Obesity Intervention Among African-American Children and Adolescents

Baskin, Monica L.; Ahluwalia, Harsohena K.; Resnicow, Ken

doi:10.1016/s0031-3955(05)70355-2

Cited by 35 publications

(19 citation statements)

References 54 publications

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“…An additional challenge in trying to improve adolescents’ nutrition or physical activity is that some cultures have less negative views on overweight individuals and a larger body type is accepted socio-culturally, or even found desirable as a sign of prosperity or being HIV negative. It will be critical to incorporate the positive elements of such culture regarding body image and food rather than attempting to shift values toward those of Western culture [82]. …”

Section: Discussionmentioning

confidence: 99%

Early life opportunities for prevention of diabetes in low and middle income countries

et al. 2012

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BackgroundThe global burden of diabetes and other non-communicable diseases is rising dramatically worldwide and is causing a double poor health burden in low- and middle-income countries. Early life influences play an important part in this scenario because maternal lifestyle and conditions such as gestational diabetes and obesity affect the risk of diabetes in the next generation. This indicates important periods during the lifecourse when interventions could have powerful affects in reducing incidence of non-communicable diseases. However, interventions to promote diet and lifestyle in prospective parents before conception have not received sufficient attention, especially in low- and middle-income countries undergoing socio-economic transition.DiscussionInterventions to produce weight loss in adults or to reduce weight gain in pregnancy have had limited success and might be too late to produce the largest effects on the health of the child and his/her later risk of non-communicable diseases. A very important factor in the prevention of the developmental component of diabetes risk is the physiological state in which the parents enter pregnancy. We argue that the most promising strategy to improve prospective parents’ body composition and lifestyle is the promotion of health literacy in adolescents. Multiple but integrated forms of community-based interventions that focus on nutrition, physical activity, family planning, breastfeeding and infant feeding practices are needed. They need to address the wider social economic context in which adolescents live and to be linked with existing public health programmes in sexual and reproductive health and maternal and child health initiatives.SummaryInterventions aimed at ensuring a healthy body composition, diet and lifestyle before pregnancy offer a most effective solution in many settings, especially in low- and middle-income countries undergoing socio-economic transition. Preparing a mother, her partner and her future child for “the 1000 days”, whether from planned or unplanned conception would break the cycle of risk and demonstrate benefit in the shortest possible time. Such interventions will be particularly important in adolescents and young women in disadvantaged groups and can improve the physiological status of the fetus as well as reduce the prevalence of pregnancy conditions such as gestational diabetes mellitus which both predispose to non-communicables diseases in both the mother and her child. Pre-conception interventions require equipping prospective parents with the necessary knowledge and skills to make healthy lifestyle choices for themselves and their children. Addressing the promotion of such health literacy in parents-to-be in low- and middle-income countries requires a wider social perspective. It requires a range of multisectoral agencies to work together and could be linked to the issues of women’s empowerment, to reproductive health, to communicable disease prevention and to the Millennium Development Goals 4 and 5.

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Section: Discussionmentioning

confidence: 99%

Early life opportunities for prevention of diabetes in low and middle income countries

et al. 2012

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“…African-American children are at particularly high risk for overweight and its related health complications (3–5). However, this ethnic group has traditionally had limited access to obesity treatment (38) and relatively few studies have included sufficient numbers of lower-SES, African American participants.…”

Section: Discussionmentioning

confidence: 99%

“…Although rates of pediatric overweight have increased in both genders and across ethnic groups, African American children are at particularly high risk (5, 7, 30–32). Further, rates of overweight have increased dramatically within the overall African American population (30).…”

Section: Introductionmentioning

confidence: 99%

Nourishing Our Understanding of Role Modeling to Improve Support and Health (NOURISH): Design and methods

Mazzeo¹,

Kelly²,

Stern³

et al. 2012

Contemporary Clinical Trials

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Pediatric overweight is associated with numerous physical and psychological health risks, and overweight children are at significant risk for obesity in adulthood. African-American children are at particularly high risk for obesity and related health complications. However, this racial group has traditionally had limited access to obesity treatment and relatively few studies have included sufficient numbers of lower-SES, African American participants. Further, although parental involvement in treatment for pediatric overweight has been found to be beneficial, few studies have examined the efficacy of offering treatment exclusively to parents, a potentially cost-effective approach which could benefit the entire family. This pilot project will evaluate the efficacy of an intensive parenting intervention, (NOURISH; Nourishing Our Understanding of Role modeling to Improve Support and Health), targeting racially diverse parents of overweight children (ages 6–11). NOURISH addresses several urgent research priorities by targeting the underserved and addressing the significant disparity in obesity treatment services. Parents meeting study criteria (having a child between the ages of 6 and 11 with a BMI ≥ the 85th percentile) will be offered participation in the randomized trial comparing NOURISH with a control group. We hypothesize that children whose parents participate in NOURISH will manifest greater decreases in BMI, and greater improvements in dietary intake, and quality of life compared to children whose parents do not participate. This study is designed explicitly to gather preliminary feasibility, acceptability, and effectiveness data to inform a subsequent larger randomized controlled trial.

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“…A second limitation of the existing empirical treatment literature is that the majority of pediatric weight control trials include homogeneous populations, without specific attention to tailoring interventions for particular ethnic groups. To the extent that particular populations are at increased risk for overweight, it makes sense to tailor interventions to be attractive to these groups (Baskin, Ahluwalia, & Resnicow, 2001). Furthermore, there are data to suggest the importance of cultural influences on various components of weight management, including perception of overweight (Flynn & Fitzgibbon, 1996; Winkleby, Gardner, & Taylor, 1996), dietary practices (Sherry et al, 2004; Xie, Gilliland, Li, & Rockett, 2003), and perceptions of and access to physical activity (Fitzgibbon & Stolley, 2004).…”

Section: Intensive Weight Control Interventionsmentioning

confidence: 99%

Practitioner Review: Bridging the gap between research and clinical practice in pediatric obesity

Jelalian

Wember

Bungeroth

et al. 2006

Child Psychology Psychiatry

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Obesity Intervention Among African-American Children and Adolescents

Cited by 35 publications

References 54 publications

Early life opportunities for prevention of diabetes in low and middle income countries

Early life opportunities for prevention of diabetes in low and middle income countries

Nourishing Our Understanding of Role Modeling to Improve Support and Health (NOURISH): Design and methods

Practitioner Review: Bridging the gap between research and clinical practice in pediatric obesity

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