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Journal of Public Health Advance Access published online on November 15, 2009
Journal of Public Health, doi:10.1093/pubmed/fdp105
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© The Author 2009, Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved

Efficacy of a child-centred and family-based program in promoting healthy weight and healthy behaviors in Chinese American children: a randomized controlled study


Jyu-Lin Chen, Associate Professor of Nursing1
Sandra Weiss, Professor of Nursing2
Melvin B. Heyman, Professor of Medicine3
Robert H. Lustig, Professor of Medicine3

1 Department of Family Health Care Nursing, University of California, 2 Koret Way Box 0606, San Francisco, CA, USA
2 Department of Community Health Systems, University of California, San Francisco, CA, USA
3 Department of Pediatrics, University of California, San Francisco, CA, USA


Address correspondence to J.-L. Chen, E-mail: jyu-lin.chen{at}nursing.ucsf.edu


  Abstract

Objective To examine the efficacy of an interactive, child-centred and family-based program in promoting healthy weight and healthy lifestyles in Chinese American children.

Design A randomized controlled study of a culturally sensitive behavioral intervention.

Subjects Sixty-seven Chinese American children (ages, 8–10 years; normal weight and overweight) and their families.

Measurements Anthropometry, blood pressure, measures of dietary intake, physical activity, knowledge and self-efficacy regarding physical activity and diet at baseline and 2, 6 and 8 months after baseline assessment.

Results Linear mixed modeling indicated a significant effect of the intervention in decreasing body mass index, diastolic blood pressure and fat intake while increasing vegetable and fruit intake, actual physical activity and knowledge about physical activity.

Conclusion This interactive child-centred and family-based behavioral program appears feasible and effective, leading to reduced body mass index and improved overweight-related health behaviors in Chinese American children. This type of program can be adapted for other minority ethnic groups who are at high risk for overweight and obesity and have limited access to programs that promote healthy lifestyles.

Keywords: Chinese Americans, family based, healthy lifestyles, overweight prevention, randomized clinical trail


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