Center for Indigenous Health Research and Policy, Oklahoma State University Center for Health Sciences, Tulsa, OK, United States.
Department of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA, United States.
Front Public Health. 2022 Feb 22;10:790008. doi: 10.3389/fpubh.2022.790008. eCollection 2022.
To increase vegetable and fruit intake, reduce body mass index (BMI), and improve parental blood pressure among American Indian families.
Randomized, wait-list controlled trial testing a multi-level (environmental, community, family, and individual) multi-component intervention with data collection at baseline and 6 months post-intervention.
Tribally owned and operated Early Childhood Education (ECE) programs in the Osage Nation in Oklahoma.
American Indian families (at least one adult and one child in a ECE program). A sample size of 168 per group will provide power to detect differences in fruit and vegetable intake.
The 6-month intervention consisted of a (1) ECE-based nutrition and gardening curriculum; (2) nutrition education and food sovereignty curriculum for adults; and (3) ECE program menu modifications.
The primary outcome is increase in fruit and vegetable intake, assessed with a 24-h recall for adults and plate weight assessments for children. Secondary outcomes included objective measures of BMI among adults and children and blood pressure among adults.
增加美籍印第安人家族的蔬菜和水果摄入量，降低体重指数（BMI），并改善其父母的血压。
随机、等待名单对照试验，测试一种多层次（环境、社区、家庭和个人）多成分干预措施，在干预前和干预后 6 个月收集数据。
俄克拉荷马州奥塞奇民族部落所有和运营的幼儿教育（ECE）计划。
美籍印第安人家族（ECE 计划中至少有一名成人和一名儿童）。每组 168 人的样本量将提供检测水果和蔬菜摄入量差异的能力。
为期 6 个月的干预措施包括（1）以 ECE 为基础的营养和园艺课程；（2）成人营养和食物主权教育课程；以及（3）ECE 计划菜单修改。
主要结果是增加成年人的水果和蔬菜摄入量，通过成年人的 24 小时回忆和儿童的餐盘重量评估来评估。次要结果包括成年人和儿童的 BMI 客观测量以及成年人的血压。
