A twice-per-week 16-wk resistance training program can significantly increase insulin sensitivity in overweight Latino adolescent males independent of changes in body composition.
Background
Community-based behavioral interventions are needed to reduce the burden of childhood obesity.
Purpose
This study evaluated the impact of a multi-level promotora-based (Community Health Advisor) intervention to promote healthy eating and physical activity (PA) and prevent excess weight gain among Latino children.
Methods
Thirteen elementary schools were randomized to one of four intervention conditions: individual and family level (Fam-only), school and community level (Comm-only), combined Fam+Comm intervention, or a measurement-only condition. Participants were 808 Latino parents and their children enrolled in kindergarten through 2nd grade. Measures included parent and child BMI and a self-administered parent survey that assessed several parent and child behaviors.
Results
There were no intervention effects on children's BMI z-score. The Fam-only and Fam+Comm interventions changed several obesity-related child behaviors and these were mediated by changes in parenting variables.
Discussion
A promotora-based behavioral intervention was efficacious at changing parental factors and child obesity-related health behaviors.
Compared with sitting, accumulating 2.5 h of light-intensity physical activity or standing during an 8-h workday may reduce ABP during and after work hours.
Background: this observational study examined cross-sectional and 24-month longitudinal associations of physical activity and dietary behaviors with change in bMi and percent body fat among children aged 6-9 years old.Methods: Data were from the control group (n = 271; 48% Latino) of a community-based childhood obesity prevention program. Assessments were conducted at baseline and at 24 months and included height and weight, bioelectrical impedance-derived percent body fat, and 10 physical activity and dietary behaviors measured via parent report of their child. Cross-sectional analysis of variances (ANOVA) (normal weight, overweight, obese) and longitudinal mixed-effects linear regression models were used to investigate the relation of each physical activity and dietary behavior with bMi and percent body fat.Results: At baseline, obese children engaged in less physical activity and more sedentary behavior than normal-weight children (p < 0.05). increased physical activity (p < 0.01) and number of breakfasts eaten with family (p < 0.05) were associated with decreased bMi z-score and percent body fat. Decreased sedentary behavior and sugar-sweetened beverage consumption were associated with decreased percent body fat (p < 0.05) but not bMi.Conclusions: in this cohort of 271 children, increased physical activity and eating breakfast with family and reduced screenbased sedentary behaviors and sugar-sweetened beverage consumption were associated with more favorable trends in adiposity. therefore, attention to these behaviors may be of particular importance. Results also suggest that future studies should include percent body fat as an outcome for a more precise assessment of the association of behavior with adiposity.
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