated with decreases in adolescent sedentary behavior (b= −0.27,P= .03). Neither gender nor internalizing symptoms moderated intervention effects, but there were differential effects by body mass index. Compared to controls, FUHW showed significant decreases in sedentary behavior among overweight (b= −0.85,P< .01) and obese (b= −0.79,P< .01) youth but not severely obese youth.Conclusions:FUHW reduced youth screen-based sedentary behavior. Youth with severe obesity require additional intervention.