A randomized controlled trial of culturally tailored dance and reducing screen time to prevent weight gain in low-income African American girls: Stanford GEMS
Robinson TN, Matheson DM, Kraemer HC, Wilson DM, Obarzanek E, Thompson NS, Alhassan S, Spencer TR, Haydel KF, Fujimoto M, Varady A, Killen JD
Archives of pediatrics & adolescent medicine · 111 citas
Cómo se estudió
- Diseño
- Ensayo controlado aleatorizado (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
Quién lo pagó
- Financiación
- Financiación independiente
- Gobierno
- National Institutes of Health
- Gobierno
- National Heart, Lung, and Blood Institute
- Gobierno
- Eunice Kennedy Shriver National Institute of Child Health and Human Development
- Gobierno
- NICHD NIH HHS
- Gobierno
- NHLBI NIH HHS
- Subvenciones
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R24 HD-050924); National Heart, Lung, and Blood Institute (U01 HL062663); National Heart, Lung, and Blood Institute (UO1-HL62663)
Según 5 financiadores declarados.
Publicación
- Publicado
- 2010-11-01 · Arch Pediatr Adolesc Med · vol. 164 · número 11 · págs. 995–1004
- Editorial
- American Medical Association
- Citado
- 167 citas · más que el 99% de estudios similares · 12.2× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 73 trabajos
- Acceso
- Lectura gratuita
- Áreas de investigación
- Obesity, Physical Activity, Diet · Physical Activity and Health · Obesity and Health Practices
- Palabras clave
- childhood obesity prevention, African American girls, culturally tailored interventions, dance intervention, hip-hop dance, screen time reduction, television viewing, family intervention, after-school programs, body mass index, hyperinsulinemia, serum lipids, depressive symptoms, low-income children, preadolescent girls
- MeSH
- humans, obesity, lipids, body mass index, treatment outcome, regression analysis, chi-square distribution, follow-up studies, health education, cultural characteristics, poverty, dancing, television, child, california, female, sedentary behavior, black or african american
12 autores
- Thomas Nichols Robinson🇺🇸Stanford Medicine; Stanford University
- Donna Matheson🇺🇸Stanford University
- HELENA CHMURA KRAEMER🇺🇸University of Massachusetts Amherst; National Heart, Lung, and Blood Institute; Stanford Medicine; Stanford University
- Darrell M. Wilson🇺🇸University of Massachusetts Amherst; National Heart, Lung, and Blood Institute; Stanford Medicine; Stanford University
- Eva Obarzanek🇺🇸University of Massachusetts Amherst; National Heart, Lung, and Blood Institute; Stanford Medicine; Stanford University
- Nikko S. Thompson🇺🇸University of Massachusetts Amherst; National Heart, Lung, and Blood Institute; Stanford Medicine; Stanford University
- Sofiya Alhassan🇺🇸University of Massachusetts Amherst; National Heart, Lung, and Blood Institute; Stanford Medicine; Stanford University
- Tirzah R. Spencer🇺🇸University of Massachusetts Amherst; National Heart, Lung, and Blood Institute; Stanford Medicine; Stanford University
- K. Farish Haydel🇺🇸University of Massachusetts Amherst; National Heart, Lung, and Blood Institute; Stanford Medicine; Stanford University
- Michelle Fujimoto🇺🇸University of Massachusetts Amherst; National Heart, Lung, and Blood Institute; Stanford Medicine; Stanford University
- Ann N. Varady🇺🇸University of Massachusetts Amherst; National Heart, Lung, and Blood Institute; Stanford Medicine; Stanford University
- Joel D. Killen🇺🇸University of Massachusetts Amherst; National Heart, Lung, and Blood Institute; Stanford Medicine; Stanford University
Resumen
El texto original del estudio, en el idioma en que se publicó.
Objective
To test a 2-year community- and family-based obesity prevention program for low-income African American girls: Stanford GEMS (Girls' health Enrichment Multi-site Studies).
Design
Randomized controlled trial with follow-up measures scheduled at 6, 12, 18, and 24 months.
Setting
Low-income areas of Oakland, California.
Participants
African American girls aged 8 to 10 years (N=261) and their parents or guardians.
Interventions
Families were randomized to one of two 2-year, culturally tailored interventions: (1) after-school hip-hop, African, and step dance classes and a home/family-based intervention to reduce screen media use or (2) information-based health education.
Main outcome measure
Changes in body mass index (BMI).
Results
Changes in BMI did not differ between groups (adjusted mean difference [95% confidence interval] = 0.04 [-0.18 to 0.27] per year). Among secondary outcomes, fasting total cholesterol level (adjusted mean difference, -3.49 [95% confidence interval, -5.28 to -1.70] mg/dL per year), low-density lipoprotein cholesterol level (-3.02 [-4.74 to -1.31] mg/dL per year), incidence of hyperinsulinemia (relative risk, 0.35 [0.13 to 0.93]), and depressive symptoms (-0.21 [-0.42 to -0.001] per year) decreased more among girls in the dance and screen time reduction intervention. In exploratory moderator analysis, the dance and screen time reduction intervention slowed BMI gain more than health education among girls who watched more television at baseline (P = .02) and/or those whose parents or guardians were unmarried (P = .01).
Conclusions
A culturally tailored after-school dance and screen time reduction intervention for low-income, preadolescent African American girls did not significantly reduce BMI gain compared with health education but did produce potentially clinically important reductions in lipid levels, hyperinsulinemia, and depressive symptoms. There was also evidence for greater effectiveness in high-risk subgroups of girls.
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.
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