Family-Centered Interventions for Treatment and Prevention of Childhood Obesity in Hispanic Families: A Systematic Review

Tamayo, Milicen C.; Dobbs, Page D.; Pincu, Yair

doi:10.1007/s10900-020-00897-7

Cited by 22 publications

(35 citation statements)

References 38 publications

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“…Few studies included in this review (n = 4; 31%) reported statistically or clinically significant reductions in BMI or BMIz score, which may be due to the narrow focus of interventions on diet or physical activity. Our findings are similar to a recently published systematic review examining obesity prevention interventions in Hispanic families that also found that just three studies (33%) reported reductions in BMI or BMIz score [ 36 ]. The authors similarly concluded that a broader focus on screen time behaviors and sleep in addition to diet and physical activity is needed to observe a greater intervention effect [ 36 ].…”

Section: Discussionsupporting

confidence: 90%

“…Our findings are similar to a recently published systematic review examining obesity prevention interventions in Hispanic families that also found that just three studies (33%) reported reductions in BMI or BMIz score [ 36 ]. The authors similarly concluded that a broader focus on screen time behaviors and sleep in addition to diet and physical activity is needed to observe a greater intervention effect [ 36 ].…”

Section: Discussionsupporting

confidence: 90%

“…For example, we have previously shown that a collaboration between a research institution, local YMCA, and community-based clinic to address access to care in the context of a family-based lifestyle intervention [68] led to establishing care among previously uninsured community members, improve patient-provider relationships, and foster trust within the medical home [68]. Acknowledging and addressing SDoH that negatively impact health behaviors and intervention participation has the potential to increase recruitment, reduce attrition, and increase effectiveness among Hispanic youth and families [36]. Interestingly, all of the studies included in this review that utilized promotoras/community health educators for implementation also used strategies to consider SDoH.…”

Section: Acknowledging Sdohmentioning

confidence: 99%

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Family-Based Obesity Prevention Interventions among Hispanic Children and Families: A Scoping Review

Soltero

Peña

Gonzalez³

et al. 2021

Nutrients

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This scoping review examined intervention and sample characteristics of family-based obesity prevention interventions among Hispanic youth. This review also examined the degree to which existing interventions were culturally-adapted, acknowledged social determinants of health (SDoH), and collaborated with community stakeholders. A comprehensive search across Medline Ovid, Embase, Scopus, PsycInfo, and Pubmed was used to identify 13 studies primarily based in the U.S. (92.3%). Data was extracted by two independent reviewers. Most used a randomized control trial design (69.2%), a behavior change theory (84.6%), and reported moderate to high (≥70%) retention (69.2%). Studies targeted improvements in physical activity (69.2%) and fruit and vegetable intake (92.3%) through nutrition education, cooking demonstrations, and tastings. Younger children from low socioeconomic backgrounds (61.5%) were well represented. Most interventions were culturally-adapted (69.2%), all studies reported collaboration with stakeholders, yet only half used strategies that acknowledged SDoH (46.2%). To increase our understanding of the underlying mechanisms by which family-based approaches can reach and engage Hispanic youth and families, future studies should rigorously evaluate theoretical constructs, family processes, and SDoH that influence program participation and health behaviors. This information will guide the design and development of future interventions aimed at reducing obesity disparities among Hispanic youth.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 90%

Section: Acknowledging Sdohmentioning

confidence: 99%

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Family-Based Obesity Prevention Interventions among Hispanic Children and Families: A Scoping Review

Soltero

Peña

Gonzalez³

et al. 2021

Nutrients

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“…Even small behavioural changes have been shown to yield a significant positive impact on cardiometabolic risk above and beyond changes in BMI 50 . Our results are similar to those of recent systematic reviews of family based interventions for Latinx families which found that lifestyle changes were common among shorter interventions without evidence of anthropometric change 51 . Our findings further conceptual models that posit relationships between family health routines and child health behaviours 52‐54 and provide empirical support for targeting family factors in child weight management interventions.…”

Section: Discussionsupporting

confidence: 87%

“…50 Our results are similar to those of recent systematic reviews of family based interventions for Latinx families which found that lifestyle changes were common among shorter interventions without evidence of anthropometric change. 51 Our findings further conceptual models that posit relationships between family health routines and child health behaviours [52][53][54] and provide empirical support for targeting family factors in child weight management interventions. Moreover, the fact that the effects of the program on these health outcomes did not differ by ethnicity or language provides evidence that the FCU4Health may be effective in reducing health disparities when implemented in clinics with disproportionately affected populations.…”

Section: Discussionsupporting

confidence: 61%

Health behaviour outcomes of a family based intervention for paediatric obesity in primary care: A randomized type II hybrid effectiveness‐implementation trial

et al. 2021

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Summary Background Paediatric obesity is a multifaceted public health problem. Family based behavioural interventions are the recommended approach for the prevention of excess weight gain in children and adolescents, yet few have been tested under “real‐world” conditions. Objectives To evaluate the effectiveness of a family based intervention, delivered in coordination with paediatric primary care, on child and family health outcomes. Methods A sample of 240 families with racially and ethnically diverse (86% non‐White) and predominantly low‐income children (49% female) ages 6 to 12 years (M = 9.5 years) with body mass index (BMI) ≥85th percentile for age and gender were identified in paediatric primary care. Participants were randomized to either the Family Check‐Up 4 Health (FCU4Health) program (N = 141) or usual care plus information (N = 99). FCU4Health, an assessment‐driven individually tailored intervention designed to preempt excess weight gain by improving parenting skills was delivered for 6 months in clinic, at home and in the community. Child BMI and body fat were assessed using a bioelectrical impedance scale and caregiver‐reported health behaviours (eg, diet, physical activity and family health routines) were obtained at baseline, 3, 6 and 12 months. Results Change in child BMI and percent body fat did not differ by group assignment. Path analysis indicated significant group differences in child health behaviours at 12 months, mediated by improved family health routines at 6 months. Conclusion The FCU4Health, delivered in coordination with paediatric primary care, significantly impacted child and family health behaviours that are associated with the development and maintenance of paediatric obesity. BMI did not significantly differ.

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Family‐based interventions for preventing overweight or obesity among preschoolers from racial/ethnic minority groups: A scoping review

Wang

Ammerman

Orr

2021

Obesity Science & Practice

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Objective: This scoping review aimed to synthesize the published literature on family-based childhood obesity prevention interventions from 2015 to 2021 that focused on children 2-5 years of age from racial and/or ethnic minority households. Methods:A PICOS (population, intervention, comparison, outcome, and setting) framework was used to guide the development of the research question, search strategy, and inclusion/exclusion criteria. To be included, the study must have been a randomized controlled trial or quasi-experimental trial that enrolled participants 2-5 years of age and their caregivers who identified as being from a racial and/or ethnic minority group in the United States. The study must have also examined a family-based intervention that incorporated components to prevent childhood obesity (i.e., fruits and vegetable intake, parental responsive feeding, physical activity), be conducted in a remote (i.e., online, text, mail), home, community, primary care setting, or early childhood education institution setting, and report on body mass index (BMI, kg/m 2 ), BMI z-score, anthropometric measures (weight, waist circumference, fat mass, etc.), changes in health behaviors, or increase in nutritional knowledge. Results: Fourteen individual studies were identified. Most interventions used multiple components for promoting nutritional knowledge and behavioral changes among families. Eight interventions included culturally tailored components targeting four aspects: (1) language barriers, (2) food choices, (3) relationships between family members, and (4) rapport building. Conclusions: There is limited research in this field focusing on children from racial and/or ethnic minority groups. Future efforts should invest in developing culturally appropriate interventions for these groups.

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Family-Centered Interventions for Treatment and Prevention of Childhood Obesity in Hispanic Families: A Systematic Review

Cited by 22 publications

References 38 publications

Family-Based Obesity Prevention Interventions among Hispanic Children and Families: A Scoping Review

Family-Based Obesity Prevention Interventions among Hispanic Children and Families: A Scoping Review

Health behaviour outcomes of a family based intervention for paediatric obesity in primary care: A randomized type II hybrid effectiveness‐implementation trial

Family‐based interventions for preventing overweight or obesity among preschoolers from racial/ethnic minority groups: A scoping review

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