Adapting, Feasibility Testing, and Pilot Testing a Weight Management Intervention for Recently Immigrated Spanish-Speaking Women and Their 2- to 4-Year-Old Children

Berry, Diane; Colindres, Mélida; Sanchez-Lugo, Lizette; Sanchez, Maria; Neal, Madeline N; Smith-Miller, Cheryl A.

doi:10.1891/1540-4153.9.4.186

Cited by 16 publications

(91 citation statements)

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“…Thirty‐one primary studies (84%) were reported in the nine systematic reviews assessed to be of high relevance to the research question of the present study. Of the 36 primary studies, 20 were cluster‐RCTs, 11 were RCTs, four were quasi‐experimental controlled trials, and four before‐after trials . Two studies were single‐component physical activity interventions, one targeted sedentary behaviour only .…”

Section: Resultsmentioning

confidence: 99%

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Physical activity interventions in early life aimed at reducing later risk of obesity and related non‐communicable diseases: A rapid review of systematic reviews

et al. 2019

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To identify useful components of interventions aimed at prevention of childhood obesity and related non-communicable diseases (NCDs), which included physical activity and which targeted any or all of four life-course stages: peri-conception; pregnancy; infancy and toddlerhood (0 to 23 months); and early childhood (24 to 59 months). In May 2016, WHO Geneva searched the Cochrane Library and PubMed for systematic reviews of interventions including physical activity to prevent childhood obesity or risk factors for obesity-related NCDs. Using a narrative synthesis, the efficacy of randomized controlled trials (RCTs) to alter energy balance outcomes (measures of weight status or body fatness) was characterized by life-course stage, study characteristics, intervention functions (as defined in the behaviour change wheel), and level of the socio-ecological model (SEM) targeted. The quality of included systematic reviews was assessed. We retrieved 82 reviews from the World Health Organization (WHO) search, of which 23 were eligible for the present synthesis. The number of eligible studies by life-course stage was: 0 (peri-conception); 0 (pregnancy); 8 (infancy and toddlerhood, age 0 to 23 months; seven RCTs; age); and 37 (early childhood, age 24 to 59 months; 30 RCTs;). Thus, there was a lack of evidence for physical activity interventions during peri-conception and pregnancy.Almost all relevant studies in the 0-to 23-and 24-to 59-month life-course stages were multicomponent interventions (ie, targeted physical activity, dietary, and/or sedentary behaviours). Interventions with evidence of efficacy tended to target multiple levels of the SEM, with emphasis on parents, and extend over long periods.Effective intervention elements for early life obesity prevention included classes on parenting skills, alteration of the kindergarten playground, and financial incentives.Evidence from low-and middle-income countries was scarce, and evidence for ---

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Section: Resultsmentioning

confidence: 99%

“…The remaining studies were multicomponent interventions. Eligible outcomes reported in RCTs were BMI z score, obesity prevalence, BMI percentiles, body fatness, and BMI . None of the studies reported NCD risk factors other than the measures or indices of adiposity mentioned above.…”

Section: Resultsmentioning

confidence: 99%

Physical activity interventions in early life aimed at reducing later risk of obesity and related non‐communicable diseases: A rapid review of systematic reviews

et al. 2019

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“…Few studies supported general reproductive-aged women (i.e. not specifically related to current or recent pregnancy) in weight loss (4.6%, n = 4) [104][105][106][107] or weight gain prevention (5.7%, n = 5) [108][109][110][111][112]. Most of the included studies were conducted in the United States (46.0%, n = 40), followed by Australia (16.1%, n = 14).…”

Section: Resultsmentioning

confidence: 99%

Supporting women of childbearing age in the prevention and treatment of overweight and obesity: a scoping review of randomized control trials of behavioral interventions

et al. 2020

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Background: Women of childbearing age are vulnerable to weight gain. This scoping review examines the extent and range of research undertaken to evaluate behavioral interventions to support women of childbearing age to prevent and treat overweight and obesity. Methods: Eight electronic databases were searched for randomized controlled trials (RCT) or systematic reviews of RCTs until 31st January 2018. Eligible studies included women of childbearing age (aged 15-44 years), evaluated interventions promoting behavior change related to diet or physical activity to achieve weight gain prevention, weight loss or maintenance and reported weight-related outcomes.Results: Ninety studies met the inclusion criteria (87 RCTs, 3 systematic reviews). Included studies were published from 1998 to 2018. The studies primarily focused on preventing excessive gestational weight gain (n = 46 RCTs, n = 2 systematic reviews), preventing postpartum weight retention (n = 18 RCTs) or a combination of the two (n = 14 RCTs, n = 1 systematic review). The RCTs predominantly evaluated interventions that aimed to change both diet and physical activity behaviors (n = 84) and were delivered in-person (n = 85). Conclusions: This scoping review identified an increasing volume of research over time undertaken to support women of childbearing age to prevent and treat overweight and obesity. It highlights, however, that little research is being undertaken to support the young adult female population unrelated to pregnancy or preconception.

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“…The public health departments and community centers are situated in communities where the participants live and are either within walking distance from their homes or on bus lines, increasing the probability of successful recruitment and retention for the proposed study. In previous studies, the mothers drove to the community centers together [23].…”

Section: Settingmentioning

confidence: 99%

“…We propose to teach mothers strategies to improve their own nutrition and physical activity behaviors, build their self-efficacy for these behaviors, and learn how to help their children eat healthier and increase physical activity. We will focus on 3-5-year-olds because our pilot work indicates that they are developmentally more prepared for intervention than younger children [23].…”

Section: Introductionmentioning

confidence: 99%

Rationale, design, and methodology for the healthy mothers-healthy children study: a randomized controlled trial

et al. 2019

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Background: Hispanic women and children who become overweight or obese are at risk for developing prediabetes, type 2 diabetes, and cardiovascular disease later in life. Interdisciplinary interventions which target Hispanic women and their 3-5-year old children to improve nutrition and physical activity behaviors, manage adiposity and weight in mothers, and prevent excessive adiposity and weight gain trajectory in their children offer promise to break the intergenerational cycle. Methods: Using a randomized two-group, repeated measures experimental design, the goal of the proposed study is to investigate the efficacy of a 12-week nutrition and physical activity program including education, coping skills training, and home-based intervention in Hispanic women and their 3-5-year old children. The program includes 6 months of continued monthly contact to help overweight and obese Hispanic mothers and their children improve adiposity, weight (trajectory for children), health behaviors (nutrition and physical activity), and self-efficacy We will partner with two federally qualified health departments in Durham and Chatham counties, North Carolina to enroll participants. We will partner with community centers to deliver the intervention. A total of 294 Hispanic women with a BMI ≥ 25 kg/m 2 and 294 Hispanic 3-5-year old children with a ≥ 25th BMI percentile will be enrolled over 4 years and randomized to the experimental or equal attention control group. Data will be collected at Time 1 (0 months [baseline]) to Time 2 (9 months [completion of the intervention]) and Time 1 to Time 3 (15 months [after 6 months with no contact from the study staff]). Data collected will include adiposity and weight in mothers and children (primary outcomes). Secondary outcomes will include health behaviors and self-efficacy in the mothers and in the children. We will also evaluate the cost of delivering the program for public health departments. We will use general linear mixed models to test the hypotheses. Discussion: Decreasing overweight and obesity in Hispanic women and slowing adiposity and weight gain trajectory in young Hispanic children is urgently needed to decrease morbidity, mortality, and future health care costs.

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Adapting, Feasibility Testing, and Pilot Testing a Weight Management Intervention for Recently Immigrated Spanish-Speaking Women and Their 2- to 4-Year-Old Children

Cited by 16 publications

References 0 publications

Physical activity interventions in early life aimed at reducing later risk of obesity and related non‐communicable diseases: A rapid review of systematic reviews

Physical activity interventions in early life aimed at reducing later risk of obesity and related non‐communicable diseases: A rapid review of systematic reviews

Supporting women of childbearing age in the prevention and treatment of overweight and obesity: a scoping review of randomized control trials of behavioral interventions

Rationale, design, and methodology for the healthy mothers-healthy children study: a randomized controlled trial

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