Nutrition Intervention and Play Group Exercise for Low-Income Latinas
| Status: | Completed |
|---|---|
| Conditions: | Obesity Weight Loss |
| Therapuetic Areas: | Endocrinology |
| Healthy: | No |
| Age Range: | Any |
| Updated: | 4/2/2016 |
| Start Date: | March 2007 |
| End Date: | August 2009 |
| Contact: | Donna M Matheson, PhD |
| Email: | matheson@stanford.edu |
| Phone: | (650) 498-4765 |
Home Based Nutrition Intervention Nad Play Group Exercise for Low-Income Latinas
Obesity among Mexican-American women has the potential to become a public health crisis.
Hispanics are one of the fastest growing minority populations in the United States and the
prevalence of obesity in Mexican American woman is increasing at an alarming rate. Poor
dietary practices, especially food habits that are acquired as families acculturate to the
American food supply, and lack of exercise are thought to be associated with women's excess
weight gain. Accordingly, interventions are needed to improve the dietary intake and
physical activity levels of Mexican-American families.
We propose to conduct a randomized clinical trial in which women are randomly assigned to
receive either family-based behavioral counseling (FBC) sessions and play group physical
activity sessions or group based nutrition and exercise classes and health related activity
worksheets to complete with their child. The FBC sessions, conducted by community health
advisors, will use photographs of the family's food practices, taken by mothers, as visual
aids in the counseling sessions. The control intervention will consist of group sessions
using curricula designed to motivate women to exercise and to promote the Food Guide Pyramid
recommendations using traditional Mexican-American foods. The primary outcome of the trial
is mother's BMI. The secondary outcomes are dietary intake, moderate to vigorous physical
activity and household food supplies. We hypothesize that within a one year time frame,
women who are exposed to the FBC will have lower BMI's compared to women who receive the
active placebo control intervention. The mechanisms through which we intend to change weight
status are altering the type of foods purchased and cooking practices and promoting mothers
to engage in physical activities with their children during their play. Measurements of
secondary outcomes include three 24 hour dietary recalls, a household food inventory and
activity monitoring using MTI actigraph monitors. In addition, mothers' reports of household
food security level, and food purchase motives, will be collected as covariates.
Measurements will be collected within one month of completing the interventions and at six
months and one year follow-up.
Hispanics are one of the fastest growing minority populations in the United States and the
prevalence of obesity in Mexican American woman is increasing at an alarming rate. Poor
dietary practices, especially food habits that are acquired as families acculturate to the
American food supply, and lack of exercise are thought to be associated with women's excess
weight gain. Accordingly, interventions are needed to improve the dietary intake and
physical activity levels of Mexican-American families.
We propose to conduct a randomized clinical trial in which women are randomly assigned to
receive either family-based behavioral counseling (FBC) sessions and play group physical
activity sessions or group based nutrition and exercise classes and health related activity
worksheets to complete with their child. The FBC sessions, conducted by community health
advisors, will use photographs of the family's food practices, taken by mothers, as visual
aids in the counseling sessions. The control intervention will consist of group sessions
using curricula designed to motivate women to exercise and to promote the Food Guide Pyramid
recommendations using traditional Mexican-American foods. The primary outcome of the trial
is mother's BMI. The secondary outcomes are dietary intake, moderate to vigorous physical
activity and household food supplies. We hypothesize that within a one year time frame,
women who are exposed to the FBC will have lower BMI's compared to women who receive the
active placebo control intervention. The mechanisms through which we intend to change weight
status are altering the type of foods purchased and cooking practices and promoting mothers
to engage in physical activities with their children during their play. Measurements of
secondary outcomes include three 24 hour dietary recalls, a household food inventory and
activity monitoring using MTI actigraph monitors. In addition, mothers' reports of household
food security level, and food purchase motives, will be collected as covariates.
Measurements will be collected within one month of completing the interventions and at six
months and one year follow-up.
We propose to evaluate a family-based intervention designed to prevent obesity by increasing
fruit and vegetable (F&V) intake, decreasing fat intake and increasing physical activity.
The target group for the intervention is low-income Mexican-American mothers of preschool
aged children. The intervention uses family-based behavioral counseling (FBC) sessions with
a community health advisor (CHA) to promote changing the types of foods that mothers prepare
and consume, and increasing the time that mothers spend being active with their children. In
previous research, we have used this approach to improve Mexican-American school aged
children's nutritional status. The mothers of these children were extremely motivated to
improve their children's diets, and in doing so, improved their own health behaviors and
reduced their BMI's. Accordingly, in the proposed research, we will conduct a randomized
controlled trial with a sample of 250 Mexican-American mothers-child dyads to evaluate a
family based intervention designed to prevent obesity in low income Mexican-American women.
As families enroll in the study, they will be randomly assigned to either the FBC sessions
or an active placebo control condition. Data will be collected immediately prior to
participation in the intervention, within one-month of completing the intervention and at
six months and one year follow-up. Mother's body mass index (BMI) will serve as the primary
outcome variable. Multiple 24-hour dietary recalls, a modified household food inventory and
physical activity monitoring will be used as secondary indices of program efficacy. The
following hypotheses will be examined in this experiment.
Primary Hypothesis Women who receive the FBC sessions will have significantly lower BMI one
year after randomization into the intervention compared to women whose families receive an
active placebo control.
Secondary Hypotheses
Women who receive the FBC sessions will have significantly lower fat intakes and higher
fruit and vegetable intakes, as measured by 24 hour recalls, one year after randomization
into the intervention compared to women whose families receive an active placebo control.
Women who receive the FBC sessions will have significantly fewer high fat foods and
significantly more fruits and vegetables in their homes, as measured by targeted household
food inventories, one year after randomization into the intervention compared to women whose
families receive an active placebo control.
Women who receive the FBC sessions will be significantly more active one year after
randomization into the intervention, as measured by activity monitoring, compared to women
whose families receive an active placebo control.
fruit and vegetable (F&V) intake, decreasing fat intake and increasing physical activity.
The target group for the intervention is low-income Mexican-American mothers of preschool
aged children. The intervention uses family-based behavioral counseling (FBC) sessions with
a community health advisor (CHA) to promote changing the types of foods that mothers prepare
and consume, and increasing the time that mothers spend being active with their children. In
previous research, we have used this approach to improve Mexican-American school aged
children's nutritional status. The mothers of these children were extremely motivated to
improve their children's diets, and in doing so, improved their own health behaviors and
reduced their BMI's. Accordingly, in the proposed research, we will conduct a randomized
controlled trial with a sample of 250 Mexican-American mothers-child dyads to evaluate a
family based intervention designed to prevent obesity in low income Mexican-American women.
As families enroll in the study, they will be randomly assigned to either the FBC sessions
or an active placebo control condition. Data will be collected immediately prior to
participation in the intervention, within one-month of completing the intervention and at
six months and one year follow-up. Mother's body mass index (BMI) will serve as the primary
outcome variable. Multiple 24-hour dietary recalls, a modified household food inventory and
physical activity monitoring will be used as secondary indices of program efficacy. The
following hypotheses will be examined in this experiment.
Primary Hypothesis Women who receive the FBC sessions will have significantly lower BMI one
year after randomization into the intervention compared to women whose families receive an
active placebo control.
Secondary Hypotheses
Women who receive the FBC sessions will have significantly lower fat intakes and higher
fruit and vegetable intakes, as measured by 24 hour recalls, one year after randomization
into the intervention compared to women whose families receive an active placebo control.
Women who receive the FBC sessions will have significantly fewer high fat foods and
significantly more fruits and vegetables in their homes, as measured by targeted household
food inventories, one year after randomization into the intervention compared to women whose
families receive an active placebo control.
Women who receive the FBC sessions will be significantly more active one year after
randomization into the intervention, as measured by activity monitoring, compared to women
whose families receive an active placebo control.
Inclusion Criteria:
- Mother is of Mexican descent
- Mother has a child between the ages of 3 and 4.9 years
Exclusion Criteria:
- Child is eligible for kindergarten in the upcoming 6 months
- Mother is pregnant
- Mother is less then 4 months post partum
- Family plans on moving outside of San Jose in the upcoming 6 months
- Family shares food supplies with more than one other household
- Mother has medical condition or takes medication that affects weight
- Child has medical condition or takes medication that affects weight or growth
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