Family-Based Hip-Hop to Health: Outcome Results

Family-Based Hip-Hop to Health: Outcome Results
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DOI:
10.1002/oby.20269
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发表时间:
2013-02-01
期刊:
影响因子:
6.9
通讯作者:
Dyer, Alan R.
Dyer, Alan R.
中科院分区:
医学2区
文献类型:
--
作者:
Fitzgibbon, Marian L.;Stolley, Melinda R.;Dyer, Alan R.

文献摘要

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目的:本试点研究检验了以家庭为基础的Hip-Hop to Health,一项针对3-5岁拉丁裔儿童及其父母的以学校为基础的肥胖预防干预的可行性,并估计其在1年随访中产生较小的BMI平均变化的有效性。设计和方法:通过芝加哥公立学校管理的四所学前教育先导学校被随机分配接受基于家庭的干预(FBI)或一般健康干预(GHI)。结果:参与研究的157名儿童中,有147名的家长签署了同意书。以学校为基础的干预和以家庭为基础的干预都是可行的,但家长干预会议的出席率很低。与预期相反,在干预组和对照组中都观察到BMI Z-score的下降趋势。结论:虽然数据反映了这些西班牙裔儿童的肥胖率呈下降趋势,但在1年的随访中,肥胖率(15%)仍然高于2-5岁儿童(12.1%)的国家健康与营养调查(2009-2010)。在西班牙裔家庭中制定基于证据的肥胖预防策略仍然是一项挑战。
Objective: This pilot study tested the feasibility of Family-Based Hip-Hop to Health, a school-based obesity prevention intervention for 3-5-year-old Latino children and their parents, and estimated its effectiveness in producing smaller average changes in BMI at 1-year follow-up.Design and Methods: Four Head Start preschools administered through the Chicago Public Schools were randomly assigned to receive a Family-Based Intervention (FBI) or a General Health Intervention (GHI).Results: Parents signed consent forms for 147 of the 157 children enrolled. Both the school-based and family-based components of the intervention were feasible, but attendance for the parent intervention sessions was low. Contrary to expectations, a downtrend in BMI Z-score was observed in both the intervention and control groups.Conclusions: While the data reflect a downward trend in obesity among these young Hispanic children, obesity rates remained higher at 1-year follow-up (15%) than those reported by the National Health and Nutrition Examination Survey (2009-2010) for 2-5-year-old children (12.1%). Developing evidence-based strategies for obesity prevention among Hispanic families remains a challenge.