Childhood obesity (Print) · 2026
Pragmatic Pilot Study of the Healthy Living Program: An Obesity Prevention and Treatment Program for Low-Income Hispanic Families Delivered Through Clinic-Community Partnership.
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Haemer Matthew A, Tong Suhong, Steen Emily J, Osborn Brandon, Bradley Megan, Boles Richard E
Аннотация
BACKGROUND: Few childhood obesity interventions have been designed for Hispanic families including Spanish speakers. This pragmatic pilot study assessed the effectiveness of a whole-family obesity prevention and treatment program-the Healthy Living Program (HeLP).
METHODS: HeLP is delivered at recreation centers by teams of health educators and fitness professionals. HeLP involves 12 group sessions, including parenting, child feeding, nutrition, cooking, meal planning/shopping, and fitness. Primary care providers referred families of children 2 years and older with obesity. This pragmatic longitudinal study collected data at the intervention and from electronic health records to compare child BMI trajectories from 12 months pre- to 12 months postintervention, in terms of the percentage of the 95th percentile BMI (BMI%95) using hierarchical mixed-effects models to account for clustering and to adjust for age, sex, weight status, and language.
RESULTS: Median attendance was 8 of 12 sessions. Of 317 children who had BMI measured clinically 1 year prior to HeLP, 265 (84%) had BMI measured 1 year post-HeLP, including 210 with overweight or obesity and 55 healthy weight siblings. About 71% of parents spoke Spanish only. Changes in modeled BMI%95 trajectory for children with overweight or obesity were: -6.7% [95% CI -13.0%, -0.4%] (p = 0.04) for 2-6 years, -5.8% [-8.6%, -3.0%] (p < 0.0001) for 7-11 years, and -4.1% [-6.8%, -1.4%] (p = 0.003) for 12-18 years. Children with overweight decreased -4.6% [-8.4%, -0.9%] (p = 0.001).
CONCLUSIONS: These data suggest that HeLP, a whole-family intervention delivered by clinic-community partnership, may be effective at preventing and treating obesity in children from Hispanic families with low income and support an ongoing randomized controlled trial.
METHODS: HeLP is delivered at recreation centers by teams of health educators and fitness professionals. HeLP involves 12 group sessions, including parenting, child feeding, nutrition, cooking, meal planning/shopping, and fitness. Primary care providers referred families of children 2 years and older with obesity. This pragmatic longitudinal study collected data at the intervention and from electronic health records to compare child BMI trajectories from 12 months pre- to 12 months postintervention, in terms of the percentage of the 95th percentile BMI (BMI%95) using hierarchical mixed-effects models to account for clustering and to adjust for age, sex, weight status, and language.
RESULTS: Median attendance was 8 of 12 sessions. Of 317 children who had BMI measured clinically 1 year prior to HeLP, 265 (84%) had BMI measured 1 year post-HeLP, including 210 with overweight or obesity and 55 healthy weight siblings. About 71% of parents spoke Spanish only. Changes in modeled BMI%95 trajectory for children with overweight or obesity were: -6.7% [95% CI -13.0%, -0.4%] (p = 0.04) for 2-6 years, -5.8% [-8.6%, -3.0%] (p < 0.0001) for 7-11 years, and -4.1% [-6.8%, -1.4%] (p = 0.003) for 12-18 years. Children with overweight decreased -4.6% [-8.4%, -0.9%] (p = 0.001).
CONCLUSIONS: These data suggest that HeLP, a whole-family intervention delivered by clinic-community partnership, may be effective at preventing and treating obesity in children from Hispanic families with low income and support an ongoing randomized controlled trial.