title: Weight Outcomes of Latino Adults and Children Participating in the Y Living Program, a Family-Focused Lifestyle Intervention, San Antonio, 2012-2013.
abstract: BACKGROUND
  US Latinos have disproportionately higher rates of obesity and physical inactivity than the general US population, putting them at greater risk for chronic disease. This evaluation aimed to examine the impact of the Y Living Program (Y Living), a 12-week family-focused healthy lifestyle program, on the weight status of adult and child (aged ≥7 years) participants.
  
  
  METHODS
  In this pretest-posttest evaluation, participants attended twice-weekly group education sessions and engaged in physical activity at least 3 times per week. Primary outcome measures were body mass index ([BMI], zBMI and BMI percentile for children), weight, waist circumference, and percentage body fat. Wilcoxon signed-rank tests and mixed effects models were used to evaluate pretest-posttest differences (ie, absolute change and relative change) for adults and children separately.
  
  
  RESULTS
  BMI, weight, waist circumference, and percentage body fat improved significantly (both absolutely and relatively) among adults who completed the program (n = 180; all P ≤ .001). Conversely, child participants that completed the program (n = 72) showed no improvements. Intervention effects varied across subgroups. Among adults, women and participants who were obese at baseline had larger improvements than did children who were obese at baseline or who were in families that had an annual household income of $15,000 or more.
  
  
  CONCLUSIONS
  Significant improvements in weight were observed among adult participants but not children. This family-focused intervention has potential to prevent excess weight gain among high-risk Latino families.
authors.affiliation: University of Texas Health Science Center at San Antonio, 7411 John Smith Dr, Suite 1000, San Antonio TX 78229. Email: parramedina@uthscsa.edu.
authors.forename: Deborah
authors.initials: D
authors.lastname: Parra-Medina
authors.affiliation: University of Texas Health Science Center at San Antonio, San Antonio, Texas.
authors.forename: Yuanyuan
authors.initials: Y
authors.lastname: Liang
authors.affiliation: University of Texas at San Antonio, San Antonio, Texas.
authors.forename: Zenong
authors.initials: Z
authors.lastname: Yin
authors.affiliation: University of Texas Health Science Center at San Antonio, San Antonio, Texas.
authors.forename: Laura
authors.initials: L
authors.lastname: Esparza
authors.affiliation: YMCA of Greater San Antonio, San Antonio, Texas.
authors.forename: Louis
authors.initials: L
authors.lastname: Lopez
mesh_terms: D000293:Adolescent; D000328:Adult; D001835:Body Weight; D002648:Child; D015444:Exercise; D005192:Family Health; D005260:Female; D006266:Health Education; D006630:Hispanic or Latino; D006801:Humans; D007182:Income; D008019:Life Style; D009765:Obesity / Q000208:ethnology* / Q000517:prevention & control; D016896:Treatment Outcome; D015431:Weight Loss; D055815:Young Adult