The Healthy Children, Strong Families intervention promotes improvements in nutrition, activity and body weight in American Indian families with young children

Public Health Nutrition

Kate A Cronin¹  Ronald J Prince¹  Alexandra K Adams¹  Emily J Tomayko¹ 

关键词: Home-based intervention;    Nutrition;    Physical activity;    Paediatric obesity;    Early childhood;    American Indian;    Community-based participatory research;    Family;   

DOI  :  10.1017/S1368980016001014

学科分类：卫生学

来源: Cambridge University Press

【 摘 要 】

AbstractObjectiveAmerican Indian children of pre-school age have disproportionally high obesity rates and consequent risk for related diseases. Healthy Children, Strong Families was a family-based randomized trial assessing the efficacy of an obesity prevention toolkit delivered by a mentor v. mailed delivery that was designed and administered using community-based participatory research approaches.DesignDuring Year 1, twelve healthy behaviour toolkit lessons were delivered by either a community-based home mentor or monthly mailings. Primary outcomes were child BMI percentile, child BMI Z-score and adult BMI. Secondary outcomes included fruit/vegetable consumption, sugar consumption, television watching, physical activity, adult health-related self-efficacy and perceived health status. During a maintenance year, home-mentored families had access to monthly support groups and all families received monthly newsletters.SettingFamily homes in four tribal communities, Wisconsin, USA.SubjectsAdult and child (2–5-year-olds) dyads (n 150).ResultsNo significant effect of the mentored v. mailed intervention delivery was found; however, significant improvements were noted in both groups exposed to the toolkit. Obese child participants showed a reduction in BMI percentile at Year 1 that continued through Year 2 (P

【 授权许可】

Unknown