Outcomes from an Urban Pediatric Obesity Program Targeting Minority Youth: The Healthy Hawks Program
Outcomes from an Urban Pediatric Obesity Program Targeting Minority Youth: The Healthy Hawks Program
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DOI：
10.1089/chi.2013.0053
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发表时间：
2013-12-01
影响因子：
2.5
通讯作者：
Suminski, Richard
中科院分区：
文献类型：
--
作者：
Davis, Ann M.;Daldalian, Marina C.;Suminski, Richard
背景：这项研究的目的是描述一组城市、少数民族、低收入家庭的基于家庭的行为团体治疗方案的结果。方法：210个家庭登记参加为期12周的基于家庭的儿童肥胖行为团体治疗方案。该方案以英语和西班牙语提供，面向低收入、高度多样化的青年和家庭的入学。主要结果包括儿童BMI z-Score(ZBMI)、母亲BMI、3日饮食记录和加速度计。结果：71%的登记家庭完成了为期12周的计划。儿童ZBMI(p<；0.001)和母亲BMI(p<；0.001)、儿童KCAL(p<；0.001)、含糖饮料(p=0.017)和红色食品(p<；0.001)都取得了显著的12周结果。只有儿童zBMI在1岁时仍有显著变化(p<；0.05)。体力活动的结果并不显著，也没有达到预期的方向。不同种族/民族的结果没有差异，但根据年龄，年龄较小的儿童在基线时zBMI更高，也更有可能在干预期间降低zBMI。结论：可以招募和维持城市、少数民族、低收入家庭参加以家庭为基础的儿童肥胖行为团体治疗计划。结果数据表明，这些家庭在zBMI方面取得了显著的成果，继续接受评估的儿童将这一水平维持在1岁，这比之前使用其他干预方法对这一人群进行的研究有所改善。
Background: The aim of this study was to describe the outcomes of a family-based behavioral group treatment program with a group of urban, minority, low-income families.Methods: Two hundred and ten families enrolled in a 12-week family-based behavioral group treatment program for pediatric obesity. The program was offered in English and in Spanish and targeted the enrollment of low-income highly diverse youth and families. Primary outcome measures included child BMI z-score (zBMI), maternal BMI, 3-day diet record, and accelerometer.Results: Seventy-one percent of enrolled families completed the 12-week program. Significant 12-week outcomes were achieved for child zBMI (p < 0.001) and for maternal BMI (p < 0.001), as well as for child kcals (p < 0.001), sugar-sweetened beverages (p = 0.017), and red foods (p < 0.001). Only change in child zBMI remained significant at 1 year (p < 0.05). Physical activity outcomes were not significant and not in the expected direction. There were no differences in outcome by race/ethnicity, but by age, younger children had higher zBMI at baseline and were also more likely to decrease zBMI during the intervention.Conclusions: It is possible to enroll and maintain urban, minority, low-income families in a family-based behavioral group treatment program for pediatric obesity. Outcome data indicate that these families achieve significant outcomes on zBMI, and that children who remain available for assessment maintain this at 1 year, which is an improvement over previous research using other intervention methodologies with this population.