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Hip-Hop to Health Jr. Obesity Prevention Effectiveness Trial: postintervention results

Marian L Fitzgibbon1, Melinda R Stolley, Linda A Schiffer

  • 1Department of Medicine, University of Illinois at Chicago, Chicago, Illinois, USA. mlf@uic.edu

Obesity (Silver Spring, Md.)
|January 4, 2011
PubMed

Insights

A teacher-delivered obesity prevention program for Black preschoolers improved physical activity and reduced screen time. While feasible, the intervention did not significantly impact diet or BMI, highlighting measurement challenges.

Area of Science:

  • Pediatric obesity prevention
  • Public health interventions
  • Early childhood education

Background:

  • Preschool years are critical for addressing obesity trajectories in Black children.
  • Obesity prevention programs require effective delivery methods for young children.
  • Teacher-led interventions offer a scalable approach in school settings.

Purpose of the Study:

  • To assess the feasibility and effectiveness of a teacher-delivered obesity prevention intervention for Black preschoolers.
  • To evaluate the impact of the 'Hip-Hop to Health Jr.' program on physical activity, screen time, diet, and BMI.
  • To determine if classroom teachers can successfully implement a weight control intervention.

Main Methods:

  • Group-randomized controlled trial involving 618 Black preschoolers across 18 Chicago Public Schools.
  • Intervention group received a 14-week weight control program delivered by teachers.
  • Control group received a general health intervention. Data collected at baseline and postintervention.

Main Results:

  • Intervention group showed significantly increased moderate-to-vigorous physical activity (MVPA) (7.46 min/day, P=0.02).
  • Intervention group had significantly reduced total screen time (-27.8 min/day, P=0.05).
  • No significant differences observed in BMI, BMI Z-score, or dietary intake between groups.

Conclusions:

  • Teacher-delivered obesity prevention is feasible in preschool settings.
  • The intervention positively influenced physical activity and screen time behaviors.
  • Measuring diet and physical activity in preschoolers presents challenges; teacher training and supervision are crucial for intervention success.

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