6 results on '"Gomez-Camacho, Rosa"'
Search Results
2. A three-year multifaceted intervention to prevent obesity in children of Mexican-heritage.
- Author
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Sadeghi, Banafsheh, Kaiser, Lucia L., Hanbury, Meagan M., Tseregounis, Iraklis Erik, Shaikh, Ulfat, Gomez-Camacho, Rosa, Cheung, Rex C. Y., Aguilera, Alberto L., Whent, Linda, and de la Torre, Adela
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CHILDHOOD obesity ,DEMOGRAPHIC characteristics ,PHYSICAL education for children ,AGE groups ,BODY mass index - Abstract
Background: Obesity and overweight have increased dramatically in the United States over the last decades. The complexity of interrelated causal factors that result in obesity needs to be addressed within the cultural dynamic of sub-populations. In this study, we sought to estimate the effects of a multifaceted, community-based intervention on body mass index (BMI) among Mexican-heritage children.Methods: Niños Sanos, Familia Sana (Healthy Children, Healthy Family) was a quasi-experimental intervention study designed to reduce the rate of BMI growth among Mexican-heritage children in California's Central Valley. Two rural communities were matched based on demographic and environmental characteristics and were assigned as the intervention or comparison community. The three-year intervention included parent workshops on nutrition and physical activity; school-based nutrition lessons and enhanced physical education program for children; and a monthly voucher for fruits and vegetables. Eligible children were between 3 and 8 years old at baseline. Intent-to-treat analyses were estimated using linear mixed-effect models with random intercepts. We ran a series of models for each gender where predictors were fixed except interactions between age groups and obesity status at baseline with intervention to determine the magnitude of impact on BMI.Results: At baseline, mean (SD) BMI z-score (zBMI) was 0.97 (0.98) in the intervention group (n = 387) and 0.98 (1.02) in the comparison group (n = 313) (NS). The intervention was significantly associated with log-transformed BMI (β = 0.04 (0.02), P = 0.03) and zBMI (β = 0.25 (0.12), P = 0.04) among boys and log-transformed BMI among obese girls (β = - 0.04 (0.02), P = 0.04). The intervention was significantly and inversely associated with BMI in obese boys and girls across all age groups and normal weight boys in the oldest group (over 6 years) relative to their counterparts in the comparison community.Conclusions: A community-based, multifaceted intervention was effective at slowing the rate of BMI growth among Mexican-heritage children. Our findings suggest that practitioners should consider strategies that address gender disparities and work with a variety of stakeholders to target childhood obesity.Trial Registration: clinicaltrials.gov Identifier: NCT01900613 . Registered 16th July 2013. [ABSTRACT FROM AUTHOR]- Published
- 2019
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3. Purchases Made with a Fruit and Vegetable Voucher in a Rural Mexican-Heritage Community.
- Author
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Hanbury, Meagan, Gomez-Camacho, Rosa, Kaiser, Lucia, Sadeghi, Banafsheh, and Torre, Adela
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FOOD relief , *NUTRITION policy , *PSYCHOLOGY of Hispanic Americans , *INGESTION , *RURAL conditions , *ECONOMICS - Abstract
Recent recommendations for US food assistance programs are intended to ensure foods provided through these programs help households consume a varied, healthful diet. From a policy viewpoint, it is important to examine the impact of economic incentives to purchase healthy foods across subpopulations, particularly low-income Latinos, who comprise 40% of the WIC program nationwide. Our aim was to determine how rural, Mexican-heritage households (N = 227) residing in California's Central Valley distributed fruit and vegetable (F/V) voucher spending among F/V subgroups and specific items over a 1-year period. Households contained at least one child who was between 3 and 8 years old at baseline and had a parent of Mexican-heritage. F/V voucher purchase data were collected via grocery store scanners. Expenditure and frequency shares of subgroups and individual items were analyzed to determine purchasing habits. Fruits were the most commonly purchased subgroup, representing 55% of spending and 45% of frequency. Households allocated low percentages of their voucher to dark green and red/orange vegetables-7 and 9% respectively. Approximately 20% of purchases were good potassium sources and 30% of purchases were good fiber sources. Many of the most frequently purchased items were of cultural significance (tomatillo, chayote, chili/jalapeño pepper, and Mexican squash). This study suggests that economic incentives can contribute important nutrients to participants' diets and targeted vouchers provided by food assistance programs should continue to include culturally important foods and be aware of the cultural values of their participants. [ABSTRACT FROM AUTHOR]
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- 2017
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4. Prevalence and Perception of Childhood Obesity in California's Farmworker Communities.
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Sadeghi, Banafsheh, Schaefer, Sara, Tseregounis, Iraklis, Aguilera, Alberto, Martinez, Lisa, Gomez-Camacho, Rosa, Shaikh, Ulfat, Gomez, Mayra, Whent, Linda, and de la Torre, Adela
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RISK of childhood obesity ,AGRICULTURAL laborers ,BODY weight ,CHI-squared test ,HISPANIC Americans ,IMMIGRANTS ,MOTHERS ,MULTIVARIATE analysis ,OBESITY ,PARENTS ,RURAL population ,STATISTICS ,T-test (Statistics) ,BODY mass index ,DISEASE prevalence ,ATTITUDES toward obesity - Abstract
In California's central valley, childhood obesity rates are above the national average. The majority of families living in the rural, agricultural communities of this region are immigrant of Mexican heritage, and face numerous social and environmental challenges. Demographic and anthropometric data were collected from a population of Mexican-heritage children 3-8 years (N = 609) and families (N = 466) living in two central valley communities. Overall, 45 % of children and 82 % of mothers were classified as overweight or obese. Multivariable analyses indicated that mother's BMI and acculturation level were positively associated with child BMI z-score. Most children classified as overweight or obese (92 % and 53 %, respectively) were perceived as having 'normal' weight by their mothers. Childhood obesity remains a major public health issue in Mexican-heritage, central valley communities. Our model indicates that mother's BMI is predictor of child obesity, and parents tend to underestimate their child's weight status. These findings highlight a need for family-targeted and culturally-tailored approaches to address relevant perceptions of obesity and risk factors in these communities. [ABSTRACT FROM AUTHOR]
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- 2017
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5. Correlates of food patterns in young Latino children at high risk of obesity.
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Kaiser, Lucia L, Aguilera, Alberto L, Horowitz, Marcel, Lamp, Catherine, Johns, Margaret, Gomez-Camacho, Rosa, Ontai, Lenna, and de la Torre, Adela
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RISK of childhood obesity ,CHILD nutrition ,FOOD chemistry ,HEALTH of Hispanic Americans ,PREVENTION of obesity ,ACCULTURATION ,AGE distribution ,CONVENIENCE foods ,DIET ,FOOD habits ,HISPANIC Americans ,MOTHERS ,OBESITY ,RURAL population ,SEX distribution ,BODY mass index ,DISEASE prevalence - Abstract
Objective: The present paper examines the influence of age and gender on food patterns of Latino children.Design: Data are from baseline of a 5-year, quasi-experimental obesity prevention study: Niños Sanos, Familia Sana (NSFS; Healthy Children, Healthy Families). In 2012, the researchers interviewed Latino parents, using a thirty-item questionnaire to ask about their children's food consumption and feeding practices. Statistical tests included t tests and ANCOVA.Setting: Rural communities in California's Central Valley, USA.Subjects: Two hundred and seventeen parents (87-89% born in Mexico) and their children (aged 2-8 years).Results: Fifty-one per cent of the children were overweight or obese (≥85th percentile of BMI for age and gender). Mean BMI Z-scores were not significantly different in boys (1·10 (SD 1·07)) and girls (0·92 (SD 1·04); P=0·12). In bivariate analysis, children aged 2-4 years consumed fast and convenience foods less often (P=0·04) and WIC (Supplemental Nutrition Program for Women, Infants, and Children)-allowable foods more often than children aged 5-8 years (P=0·01). In ANCOVA, neither age nor gender was significantly related to food patterns. Mother's acculturation level was positively related to children's consumption of fast and convenience foods (P=0·0002) and negatively related to consumption of WIC foods (P=0·01). Providing role modelling and structure in scheduling meals and snacks had a positive effect on the vegetable pattern (P=0·0007), whereas meal skipping was associated with more frequent fast and convenience food consumption (P=0·04).Conclusions: Acculturation and child feeding practices jointly influence food patterns in Latino immigrant children and indicate a need for interventions that maintain diet quality as children transition to school. [ABSTRACT FROM AUTHOR]- Published
- 2015
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6. Attitudes and Social Norms Are Related to Attendance at Childhood Obesity Prevention Classes in a Rural Mexican-Heritage Community.
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Kaiser, Lucia L., Sadeghi, Banafsheh, Tseregounis, Iraklis E., Gomez-Camacho, Rosa, Schaefer, Sara, de la Torre, Adela, Manzo, Rosa D., Martinez, Lisa, and Rangel, Maria I.
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PREVENTION of childhood obesity , *ANALYSIS of variance , *CHI-squared test , *CONFIDENCE intervals , *FACTOR analysis , *HEALTH attitudes , *INTERVIEWING , *LONGITUDINAL method , *MULTIVARIATE analysis , *NUTRITION education , *PARENTS , *PROBABILITY theory , *RACE , *RESEARCH funding , *SCALE analysis (Psychology) , *SOCIAL norms , *STATISTICS , *LOGISTIC regression analysis , *DATA analysis , *PLANNED behavior theory , *DATA analysis software , *DESCRIPTIVE statistics , *ODDS ratio , *KRUSKAL-Wallis Test - Abstract
Abstract Objective To examine factors related to attendance of Mexican-heritage parents at community-based nutrition classes to prevent childhood obesity. Methods Starting in 2011, interviewers collected baseline data from Niños Sanos Familia Sana ( Healthy Children, Healthy Families ) participants in rural California. Educators maintained attendance logs from 2012 to 2014. Informed by the Theory of Planned Behavior, interviewers administered an exit survey in 2015 to collect data on attitudes, subjective norms, health motivations, and perceived control related to attendance. Multivariable ordinal logistic regression analysis examined the correlates of attendance (n = 194, intervention group only). Results Controlling for mother's age, marital status, acculturation, and employment, attitudes and subjective norms were significantly related to attendance (odds ratio = 1.27; 95% confidence interval [CI], 1.18–1.37; P <.001). Conclusions and Implications In these Mexican-heritage participants, attitudes and subjective norms were significant correlates of attendance. The Theory of Planned Behavior may shed light on attendance of high-risk groups but further testing of instruments is needed. [ABSTRACT FROM AUTHOR]
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- 2018
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