ANDALE Pittsburgh: results of a promotora-led, home-based intervention to promote a healthy weight in Latino preschool children
ANDALE Pittsburgh: results of a promotora-led, home-based intervention to promote a healthy weight in Latino preschool children
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DOI：
10.1186/s12889-018-5266-3
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发表时间：
2018-03-16
影响因子：
4.5
通讯作者：
Pate, Russell R.
中科院分区：
文献类型：
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作者：
Ross, Sharon E. Taverno;Gibbs, Bethany Barone;Pate, Russell R.
背景资料：拉丁裔学龄前儿童的肥胖率高于其他种族/族裔群体的学龄前儿童;然而，很少有针对这一群体的有效的、文化上适当的干预措施。本研究的目的是测试的可行性，10周，promotora介导的，以家庭为基础的干预，以促进健康的体重在拉丁美洲学龄前children.Methods：训练有素的promotoras（社区卫生工作者）提供10，90分钟每周互动和量身定制的会议，拉丁美洲家庭生活在阿勒格尼县。参与者是通过发起人自己的社交网络和社区聚会、传单和口口相传招募的。主要结局指标包括儿童体重指数（BMI）z评分和百分位数。次要结果指标包括儿童客观测量的身体活动和饮食摄入，以及家庭社会和物理环境（例如，父母健康行为、父母自我效能、父母支持、家中的体育活动设备）。最终的分析样本包括49 51参与者谁完成了基线和后续assessment.Results：参与者包括母亲（33.5 +/- 6.1岁）和他们的学龄前儿童主要是第一代移民从墨西哥（65%）。BMI百分位数和z评分的主要分析显示干预后无变化。然而，从基线到随访，超重和肥胖儿童的儿童BMI百分位数显著降低（p <0.05）。我们还发现，儿童每日水果和蔬菜摄入量、父母中度至剧烈的体力活动、每日水果和蔬菜摄入量以及自我效能感在治疗前后显著增加;儿童饱和脂肪和添加糖摄入量以及儿童和父母屏幕时间显著减少。结论：尽管干预和随访的时间很短，该试验性研究显示了启动子介导的干预对促进拉丁美洲学龄前儿童健康体重的有希望的效果。
Background: Latino preschool children have higher rates of obesity than preschool children from other racial/ethnic groups; however, few effective, culturally appropriate interventions exist targeting this group. The purpose of this study was to test the feasibility of a 10-week, promotora-mediated, home-based intervention to promote a healthy weight in Latino preschool children.Methods: Trained promotoras (community health workers) delivered 10, 90-min weekly interactive and tailored sessions to Latino families living in Allegheny County. Participants were recruited through promotoras' own social networks and community gatherings, flyers, and word of mouth. Primary outcome measures included child body mass index (BMI) z-score and percentile. Secondary outcome measures included child objectively measured physical activity and dietary intake, and the home social and physical environment (e.g., parent health behaviors, parent self-efficacy, parental support, physical activity equipment in the home). The final analysis sample included 49 of 51 participants who completed both baseline and follow-up assessments.Results: Participants included mothers (33.5 +/- 6.1 years old) and their preschool-aged children who were primarily 1st generation immigrants from Mexico (65%). The primary analyses of BMI percentile and z-score showed no change post-intervention. However, there was a significant decrease in child BMI percentile for overweight and obese children from baseline to follow-up (p < .05). We also saw significant pre/post increases in child daily fruit and vegetable intake, and parent moderate-to-vigorous physical activity, fruit and vegetable servings per day, and self-efficacy; and significant decreases in child saturated fat and added-sugar intake, and child and parent screen time (p's < .05).Conclusions: Despite the short duration of the intervention and follow-up, this pilot study showed promising effects of a promotora-mediated intervention to promote a healthy weight in Latino preschool children.