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Published in: BMC Public Health 1/2018

Open Access 01-12-2018 | Research article

Benefits for African American and white low-income 7–10-year-old children and their parents taught together in a community-based weight management program in the rural southeastern United States

Authors: Diane C. Berry, Robert G. McMurray, Todd A. Schwartz, Reuben Adatorwovor

Published in: BMC Public Health | Issue 1/2018

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Abstract

Background

Low-income children and parents are at increased risk for developing overweight and obesity. Therefore, the purpose of this exploratory study was to compare whether African American and white children and parents benefitted equally from a community-based weight management intervention delivered in two rural counties in southeastern North Carolina (N.C.).

Methods

We compared the efficacy of the Family Partners for Health intervention for African American and white children and their parents by testing the three-way interaction of the intervention group according to visit and race.

Results

African American children in the intervention group weighed significantly (P = 0.027) less than those in the control group, while white children in the intervention group weighed less than those in the control group, but the difference did not reach statistical significance. African American and white parents in the intervention group weighed less than their respective control groups across all three data collections, but the difference was only significant in the group of white parents (P = 0.010) at the completion of the study. At the completion of the study, African American children in the intervention group received significantly (P = 0.003) more support for physical activity than African American children in the control group. At both time points, white children in the intervention group were not significantly different from those in the control group. African American parents in the intervention group scored slightly worse in the stress management assessment compared to those in the control group, while white parents in the intervention group showed a significantly (P = 0.041) better level of stress management than those in the control group. At the completion of the study, African American parents in the intervention group scored somewhat worse in emotional eating self-efficacy compared to the scores of the African American parents in the control group, while white parents in the intervention group scored significantly (P < 0.001) better than those in the control group.

Conclusions

We were successful in affecting some outcomes in both African American and white children and parents using the same intervention.

Trial registration

NCT01378806 Registered June 22, 2011.
Literature
2.
go back to reference American Diabetes Association. American Diabetes Association standards of medical Care in Diabetes-2018. Diabetes Care. 2018;41(1):S1–S159. American Diabetes Association. American Diabetes Association standards of medical Care in Diabetes-2018. Diabetes Care. 2018;41(1):S1–S159.
3.
go back to reference American Heart Association. 2018 heart disease and stroke Statistics-2018 update. Circulation. 2018;137(11):E1–E460. American Heart Association. 2018 heart disease and stroke Statistics-2018 update. Circulation. 2018;137(11):E1–E460.
4.
go back to reference National Center for Health Statistics, Health, United States, 2015. With special feature on racial and ethnic health disparities. Hyattsville, MD: National Center for Health Statistics (US); 2016. National Center for Health Statistics, Health, United States, 2015. With special feature on racial and ethnic health disparities. Hyattsville, MD: National Center for Health Statistics (US); 2016.
5.
go back to reference Cawley J, Meyerhoefer C. The medical care costs of obesity and instrumental variables approach. J Health Econ. 2012;31(1):219–30.CrossRefPubMed Cawley J, Meyerhoefer C. The medical care costs of obesity and instrumental variables approach. J Health Econ. 2012;31(1):219–30.CrossRefPubMed
9.
go back to reference Steelman GM, Westman EC. Obesity evaluation and treatment. Boca Raton, Florida: CRC Press; 2016. Steelman GM, Westman EC. Obesity evaluation and treatment. Boca Raton, Florida: CRC Press; 2016.
10.
go back to reference Berry DC, et al. The family partners for health study: a cluster randomized controlled trial for child and parent weight management. Nutr Diabetes. 2014;4:e101.CrossRefPubMedPubMedCentral Berry DC, et al. The family partners for health study: a cluster randomized controlled trial for child and parent weight management. Nutr Diabetes. 2014;4:e101.CrossRefPubMedPubMedCentral
11.
go back to reference Berry DC, et al. Rationale, design, methodology and sample characteristics for the family partners for health study: a cluster randomized controlled study. BMC Public Health. 2012;12:250.CrossRefPubMedPubMedCentral Berry DC, et al. Rationale, design, methodology and sample characteristics for the family partners for health study: a cluster randomized controlled study. BMC Public Health. 2012;12:250.CrossRefPubMedPubMedCentral
12.
go back to reference Berry DC, et al. Recruitment and retention strategies for a community-based weight management study for multi-ethnic elementary school children and their parents. Public Health Nurs. 2013;30(1):80–6.CrossRefPubMed Berry DC, et al. Recruitment and retention strategies for a community-based weight management study for multi-ethnic elementary school children and their parents. Public Health Nurs. 2013;30(1):80–6.CrossRefPubMed
13.
go back to reference Centers for Disease Control. National Health and Nutrition Examination Survey III Body Measurement (Anthropometic) Protocol. Rockville, MD: Centers for Disease Control; 1988. Centers for Disease Control. National Health and Nutrition Examination Survey III Body Measurement (Anthropometic) Protocol. Rockville, MD: Centers for Disease Control; 1988.
14.
go back to reference North Carolina Department of Health and Human Services. Adult and Child Healthy Behavior Surveys: Physical Activity and Nutrition Behavior Monitoring Form. Raleigh. N.C: Women and Children’s Health Section; 2004. North Carolina Department of Health and Human Services. Adult and Child Healthy Behavior Surveys: Physical Activity and Nutrition Behavior Monitoring Form. Raleigh. N.C: Women and Children’s Health Section; 2004.
15.
go back to reference Perry CL, et al. The child and adolescent trial for cardiovascular health (CATCH): intervention, implementation, and feasibility for elementary schools in the United States. Health Educ Behav. 1997;24(6):716–35.CrossRefPubMed Perry CL, et al. The child and adolescent trial for cardiovascular health (CATCH): intervention, implementation, and feasibility for elementary schools in the United States. Health Educ Behav. 1997;24(6):716–35.CrossRefPubMed
16.
go back to reference Walker SN, Sechrist KR, Pender NJ. The health-promoting lifestyle profile: development and psychometric characteristics. Nurs Res. 1987;36:76–81.CrossRefPubMed Walker SN, Sechrist KR, Pender NJ. The health-promoting lifestyle profile: development and psychometric characteristics. Nurs Res. 1987;36:76–81.CrossRefPubMed
17.
go back to reference Glynn SM, Ruderman J. The development and validation of an eating self-efficacy scale. Cogn Ther Res. 1986;10:403–20.CrossRef Glynn SM, Ruderman J. The development and validation of an eating self-efficacy scale. Cogn Ther Res. 1986;10:403–20.CrossRef
18.
go back to reference Bandura A. Self-efficacy: the exercise of control. New York: W.H. Freeman; 1997. Bandura A. Self-efficacy: the exercise of control. New York: W.H. Freeman; 1997.
19.
go back to reference Swinburn B. Obesity prevention in children and adolescents. Child Adolesc Psychiatr Clin North Am. 2009;18(1):209–23.CrossRef Swinburn B. Obesity prevention in children and adolescents. Child Adolesc Psychiatr Clin North Am. 2009;18(1):209–23.CrossRef
20.
go back to reference Skinner AC, Skelton J. Prevalence and trends in obesity and severe obesity among children in the United States, 1999-2012. JAMA Pediatr. 2014;168(6):561–6.CrossRefPubMed Skinner AC, Skelton J. Prevalence and trends in obesity and severe obesity among children in the United States, 1999-2012. JAMA Pediatr. 2014;168(6):561–6.CrossRefPubMed
21.
go back to reference McMurray RG, et al. Relationships of physical activity and sedentary time in obese parent-child dyads: a cross-sectional study. BMC Public Health. 2016;16:124.CrossRefPubMedPubMedCentral McMurray RG, et al. Relationships of physical activity and sedentary time in obese parent-child dyads: a cross-sectional study. BMC Public Health. 2016;16:124.CrossRefPubMedPubMedCentral
22.
go back to reference Webber KJ, Loescher LJ. A systematic review of parent role modeling of healthy eating and physical activity for their young African American children. J Spec Pediatr Nurs. 2013;18(3):177–88.CrossRef Webber KJ, Loescher LJ. A systematic review of parent role modeling of healthy eating and physical activity for their young African American children. J Spec Pediatr Nurs. 2013;18(3):177–88.CrossRef
25.
go back to reference Diggins A, Woods-Giscombe C, Waters S. The association of perceived stress, contextualized stress, and emotional eating with body mass index in college-aged black women. Eat Behav. 2015;19:188–92.CrossRefPubMed Diggins A, Woods-Giscombe C, Waters S. The association of perceived stress, contextualized stress, and emotional eating with body mass index in college-aged black women. Eat Behav. 2015;19:188–92.CrossRefPubMed
Metadata
Title
Benefits for African American and white low-income 7–10-year-old children and their parents taught together in a community-based weight management program in the rural southeastern United States
Authors
Diane C. Berry
Robert G. McMurray
Todd A. Schwartz
Reuben Adatorwovor
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2018
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-018-6006-4

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