TY - JOUR
T1 - Athletes for life
T2 - Rationale and methodology of a community- and family-based randomized controlled trial to promote cardiovascular fitness among primarily Latino families
AU - Szeszulski, Jacob
AU - Vega-López, Sonia
AU - Todd, Michael
AU - Ray, Frank
AU - Behar, Alma
AU - Campbell, Maria
AU - Chavez, Adrian
AU - Eckert, Ryan
AU - Lorenzo-Quintero, Anabell
AU - Hartmann Manrique, Leopoldo
AU - Crespo, Noe C.
N1 - Funding Information:
This work was funded by American Heart Association Grant 14SDG20490382 , awarded to Dr. Crespo. Preparation of this manuscript was funded in part by The National Cancer Institute /NIH Grant-National Cancer Institute/NIH Grant T32/CA057712 , awarded to the University of Texas Health Science Center at Houston School of Public Health Cancer Education and Career Development Program. Partial funding was provided by the Michael & Susan Dell Center for Healthy Living for Jacob Szeszulski for his contribution. None of the funding agencies played any role in the design, data collection, analysis, interpretation, or reporting of data from this study. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Cancer Institute or the National Institutes of Health.
Funding Information:
This work was funded by American Heart Association Grant 14SDG20490382, awarded to Dr. Crespo. Preparation of this manuscript was funded in part by The National Cancer Institute/NIH Grant-National Cancer Institute/NIH Grant T32/CA057712, awarded to the University of Texas Health Science Center at Houston School of Public Health Cancer Education and Career Development Program. Partial funding was provided by the Michael & Susan Dell Center for Healthy Living for Jacob Szeszulski for his contribution. None of the funding agencies played any role in the design, data collection, analysis, interpretation, or reporting of data from this study. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Cancer Institute or the National Institutes of Health.
Publisher Copyright:
© 2020 Elsevier Inc.
PY - 2020/4
Y1 - 2020/4
N2 - 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).
AB - 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).
KW - Body mass index
KW - Dietary sugars
KW - Exercise
KW - Fitness center
KW - Hispanic
KW - Pediatric obesity
KW - Physical activity
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UR - http://www.scopus.com/inward/citedby.url?scp=85079851935&partnerID=8YFLogxK
U2 - 10.1016/j.cct.2020.105956
DO - 10.1016/j.cct.2020.105956
M3 - Article
C2 - 32061969
AN - SCOPUS:85079851935
SN - 1551-7144
VL - 91
JO - Contemporary Clinical Trials
JF - Contemporary Clinical Trials
M1 - 105956
ER -