A community-based family intervention program to improve obesity in Hispanic families.
BACKGROUND
The Waukesha County Division of Public Health and Waukesha Memorial Hospital developed a social-ecological approach to diminish the incidence of overweight and obesity in Hispanic families in Waukesha County.


METHODS
A sample of Waukesha County children and their families participated in an 8-week program that promoted awareness of healthy food choices and the importance of physical activity. The program was selected, translated, and adapted for the Hispanic community. Weekly sessions included nutrition classes, physical activity, and a healthy meal for participating families. Biometric data were collected pre- and post-program, including blood pressure, cholesterol, glucose, weight, height, and waist measurement. A pre- and post-program knowledge test regarding nutrition, food labels, and physical activity was administered.


RESULTS
A total of 47 Hispanic families participated throughout the course of the program. Biometric measures and tests of nutrition knowledge and attitudes of participants consistently showed improvements. In addition, changes occurred in the community system structure, which positively affected the built environment by improving access to parks, YMCA, and schools for family physical activity.


CONCLUSIONS
The translated curriculum was successful in reducing cardiac and diabetes risk factors in Hispanic adults by increasing knowledge and positive attitudes about healthy behaviors.
Herzing University, Brookfield, WI 53005, USA. dziebarth@brk.herzing.edu
Deborah
D
Ziebarth
Nancy
N
Healy-Haney
Bridget
B
Gnadt
Lori
L
Cronin
Benjamen
B
Jones
Esther
E
Jensen
Martha
M
Viscuso
D000328:Adult; D001699:Biometry; D002648:Child; D002755:Choice Behavior; D003153:Community Health Services / Q000458:organization & administration*; D003479:Curriculum; D015444:Exercise; D005192:Family Health; D005260:Female; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion / Q000458:organization & administration*; D006630:Hispanic or Latino; D006801:Humans; D015994:Incidence; D008297:Male; D009765:Obesity / Q000453:epidemiology / Q000517:prevention & control*; D050177:Overweight / Q000453:epidemiology / Q000517:prevention & control*; D016730:Program Development; D015397:Program Evaluation; D014922:Wisconsin / Q000453:epidemiology