Family‐based hip‐hop to health: Outcome results

Abstract

This pilot study tested the feasibility of Family-Based Hip-Hop to Health, a school-based obesity prevention intervention for 3-5 year old Latino children and their parents, and estimated its effectiveness in producing smaller average changes in body mass index at one year follow-up.Four Head Start preschools administered through the Chicago Public Schools were randomly assigned to receive a Family-Based Intervention (FBI) or a General Health intervention (GHI). Parents signed consent forms for 147 of the 157 children enrolled.Both the school-based and family-based components of the intervention were feasible, but attendance for the parent intervention sessions was low. Contrary to expectations, a downtrend in BMI Z score was observed in both the intervention and control groups.While the data reflect a downward trend in obesity among these young Hispanic children, obesity rates remained higher at one-year follow-up (15%) than those reported by the National Health and Nutrition Examination Survey (2009-2010) for 2-5 year old children (12.1%). Developing evidence-based strategies for obesity prevention among Hispanic families remains a challenge.

A Systematic Review of Home-Based Childhood Obesity Prevention Studies

“…During article screening, we excluded an additional 470 articles. Six studies reporting on home-based interventions (KQ2) were included in this review: 3 home-based combined (diet and PA) intervention studies, [16][17][18] 1 home-based diet intervention study, 19 1 combined home-based study with primary care and consumer health informatics components, 20 and 1 combined home-based study with school and community components (Fig 1). 21 The results of the gray literature search did not yield studies eligible for inclusion in this review.…”

“…17 The third study assessed the effect of the intervention on dietary fat, fruit and vegetable intake, television viewing, and PA among preschool-aged children. 18 None of these studies reported significant beneficial intervention effects on BMI, BMI z score, weight, or prevalence of obesity/overweight. [16][17][18] With regard to intermediate outcomes, in 2 studies there were no differences between the intervention and control groups in minutes perday of PA, television viewing, or general screen time.…”

“…[16][17][18][19][20][21] The majority of included studies were conducted exclusively in the home setting (n = 4). [16][17][18][19] The sample size of included studies ranged from 26 to 1323 participants. Intervention length varied between 14 and 104 weeks, and participant followup ranged from 52 to 104 weeks.…”

“…Intervention length varied between 14 and 104 weeks, and participant followup ranged from 52 to 104 weeks. One study specifically targeted girls, 19 and 2 other studies targeted preschool- 18 and adolescent-aged participants (Table 1). 20 …”

“…[16][17][18] These studies enrolled a total of 262 participants aged 4 to 17 years. One reported on the effect of 2 educational diet and PA interventions, each targeting a different dietary behavior (increased fruit and vegetable intake versus decreased intake of high-fat/high-sugar foods).…”