Department of Otolaryngology, University of Miami Miller School of Medicine, Miami, FL, USA.
Center for Children and Families, Department of Psychology, Florida International University, Miami, FL, USA.
Child Obes. 2022 Jul;18(5):350-359. doi: 10.1089/chi.2021.0152. Epub 2021 Dec 14.
Pediatric obesity represents a significant public health concern, especially for Hispanic school-aged children. This study examined via a randomized trial the efficacy of a family-based intervention [Healthy Lifestyle Summer Camp and Parenting program (HLSC+HLPP)] compared with a child-based camp intervention [Healthy Lifestyle Summer Camp (HLSC)] on improving child and parent health outcomes. Participants included 24 children ( = 11 HLSC+HLPP; = 13 HLSC) with a mean age of 6.17 years (range 4-9 years) who were mostly Hispanic (87.5%) and were classified as overweight or obese, and their primary caregiver. Various anthropometric, physical activity, nutrition, and parenting outcomes were collected pre-/post-intervention. Results indicated that both interventions were feasible and acceptable. There were no statistically significant differences between groups; however, both groups demonstrated a decrease in child BMI -score (HLSC+HLPP: = -0.31; HLSC: = -0.31) and increase in child fitness (HLSC+HLPP: = 1.70; HLSC: = 1.77), nutritional health classification (HLSC+HLPP: = 1.54; HLSC: = 0.82), nutrition expressive knowledge (HLSC+HLPP: = 1.03; HLSC: = 1.06), and parental monitoring (HLSC+HLPP: = 0.51; HLSC: = 0.49) after the intervention. These findings highlight the feasibility, acceptability, and improvement of child health outcomes after both interventions. Future research should examine group differences during a follow-up period as well as employ a larger sample.
儿科肥胖症是一个重大的公共卫生问题,尤其是对于西班牙裔学龄儿童而言。本研究通过一项随机试验,考察了基于家庭的干预措施[健康生活方式夏令营和父母计划(HLSC+HLPP)]与基于儿童的夏令营干预措施[健康生活方式夏令营(HLSC)]在改善儿童和家长健康结果方面的效果。参与者包括 24 名儿童( = 11 名 HLSC+HLPP; = 13 名 HLSC),平均年龄为 6.17 岁(范围 4-9 岁),他们主要是西班牙裔(87.5%),被归类为超重或肥胖,并由其主要照顾者陪同。在干预前后收集了各种人体测量学、身体活动、营养和养育结果。结果表明,两种干预措施都是可行且可接受的。组间没有统计学上的显著差异;然而,两组儿童的 BMI 得分都有所下降(HLSC+HLPP: = -0.31;HLSC: = -0.31),儿童的体能都有所提高(HLSC+HLPP: = 1.70;HLSC: = 1.77),营养健康分类(HLSC+HLPP: = 1.54;HLSC: = 0.82),营养表达知识(HLSC+HLPP: = 1.03;HLSC: = 1.06),以及父母监督(HLSC+HLPP: = 0.51;HLSC: = 0.49)。这些发现强调了两种干预措施的可行性、可接受性和儿童健康结果的改善。未来的研究应该在随访期间检查组间差异,并采用更大的样本量。