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- Title
THE EFFECT OF THE SHAPEDOWN PROGRAM ON BMI, WAIST-HIP RATIO AND FAMILY FUNCTIONING - A FAMILY-BASED WEIGH-REDUCTION INTERVENTION SERVICEABLE TO LOW-INCOME, MINORITY COMMUNITIES.
- Authors
Dos Santos, Hildemar; Walbolt, Monica M.; Arthur, Kristen N.; Sherman, Clay; Dehorn, Salem; Herring, R. Patti; Reis, Wenes
- Abstract
Obesity affects American adolescents and has also been associated with poor family functioning. Improved family functioning may be associated with lower familial stress, which may improve lifestyle habits and reduce obesity, as well as its risk factors. Forty-seven, predominantly Hispanic, adolescents aged 10-16 years participated in the eight-week SHAPEDOWN program, a family-based intervention that sought to improve nutrition, physical activity, and family functioning. The intervention successfully reduced participants BMI (p= 0.012) and waist-hip ratio (p= 0.001). Additionally, several participants (> 70%) perceived poor family cohesion, high family conflict, and poor moral-religious emphasis and these did not significantly improve post-intervention. The lack of improvement to family functioning may have thwarted more significant weight reductions among adolescents. However, our study demonstrated that a successful weight loss intervention is possible despite poor perceived family functioning. While the effort to improve overall family functioning should not be ignored, our study provides hope that weight-loss interventions can be successful for overweight, minority, lower SES adolescents even when reductions in stressors cannot be found over such a short timeframe.
- Subjects
CALIFORNIA; PREVENTION of childhood obesity; ANTHROPOMETRY; BLACK people; CLINICAL trials; STATISTICAL correlation; ETHICS; HEALTH promotion; RESEARCH methodology; MINORITIES; PARENTS; POVERTY; QUESTIONNAIRES; RELIGION; SCHOOL health services; SELF-evaluation; T-test (Statistics); WEIGHT loss; FAMILY conflict; FAMILY relations; BODY mass index; PRE-tests &; post-tests; WAIST-hip ratio; EVALUATION of human services programs; DATA analysis software; PATIENTS' attitudes; DESCRIPTIVE statistics
- Publication
Journal of Cultural Diversity, 2020, Vol 27, Issue 1, p22
- ISSN
1071-5568
- Publication type
Article