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Adherence to a multi‐component weight management program for Mexican American adolescents
Author(s) -
Johnston Craig Allen,
Papaioannou Maria A,
Moreno Jennette P,
ElMubasher Abeer,
Foreyt John P
Publication year - 2013
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.27.1_supplement.1063.23
Subject(s) - snacking , medicine , weight management , weight loss , percentile , odds , gerontology , demography , odds ratio , zoology , obesity , logistic regression , mathematics , statistics , biology , sociology
This study examined weight loss among Mexican American students in a weight management program. A total of 358 participants completed a 12‐week intervention which incorporated 4 program components: nutrition education (NE), physical activity (PA), sedentary behavior (SB), and a snacking intervention (SI). NE, PA, and SB were all consistent with USDA dietary guidelines. The SI consisted of providing students with peanuts or peanut butter, a nutrient dense snack intended to promote satiety. Self‐report of adherence to program components was collected at 6 months. Students were classified as having successful weight outcomes if they maintained or decreased their weight at 6 months. Participants’ weight decreased by an average of 1.5 percentile points (t=9.4, p<.001). High levels of adherence to all program components except PA were found to increase the likelihood of having successful weight outcomes (Odds ratios: 2.8–4.0; ps<.001). When accounting for variance between variables, SB accounted for the most variance in having a successful weight outcome, followed by NE adherence. The SI was the final predictive variable in the model. With the exception of PA, higher levels of adherence were shown to be predictive of successful weight outcomes for Mexican American students. Each of these components appeared to independently impact weight outcomes. The study was funded by the United States Department of Agriculture.