Treating Obesity in Latino Children: A Systematic Review of Current Interventions

Authors

  • May May Leung School of Urban Public Health, Hunter College, New York, USA
  • Olivia Barata Cavalcanti Graduate School of Public Health and Health Policy, City University of New York, New York, NY, USA
  • Amani El Dada School of Urban Public Health, Hunter College, New York, USA
  • Mason Brown School of Urban Public Health, Hunter College, New York, USA
  • Katrina F. Mateo Graduate School of Public Health and Health Policy, City University of New York, New York, NY, USA
  • Ming Chin Yeh School of Urban Public Health, Hunter College, New York, USA

DOI:

https://doi.org/10.6000/1929-4247.2017.06.01.1

Keywords:

Childhood obesity, body mass index, treatment, Latino, intervention.

Abstract

Childhood obesity remains a significant public health issue in the U.S. and globally. Rates are disproportionately higher in Latinos than other ethnic groups. This review provides a qualitative synthesis of the current evidence for childhood obesity treatment interventions among Latino children. A systematic search was performed in PubMed, Web of Science and Google Scholar for articles published from September 2010 to December 2015. Randomized controlled trials treating childhood overweight/obesity in Latino children ages 5-19 focused on diet and/or physical activity (PA) behaviors were included. Of the records initially identified (n=1,592), 11 studies met the inclusionary criteria. The majority included a family-based component (n=8; 73%). Nearly half (n=5) focused on children ages 5-12, with three specifically developed for the pre-adolescence stage (ages 8-12). Nine studies acknowledged cultural tailoring, most frequently by seeking input from their intended population and utilizing bilingual delivery staff. Improvements in anthropometric measures (e.g. body mass index (BMI) z-score) were observed in 55% of the studies (n=6). Many interventions with a combined focus of diet and PA, in the form of nutrition education in a group setting and in-person activity/exercise sessions and incorporated a parent/family component reported positive anthropometric results. Three (27%) studies included a follow-up period, all of which observed a sustained decrease in BMI over time. Overall, family-based interventions focusing on both diet and PA demonstrated promising results. However, additional research incorporating a follow-up period is warranted to assess sustainability of these outcomes. Additionally, more interventions could be developed specifically for the critical developmental stage of pre-adolescence

References

van Jaarsveld CH, Gulliford MC. Childhood obesity trends from primary care electronic health records in England between 1994 and 2013: population-based cohort study. Arch Dis Child 2015; 100(3): 214-219. https://doi.org/10.1136/archdischild-2014-307151

Ogden CL, Carroll MD, Lawman HG, Fryar CD, Kruszon-Moran D, Kit BK, et al. Trends in Obesity Prevalence Among Children and Adolescents in the United States, 1988-1994 Through 2013-2014. JAMA 2016; 315(21): 2292-2299. https://doi.org/10.1001/jama.2016.6361

Trasande L, Elbel B. The economic burden placed on healthcare systems by childhood obesity. Expert Rev Pharmacoecon Outcomes Res 2012; 12(1): 39-45. https://doi.org/10.1586/erp.11.93

Pizzi MA, Vroman K. Childhood obesity: effects on children's participation, mental health, and psychosocial development. Occup Ther Health Care 2013; 27(2): 99-112. https://doi.org/10.3109/07380577.2013.784839

Pulgaron ER, Delamater AM. Obesity and Type 2 Diabetes in Children: Epidemiology and Treatment. Curr Diab Rep 2014; 14(8): 508. https://doi.org/10.1007/s11892-014-0508-y

OECD. Overweight and obesity among children. : Organisation for Economic Co-operation and Development; 2015; pp. 76-77.

Ogden CL, Carroll MD, Kit BK, Flegal KM. Prevalence of childhood and adult obesity in the United States, 2011-2012. JAMA 2014; 311(8): 806-814. https://doi.org/10.1001/jama.2014.732

Reilly J, Kelly J. Long-term impact of overweight and obesity in childhood and adolescence on morbidity and premature mortality in adulthood: systematic review. Int J Obes 2011; 35(7): 891-898. https://doi.org/10.1038/ijo.2010.222

Black MH, Zhou H, Takayanagi M, Jacobsen SJ, Koebnick C. Increased asthma risk and asthma-related health care complications associated with childhood obesity. Am J Epidemiol 2013; 178(7): 1120-1128. https://doi.org/10.1093/aje/kwt093

Freedman DS, Mei Z, Srinivasan SR, Berenson GS, Dietz WH. Cardiovascular risk factors and excess adiposity among overweight children and adolescents: the Bogalusa Heart Study. J Pediatr 2007; 150(1): 12-17. e2.

Freedman DS, Khan LK, Dietz WH, Srinivasan SR, Berenson GS. Relationship of childhood obesity to coronary heart disease risk factors in adulthood: the Bogalusa Heart Study. Pediatrics 2001; 108(3): 712-718. https://doi.org/10.1542/peds.108.3.712

Llewellyn A, Simmonds M, Owen C, Woolacott N. Childhood obesity as a predictor of morbidity in adulthood: a systematic review and meta‐analysis. Obes Rev 2016; 17(1): 56-67. https://doi.org/10.1111/obr.12316

Segal A. Food deserts: a global crisis in New York city: causes, impacts and solutions. J Sust Dev 2010; 3: 19.

Crespo CJ, Smit E, Carter-Pokras O, Andersen R. Acculturation and leisure-time physical inactivity in Mexican American adults: results from NHANES III, 1988-1994. Am J Public Health 2001; 91(8): 1254-1257. https://doi.org/10.2105/AJPH.91.8.1254

Lovasi GS, Hutson MA, Guerra M, Neckerman KM. Built environments and obesity in disadvantaged populations. Epidemiol Rev 2009; 31: 7-20. https://doi.org/10.1093/epirev/mxp005

King AC, Castro C, Wilcox S, Eyler AA, Sallis JF, Brownson RC. Personal and environmental factors associated with physical inactivity among different racial–ethnic groups of US middle-aged and older-aged women. Health Psychol 2000; 19(4): 354. https://doi.org/10.1037/0278-6133.19.4.354

Kaufman L, Karpati A. Understanding the sociocultural roots of childhood obesity: food practices among Latino families of Bushwick, Brooklyn. Soc Sci Med 2007; 64(11): 2177-2188. https://doi.org/10.1016/j.socscimed.2007.02.019

Diaz V, Mainous III A, Koopman R, Geesey M. Are ethnic differences in insulin sensitivity explained by variation in carbohydrate intake? Diabetologia 2005; 48(7): 1264-1268. https://doi.org/10.1007/s00125-005-1745-z

Giammattei J, Blix G, Marshak HH, Wollitzer AO, Pettitt DJ. Television watching and soft drink consumption: associations with obesity in 11-to 13-year-old schoolchildren. Arch Pediatr Adolesc Med 2003; 157(9): 882-886. https://doi.org/10.1001/archpedi.157.9.882

van Hoek E, Feskens EJ, Bouwman LI, Janse AJ. Effective Interventions in Overweight or Obese Young Children: Systematic Review and Meta-Analysis. Child Obes 2014; 10(6): 448-460. https://doi.org/10.1089/chi.2013.0149

Cai L, Wu Y, Cheskin L, Wilson R, Wang Y. Effect of childhood obesity prevention programmes on blood lipids: a systematic review and meta‐analysis. Obes Rev 2014; 15(12): 933-944. https://doi.org/10.1111/obr.12227

Waters E, de Silva-Sanigorski A, Hall BJ, Brown T, Campbell KJ, Gao Y, et al. Interventions for preventing obesity in children. Cochrane Database Syst Rev 2011; 12(00). https://doi.org/10.1002/14651858.CD001871.pub3

Bhuyan SS, Chandak A, Smith P, Carlton EL, Duncan K, Gentry D. Integration of public health and primary care: A systematic review of the current literature in primary care physician mediated childhood obesity interventions. Obes Res Clin Pract 2015; 9(6): 539-552. https://doi.org/10.1016/j.orcp.2015.07.005

Centre for reviews, dissemination (CRD). Systematic reviews: CRD's guidance for undertaking reviews in health care. Centre for Reviews and Dissemination 2009.

Wright K, Giger JN, Norris K, Suro Z. Impact of a nurse-directed, coordinated school health program to enhance physical activity behaviors and reduce body mass index among minority children: A parallel-group, randomized control trial. Int J Nurs Stud 2013; 50(6): 727-737. https://doi.org/10.1016/j.ijnurstu.2012.09.004

Wright K, Norris K, Newman Giger J, Suro Z. Improving healthy dietary behaviors, nutrition knowledge, and self-efficacy among underserved school children with parent and community involvement. Child Obes 2012; 8(4): 347-356. https://doi.org/10.1089/chi.2012.0045

Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Ann Intern Med 2009; 151(4): 264-269. https://doi.org/10.7326/0003-4819-151-4-200908180-00135

Díaz RG, Esparza-Romero J, Moya-Camarena SY, Robles-Sardín AE, Valencia ME. Lifestyle intervention in primary care settings improves obesity parameters among Mexican youth. J Am Diet Assoc 2010; 110(2): 285-290. https://doi.org/10.1016/j.jada.2009.10.042

O'Connor TM, Hilmers A, Watson K, Baranowski T, Giardino AP. Feasibility of an obesity intervention for paediatric primary care targeting parenting and children: Helping HAND. Child Care Health Dev 2013; 39(1): 141-149. https://doi.org/10.1111/j.1365-2214.2011.01344.x

Boudreau ADA, Kurowski DS, Gonzalez WI, Dimond MA, Oreskovic NM. Latino families, primary care, and childhood obesity: a randomized controlled trial. Am J Prev Med 2013; 44(3 Suppl 3): S247-57.

Mirza NM, Palmer MG, Sinclair KB, McCarter R, He J, Ebbeling CB, et al. Effects of a low glycemic load or a low-fat dietary intervention on body weight in obese Hispanic American children and adolescents: a randomized controlled trial. Am J Clin Nutr 2013; 97(2): 276-285. https://doi.org/10.3945/ajcn.112.042630

Falbe J, Cadiz AA, Tantoco NK, Thompson HR, Madsen KA. Active and Healthy Families: A Randomized Controlled Trial of a Culturally Tailored Obesity Intervention for Latino Children. Acad Pediatr 2015; 15(4): 386-395. https://doi.org/10.1016/j.acap.2015.02.004

Johnston CA, Moreno JP, Gallagher MR, Wang J, Papaioannou MA, Tyler C, et al. Achieving long-term weight maintenance in Mexican-American adolescents with a school-based intervention. J Adolesc Health 2013; 53(3): 335-341. https://doi.org/10.1016/j.jadohealth.2013.04.001

Davis JN, Gyllenhammer LE, Vanni AA, Meija M, Tung A, Schroeder ET, et al. Startup circuit training program reduces metabolic risk in Latino adolescents. Med Sci Sports Exerc 2011; 43(11): 2195-2203. https://doi.org/10.1249/MSS.0b013e31821f5d4e

Barkin SL, Gesell SB, Poe EK, Ip EH. Changing overweight Latino preadolescent body mass index: the effect of the parent-child dyad. Clin Pediatr (Phila) 2011; 50(1): 29-36. https://doi.org/10.1177/0009922810379039

Weigensberg MJ, Lane CJ, Avila Q, Konersman K, Ventura E, Adam T, et al. Imagine HEALTH: results from a randomized pilot lifestyle intervention for obese Latino adolescents using Interactive Guided ImagerySM. BMC Complement Altern Med 2014; 14: 28-6882-14-28.

Patrick K, Norman GJ, Davila EP, Calfas KJ, Raab F, Gottschalk M, et al. Outcomes of a 12-month technology-based intervention to promote weight loss in adolescents at risk for type 2 diabetes. J Diabetes Sci Technol 2013; 7(3): 759-770. https://doi.org/10.1177/193229681300700322

Branscum P, Sharma M. A systematic analysis of childhood obesity prevention interventions targeting Hispanic children: lessons learned from the previous decade. Obes Rev 2011; 12(501): e151-e158. https://doi.org/10.1111/j.1467-789X.2010.00809.x

Loveman E, Al‐Khudairy L, Johnson RE, Robertson W, Colquitt JL, Mead EL, et al. Parent‐only interventions for childhood overweight or obesity in children aged 5 to 11 years. The Cochrane Library 2015.

Seburg EM, Olson-Bullis BA, Bredeson DM, Hayes MG, Sherwood NE. A review of primary care-based childhood obesity prevention and treatment interventions. Curr Obes Rep 2015; 4(2): 157-173. https://doi.org/10.1007/s13679-015-0160-0

Koplan JP, Liverman CT, Kraak VA. Preventing childhood obesity: health in the balance. Washington, D.C.: National Academies Press 2005.

Golan M, Crow S. Parents are key players in the prevention and treatment of weight-related problems. Nutr Rev 2004; 62(1): 39-50. https://doi.org/10.1111/j.1753-4887.2004.tb00005.x

Barlow SE. Expert committee recommendations regarding the prevention, assessment, and treatment of child and adolescent overweight and obesity: Summary report. Pediatrics 2007; 120: S164-S192.

Couch SC, Glanz K, Zhou C, Sallis JF, Saelens BE. Home Food Environment in Relation to Children’s Diet Quality and Weight Status. J Acad Nutr Diet 2014; 114(10): 1569-1579. e1.

Agras WS, Hammer LD, McNicholas F, Kraemer HC. Risk factors for childhood overweight: a prospective study from birth to 9.5 years. J Pediatr 2004; 145(1): 20-25. https://doi.org/10.1016/j.jpeds.2004.03.023

Janicke DM, Sallinen BJ, Perri MG, Lutes LD, Huerta M, Silverstein JH, et al. Comparison of parent-only vs family-based interventions for overweight children in underserved rural settings: outcomes from project STORY. Arch Pediatr Adolesc Med 2008; 162(12): 1119-1125. https://doi.org/10.1001/archpedi.162.12.1119

Golley RK, Magarey AM, Baur LA, Steinbeck KS, Daniels LA. Twelve-month effectiveness of a parent-led, family-focused weight-management program for prepubertal children: a randomized, controlled trial. Pediatrics 2007; 119(3): 517-525. https://doi.org/10.1542/peds.2006-1746

Marin G, Triandis HC. Allocentrism as an important characteristic of the behavior of Latin Americans and Hispanics. 1st ed. Amsterdam ; New York: Elsevier Science Publishing Company 1985.

Wilfley DE, Staiano AE, Altman M, Lindros J, Lima A, Hassink SG, et al. Improving access and systems of care for evidence-based childhood obesity treatment: Conference key findings and next steps. Obesity 2017; 25(1): 16-29. https://doi.org/10.1002/oby.21712

Koskan A, Friedman DB, Messias DK, Brandt HM, Walsemann K. Sustainability of promotora initiatives: program planners' perspectives. J Public Health Manag Pract 2013; 19(5): E1-9.

US Department of Health and Human Services. Community health advisors: Models, research, and practice, selected annotations–United States (Vol 1). Atlanta, GA: US Department of Health and Human Services. Public Health Service, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Division of Chronic Disease Control and Community Intervention 1994.

Miller WR, Rollnick S. Motivational interviewing: preparing people for change. 2002. New York: Guilford Press Google Scholar 2002.

Bogart LM, Uyeda K. Community-based participatory research: partnering with communities for effective and sustainable behavioral health interventions. Health Psychol 2009; 28(4): 391-393. https://doi.org/10.1037/a0016387

Estabrooks PA, Fisher EB, Hayman LL. What is needed to reverse the trends in childhood obesity? A call to action. Ann Behav Med 2008; 36(3): 209-216. https://doi.org/10.1007/s12160-008-9070-7

Bryant M, Ashton L, Brown J, Jebb S, Wright J, Roberts K, et al. Systematic review to identify and appraise outcome measures used to evaluate childhood obesity treatment interventions (CoOR): evidence of purpose, application, validity, reliability and sensitivity. Health Technol Assess 2014; 18(51). https://doi.org/10.3310/hta18510

Isasi CR, Wills TA. Behavioral self-regulation and weight-related behaviors in inner-city adolescents: a model of direct and indirect effects. Child Obes 2011; 7(4): 306-315. https://doi.org/10.1089/chi.2011.0011

Hughes SO, Power TG, O'Connor TM, Fisher JO. Executive functioning, emotion regulation, eating self-regulation, and weight status in low-income preschool children: How do they relate? Appetite 2015; 89: 1-9. https://doi.org/10.1016/j.appet.2015.01.009

Hawks S, Merrill RM, Madanat HN. The intuitive eating scale: Development and preliminary validation. J Health Educ 2004; 35(2): 90-99. https://doi.org/10.1080/19325037.2004.10603615

Aparicio E, Canals J, Arija V, De Henauw S, Michels N. The role of emotion regulation in childhood obesity: implications for prevention and treatment. Nutr Res Rev 2016; 1-13. https://doi.org/10.1017/s0954422415000153

Biddle SJ, Gorely T, Pearson N, Bull FC. An assessment of self-reported physical activity instruments in young people for population surveillance: Project ALPHA. Int J Behav Nutr Phys Act 2011; 8(1): 1. https://doi.org/10.1186/1479-5868-8-1

Mikkilä V, Räsänen L, Raitakari O, Pietinen P, Viikari J. Consistent dietary patterns identified from childhood to adulthood: the cardiovascular risk in Young Finns Study. Br J Nutr 2005; 93(06): 923-931. https://doi.org/10.1079/BJN20051418

Demory-Luce D, Morales M, Nicklas T, Baranowski T, Zakeri I, Berenson G. Changes in food group consumption patterns from childhood to young adulthood: the Bogalusa Heart Study. J Am Diet Assoc 2004; 104(11): 1684-1691. https://doi.org/10.1016/j.jada.2004.07.026

Kelder SH, Perry CL, Klepp KI, Lytle LL. Longitudinal tracking of adolescent smoking, physical activity, and food choice behaviors. Am J Public Health 1994; 84(7): 1121-1126. https://doi.org/10.2105/AJPH.84.7.1121

Lopez MH, Gonzalez-Barrera A, Patten E. Closing the Digital Divide: Latinos and Technology Adoption | Pew Research Center. 2013; Available at: http: //www.pewhispanic.org/ 2013/03/07/closing-the-digital-divide-latinos-and-technology-adoption/. Accessed 12/19/2015, 2015.

Downloads

Published

2017-03-15

Issue

Section

General Articles