scholarly journals Childhood obesity prevention cluster randomized trial for Hispanic families: outcomes of the healthy families study

2016 ◽  
Vol 13 (11) ◽  
pp. 686-696 ◽  
Author(s):  
P. C. Hull ◽  
M. Buchowski ◽  
J. R. Canedo ◽  
B. M. Beech ◽  
L. Du ◽  
...  
2020 ◽  
Vol 17 (1) ◽  
Author(s):  
Nathan C. Nickel ◽  
Malcolm Doupe ◽  
Jennifer E. Enns ◽  
Marni Brownell ◽  
Joykrishna Sarkar ◽  
...  

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Monica L. Wang ◽  
Linda S. Sprague Martinez ◽  
Janice Weinberg ◽  
Selenne Alatorre ◽  
Stephenie C. Lemon ◽  
...  

Abstract Background Reducing sugar-sweetened beverage (SSB) consumption is a promising dietary target for childhood obesity prevention. This paper describes the design and methods of a cluster randomized trial of H2GO!, a youth empowerment intervention to prevent childhood obesity through reducing SSB consumption among a low-income, ethnically diverse sample of youth. Methods This cluster randomized controlled trial is an academic-community partnership with the Massachusetts Alliance of Boys and Girls Clubs (BGC). Ten BGC sites will be randomly assigned to the H2GO! intervention or a wait-list, usual care control. Eligible study participants will be N = 450 parent-child pairs (youth ages 9–12 years and their parents/caregivers) recruited from participating BGCs. The 6-week in-person H2GO! intervention consists of 12 group-based sessions delivered by BGC staff and youth-led activities. An innovative feature of the intervention is the development of youth-produced narratives as a strategy to facilitate youth empowerment and parental engagement. Child outcomes include measured body mass index z scores (zBMI), beverage intake, and youth empowerment. Parent outcomes include beverage intake and availability of SSBs at home. Outcomes will be measured at baseline and at 2, 6, and 12 months. With a 75% retention rate, the study is powered to detect a minimum group difference of 0.1 zBMI units over 12 months. Discussion Empowering youth may be a promising intervention approach to prevent childhood obesity through reducing SSB consumption. This intervention was designed to be delivered through BGCs and is hypothesized to be efficacious, relevant, and acceptable for the target population of low-income and ethnically diverse youth. Trial registration ClinicalTrials.gov NCT04265794. Registered 11 February 2020.


2021 ◽  
pp. 1-25
Author(s):  
Ruby Natale ◽  
Folefac D. Atem ◽  
Cynthia Lebron ◽  
M. Sunil Mathew ◽  
Sitara M. Weerakoon ◽  
...  

Abstract Objective: The prevalence of obesity among preschool-aged children in the United States remains unacceptably high. Here we examine the impact of Healthy Caregivers-Healthy Children (HC2) Phase 2, a child care center (CCC)-based obesity prevention intervention on changes in the CCC nutrition and physical activity environment over two school years. Design: This was a cluster randomized trial with 12 CCC receiving the HC2 intervention arm and 12 in the control arm. The primary outcome was change in the Environment and Policy Assessment and Observation (EPAO) tool over two school years (Fall-2015, Spring-2016 and Spring-2017). Changes in EPAO physical activity and nutrition score were analyzed via a (1) random effects mixed models and (2) mixed models to determine the effect of HC2 versus control. Setting: The study was conducted in 24 CCCs serving low-income, ethnically diverse families in Miami-Dade County. Participants: Intervention CCCs received (1) teachers/parents/children curriculum; (2) snack, beverage, physical activity, and screen time policies; and (3) menu modifications. Results: Two-year EPAO nutrition score changes in intervention CCCs were almost twice that of control CCCs. The EPAO physical activity environment scores only slightly improved in intervention CCCs versus control CCCs. Intervention CCCs showed higher combined EPAO physical activity and nutrition scores compared to control CCCs over the 2-year study period (β=0.09, P=0.05). Conclusions: Obesity prevention programs can have a positive impact on the CCC nutrition environment and can promote healthy weight in early childhood. CCCs may need consistent support to improve the physical activity environment to ensure the policies remain intact.


2009 ◽  
Vol 33 (4) ◽  
pp. 408-417 ◽  
Author(s):  
C Marcus ◽  
G Nyberg ◽  
A Nordenfelt ◽  
M Karpmyr ◽  
J Kowalski ◽  
...  

2013 ◽  
Vol 35 (2) ◽  
pp. 108-121 ◽  
Author(s):  
Roger Zoorob ◽  
Maciej S. Buchowski ◽  
Bettina M. Beech ◽  
Juan R. Canedo ◽  
Rameela Chandrasekhar ◽  
...  

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