Athletes for life: Rationale and methodology of a community- and family-based randomized controlled trial to promote cardiovascular fitness among primarily Latino families

Jacob Szeszulski, Sonia Vega-López, Michael Todd, Frank Ray, Alma Behar, Maria Campbell, Adrian Chavez, Ryan Eckert, Anabell Lorenzo-Quintero, Leopoldo Hartmann Manrique, Noe C. Crespo

Research output: Contribution to journalArticle

Abstract

Background: Community-based programs have had modest success in combating obesity in Latino populations. Latino families' norms and beliefs about weight often hold larger body sizes to be normal, leading to lower engagement in weight-focused programs. Because improvements in cardiorespiratory fitness confer health benefits, regardless of weight, they offer an alternative to obesity-focused approaches. We describe the rationale and design of Athletes for Life (AFL), a community- and family-based intervention for Latino families. Methods/Design: This two-group randomized controlled trial will test the efficacy of AFL for improving cardiorespiratory fitness and diet in 6- to 11-year-old children (N = 160) and their parents, relative to a wait-list control group. Children will participate in 12 weeks of semiweekly sports skill programing and nutrition sessions. Concurrently, parents will participate in sports-focused activity and behavior change sessions that focus on nutrition, chronic disease prevention, and healthy eating. Cardiovascular fitness will be measured by the 1-mile run and 3-min step-test for both parents and children. Secondary outcomes include changes in objectively measured physical activity, dietary measures, body composition, and cardiometabolic risk (waist circumference, blood pressure, blood lipids, glucose, insulin, and C-reactive protein). Discussion: AFL, implemented with a strong community partnership, will provide a test of the efficacy of culturally tailored intervention programming to promote positive health behaviors and improve health outcomes in Latino families. Intervention content, structure, and messaging will provide guidance for future methods to engage Latino families in health promotion programs that highlight their cultural norms, and beliefs. Trial registration: Clinicaltrials.gov Identifier NCT03761589 (12/3/2018).

Original languageEnglish (US)
Article number105956
JournalContemporary Clinical Trials
Volume91
DOIs
StatePublished - Apr 2020

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Keywords

  • Body mass index
  • Dietary sugars
  • Exercise
  • Fitness center
  • Hispanic
  • Pediatric obesity
  • Physical activity

ASJC Scopus subject areas

  • Pharmacology (medical)

Cite this

Szeszulski, J., Vega-López, S., Todd, M., Ray, F., Behar, A., Campbell, M., Chavez, A., Eckert, R., Lorenzo-Quintero, A., Hartmann Manrique, L., & Crespo, N. C. (2020). Athletes for life: Rationale and methodology of a community- and family-based randomized controlled trial to promote cardiovascular fitness among primarily Latino families. Contemporary Clinical Trials, 91, [105956]. https://doi.org/10.1016/j.cct.2020.105956