Children’s Healthy Living Program (CHL) Indigenous Workforce Training to Prevent Childhood Obesity in the Underserved U.S. Affiliated Pacific Region

Fialkowski, Marie Kainoa; Delormier, Treena; Hattori-Uchima, Margaret; Leslie, J; Greenberg, Joshua; Kim, Jang Ho; Deenik, Jonathan; Dunn, Michael A.; Areta, Aufai; Novotny, Rachel

doi:10.1353/hpu.2015.0054

Cited by 3 publications

(3 citation statements)

References 9 publications

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“…As part of child obesity monitoring efforts in the north Pacific, the Children’s Healthy Living Program for Remote Underserved Minority Populations in the Pacific Region (CHL) has trained 150 field anthropometrists to collect standardised early childhood data [20, 21]. From 2016 the CHL Summer Institute will broaden the training reach by offering it through an online credit and non-credit (continuing education) programme [22] and has been expanded to include all age groups.…”

Section: Discussionmentioning

confidence: 99%

Monitoring and accountability for the Pacific response to the non-communicable diseases crisis

et al. 2016

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BackgroundNon-communicable diseases (NCD) are the leading cause of premature death and disability in the Pacific. In 2011, Pacific Forum Leaders declared “a human, social and economic crisis” due to the significant and growing burden of NCDs in the region. In 2013, Pacific Health Ministers’ commitment to ‘whole of government’ strategy prompted calls for the development of a robust, sustainable, collaborative NCD monitoring and accountability system to track, review and propose remedial action to ensure progress towards the NCD goals and targets. The purpose of this paper is to describe a regional, collaborative framework for coordination, innovation and application of NCD monitoring activities at scale, and to show how they can strengthen accountability for action on NCDs in the Pacific. A key component is the Dashboard for NCD Action which aims to strengthen mutual accountability by demonstrating national and regional progress towards agreed NCD policies and actions.DiscussionThe framework for the Pacific Monitoring Alliance for NCD Action (MANA) draws together core country-level components of NCD monitoring data (mortality, morbidity, risk factors, health system responses, environments, and policies) and identifies key cross-cutting issues for strengthening national and regional monitoring systems. These include: capacity building; a regional knowledge exchange hub; innovations (monitoring childhood obesity and food environments); and a robust regional accountability system.The MANA framework is governed by the Heads of Health and operationalised by a multi-agency technical Coordination Team. Alliance membership is voluntary and non-conditional, and aims to support the 22 Pacific Island countries and territories to improve the quality of NCD monitoring data across the region. In establishing a common vision for NCD monitoring, the framework combines data collected under the WHO Global Framework for NCDs with a set of action-orientated indicators captured in a NCD Dashboard for Action.SummaryViewing NCD monitoring as a multi-component system and providing a robust, transparent mutual accountability mechanism helps align agendas, roles and responsibilities of countries and support organisations. The dashboard provides a succinct communication tool for reporting progress on implementation of agreed policies and actions and its flexible methodology can be easily expanded, or adapted for other regions.

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Section: Discussionmentioning

confidence: 99%

Monitoring and accountability for the Pacific response to the non-communicable diseases crisis

et al. 2016

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“…The data validation steps that occurred to prepare a final analysis data set for the CHL have been previously described [ 33 , 39 , 41 , 48 ]. We calculated the intake for energy (kcals), added energy from fat and sugar, and the intake of macronutrients (g) and water.…”

Section: Methodsmentioning

confidence: 99%

“…The Children’s Healthy Living (CHL) Program was a community randomized cluster environmental intervention trial to modify community and individual risk factors to prevent young childhood obesity [ 33 , 34 , 35 ]. We report findings from a two-year longitudinal subset to determine if nutritional factors are associated with AN.…”

Section: Introductionmentioning

confidence: 99%

Diet and Acanthosis Nigricans over a Two-Year Period in Children of the Pacific Region

et al. 2023

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Background: The impact that dietary carbohydrates have on children developing type 2 diabetes remains controversial. Furthermore, there are limited pediatric longitudinal studies on changes in body mass index (BMI) and diet related to the development of acanthosis nigricans (AN), a risk factor associated with type 2 diabetes. Methods: Two 24 h dietary records were collected for 558 children, 2–8 years of age, at baseline and at a 2-year follow-up. Data on age, sex, BMI, and the presence of AN were also collected at each time point from the Children’s Healthy Living Program. Logistic regression was used to determine factors associated with the presence of AN at follow-up. Multinominal regression was used to determine factors associated with changes in AN status. Linear regression was used to measure the associations between changes in dietary intake and in the Burke Score for AN. Results: AN was present in 28 children at baseline and 34 children at follow-up. Adjusting for the presence of AN at baseline, age, sex, study group, baseline BMI, change in BMI z-score, time between assessments, and baseline intake, an increase from baseline for each teaspoon of sugar and serving of carbohydrate-rich food increased the risk for having AN at follow-up by 9% and 8%, respectively (p ≤ 0.05). An increased intake of added sugar (teaspoons) increased the risk of developing AN by 13% (p ≤ 0.01) and an increase in servings of foods rich in starch increased the risk of developing AN by 12% (p ≤ 0.01) compared to children who never had AN. Increasing the intake of fruit was also associated with decreased Burke Scores using multiple regression. However, the intake of energy and macronutrients were not associated with AN. Conclusions: Added sugar and foods rich in starch were independently associated with the occurrence of AN, suggesting the type of carbohydrates consumed is a factor in AN occurrence.

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“Whole-of-Community” Obesity Prevention: A Review of Challenges and Opportunities in Multilevel, Multicomponent Interventions

2016

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The causes of obesity worldwide are complex and multilevel, including changing food environments, physical activity levels, policies, and food production systems. This intricate context requires multilevel and multicomponent (MLMC) interventions to improve health outcomes. We conducted a literature review of MLMC interventions for obesity prevention and mitigation; 14 studies meeting search criteria were identified. We found examples of successes in preventing obesity, reducing overweight, improving healthful behaviors, and enhancing some psychosocial indicators. Of eight studies that reported health and behavioral results, five showed no significant impact and three showed reductions in obesity. Four studies showed significant improvement in dietary behavior, and five reported significant desirable effects in physical activity or screen time. Five studies reported psychosocial impacts, and three of these showed significant improvements. MLMC approaches show promising results, particularly when they are able to integrate components at the policy, community, and interpersonal levels.

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Children’s Healthy Living Program (CHL) Indigenous Workforce Training to Prevent Childhood Obesity in the Underserved U.S. Affiliated Pacific Region

Cited by 3 publications

References 9 publications

Monitoring and accountability for the Pacific response to the non-communicable diseases crisis

Monitoring and accountability for the Pacific response to the non-communicable diseases crisis

Diet and Acanthosis Nigricans over a Two-Year Period in Children of the Pacific Region

“Whole-of-Community” Obesity Prevention: A Review of Challenges and Opportunities in Multilevel, Multicomponent Interventions

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