The prevalence and comorbidities of childhood obesity among low-income urban children are a significant health issue in the United States. Programs designed to assist families are underutilized. The aim of this study is to describe barriers and facilitators relevant to intervention program participation from the perspective of parents who have children who are overweight or obese. Systematic thematic analysis of focus groups and semi-structured interviews with parents from multiple urban pediatrics and family medicine practices were used to gather data. A framework analysis approach was used and a codebook of themes was developed. Transcripts were coded independently by the research team and consensus among researchers was reached. Forty-eight parents participated in the study. Perceived barriers to participation included (1) varied referral process (lack of follow-up or varying referral experience), (2) costs (time and program fee), (3) logistics (location and program schedule), and (4) child motivation. Perceived facilitators to participation included (1) systematic referral process (in-office referral and timely follow-up), (2) program content and organization, and (3) no cost. Multiple barriers and facilitators affect weight management program participation among families, which should be specifically targeted in future obesity interventions in order to effectively reach urban, minority parents and children.

Background/Purpose: Obesity and secondary conditions continue to disproportionally affect the health of children living in urban areas. Studies show that a lack of resources and physical activity-unfriendly communities discourage 60 minutes of daily activity, including strengthening exercises, as recommended by the Centers for Disease Control and Prevention. Using Social Ecological theory, the purpose of this study was to examine the multi-level influences of a yoga-based intervention on urban, inner city youth. Method: Using a mixed-methods design, ninety-three 3 -5 th grade students at five urban elementary schools participated in a ten-week yoga intervention. Analysis/Results: RM-ANOVA results revealed a significant reduction in stress and bullying behaviors among participants, and multiple regression analyses revealed that program attendance, change in stress, and change in yoga enjoyment significantly predicted change in yoga participation outside PE, when controlling for gender and age F(5, 87) = 5.36, p < 0.01, adj. R 2 = 0.19, but did not have a significant impact on physical activity participation outside of school. Student interviews and non-participant observations revealed strong enjoyment of yoga which led students to report substantial increases in yoga-related activities outside of school. Students also revealed that experience in yoga improved focus, attention, and reduced stress. Conclusions: Through convergence of qualitative and quantitative methods, this study showed a positive relationship between the number of yoga sessions attended (dose), enjoyment of yoga, and participation in yoga outside PE with friends and family. Findings suggest that urban PE should include more individual, non-competitive activities such as yoga, which students find to be stress-relieving, fun, inexpensive and easy to perform at home.

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Objective: Existing research shows that sociodemographic factors are associated with dietary patterns among adolescents; however, little is known about when these relationships begin in children. The purpose of this study was to examine the relationship between dietary self-efficacy (SE) and dietary intake among children over time and by race/ethnicity, among students receiving a healthy eating and physical activity intervention. Design: Pretest–posttest questionnaire, before and after an 8-month intervention Setting: The study was conducted in a large Midwestern metropolitan area of the USA. Method: Students ( N = 332, Mage = 9.1; SD = .61; female = 45%, Black = 46%) completed a questionnaire at the beginning (T1) and end (T2) of the school year. The Wilcoxon signed-rank test and a Mann–Whitney U test were used to determine if there were differences by group. Results: SE at T1 was associated with intake ( p < .01 to p < .05; except whole grains). While there were not intervention effects over time in dietary self-efficacy or intake, findings suggest that healthy eating and self-efficacy differences do not exist in children when examined by race/ethnicity, except in the case of a composite healthy eating score with White students reporting a higher intake of healthy food and a lower intake of unhealthy food overall. Conclusion: Future research should examine when specific differences in healthy eating and SE emerge in children or adolescents in order to develop school, home and community-based interventions that effectively disrupt differences by race/ethnicity before they occur in adolescence.