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Anthropometric & Lifestyle Outcomes after a Family‐Based Lifestyle Intervention
Author(s) -
Baker Bryan,
Briggs Early Kathaleen,
Sorrells Robert,
YiFrazier Joyce,
Gottlieb Kate
Publication year - 2015
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.29.1_supplement.584.1
Subject(s) - medicine , anthropometry , obesity , waist , psychological intervention , calorie , population , demography , intervention (counseling) , post hoc analysis , gerontology , physical therapy , environmental health , nursing , sociology
ACT is an evidence‐based family‐centered behavioral intervention developed by Seattle Children's Hospital. In 2012, Yakima WA was identified as the 4 th fattest US city with 14% obesity rate among 8 th graders. ACT was brought to Yakima due to a large Hispanic population where a culturally appropriate program was needed. Methods Participating kids with BMI‐for‐age 蠅85 th%tile were referred by providers. ACT was held at the YMCA in English and Spanish x 12 weekly sessions. Anthropometrics were recorded at baseline and follow‐up. Diet and physical activity were assessed via Block screeners. SPSS v22 was used to calculate all descriptive and inferential statistics using a mixed ANOVA with a priori post‐hoc tests of simple effects. Results Eighty‐eight percent completed the intervention (n=128), which included 84 kids (8‐14 years) and 61 adults (29‐51 years). Most participants were Hispanic (74%) and 48% participated in Spanish. Both kids and adults significantly improved waist circumference (p<.001), BMI (p=.017) and body fat (p=.007). Kids significantly reduced saturated fat (p = .024), calorie (p = .026), and carbohydrate intake (p=.022). Estimated total energy expenditure for both kids (p=.032) and adults (p=.006) improved.
Conclusions ACT improved eating and activity behaviors and anthropometrics among both Spanish and English groups, indicating the program is culturally appropriate. Low‐cost interventions in partnership with hospitals and community stakeholders are an effective way to improve health outcomes among families with obesity in this community.