Posts tagged Latino Childhood Obesity

Using Research to Move Policy in Highly Obese South Texas

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Salud America! Pilot Researcher Dr. Nelda Mier documented safety problems and a lack of sidewalks and parks in South Texas. But now her research is poised to impact policy changes that could remedy these built-environment issues.

Salud America! pilot researcher Dr. Nelda Mier documented a lack of sidewalks, street lights and parks along the poverty-stricken Texas-Mexico border—an environment that she found contributes to obesity and sedentary behavior among Latino children.

But this story doesn’t end with just research results.

To change the local environment to make it easier to engage in physical activity, Dr. Mier—armed with lessons from Salud America! on how to promote research-based policy change—brought her project research results to community leader and policy advocate Anne Williams Cass.

The research helped guide advocacy efforts of local organizations dedicated to affordable housing, including Cass’ Proyecto Azteca, which plans to communicate with Texas legislators about the need for sidewalks, street lights and garbage collection along the Mexico-Texas border.

Dr. Mier’s research also prompted changes in the design of an affordable-housing neighborhood, where Proyecto Azteca is working with planners to add trails for hiking and biking, a recreation center and outdoor exercise areas.

“These are things that we more than likely would have neglected in our planning had it not been for the research Dr. Mier shared with us,” Cass said.

This is just one example of how the 20 Salud America! pilot investigators are using their research to stimulate policy changes to reverse Latino childhood obesity. Other Salud America! researchers are using their research to change policies in communities across the country.

Read more about Dr. Mier’s and the other grantees’ achievements in policy change here.

Salud America!, which is dedicated to preventing Latino childhood obesity, is a national program of the Robert Wood Johnson Foundation (RWJF) and is headquartered at the Institute for Health Promotion Research (IHPR) at the UT Health Science Center at San Antonio, the team behind SaludToday.

Exposure to Recreation Center Increases Use by Latino Families with Children

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Read about Dr. Barkin's Salud America! Project

Community recreation centers that develop culturally tailored programs that invite Latino families inside can increase sustained use of the center for physical activity in this population at heightened risk for childhood obesity, according to a new study in Childhood Obesity.

Living near community recreation centers (CRC) is associated with increases in adolescent and adult physical activity.

However, the efficacy of efforts to increase use among Latino parents and children is unknown.

So researchers, led by Dr. Shari Barkin, a Vanderbilt University researcher and grantee of Salud America!, compared 66 Latino parent–child pairs who had participated in a culturally tailored healthy lifestyle program at a community recreation center and completed a 12-month follow-up assessment to 62 pairs living within a 5-mile radius of the center.

About two-thirds of Latinos in the healthy lifestyle program reported more than monthly use of the center for themselves a year after programming ended, compared to one-third of those who didn’t.

Parents in the program also were four times more likely than the others to use the center with their children on a monthly basis.

Read more about the study here, or check out Dr. Barkin’s Salud America! research brief.

Dr. Barkin is one of 20 grantee researchers of Salud America! The Robert Wood Johnson Foundation Research Network to Prevent Obesity Among Latino Children. The network is based at the Institute for Health Promotion Research at The UT Health Science Center.

The Latest Advances in Fighting Latino Childhood Obesity

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How do:

  • Researchers contribute to policy changes for healthier cities? (Pg 1)
  • Hunger and obesity become the focus of a TV series? (Pg 3)
  • Latino tiendas differ in healthy food options? (Pg 4)

Find the answers and more in the new Salud America! E-Newsletter.

Also check out much more news, research and funding inside the E-newsletter, and discover the preliminary research results of a quartet of Salud America! grantees working in Latino after-school programs, community recreational centers and more.

Salud America!, which is dedicated to preventing Latino childhood obesity, is a national program of the Robert Wood Johnson Foundation (RWJF) and is headquartered at the Institute for Health Promotion Research (IHPR) at the UT Health Science Center at San Antonio, the team behind SaludToday.

How an ‘Exercise Avoider’ Becomes an ‘Exercise Promoter’

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Laura Esparza of the IHPR at The UT Health Science Center at San Antonio

Laura Esparza used to be an “exercise avoider.”

She steered clear of physical activities that resembled the P.E. classes of her youth, and had little confidence to work out or try playing any sports.

That changed when Esparza, a parent of three children and community volunteer in San Antonio, Texas, grew increasingly concerned with rising local obesity levels and learned that daily physical activity is an essential element of everyone’s physical and mental health.

Now she exercises regularly and is an avid “exercise promoter” at the Institute for Health Promotion Research (IHPR) at The UT Health Science Center at San Antonio, where she researches ways to increase Latino families’ physical activity.

“Spurred by my own experience, I became interested in promoting exercise and physical activity for those not already active,” said Esparza, who joined the IHPR in 2009 from UT San Antonio, where she earned her master’s degree in health and kinesiology. “I want to help solve the obesity health crisis.”

Esparza is a key player in the IHPR’s Physical Activity Partnership for Girls, a multi-component health behavior-change intervention that uses text messaging and social media to promote physical activity among adolescent Latina Girl Scouts.

She also coordinates Y Living, a healthy lifestyle program for cancer prevention and risk reduction with community partner, the YMCA of Greater San Antonio.

“I enjoy working with community partners because they are so committed to improving the lives of their constituents in an increasingly challenging resource environment,” she said. “Community-academic collaboration is not easy work—it takes a lot of time and energy to build on the knowledge and strengths of both sides in order to develop programs that have a chance of success. In the end, everyone involved wants to improve the health and well-being of the community, and I am so pleased to be a part of that.”

Esparza takes her promoter role directly into the community, too.

She is vice-chair of the Active Living Council of San Antonio, a group focused on facilitating change in policy, infrastructure, and attitudes to promote active living throughout the community, and serves on the community board of the Methodist Healthcare System, the city’s largest hospital system.

“Improving health takes a multi-level effort, from lending a hand in the community to figuring out how to get 12-year-old girls excited about trying a new exercise,” Esparza said. “The challenge is to make being physically active the easy choice.”

Innovation in Preventing Latino Cervical Cancer, Obesity & More

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Find the latest in Latino health—from fighting Latina cervical cancer to innovative ways to tackle Latino childhood obesity—in the new E-newsletter from the Institute for Health Promotion Research (IHPR) at The UT Health Science Center at San Antonio.

The IHPR E-newsletter has these stories:

  • Story and Video: Preventing Cervical Cancer in South Texas (Pg 1)
  • Story: How an “Exercise Avoider” Became an “Exercise Promoter” (Pg 2)
  • Story: The Importance of Latino Biospecimens (Pg 2)
  • Story: 20 Studies Tackle Latino Childhood Obesity (Pg 3)
  • Story: Who is Promotora of the Year? (Pg 4)
  • Videos: “Feeding Minds” Series Addresses Hunger, Obesity in Texas (Pg 6)

The E-newsletter is jam-packed with even more info on the latest local and national health disparities-related news, resources and events.

View the E-newsletter or visit us at http://ihpr.uthscsa.edu.

The IHPR, led by health disparities research expert Dr. Amelie G. Ramirez, investigates the causes and solutions to the unequal impact of cancer and chronic disease among certain populations, including Latinos, in San Antonio, South Texas and the nation. The IHPR, founded in 2006, uses evidence-guided research, training and community outreach to improve the health of those at a disadvantage due to race/ethnicity or social determinants, such as education or income.

Study: Immigrant Mothers Feel Powerless to Address Weight Problems

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Editor’s Note: This is a 20-part series featuring new research briefs on Latino childhood obesity, nutrition, physical activity and more by the 20 grantees of Salud America! Part 20 is Dr. Miriam Vega. Find all briefs here.

Dr. Miriam Vega

Dr. Miriam Vega
“La Familia en la Cocina is Speaking Two Languages”

In her Salud America! pilot research project, Dr. Miriam Vega of the Latino Commission on AIDS in New York south interviewed Latina mothers and children to better understand their knowledge, attitudes and communication behaviors related to food consumption and preferences, as well as the built and cultural environments in which they make decisions.

Key preliminary findings include:

  • a large gap exists in the manner in which a mother and child communicate; and
  • many immigrant Latinas felt powerless to address weight issues.

This study suggests a need to focus on the Latino family unit and on programs that target the family members separately to account for differing communication styles. Children ages 10-12 are still bonding with their parents and still see their parents as role models. Yet Latina immigrant mothers may face a critical communication gap with their children, one they may feel powerless to overcome.

Social marketing efforts on nutrition and obesity may fail to recognize the Latina mother as a separate audience from the child—in terms of language, cultural values, etc., on food choices.

Read more here.

Salud America! is an RWJF national program directed by the Institute for Health Promotion Research at The UT Health Science Center at San Antonio, the team behind SaludToday.

Study: Children in South Texas ‘Colonias’ More Likely to be Sedentary, Obese

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Editor’s Note: This is a 20-part series featuring new research briefs on Latino childhood obesity, nutrition, physical activity and more by the 20 grantees of Salud America! Part 19 is Dr. Nelda Mier. Find all briefs here.

Dr. Nelda Mier

Dr. Nelda Mier
“Built Environment Policy for Physical Activity in Mexican-American Children”

In her Salud America! pilot research project, Dr. Nelda Mier of the Texas A&M Health Science Center investigated Latino children’s perceptions of environmental factors that influence their physical activity, and documented environmental characteristics in colonias in South Texas.

Colonias are unincorporated settlements along the U.S.-Mexico border where many people live in impoverished conditions and lack basic services such as running water.

Key preliminary findings include:

  • Mexican-American children in colonias do not meet physical activity requirements, are very sedentary and are likely to be overweight or obese;
  • the built environment influences physical activity among children in colonias; and
  • nearly all colonias lack sidewalks, pedestrian signage and parks.

Results suggest that children living in predominantly Latino colonias in South Texas are likely to be both sedentary and obese. Colonias tend not to have a built environment conducive to physical activity, resulting in a lack of activity and high rates of sedentary behavior and obesity among Mexican-American children and their families.

Read more here.

Salud America! is an RWJF national program directed by the Institute for Health Promotion Research at The UT Health Science Center at San Antonio, the team behind SaludToday.

Study: Exercise Can Boost Latino Students’ Fitness, Math Scores

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Editor’s Note: This is a 20-part series featuring new research briefs on Latino childhood obesity, nutrition, physical activity and more by the 20 grantees of Salud America! Part 18 is Dr. Zan Gao. Find all briefs here.

Dr. Zan Gao

Dr. Zan Gao
“Impact of Physical Activity on Fitness & Academic Performance”

In his Salud America! pilot research project, Dr. Zan Gao of Texas Tech University examined the impact of a structured exercise program (interactive video game Dance Dance Revolution [DDR], in which players stomp on a dance mat to mimic steps of an on-screen dancer; aerobic dance; and jump rope) on physical fitness and academic performance in urban Latino children.

Key preliminary findings include:

  • children who participate in a structured exercise program at school are more likely to improve their 1-mile run performance and math scores over time; and
  • interviews revealed that students believed the DDR intervention program benefited their physical fitness and academic performance.

Results suggest that implementing a structured school-based exercise program could significantly improve 1-mile run performance and math grades over time among urban Latino children. Such findings provide preliminary empirical support for using interactive dance-based exercise to improve children’s cardiovascular fitness and academic performance.

These findings can aid academics and schools as they aim to alleviate achievement gaps that are common in underserved Latino communities.

Read more here.

Salud America! is an RWJF national program directed by the Institute for Health Promotion Research at The UT Health Science Center at San Antonio, the team behind SaludToday.

Overweight/Obese Latino Youth More Likely to Have Asthma

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Youth who are overweight or obese—especially Hispanics—are more likely to have asthma than their healthy weight counterparts, according to a new Kaiser Permanente Southern California study published in the online edition of Obesity.

The study, which included more than 681,000 children between ages 6 and 19, found that the association between asthma and body mass index (BMI) varied by race and ethnicity.

The association between BMI and asthma was strongest among Hispanic youth and weaker for African Americans, a group that was previously known to have the highest prevalence of asthma.

“This research contributes to the growing evidence that there is a relationship between childhood obesity and asthma, and suggests that factors related to race and ethnicity, particularly for Hispanic youth, may modify this relationship,” said study lead author Dr. Mary Helen Black of the Kaiser Permanente Southern California Department of Research & Evaluation, in a statement. “The study’s large and diverse population, which is broadly representative of the Southern California region, allowed us to examine a wide range of BMI categories in relation to asthma among youth from five racial/ethnic groups.”

Researchers also found that, among youths with asthma, being overweight or obese was associated with more frequent visits to the doctor or emergency department for asthma. In addition, overweight or obese youth with asthma used more inhaled and oral corticosteroid asthma drugs, compared to healthy-weight youth. The need for these medical treatments could have broader health implications as other studies have suggested a link between these medications and type 2 diabetes.

Study: Young Latino Children More Likely to Be Obese

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Editor’s Note: This is a 20-part series featuring new research briefs on Latino childhood obesity, nutrition, physical activity and more by the 20 grantees of Salud America! Part 17 is Dr. Claudia Galindo. Find all briefs here.

Dr. Claudia Galindo

Claudia Galindo
“Obesity Among Young Latino Children: Disparities and Changes Over Time”

In her Salud America! pilot research project, Dr. Claudia Galindo of the University of Maryland studied factors and behaviors that may affect weight, nutrition and physical activity among Latino youth.

Key preliminary findings include:

  • Latino children are more likely to be obese than White and Asian children at all points of observation;
  • among Latino children from different countries and regions of origin, Central American, Puerto Rican and Mexican children have the highest obesity levels; and
  • rates of obesity among Latino children decrease as socioeconomic status (SES) increases.

These preliminary results indicate that, from kindergarten through 5th grade, Latino children were more likely than their White peers to be obese, and these disparities increased with age.

Read more here.

Salud America! is an RWJF national program directed by the Institute for Health Promotion Research at The UT Health Science Center at San Antonio, the team behind SaludToday.

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