Journal article
Rationale, design, and methodology for the healthy mothers-healthy children study: a randomized controlled trial
BMC nutrition, Vol.5(1), pp.58-58
12/16/2019
DOI: 10.1186/s40795-019-0322-7
PMCID: PMC7050912
PMID: 32153971
Abstract
Background
Hispanic women and children who become overweight or obese are at risk for developing prediabetes, type 2 diabetes, and cardiovascular disease later in life. Interdisciplinary interventions which target Hispanic women and their 3–5-year old children to improve nutrition and physical activity behaviors, manage adiposity and weight in mothers, and prevent excessive adiposity and weight gain trajectory in their children offer promise to break the intergenerational cycle.
Methods
Using a randomized two-group, repeated measures experimental design, the goal of the proposed study is to investigate the efficacy of a 12-week nutrition and physical activity program including education, coping skills training, and home-based intervention in Hispanic women and their 3–5-year old children. The program includes 6 months of continued monthly contact to help overweight and obese Hispanic mothers and their children improve adiposity, weight (trajectory for children), health behaviors (nutrition and physical activity), and self-efficacy We will partner with two federally qualified health departments in Durham and Chatham counties, North Carolina to enroll participants. We will partner with community centers to deliver the intervention. A total of 294 Hispanic women with a BMI ≥ 25 kg/m2 and 294 Hispanic 3–5-year old children with a ≥ 25th BMI percentile will be enrolled over 4 years and randomized to the experimental or equal attention control group. Data will be collected at Time 1 (0 months [baseline]) to Time 2 (9 months [completion of the intervention]) and Time 1 to Time 3 (15 months [after 6 months with no contact from the study staff]). Data collected will include adiposity and weight in mothers and children (primary outcomes). Secondary outcomes will include health behaviors and self-efficacy in the mothers and in the children. We will also evaluate the cost of delivering the program for public health departments. We will use general linear mixed models to test the hypotheses.
Discussion
Decreasing overweight and obesity in Hispanic women and slowing adiposity and weight gain trajectory in young Hispanic children is urgently needed to decrease morbidity, mortality, and future health care costs.
Details
- Title: Subtitle
- Rationale, design, and methodology for the healthy mothers-healthy children study: a randomized controlled trial
- Creators
- Diane C. Berry - University of North Carolina at Chapel HillCecilia Gonzales - University of North Carolina at Chapel HillNilda Peragallo Montano - University of North Carolina at Chapel HillKrista M. Perreira - University of North Carolina at Chapel HillAlice S. Ammerman - University of North Carolina at Chapel HillJaime Crandell - University of North Carolina at Chapel HillKelly R. Evenson - University of North Carolina at Chapel HillMyles S. Faith - University at Buffalo, State University of New YorkHugh Waters - Milken InstituteCrystal Linares - University of North Carolina at Chapel HillYamnia I. Cόrtes - Campus Box 7460, Chapel Hill, North Carolina 27599-7460 USAEliana M. Perrin - Duke University
- Resource Type
- Journal article
- Publication Details
- BMC nutrition, Vol.5(1), pp.58-58
- DOI
- 10.1186/s40795-019-0322-7
- PMID
- 32153971
- PMCID
- PMC7050912
- NLM abbreviation
- BMC Nutr
- ISSN
- 2055-0928
- eISSN
- 2055-0928
- Publisher
- BioMed Central
- Grant note
- 1R01NR017199-01 / ;
- Language
- English
- Date published
- 12/16/2019
- Academic Unit
- Nursing
- Record Identifier
- 9984446276702771
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