Feng Du, Song Huaxin, Esperat M Christina, Black Ipuna
School of Nursing, University of Nevada, Las Vegas
School of Nursing, Texas Tech University Health Science Center, Lubbock, Texas.
Am J Health Promot. 2016 Nov;30(8):594-603. doi: 10.4278/ajhp.140801-QUAN-384. Epub 2016 Jun 17.
This study aimed to examine the effect of a multicomponent intervention program on consumption of sugar-sweetened beverages (SSBs), and lifestyle factors associated with SSB intake, in Hispanic children from low-income families.
A five-wave longitudinal study using a quasi-experimental design was conducted.
Five elementary schools in West Texas served as the setting.
Participants included 555 predominantly Hispanic children (ages 5-9 years) from low-income families and their parents (n = 525).
A multicomponent intervention program was implemented.
Children's anthropometric measures were obtained. Their weight status was determined based on body mass index for age and gender. Parents responded to a demographic questionnaire, a shelf inventory, an acculturation scale, and a family survey.
Growth curve analyses were used to test differences between intervention and comparison participants' SSB intake and to examine potential covariates.
Comparison group children's daily SSB intake significantly increased over time (B = 1.06 ± .40 ounces per month, p < .01), but this linear increase of SSB was slowed down by the intervention (B = -.29 ± .12, p < .05). More daily TV time, more fast food intake, and more types of SSBs available at home were associated with higher SSB intake.
Risk factors of childhood obesity were associated with each other. The intervention program produced a modest reduction in SSB consumed by economically disadvantaged and predominantly Hispanic children.
本研究旨在探讨多成分干预项目对低收入家庭的西班牙裔儿童饮用含糖饮料(SSB)的影响,以及与饮用SSB相关的生活方式因素。
采用准实验设计进行了一项五波纵向研究。
以西德克萨斯州的五所小学为研究地点。
参与者包括555名主要为低收入家庭的西班牙裔儿童(5 - 9岁)及其父母(n = 525)。
实施了一项多成分干预项目。
获取儿童的人体测量指标。根据年龄和性别的体重指数确定他们的体重状况。父母回答了一份人口统计问卷、一份货架库存清单、一份文化适应量表和一份家庭调查问卷。
使用生长曲线分析来检验干预组和对照组参与者在饮用SSB方面的差异,并检查潜在的协变量。
对照组儿童的每日SSB摄入量随时间显著增加(B = 1.06 ± 0.40盎司/月,p < .01),但这种SSB的线性增加因干预而减缓(B = -0.29 ± 0.12,p < .05)。更多的每日看电视时间、更多的快餐摄入量以及家中可获得的SSB种类更多与更高的SSB摄入量相关。
儿童肥胖的危险因素相互关联。该干预项目使经济条件不利且主要为西班牙裔的儿童饮用的SSB量适度减少。