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Results of a multi-level intervention to prevent and control childhood obesity among Latino children: The Aventuras para niƱos study
Crespo, Noe C. Elder, John P. Ayala, Guadalupe X. Slymen, Donald J. Campbell, Nadia R. Sallis, James F. McKenzie, Thomas L. Baquero, Barbara Arredondo, Elva M.
Crespo, Noe C.
Elder, John P.
Ayala, Guadalupe X.
Slymen, Donald J.
Campbell, Nadia R.
Sallis, James F.
McKenzie, Thomas L.
Baquero, Barbara
Arredondo, Elva M.
Abstract
Background: Community-based interventions are needed to reduce the burden of childhood obesity. Purpose: To evaluate the impact of a multi-level promotora-based (Community Health Advisor) intervention to promote healthy eating and physical activity and prevent excess weight gain among Latino children. Methods: Thirteen elementary schools were randomized to one of four intervention conditions: individual/family level (Family-only), school/community level (Community-only), combined (Familyā+āCommunity), or a measurement-only condition. Participants were 808 Latino parents and their children enrolled in kindergarten through 2nd grade. Measures included parent and child body mass index (BMI) and a self-administered parent survey that assessed several parent and child behaviors. Results: There were no significant intervention effects on childrenās BMI z-score. The family intervention changed several obesity-related child behaviors (e.g., fruit/vegetable consumption) and these were mediated by changes in parenting variables (e.g., parent monitoring). Conclusion: A promotora-based behavioral intervention was efficacious at changing parental factors and child obesity-related health behaviors.
Keywords
childhood obesity, Latino, diet, physical activity
Date
2012
Type
Journal article
Journal
Annals of Behavioral Medicine
Book
Volume
43
Issue
1
Page Range
84-100
Article Number
ACU Department
Mary MacKillop Institute for Health Research
Faculty of Health Sciences
Faculty of Health Sciences
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Relation URI
Source URL
Event URL
Open Access Status
License
File Access
Controlled