PURPOSE-To test the feasibility and impact of an individually tailored educational intervention to promote healthy weight in Chinese American children (ages 8-10).DESIGN-A pre-and post-test study (N = 57) using standardized instruments to measure children's usual food choices, knowledge of nutrition and physical activity needs, and time spent engaging in physical and sedentary activities.
RESULTS-We found improvement after the intervention in all three areas.PRACTICE IMPLICATIONS-Healthcare providers need to provide parents and children with specific recommendations regarding children's weight statuses, dietary intake, and levels of activity.
Search termsChildren; Chinese American; individually tailored; obesity; weight management The U.S. Department of Health and Human Services (USDHHS) has declared obesity prevention to be a top research priority. At risk for overweight and overweight in children are defined as a body mass index (BMI) greater than the 85th and 95th percentiles, respectively, based on age-and sex-specific BMI growth charts (Centers for Disease Control and Prevention [CDC], 2000). Childhood obesity has affected many ethnic groups, including Chinese Americans. Recent data indicate that 31% of Chinese Americans ages 6-11 years have a BMI greater than the 85th percentile (Tarantino, 2002). Several physical and psychosocial health problems are associated with childhood obesity, including cardiovascular disease, sleep disorders, type 2 diabetes mellitus, low self-esteem, and social withdrawal.Chinese Americans are at a higher risk of developing cardiovascular disease and type 2 diabetes mellitus and at lower BMI than are non-Hispanic Whites, possibly because of genetic differences in body composition and metabolic responses (Tan, Ma, Wai, Chew, & Tai, 2004). Despite the public efforts to reduce the prevalence of childhood obesity, studies suggest that children's consumption of sweetened beverages and the time spent on sedentary activities (i.e., TV and computer time) has increased St-Onge, Keller, & Heymsfield 2003). Developing feasible and inexpensive programs that focus on preventing obesity and promoting healthy lifestyles in early childhood is essential to avoid long-term, adverse comorbidities, especially in Chinese Americans. An individually tailored mail health promotion and healthy weight management intervention that requires minimal contact time seems to be a novel approach to combat this epidemic.Numerous interventions have been employed in the last two decades to help overweight children reduce their fat mass and maintain a healthy weight (Baranowski, Cullen, Nicklas, Thompson, & Baranowski, 2002;Caballero et al., 2003). Interventions using postal mail have had some success in promoting physical activity and improving dietary intake in adults and children (Boutelle, Dubbert, & Vander Weg, 2005;Davis & James, 2007;Sherwood et al., 2006). Printed educational materials are frequently used in primary care and community settings. One strategy for enhancing the benefits of a mailing pr...