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ANDALE Pittsburgh: results of a promotora-led, home-based intervention to promote a healthy weight in Latino preschool children.
BMC Public Health. 2018 03 16; 18(1):360.BP

Abstract

BACKGROUND

Latino preschool children have higher rates of obesity than preschool children from other racial/ethnic groups; however, few effective, culturally appropriate interventions exist targeting this group. The purpose of this study was to test the feasibility of a 10-week, promotora-mediated, home-based intervention to promote a healthy weight in Latino preschool children.

METHODS

Trained promotoras (community health workers) delivered 10, 90-min weekly interactive and tailored sessions to Latino families living in Allegheny County. Participants were recruited through promotoras' own social networks and community gatherings, flyers, and word of mouth. Primary outcome measures included child body mass index (BMI) z-score and percentile. Secondary outcome measures included child objectively measured physical activity and dietary intake, and the home social and physical environment (e.g., parent health behaviors, parent self-efficacy, parental support, physical activity equipment in the home). The final analysis sample included 49 of 51 participants who completed both baseline and follow-up assessments.

RESULTS

Participants included mothers (33.5 ± 6.1 years old) and their preschool-aged children who were primarily 1st generation immigrants from Mexico (65%). The primary analyses of BMI percentile and z-score showed no change post-intervention. However, there was a significant decrease in child BMI percentile for overweight and obese children from baseline to follow-up (p < .05). We also saw significant pre/post increases in child daily fruit and vegetable intake, and parent moderate-to-vigorous physical activity, fruit and vegetable servings per day, and self-efficacy; and significant decreases in child saturated fat and added-sugar intake, and child and parent screen time (p's < .05).

CONCLUSIONS

Despite the short duration of the intervention and follow-up, this pilot study showed promising effects of a promotora-mediated intervention to promote a healthy weight in Latino preschool children.

Authors+Show Affiliations

Department of Health and Physical Activity, University of Pittsburgh, 32 Oak Hill Court, Pittsburgh, PA, 15261, USA. seross@pitt.edu.Department of Health and Physical Activity, University of Pittsburgh, 32 Oak Hill Court, Pittsburgh, PA, 15261, USA.Department of Behavioral and Community Health Sciences, University of Pittsburgh, 130 De Soto Street, Pittsburgh, PA, 15261, USA.Department of Exercise Science, University of South Carolina, 921 Assembly Street, Columbia, SC, 29208, USA.

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

29548321

Citation

Taverno Ross, Sharon E., et al. "ANDALE Pittsburgh: Results of a Promotora-led, Home-based Intervention to Promote a Healthy Weight in Latino Preschool Children." BMC Public Health, vol. 18, no. 1, 2018, p. 360.
Taverno Ross SE, Barone Gibbs B, Documet PI, et al. ANDALE Pittsburgh: results of a promotora-led, home-based intervention to promote a healthy weight in Latino preschool children. BMC Public Health. 2018;18(1):360.
Taverno Ross, S. E., Barone Gibbs, B., Documet, P. I., & Pate, R. R. (2018). ANDALE Pittsburgh: results of a promotora-led, home-based intervention to promote a healthy weight in Latino preschool children. BMC Public Health, 18(1), 360. https://doi.org/10.1186/s12889-018-5266-3
Taverno Ross SE, et al. ANDALE Pittsburgh: Results of a Promotora-led, Home-based Intervention to Promote a Healthy Weight in Latino Preschool Children. BMC Public Health. 2018 03 16;18(1):360. PubMed PMID: 29548321.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - ANDALE Pittsburgh: results of a promotora-led, home-based intervention to promote a healthy weight in Latino preschool children. AU - Taverno Ross,Sharon E, AU - Barone Gibbs,Bethany, AU - Documet,Patricia I, AU - Pate,Russell R, Y1 - 2018/03/16/ PY - 2017/07/20/received PY - 2018/03/07/accepted PY - 2018/3/18/entrez PY - 2018/3/20/pubmed PY - 2018/10/16/medline KW - Childhood obesity KW - Community health worker KW - Hispanic/Latino KW - Intervention KW - Preschool SP - 360 EP - 360 JF - BMC public health JO - BMC Public Health VL - 18 IS - 1 N2 - BACKGROUND: Latino preschool children have higher rates of obesity than preschool children from other racial/ethnic groups; however, few effective, culturally appropriate interventions exist targeting this group. The purpose of this study was to test the feasibility of a 10-week, promotora-mediated, home-based intervention to promote a healthy weight in Latino preschool children. METHODS: Trained promotoras (community health workers) delivered 10, 90-min weekly interactive and tailored sessions to Latino families living in Allegheny County. Participants were recruited through promotoras' own social networks and community gatherings, flyers, and word of mouth. Primary outcome measures included child body mass index (BMI) z-score and percentile. Secondary outcome measures included child objectively measured physical activity and dietary intake, and the home social and physical environment (e.g., parent health behaviors, parent self-efficacy, parental support, physical activity equipment in the home). The final analysis sample included 49 of 51 participants who completed both baseline and follow-up assessments. RESULTS: Participants included mothers (33.5 ± 6.1 years old) and their preschool-aged children who were primarily 1st generation immigrants from Mexico (65%). The primary analyses of BMI percentile and z-score showed no change post-intervention. However, there was a significant decrease in child BMI percentile for overweight and obese children from baseline to follow-up (p < .05). We also saw significant pre/post increases in child daily fruit and vegetable intake, and parent moderate-to-vigorous physical activity, fruit and vegetable servings per day, and self-efficacy; and significant decreases in child saturated fat and added-sugar intake, and child and parent screen time (p's < .05). CONCLUSIONS: Despite the short duration of the intervention and follow-up, this pilot study showed promising effects of a promotora-mediated intervention to promote a healthy weight in Latino preschool children. SN - 1471-2458 UR - https://www.unboundmedicine.com/medline/citation/29548321/ANDALE_Pittsburgh:_results_of_a_promotora_led_home_based_intervention_to_promote_a_healthy_weight_in_Latino_preschool_children_ L2 - https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-018-5266-3 DB - PRIME DP - Unbound Medicine ER -