The Feasibility and Efficacy of Healthy Weight Management Program for Low Income Chinese American Overweight and Obese Children in a Primary Care Clinic

Chen, Jyu‐Lin; Kwan, Monica; Liu, Katrina; Yu, Filmer

doi:10.1016/j.pedn.2015.01.026

Cited by 13 publications

(18 citation statements)

References 28 publications

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“…34 Interventions may need to be culturally-tailored for each group, although more research is needed in this area. There have been limited obesity interventions for Asian-American children, and most have targeted Chinese-American children, [35][36][37][38][39] so efforts are needed to identify strategies for obesity intervention in Filipino and other at-risk Asian populations.…”

Section: Discussionmentioning

confidence: 99%

Acculturation and weight change in Asian-American children: Evidence from the ECLS-K:2011

Diep

Baranowski

Kimbro

2017

Preventive Medicine

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Despite relatively low rates of overweight and obesity among Asian-American children, disparities exist based on acculturation, socioeconomic status, and Asian ethnicity. The purpose of this study was to examine the association between acculturation and weight change in Asian-American children. Secondary aims were to compare changes by Asian ethnic group and acculturation x socioeconomic status. Participants included 1200 Asian-American children from the Early Childhood Longitudinal Study, Kindergarten Class of 2010-11, a longitudinal study of U.S. children attending kindergarten in 2010-2011. Multinomial logistic regressions were conducted to predict weight change based on body mass indices in kindergarten (spring 2011) and second grade (spring 2013): consistently healthy weight, consistently overweight/obese, healthy weight change, and unhealthy weight change. Models included demographic, household, socioeconomic status, and acculturation measures, specifically mother's English proficiency and percentage of life spent in the U.S. Overall, 72.3% of children were at healthy weights in kindergarten and second grade. Of all Asian ethnic groups, Filipino children had the highest rate of being consistently overweight/obese (24.8%) and the lowest rate of being consistently healthy weight (62.9%). In addition, mother's English proficiency predicted unhealthy weight change (OR: 0.83; 95% CI: 0.75-0.92) and healthy weight change (OR: 0.75; 95% CI: 0.65-0.86), relative to "consistently healthy weight." English proficiency also predicted being consistently overweight/obese for children with less educated mothers. Findings enhance our understanding of obesity disparities within Asian Americans and highlight the need to disaggregate the population. Obesity interventions are needed for Filipino children and families with low socioeconomic status but high English proficiency.

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Section: Discussionmentioning

confidence: 99%

Acculturation and weight change in Asian-American children: Evidence from the ECLS-K:2011

Diep

Baranowski

Kimbro

2017

Preventive Medicine

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“…Outro aspecto identificado foi a aplicação dos instrumentos analisados, principalmente em estudos de intervenção (12,16,(23)(24)(26)(27)(28)(29)(30)(33)(34)(35)(36)(37)(38)44,46) . Tais desenhos primam pela utilização de instrumentos de mensuração confiáveis, com vistas a diminuir vieses de mensuração e facilitar a replicação da intervenção em outros contextos.…”

Section: Discussionunclassified

Autoeficácia alimentar em crianças e adolescentes com sobrepeso ou obesidade: revisão integrativa de instrumentos

Ruiz

Lima

et al. 2022

Rev. Bras. Enferm.

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RESUMO Objetivo: Descrever as características dos instrumentos para avaliação da autoeficácia alimentar no sobrepeso e na obesidade em crianças e adolescentes. Métodos: Revisão integrativa da literatura, realizada em maio de 2020, em seis bases de dados (PubMed; Web of Science; Scopus; CINAHL, ADOLEC e PsycINFO) com a seguinte estratégia de busca: self-efficacy and (Overweight OR Obesity) and (Child* OR Adolescent). Resultados: Incluíram-se 35 artigos e 21 instrumentos aplicados às crianças de 6 a 9 anos (n=2), em adolescentes de 10 a 19 anos (n=9) e em crianças e adolescentes de 7 a 18 anos (n=10). Os instrumentos têm de 4 a 30 itens e variaram de duas a cinco dimensões, sendo as mais frequentes “alimentação saudável” e “atividade física”. Conclusão: Existem diferentes instrumentos confiáveis destinados à avaliação da autoeficácia alimentar do público adolescente e infantil, o que sinaliza a importância desse construto para prevenção e controle da obesidade e sobrepeso.

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“…The range of publication dates was wider among adults (1998-2019) ( Table 2). All eight studies conducted among children/adolescents were conducted in San Francisco, CA, USA [26][27][28][29][30][34][35][36], and all but one [26] were led by the same principal investigator (Chen) ( Table 1). Among adults, one study was set in Australia [37], one in Canada [33], and one in South Korea [38], while all others were conducted in the United States [31,32,[39][40][41][42][43][44][45][46][47] (Table 2).…”

Section: Study Characteristicsmentioning

confidence: 99%

“…The most common intervention was iStart Smart, which was adapted for Chinese American children based on the National Institute of Health's WeCan! program (educational play-based activities teaching self-efficacy, critical thinking, and problem solving skills related to nutrition, physical activity, and coping) [29,30,35,36]. Intervention components included short video clips with hands-on activities to reinforce concepts; interactive dietary software (The Wok); and 60 min exercise classes (basketball, dodge ball, badminton) weekly for 8 sessions.…”

Section: Intervention Characteristicsmentioning

confidence: 99%

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Effectiveness of diet and physical activity interventions among Chinese-origin populations living in high income countries: a systematic review

et al. 2020

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Background: This review examines the effectiveness of diet and physical activity interventions to reduce cardiometabolic risk among Chinese immigrants and their descendants living in high income countries. The objective of this review is to provide information to help build future interventions aimed at improving diet and increasing physical activity levels among Chinese immigrants. Methods: Outcomes included BMI, weight, waist circumference (WC), waist-hip ratio (WHR), cholesterol (LDL, HDL), systolic and diastolic blood pressure (SBP, DBP), hemoglobin A1c (HgbA1c), fasting blood glucose (FBG), and HOMA-IR. Six databases were systematically searched from database inception to date of search (February 2020). Meta-analyses used random effect models to estimate pooled effects of outcomes with 95% confidence intervals. The outcomes assessed were changes in mean outcomes (post-intervention versus baseline) among the intervention group versus control groups. Results: Twenty-one articles were included for synthesis, and eight of these were included in the meta-analysis. Among children/adolescents, there were no significant effects of intervention for any of the outcomes having sufficient data for meta-analysis (BMI, WHR, SBP, and DBP). Among adults, the pooled effect including three studies showed significant changes in BMI (effect size = − 1.14 kg/m 2 ; (95% CI: − 2.06, − 0.21), I 2 = 31%). There were also significant effects of intervention among adults in terms of changes in SBP and DBP, as the pooled effect across three studies was − 6.08 mmHg (95% CI − 9.42, − 2.73), I 2 = 0% and − 3.81 mmHg (95% CI: − 6.34, − 1.28), I 2 = 0%, respectively. Among adults there were no other significant effects among the meta-analyses conducted (weight, WC, LDL, HgbA1c, and FBG).

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The Feasibility and Efficacy of Healthy Weight Management Program for Low Income Chinese American Overweight and Obese Children in a Primary Care Clinic

Cited by 13 publications

References 28 publications

Acculturation and weight change in Asian-American children: Evidence from the ECLS-K:2011

Acculturation and weight change in Asian-American children: Evidence from the ECLS-K:2011

Autoeficácia alimentar em crianças e adolescentes com sobrepeso ou obesidade: revisão integrativa de instrumentos

Effectiveness of diet and physical activity interventions among Chinese-origin populations living in high income countries: a systematic review

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