Diet Outcomes from a Randomized Controlled Trial Assessing a Parenting Intervention Simultaneously Targeting Healthy Eating and Substance Use Prevention among Hispanic Middle-School Adolescents.

Diet Outcomes from a Randomized Controlled Trial Assessing a Parenting Intervention Simultaneously Targeting Healthy Eating and Substance Use Prevention among Hispanic Middle-School Adolescents.
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DOI:
10.3390/nu15173790
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发表时间:
2023-08-30
期刊:
影响因子:
5.9
通讯作者:
Perilla, Alex
Perilla, Alex
中科院分区:
医学2区
文献类型:
--
作者:
Vega-Lopez, Sonia;Ayers, Stephanie;Gonzalvez, Anaid;Campos, Ana Paola;Marsiglia, Flavio F.;Bruening, Meg;Rankin, Lela;Luna, Beatriz Vega;Biggs, Elizabeth;Perilla, Alex

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父母在青少年健康行为中发挥着重要作用;然而,针对西班牙裔青少年的营养干预措施很少有父母参与。这项研究评估了同时针对营养和物质使用预防的为期10周的父母干预的效果。西班牙裔父母/6-8年级青少年二人组(n=239)被随机分配到准备新生代+(FPNG+;营养/物质使用预防)、FPNG(仅预防物质使用)或实现美国梦(RAD;学业成功控制)的家庭。调查评估了基线(T1)、干预后立即(T2)和干预后16周(T3)的饮食、酒精使用、物质使用意向和物质使用规范。潜伏变化模型评估了饮食变化;青少年物质使用结果是使用效果大小评估的。在青少年中,服用FPNG+组的青少年增加了水果(+0.32杯当量,p=0.022)和纤维的摄入量(+1.06g,p=0.048),而在T2时没有改变添加糖的摄入量;服用FPNG和RAD的青少年减少了水果和纤维的摄入量(p<0.05)。与RAD和FPNG父母的减少相反,FPNG+父母略微增加了水果/蔬菜的摄入量(+0.17杯当量,p=0.054)和全谷类的摄入量(+0.25盎司当量,p<0.05)。与RAD亲本相比,在T2时,与RAD亲本相比,FPNG和FPNG+亲本的添加糖摄入量减少更多(p<0.05)。FPNG+和FPNG具有类似的物质使用结果(即,与RAD相比,两者的酒精使用和使用物质的意图都较低)。让父母参与营养和物质使用预防的育儿干预措施使其青春期子女的饮食摄入量发生了积极变化,并保持了预防物质使用的结果。
Parents play a significant role in adolescent health behaviors; however, few nutrition interventions for Hispanic adolescents involve parents. This study assessed the effects of a 10-week parenting intervention simultaneously targeting nutrition and substance use prevention. Hispanic parent/6th–8th-grade adolescent dyads (n = 239) were randomized to Families Preparing the New Generation Plus (FPNG+; nutrition/substance use prevention), FPNG (substance use prevention only), or Realizing the American Dream (RAD; academic success control). Surveys assessed diet, alcohol use, substance use intentions, and substance use norms at baseline (T1), immediately post-intervention (T2), and at 16 weeks post-intervention (T3). Latent change modeling assessed diet changes; adolescent substance use outcomes were assessed using effect sizes. Among adolescents, those in FPNG+ increased fruit (+0.32 cup equivalents, p = 0.022) and fiber intake (+1.06 g, p = 0.048) and did not change added sugars intake at T2; those in FPNG and RAD reduced their intake of fruit and fiber (p < 0.05 for both). FPNG+ parents marginally increased fruit/vegetable intake (+0.17 cup equivalents, p = 0.054) and increased whole grains intake (+0.25-ounce equivalents, p < 0.05), in contrast to the reduction among RAD and FPNG parents (p < 0.05). Reductions in added sugar intake at T2 were greater among FPNG and FPNG+ parents relative to RAD parents (p < 0.05). FPNG+ and FPNG had comparable substance use outcomes (i.e., both had lower alcohol use and intentions to use substances relative to RAD). Engaging parents in a nutrition and substance use prevention parenting intervention yielded positive changes in dietary intake and maintained substance use prevention outcomes among their adolescent children.
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