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Family-based hip-hop to health: outcome results
Marian L Fitzgibbon1, Melinda R Stolley, Linda Schiffer
1Department of Medicine, University of Illinois at Chicago, Chicago, Illinois, USA. mlf@uic.edu
Insights
This pilot study found a downward trend in BMI Z-scores for young Hispanic children in both intervention and control groups. Obesity prevention strategies for Hispanic families remain a challenge.
Area of Science:
- Public Health
- Pediatric Obesity Prevention
- Community Health Interventions
Background:
- Childhood obesity is a significant public health concern, particularly among Hispanic children.
- Early intervention is crucial for preventing long-term health consequences.
- School-based programs offer a promising avenue for reaching young children and their families.
Purpose of the Study:
- To assess the feasibility of the Family-Based Hip-Hop to Health intervention for 3-5-year-old Latino children and parents.
- To estimate the intervention's effectiveness on Body Mass Index (BMI) Z-score changes over one year.
- To identify challenges in developing effective obesity prevention strategies for Hispanic families.
Main Methods:
- A pilot study involving four Head Start preschools in Chicago.
- Random assignment of preschools to either a Family-Based Intervention (FBI) or a General Health Intervention (GHI).
- Feasibility assessed through parent consent and attendance, with BMI Z-scores measured at 1-year follow-up.
Main Results:
- High parent consent rates (147/157 children) indicated feasibility of enrollment.
- School-based and family-based components were feasible, but parent intervention session attendance was low.
- A downtrend in BMI Z-score was observed in both FBI and GHI groups, contrary to expectations.
Conclusions:
- The study suggests a potential downward trend in obesity among young Hispanic children, but rates remain elevated compared to national averages.
- Low parent attendance at intervention sessions highlights a barrier to program effectiveness.
- Developing culturally relevant and sustainable obesity prevention strategies for Hispanic families is essential and remains a challenge.
Objective:
This pilot study tested the feasibility of Family-Based Hip-Hop to Health, a school-based obesity prevention intervention for 3-5-year-old Latino children and their parents, and estimated its effectiveness in producing smaller average changes in BMI at 1-year follow-up.
Design And Methods:
Four Head Start preschools administered through the Chicago Public Schools were randomly assigned to receive a Family-Based Intervention (FBI) or a General Health Intervention (GHI).
Results:
Parents signed consent forms for 147 of the 157 children enrolled. Both the school-based and family-based components of the intervention were feasible, but attendance for the parent intervention sessions was low. Contrary to expectations, a downtrend in BMI Z-score was observed in both the intervention and control groups.
Conclusions:
While the data reflect a downward trend in obesity among these young Hispanic children, obesity rates remained higher at 1-year follow-up (15%) than those reported by the National Health and Nutrition Examination Survey (2009-2010) for 2-5-year-old children (12.1%). Developing evidence-based strategies for obesity prevention among Hispanic families remains a challenge.
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