Department of Nutrition and Food Studies, George Mason University, Fairfax, VA.
Division of Health and Human Performance, George Mason University, Fairfax, VA.
J Nutr Educ Behav. 2020 Jan;52(1):55-63. doi: 10.1016/j.jneb.2019.10.002. Epub 2019 Nov 7.
To determine the feasibility of a pediatric weight management program for low-income Latino families.
A pretest-posttest pilot study was conducted among 60 Latino children, aged 4-9, who were overweight/obese (body mass index-for-age ≥85th percentile). The 10-week group-based community program addressed diet, exercise, and behavior modification. Demand was assessed through recruitment and attendance, acceptability using postintervention surveys with participants, and limited efficacy testing of participant anthropometrics and cardiometabolic markers.
Overall 65% of families were retained for follow-up. All families reported feeling more confident in making healthier food choices and would participate in the program again. Pre/post intervention testing found statistically significant decreases (P < .05) in body mass index for age z score, waist circumference, and % body fat.
This culturally adapted group intervention for Latino families was acceptable and shows promise for improved health status, although it needs to be replicated with a larger group and longer follow-up.
确定针对低收入拉丁裔家庭的儿科体重管理计划的可行性。
对 60 名超重/肥胖（年龄别体重指数≥第 85 百分位数）的 4-9 岁拉丁裔儿童进行了预试验-后试验的试点研究。为期 10 周的基于小组的社区方案解决了饮食、运动和行为改变问题。通过招募和出勤率评估需求，通过对参与者进行干预后的调查评估可接受性，并对参与者的人体测量和心血管代谢标志物进行有限的功效测试。
总体而言，有 65%的家庭被保留进行随访。所有家庭都表示对做出更健康的食物选择更有信心，并愿意再次参加该计划。干预前后的测试发现，年龄别体重指数 z 评分、腰围和体脂百分比均有统计学意义的下降（P<0.05）。
针对拉丁裔家庭的这种文化适应性小组干预是可以接受的，并且显示出改善健康状况的潜力，尽管还需要在更大的群体中并进行更长时间的随访来复制。
