Family-based cardiovascular risk reduction education among Mexican and Anglo-Americans

Nader, Philip R.; Sallis, James F.; Abramson, Ian; Broyles, Shelia L.; Patterson, Thomas L.; Senn, Karen L.; Rupp, Joan W.; Nelson, Julie A.

doi:10.1097/00003727-199204000-00007

Cited by 49 publications

(18 citation statements)

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“…[6][7][8][9] The publication of Müller's study coincided with the final phase of the earlier SBU report. Although the study was mentioned, it was not included in the table since the quality had been rated as low.…”

Section: Resultsmentioning

confidence: 78%

Interventions to prevent obesity in children and adolescents: a systematic literature review

2006

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Objective: Preventive measures to contain the epidemic of obesity have become a major focus of attention. This report reviews the scientific evidence for medical interventions aimed at preventing obesity during childhood and adolescence. Design: A systematic literature review involving selection of primary research and other systematic reviews. Articles published until 2004 were added to an earlier (2002) review by the Swedish Council on Technology Assessment in Health Care. Methods: Inclusion criteria required controlled studies with follow-up of at least 12 months and results measured as body mass index, skinfold thickness or the percentage of overweight/obesity. Children could be recruited from normal or high-risk populations.Results: Combining the new data with the previous review resulted in an evaluation of 24 studies involving 25 896 children. Of these, eight reported that prevention had a statistically significant positive effect on obesity, 16 reported neutral results and none reported a negative result (sign test; P ¼ 0.0078). Adding the studies included in five other systematic reviews yielded, in total, 15 studies with positive, 24 with neutral and none with negative results. Thus, 41% of the studies, including 40% of the 33 852 children studied, showed a positive effect from prevention. These results are unlikely to be a random chance phenomenon (P ¼ 0.000061). Conclusion: Evidence shows that it is possible to prevent obesity in children and adolescents through limited, school-based programs that combine the promotion of healthy dietary habits and physical activity.

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Section: Resultsmentioning

confidence: 78%

Interventions to prevent obesity in children and adolescents: a systematic literature review

2006

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“…This study did not include family interventions apart from handouts sent home for breakfast ideas and a healthy snack recipe. It has been argued that family interventions may be more effective in lowering dietary fat (Nader, Sallis, Abramson, & Broyles, 1992) despite significant problems with recruitment, nonattendance, and dropout (Baranowski et al, 1990 andPerry et al, 1987). The need for family intervention remains to be proven, according to researchers conducting a family intervention including two adolescents and both parents to reduce dietary fat (De Bourdeaudhuij & Brug, 2000).…”

Section: Limitationsmentioning

confidence: 99%

Changing the tide: an Internet/video exercise and low-fat diet intervention with middle-school students

Frenn

Malin

Brown

et al. 2005

Applied Nursing Research

116

201

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Abstract:The rising tide of obesity erodes the health of youths and many times results in adult obesity. The purpose of this investigation was to examine the effectiveness of an eight-session health promotion/transtheoretical model Internet/video-delivered intervention to increase physical activity and reduce dietary fat among low-income, culturally diverse, seventh-grade students. Those who completed more than half the sessions increased exercise, t(103) = −1.99, p = .05, and decreased the percentage of dietary fat, t(87) = 2.73, p = .008. Responses to the intervention by stage of change, race, and income are examined.

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“…Directing attention to the family, inducing change in the house and placing the responsibility for the recommended changes on the parents rather than on the child himaherself will improve the outcome of the therapeutic interventions (Nader et al, 1992;Satter, 1996;Golan et al, 1998). To do so, an adequate instrument that can identify speci®c behaviors and attitudes, as well as monitor improvement in parents' and children's eating patterns is needed.…”

Section: Introductionmentioning

confidence: 99%

“…One does not have to, but can, learn through personal reinforcement (Bandura, 1997). Children's poor health behaviours can be corrected by changing speci®c environmental determinants; for example, by promoting new role models for healthy eating, exposing children to healthier foods and snacks, in¯uencing parental food selection and providing opportunities for physical activity.Directing attention to the family, inducing change in the house and placing the responsibility for the recommended changes on the parents rather than on the child himaherself will improve the outcome of the therapeutic interventions (Nader et al, 1992;Satter, 1996; Golan et al, 1998). To do so, an adequate instrument that can identify speci®c behaviors and attitudes, as well as monitor improvement in parents' and children's eating patterns is needed.…”

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confidence: 99%

Reliability and validity of the Family Eating and Activity Habits Questionnaire

1998

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Objective: The purpose of this work was to develop and test an instrument that will identify the factors that facilitate childhood obesity and monitor the environmental changes and family behavior modi®cations associated with weight loss. Design and methods:The relevant factors that affect obesity and weight loss in children were divided into four scales: activity level, stimulus exposure, eating related to hunger, and eating style. We designed a questionnaire to be completed by the parents of the obese child aged 6 ± 11 years. Scores accumulated were calculated separately for each member of the family. Higher numerical scores re¯ected less appropriate eating patterns. The questionnaire reliability (test ± retest), internal consistency and ability to discriminate obese vs normal-weight children's behaviors was tested using a pilot population of 40 mothers not enrolled in a formal weight loss program. The questionnaire reliability (parents' report and spouse report) and predictive validity was tested using a selective population: 60 parents of obese children enrolled in a clinical intervention intended to treat childhood obesity with an environmental approach vs a dietary approach. Results: The content validity of the questionnaire was evaluated by a team of ten experts. Cronbach's a was calculated to test internal consistency. Mean r was 0.83. Pearson's correlation coef®cients were computed between test and retest scores for individual items and for the total score, and ranged from 0.78 to 0.90 (median 0.84) (P`0.01 for all). Total score test ± retest r was 0.85 (P`0.01). The total family score was also higher in the families with an obese child compared to families with a normal-weight child, P`0.01. No signi®cant differences were noted between parent report and spouse report scores. The construct validity of the questionnaire was also supported by its high sensitivity to weight loss treatment. Weight loss in the child correlated highly with improvement in questionnaire score. Conclusions: The Family Activity and Eating Habits Questionnaire is reliable and internally consistent, and it is useful as an optional tool for planning an intervention program for childhood obesity. Descriptors: Family Activity and Eating Habits Questionnaire; childhood obesity IntroductionChildhood obesity has signi®cant immediate and long-term implications (Must et al, 1992; Pi Sunyer, 1993;Mossberg, 1989). The medical literature is replete with studies of obesity-enhancing behaviors in children. These include eating in response to stimuli other than hunger; leisure time spent in sedentary manner; excess availability to unsuitable foods and environmental modeling of poor eating behavior (Wadden, 1992;Epstein, 1996;Wardle, 1996). The majority of authors agree that obesity would be limited if children were to eat only when hungry (Wadden, 1992;Epstein, 1996). Most nonproductive food intake occurs for reasons other than hunger: boredom, stress, social pressure, etc. To limit these opportunities, it was suggested that eating should take p...

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Family-based cardiovascular risk reduction education among Mexican and Anglo-Americans

Cited by 49 publications

References 0 publications

Interventions to prevent obesity in children and adolescents: a systematic literature review

Interventions to prevent obesity in children and adolescents: a systematic literature review

Changing the tide: an Internet/video exercise and low-fat diet intervention with middle-school students

Reliability and validity of the Family Eating and Activity Habits Questionnaire

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