A pretest and posttest study design was used to test a healthy weight management intervention with overweight and/or obese Chinese American children. Children attended 8-weekly small group sessions while parents attended a single 2-hour parent workshop. Children had their weight, height, blood pressure, waist and hip circumference, and fast lipids data assessed and completed several questions questionnaires regarding food choices, self-efficacy, and knowledge at baseline, 2 months, and 6 months. Parents completed questionnaires regarding demographic, acculturation level and family environment. We found significant reduction of body mass index, waist/hip ratio, systolic blood pressure and improvement of child’s eating style, physical activity knowledge, self-efficacy, and children’s quality of life at 6-month follow-up. In addition, significant improvement of high-density lipoprotein cholesterol and decrease in triglyceride were found at 6-month follow-up. Improvement of nutrition self-efficacy and decreased stimulus environment were associated with decreased body mass index in overweight and obese Chinese American children.
AuLKwongKChouJCTsoAWongM. Prevalence of overweight and obesity in Chinese American children in New York City. J Immigr Minority Health. 2009;11:337-341.
2.
StevensJ. Ethnic-specific revisions of body mass index cutoffs to define overweight and obesity in Asians are not warranted. Int J Obes Relat Metab Disord. 2003;27:1297-1299.
3.
StevensJTruesdaleKPKatzEGCaiJ. Impact of body mass index on incident hypertension and diabetes in Chinese Asians, American Whites, and American Blacks: the People’s Republic of China Study and the Atherosclerosis Risk in Communities Study. Am J Epidemiol. 2008;167:1365-1374.
4.
GarnettSPBaurLASrinivasanSLeeJWCowellCT. Body mass index and waist circumference in midchildhood and adverse cardiovascular disease risk clustering in adolescence. Am J Clin Nutr. 2007;86:549-555.
5.
CheungGWLauRS. Testing mediation and suppression effects of latent variables: bootstrapping with structural equation models. Organ Res Methods. 2008;11:296-325.
6.
NavderKPHeQZhangX. Relationship between body mass index and adiposity in prepubertal children: ethnic and geographic comparisons between New York City and Jinan City (China). J Appl Physiol. 2009;107:488-493.
7.
LiYPYangXGZhaiFY. Disease risks of childhood obesity in China. Biomed Environ Sci. 2005;18:401-410.
8.
SavoyeMShawMDziuraJ. Effects of a weight management program on body composition and metabolic parameters in overweight children: a randomized controlled trial. JAMA. 2007;297:2697-2704.
9.
RademacherERJacobsDRJrMoranASteinbergerJPrineasRJSinaikoA. Relation of blood pressure and body mass index during childhood to cardiovascular risk factor levels in young adults. J Hypertens. 2009;27:1766-1774.
10.
LloydLJLangley-EvansSCMcMullenS. Childhood obesity and risk of the adult metabolic syndrome: a systematic review. Int J Obes (Lond). 2012;36:1-11.
11.
JacobsonDGance-ClevelandB. A systematic review of primary healthcare provider education and training using the Chronic Care Model for childhood obesity. Obes Rev. 2011;12:e244-e256.
12.
DugginsMChervenPCarrithersJMessamoreJHarveyA. Impact of family YMCA membership on childhood obesity: a randomized controlled effectiveness trial. J Am Board Fam Med. 2010;23:323-333.
13.
DolinskyDHArmstrongSCWalterEBKemperAR. The effectiveness of a primary care-based pediatric obesity program. Clin Pediatr (Phila). 2012;51:345-353.
ChenJLKwanMMacAChinNCLiuK. iStart Smart: a primary-care based and community partnered childhood obesity management program for Chinese-American children: feasibility study. J Immigr Minor Health. 2013;15:1125-1128.
16.
SuinnRM. Measurement of acculturation of Asian Americans. Asian Am Pac Isl J Health. 1998;6:7-12.
17.
GolanMWeizmanA. Reliability and validity of the Family Eating and Activity Habits Questionnaire. Eur J Clin Nutr. 1998;52:771-777.
18.
FreedmanDSPerryG. Body composition and health status among children and adolescents. Prev Med. 2000;31:34-53.
19.
McCarthyHD. Measuring growth and obesity across childhood and adolescence. Proc Nutr Soc. 2014;73:210-217.
20.
ChenJWeissSHeymanMBVittinghoffELustigR. Pilot study of an individually tailored educational program by mail to promote healthy weight in Chinese American childrenJ Spec Pediatr Nurs. 2008;13:212-222.
21.
VuguinRSaengerPDimartino-NaidjJ. Fasting glucose insulin ratio: a useful measure of insulin resistance in girls with premature adrenarche. J Clin Endocrinol Metab. 2001;84:4618-4621.
22.
EdmundsonEParcelGSFeldmanHA. The effects of the Child and Adolescent Trial for Cardiovascular Health upon psychosocial determinants of diet and physical activity behavior. Prev Med. 1996;25:442-454.
American Heart Association, ed. Children’s Health. Dallas, TX: American Heart Association; 2006.
25.
MathesonDMKillenJDWangYVaradyARobinsonTN. Children’s food consumption during television viewing. Am J Clin Nutr. 2004;79:1088-1094.
26.
HoxJJ. Multilevel Analysis: Techniques and Applications. 2nd ed.New York, NY: Routledge; 2010.
27.
IacobucciDSaldanhaNDengX. A meditation on mediation: evidence that structural equations models perform better than regressions. J Consumer Psychol. 2007;17:139-153.
28.
WangYLimH. The global childhood obesity epidemic and the association between socio-economic status and childhood obesity. Int Rev Psychiatry. 2012;24:176-188.
29.
SargentGMPilottoLSBaurLA. Components of primary care interventions to treat childhood overweight and obesity: a systematic review of effect. Obes Rev. 2011;12:e219-e235.
30.
ChenJLWeissSHeymanMBCooperBLustigRH. The efficacy of the web-based childhood obesity prevention program in Chinese American Adolescents (Web ABC Study). J Adolesc Health. 2011;49:148-154.
31.
ChenJLWeissSHeymanMBLustigRH. Efficacy of a child-centred and family-based program in promoting healthy weight and healthy behaviors in Chinese American children: a randomized controlled study. J Public Health (Oxf). 2010;32:219-229.
32.
WilsonJLatimerAMeloffL. Correlates of changes in a childhood obesity treatment program. J Clin Outcomes Manage. 2001;8:9-10.
33.
BirchLLDavisonKK. Family environmental factors influencing the developing behavioral controls of food intake and childhood overweight. Pediatr Clin North Am. 2001;48:893-907.
34.
KralTVRauhEM. Eating behaviors of children in the context of their family environment. Physiol Behav. 2010;100:567-573.
35.
BrussMBMorrisJDannisonL. Prevention of childhood obesity: sociocultural and familial factors. J Am Diet Assoc. 2003;103:1042-1045.
36.
FisherJOMitchellDCSmiciklas-WrightHBirchLL. Parental influences on young girls’ fruit and vegetable, micronutrient, and fat intakes. J Am Diet Assoc. 2002;102:58-64.
37.
BranscumPSharmaM. A systematic analysis of childhood obesity prevention interventions targeting Hispanic children: lessons learned from the previous decade. Obes Rev. 2011;12:e151-e158.
38.
BondMWyattKLloydJTaylorR. Systematic review of the effectiveness of weight management schemes for the under fives. Obes Rev. 2011;12:242-253.
39.
KamathCCVickersKSEhrlichA. Clinical review: behavioral interventions to prevent childhood obesity: a systematic review and metaanalyses of randomized trials. J Clin Endocrinol Metab. 2008;93:4606-4615.
40.
WestFSandersMRCleghornGJDaviesPS. Randomised clinical trial of a family-based lifestyle intervention for childhood obesity involving parents as the exclusive agents of change. Behav Res Ther. 2010;48:1170-1179.
