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Outside‐of‐school time obesity prevention and treatment interventions in A frican A merican youth
Author(s) -
BarrAnderson D. J.,
Singleton C.,
Cotwright C. J.,
Floyd M. F.,
Affuso O.
Publication year - 2014
Publication title -
obesity reviews
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.845
H-Index - 162
eISSN - 1467-789X
pISSN - 1467-7881
DOI - 10.1111/obr.12204
Subject(s) - psychological intervention , intervention (counseling) , body mass index , obesity , medicine , gerontology , screen time , physical activity , demography , psychology , physical therapy , nursing , endocrinology , sociology
Summary Outside‐of‐school time ( OST ; i.e. before/after‐school hours, summer time), theory‐based interventions are potential strategies for addressing increased obesity among A frican A merican youth. This review assessed interventions across multiple settings that took place during OST among A frican A merican youth aged 5–18 years old. Seven databases were searched for studies published prior to O ctober 2013; 28 prevention and treatment interventions that assessed weight or related behaviours as a primary or secondary outcome were identified. Overall, these studies reported heterogeneous intervention length, theoretical frameworks, methodological quality, outcomes, cultural adaption and community engagement; the latter two attributes have been identified as potentially important intervention strategies when working with A frican A mericans. Although not always significant, generally, outcomes were in the desired direction. When examining programmes by time of intervention (i.e. after‐school, summer time, time not specified or multiple time periods), much of the variability remained, but some similarities emerged. After‐school studies generally had a positive impact on physical activity, fruit/vegetable consumption and caloric intake, or body composition. The single summer time intervention showed a trend towards reduced body mass index. Overall findings suggest that after‐school and summer programmes, alone or perhaps in combination, offer potential benefits for A frican A merican youth and could favourably influence diet and physical activity behaviour.