title: A nutrition and physical activity intervention promotes weight loss and enhances diet attitudes in low-income mothers of young children.
abstract: The purpose of this study was to evaluate a nutrition and physical activity program for reducing body weight and improving nutrition attitudes in mothers of young children. A convenience sample of 114 intervention mothers and 33 comparison mothers was recruited from public health clinics and community centers. Eligibility criteria included Hispanic, African American, or white ethnicity; body mass index of at least 25 kg/m(2); low income (< 200% of the federal poverty index); and youngest child aged 1 to 4 years. For intervention participants, height, weight, percentage of body fat, waist circumference, demographics, nutrition attitudes, and dietary intake were measured at weeks 0 and 8; height, weight, percentage of body fat, and waist circumference were reassessed at 6 months. Overweight mothers in the comparison group provided anthropometric and demographic data at weeks 0 and 8. Changes in anthropometrics, attitudes, and dietary intake were evaluated in intervention mothers. Anthropometric data of intervention vs comparison group mothers were examined. Differences in anthropometrics and attitude scores between weight loss responders (> or = 2.27 kg) and nonresponders (< 2.27 kg) were assessed at week 8. Intervention participants lost weight (x = -2.7 kg; P < .001), whereas comparison mothers gained a slight amount of weight (x = 0.1 kg) by week 8. Weight loss responders had healthier eating attitudes (5.6 vs 5.2; P < .01) and fewer perceived barriers (2.4 vs 2.9; P < .05) than nonresponders postintervention. In conclusion, this dietary and physical activity curriculum is a valuable resource for weight management programs serving low-income women.
authors.affiliation: Division of Nutritional Sciences, 1 University Station, A2700, The University of Texas at Austin, Austin, TX 78712, USA.
authors.forename: Kristine C
authors.initials: KC
authors.lastname: Jordan
authors.forename: Jeanne H
authors.initials: JH
authors.lastname: Freeland-Graves
authors.forename: Deborah M
authors.initials: DM
authors.lastname: Klohe-Lehman
authors.forename: Guowen
authors.initials: G
authors.lastname: Cai
authors.forename: V Saroja
authors.initials: VS
authors.lastname: Voruganti
authors.forename: J Michael
authors.initials: JM
authors.lastname: Proffitt
authors.forename: Henry J
authors.initials: HJ
authors.lastname: Nuss
authors.forename: Tracey J
authors.initials: TJ
authors.lastname: Milani
authors.forename: Thomas M
authors.initials: TM
authors.lastname: Bohman
mesh_terms: D000293:Adolescent; D000328:Adult; D001294:Attitude to Health; D015992:Body Mass Index; D002675:Child, Preschool; D003131:Combined Modality Therapy; D004038:Diet, Reducing; D015444:Exercise / Q000502:physiology*; D005260:Female; D006293:Health Promotion; D006801:Humans; D007223:Infant; D008297:Male; D009035:Mothers / Q000193:education / Q000523:psychology*; D009765:Obesity / Q000178:diet therapy / Q000628:therapy*; D011203:Poverty; D011632:Public Assistance; D020377:Self Efficacy; D016896:Treatment Outcome; D015431:Weight Loss; D055815:Young Adult