Kilanowski Jill F, Gordon Nahida H
College of Nursing, Michigan State University, East Lansing, Michigan.
School of Medicine and Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio.
Public Health Nurs. 2015 Sep-Oct;32(5):421-9. doi: 10.1111/phn.12175. Epub 2015 Jan 21.
Evaluate the effectiveness of a healthy weight intervention designed for children of migrant farmworkers embedded in a 7-week summer Midwest Migrant Education Program (MEP) for changes in: weight; Body Mass Index (BMI); BMI-percentiles (BMI-p); muscle strength and muscle flexibility; nutrition knowledge; attitudes; and behaviors.
This is a two-group pre-post quasi-experimental study. Latino children of migrant farmworkers attending summer MEP in grades one through eight were enrolled (n = 171: comparison n = 33, intervention n = 138).
Weight, BMI, BMI-p, muscle strength and flexibility, knowledge, and healthy behaviors.
Classroom content included: food variety; increasing fruits and vegetables; healthy breakfasts; more family meals; increasing family time; decreasing TV and electronic game time; increasing physical activity; limiting sugar-sweetened drinks; portion sizes; and food labels.
Statistically significant were increase in comparison group mean weight, decrease in intervention group BMI-p, and improvements in muscle flexibility and healthy behavior attitudes. The intervention students showed trends toward healthy BMI. The number of MEP days attended was significantly correlated in four outcomes.
Study findings have the potential to decrease incidence of unhealthy weight in Latino migrant children, reduce rates of premature adult diseases in these children, and a potential to decrease future health care costs.
评估一项为参加美国中西部为期7周暑期移民教育项目(MEP)的流动农业工人子女设计的健康体重干预措施在以下方面的效果变化:体重、体重指数(BMI)、BMI百分位数(BMI-p)、肌肉力量和肌肉柔韧性、营养知识、态度及行为。
这是一项两组前后对照的准实验研究。招募了参加一至八年级暑期MEP的流动农业工人的拉丁裔子女(n = 171:对照组n = 33,干预组n = 138)。
体重、BMI、BMI-p、肌肉力量和柔韧性、知识及健康行为。
课堂内容包括:食物种类;增加水果和蔬菜摄入量;健康早餐;增加家庭聚餐次数;增加家庭相处时间;减少看电视和玩电子游戏的时间;增加体育活动;限制含糖饮料摄入;食物分量;以及食品标签。
对照组平均体重增加、干预组BMI-p降低以及肌肉柔韧性和健康行为态度改善具有统计学意义。干预组学生的BMI呈现出健康趋势。参加MEP的天数与四项结果显著相关。
研究结果有可能降低拉丁裔移民儿童不健康体重的发生率,降低这些儿童成人期过早发病的几率,并有可能降低未来的医疗保健成本。