Reducing Obesogenic Eating Behaviors in Hispanic Children through a Family-Based, Culturally-Tailored RCT: Abriendo Caminos

Abstract

Family-based interventions that incorporate culturally-tailored multi-component curricula and are grounded on evidence-based information and theoretical frameworks can help reduce the prevalence of obesity among Hispanic children. <i>Abriendo Caminos</i>: Clearing the Path to Hispanic Health is a multi-site culturally-tailored randomized control trial that aims to reduce obesity rates in Hispanic families by delivering education on nutrition, family wellness, and physical activity. This study evaluated the effect of the <i>Abriendo Caminos</i> six-week intervention on dietary behaviors of Hispanic children (6-18 years). Mothers (<i>n</i> = 365) reported their child's eating behavior intake using the U.S. Department of Education's Early Childhood Longitudinal Study protocol (ECLS). Pre/post dietary changes were evaluated using separate generalized estimating equation models adjusted for site, child sex, and child age group. Findings indicate a reduction in the frequency of sugar-sweetened beverages (OR 0.55, 95% CI 0.35, 0.87, <i>p</i> = 0.01), French fries (OR 0.56, 95% CI 0.36, 0.86, <i>p</i> = 0.009), and fast food (OR 0.55, 95% CI 0.36, 0.84, <i>p</i> = 0.006) consumption among children in the intervention arm. Additionally, children in the intervention arm increased their frequency of vegetable consumption (OR 1.84, 95% CI 1.08, 3.12, <i>p</i> = 0.03). The <i>Abriendo Caminos</i> intervention effectively improved four of eight eating behaviors in a short-term intervention.