Outside‐of‐school time obesity prevention and treatment interventions in <scp>A</scp>frican <scp>A</scp>merican youth

Barr-Anderson, Daheia J.; Singleton, Chelsea R.; Cotwright, Caree; Floyd, Myron F.; Affuso, Olivia

doi:10.1111/obr.12204

Cited by 24 publications

(24 citation statements)

References 62 publications

(358 reference statements)

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“…. However, the evidence to date does not provide clear guidance as to the nature or degree of cultural or contextual adaptations that can increase intervention effectiveness . Outcomes of studies involving cultural adaptations are not necessarily better than those observed in non‐adapted studies, although comparisons of these types of programmes are confounded by other differences in the interventions.…”

Section: Key Themes and Research Directionsmentioning

confidence: 99%

What works for obesity prevention and treatment in black Americans? Research directions

2014

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SummaryObesity prevalence in black/African American children and adults of both sexes is high overall and compared with US whites. What we know, and do not know, about how to enhance the effectiveness of obesity prevention and treatment interventions in African Americans is the focus of the 10 articles in this special issue of Obesity Reviews. The evidence base is limited in quantity and quality and insufficient to provide clear guidance. With respect to children, there is relatively consistent, but not definitive support for prioritizing the systematic implementation and evaluation of child-focused interventions in pre-school and school settings and outside of school time. For adults or all ages, developing and refining e-health approaches and faith-based or other culturally and contextually relevant approaches, including translation of the Diabetes Prevention Program intervention to community settings is indicated. Major evidence gaps were identified with respect to interventions with black men and boys, ways to increase participation and retention of black adults in lifestyle behaviour change programmes, and studies of the impact of environmental and policy changes on eating and physical activity in black communities. Bold steps related to research funding priorities, research infrastructure and methodological guidelines are recommended to improve the quantity and quality of research in this domain.

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Section: Key Themes and Research Directionsmentioning

confidence: 99%

What works for obesity prevention and treatment in black Americans? Research directions

2014

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“…The paucity and heterogeneity of evidence for assessing effects of obesity‐related interventions with children and adults in black and other high‐risk populations has been all too common in reviews of both individual behaviour change studies and environmental and policy change evaluations . This is also a consistent conclusion of the other reviews in this special focus issue on obesity interventions in black Americans, which include studies published since May 2009 .…”

Section: Discussionmentioning

confidence: 77%

Examining the evidence for policy and environmental strategies to prevent childhood obesity in black communities: new directions and next steps

et al. 2014

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SummaryExposure to physical and policy environments that limit availability, affordability and appeal of healthy eating and active living options is higher for U.S. blacks than whites. This may contribute to high risk of obesity in black communities and limit effectiveness of preventive interventions. Here, we assess applicability to black Americans of findings from a prior evidence review system designed to accelerate the discovery and application of policy and environmental strategies for childhood obesity prevention and assess external validity. The database included 600 peer-reviewed articles reporting data from 396 sets of studies (study groupings) published from January 2000 through May 2009 and pertained to 24 types of policy and environmental strategies. Only 33 study groupings (∼8%) included ≥50% black Americans or reported subgroup analyses. Of 10 evaluation studies for interventions rated as effective for all populations in the primary review, 8 suggested effectiveness of child-focused interventions in school or child care settings for obesity-or physical activity-related outcomes in black Americans. Overall findings highlight the need for rigorous evaluations of interventions that reach black children in community or institutional settings, and conceptual frameworks and research designs geared to identifying ethnic or ethnicity-income group differences in intervention effects.

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“…Both school-based [45] and out-of-school [46] programs can directly engage teens in health behavior change. Health care providers can actively support efforts to improve and scale such community-based initiatives.…”

Section: Treatmentmentioning

confidence: 99%

Staying Young at Heart: Cardiovascular Disease Prevention in Adolescents and Young Adults

Chung

Touloumtzis

Gooding

2015

Curr Treat Options Cardio Med

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OPINION STATEMENT Approaches to the prevention and management of cardiovascular disease (CVD) are often too narrow in scope and initiated too late. While the majority of adolescents are free of CVD, far fewer are free of CVD risk factors, especially lifestyle factors such as poor exercise and dietary habits. Most clinicians are familiar with behavioral and pharmacologic strategies for modifying these and other traditional CVD risk factors such as hypertension, hypercholesterolemia, and diabetes. In this review, we highlight those strategies most applicable to teens and also propose a fundamental reframing that recognizes the importance of early choices and life experiences to achieving cardiovascular health. Population- and individual-level approaches that support the establishment of positive health behaviors early in life are the foundation of preserving ideal cardiovascular health and promoting positive cardiovascular outcomes. The Positive Youth Development movement supports a frame shift away from seeing young people as merely the sum of their risk factors and instead as developmentally dynamic youth capable of making healthy choices. Informed by the Positive Youth Development framework, our approach to cardiovascular prevention among adolescents is both broad-based and proactive, paying heed as early as possible to social, familial, and developmental factors that underlie health behaviors, and employing evidence- based behavioral, pharmacologic, and surgical treatments when needed.

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Outside‐of‐school time obesity prevention and treatment interventions in African American youth

Cited by 24 publications

References 62 publications

What works for obesity prevention and treatment in black Americans? Research directions

What works for obesity prevention and treatment in black Americans? Research directions

Examining the evidence for policy and environmental strategies to prevent childhood obesity in black communities: new directions and next steps

Staying Young at Heart: Cardiovascular Disease Prevention in Adolescents and Young Adults

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