title: iStart smart: a primary-care based and community partnered childhood obesity management program for Chinese-American children: feasibility study.
abstract: Children who are ethnic minorities, low income and live in urban neighborhoods are at higher risk for obesity. This study examined the feasibility and efficacy of a primary care-based and community partnered obesity intervention in Chinese American children. An experimental design with a historical comparison group was used to explore the feasibility of an obesity intervention for overweight Chinese American children, ages 7-12. Data were collected on weight, height, blood pressure, waist circumference, physical activity, food intake, knowledge, and self-efficacy about diet and physical activity at baseline, 2 months, and 6 months post-baseline. Significant improvements in BMI, blood pressure, and nutrition knowledge and self-efficacy were found in the intervention group. Intervention group reduced their BMI compared to the comparison group (F = 8.65, p = .004). An obesity intervention in primary care setting is feasible and demonstrates a short-term effect on weight loss in Chinese American children.
authors.affiliation: Department of Family Health Care Nursing, University of California, San Francisco, 2 Koret Way, Box 0606, San Francisco, CA, 94143, USA, jyu-lin.chen@nursing.ucsf.edu.
authors.forename: Jyu-Lin
authors.initials: JL
authors.lastname: Chen
authors.forename: Monica
authors.initials: M
authors.lastname: Kwan
authors.forename: Allison
authors.initials: A
authors.lastname: Mac
authors.forename: Nai-Ching
authors.initials: NC
authors.lastname: Chin
authors.forename: Katrina
authors.initials: K
authors.lastname: Liu
mesh_terms: D001213:Asian; D002648:Child; D002681:China / Q000208:ethnology; D003153:Community Health Services; D005240:Feasibility Studies; D015438:Health Behavior; D006266:Health Education / Q000379:methods*; D006801:Humans; D063766:Pediatric Obesity / Q000517:prevention & control*; D011320:Primary Health Care; D012495:San Francisco; D020377:Self Efficacy