salud : S tarting a l ifestyle u n d efeated a latino community family intervention

Diane Whaley, PhDAssociate Professor, Curry School of Education

Amy Boitnott, DNP, FNP-BCAssistant Professor, School of Nursing

Mark DeBoer, MD, MPHAssistant Professor, School of Medicine

Incidence has increased 33% over the past 30 years.

In 1980 only 6.5% of children in all age groups were overweight or obese.Children’s

AgePercentage clinically defined as Obese in

2008

2 to 5 years 11

6 to 11 years 19.6

12 to 19 years

18.1

* 25th heaviest state in the nation* 23rd heaviest children in the nation* 30% of Virginia’s youth are overweight or obese* 38% of children in Charlottesville are overweight or

obese

OBESE CHILDREN AGES 6 TO 11 YEARS

OBESE CHILDREN AGES 12-19 YEARS

0

10

20

30

Black White Latino

17.2 16.9

25.624.8

15.6 16.6

Percen

t

Ethnicity

MalesFemales

0

10

20

30

Black White Latino

19.816.7

26.829.2

14.517.5

Percen

t

Ethnicity

MalesFemales

Organ System

Condition

Cardiovascular HypertensionDyslipidemiaHeart disease

Endocrine Type 2 diabetes mellitusMetabolic syndrome

Pulmonary Obstructive Sleep Apnea Syndrome

Musculoskeletal

Slipped capital-femoral epiphysisBlount’s Disease (tibia vara)

Psychosocial DepressionRelationship impairmentAlterations in Quality of LifeBody dissatisfactionLow self-esteem

Child’s Behavior

s

Child’s Behavior

s

Child’s Expectancie

s for success

Child’s Value for

the behavior

Parent’s perceptions

of child’s competence

Parent’s perceptions

of child’s competence

Parent role modeling

Parent role modeling

SALUD study designSALUD study design

Family

Child Parent

Family

Child Parent

Physical activity curriculum

Nutrition curriculum

Parental counseling program

Discussion forum

Family dinner Nancy Kechner

Quickstart Tennis


Ellen Markowitz

Angie Hasemann

Amy Boitnott

Amy BoitnottGloria Rockhold

Growing up Healthy

SALUD study designSALUD study designHypotheses

1. A multi-faceted, community-based intervention targeting overweight/ obese children and their parents individually (SALUD) will result in improved competence and value:

a) of parents, with respect to their ability to help their child be physically active and lose weight, and

b) of children, with respect to their ability to exercise and make healthy food choices.

2. This community-based intervention will result in improved body-mass index and activity levels among the overweight/obese children.

Overweight/obese childrenC

om

pet

ence

*

Normal weight children

Overweight/obese children

BM

I z-

sco

re*

Normal weight children

1. 2.


Southwood

Southwood Mobile Home ParkSouthwood Mobile Home Park

• Owned by Habitat for Owned by Habitat for HumanityHumanity

• >50% Spanish Speaking>50% Spanish Speaking

•~350 children <12 years old ~350 children <12 years old

•>1/3 of children overweight/ >1/3 of children overweight/ obeseobese

SALUD study designSALUD study designInitial session

Parents

Children

Family

Data collection: Height, weight, BMIFamily size

Surveys: Competency evalQuality of life (child)

Intervention: Parental counseling

Data collection: DOB, gradeHt, wt, BMI %tile

Surveys: Competency evalQuality of life

Healthy meal

Intervention: Quickstart TennisGrowing-Up-Healthy


Parents

Children

Family






Healthy meal


Data collection: Attendance


Data collection: AttendanceHt, wt, BMI %tile

Healthy meal


Monthly sessions (x4)


Parents

Children

Family






Healthy meal


Data collection: Attendance


Data collection: AttendanceHt, wt, BMI %tile

Healthy meal





Healthy meal




Final sessionMonthly sessions (x4)

Recruitment: Community Leader

Setting: Covenant School

Workforce: Student volunteers

Parent’s and children’s BMI decreased slightly However, heaviest participants dropped out

Parent’s perceptions of their child’s sport competence and their modeling of healthy behaviors improved (p=.1)

Children’s sport & healthy eating competence did not improve, nor did children’s fruit & veggie consumption

salud : S tarting a l ifestyle u n d efeated a latino community family intervention

Documents

Transcript of salud : S tarting a l ifestyle u n d efeated a latino community family intervention