Department of Population and Quantitative Health Sciences, Division of Preventive and Behavioral Medicine; UMass Worcester Prevention Research Center
Behavioral Medicine | Behavior and Behavior Mechanisms | Community-Based Research | Community Health and Preventive Medicine | Dietetics and Clinical Nutrition | Health Psychology | Nutritional and Metabolic Diseases | Nutritional Epidemiology | Pathological Conditions, Signs and Symptoms | Preventive Medicine
BACKGROUND: Efficacious strategies to reduce sugar-sweetened beverage (SSB) consumption among youth are needed. This pilot study assessed the feasibility and preliminary efficacy of a community-based youth empowerment intervention to reduce SSB consumption and obesity risk among a low-income, ethnically diverse sample of youth.
METHODS: The H2GO! intervention was pilot-tested in an afterschool setting (Boys and Girls Clubs (BGC)) in Massachusetts, USA. One site was randomized to receive the intervention; the other site received standard programming. Youth ages 9-12 years and their parents/caregivers were eligible to participate. A total of N = 110 parent-child pairs (N = 55 parent-child pairs per site) were recruited. The 6-week intervention consisted of group-based weekly sessions delivered by trained BGC staff and youth-led activities that engaged parents. Child outcomes included self-reported SSB and water intake and measured body mass index z scores (zBMI). Parent outcomes included self-reported SSB and water intake, SSB purchasing, and availability of SSBs at home. Outcomes were measured at baseline, 2 months, and 6 months. Generalized linear and logistic regression models were used to estimate intervention effects over time.
RESULTS: The final analytic study sample consisted of 100 child participants (38% Black, 20% Hispanic, 13% White, 12% Multiracial, 11% Asian) and 87 parent participants (78.2% female; 78.2% reporting eligibility for the free-or-reduced price lunch program). 6-month retention rates were > /= 82%. Intervention attendance rates among intervention child participants (N = 51) averaged 78.1% (SD = 10.3). Over half (56.0%) of child participants were overweight or obese at baseline. Relative to the comparison site, intervention site child participants had decreased SSB intake (beta = - 1.64; 95% CI: 2.52, - 0.76), increased water intake (beta = 1.31; 95% CI: 0.38, 2.23), and decreased zBMI (- 0.23 units; 95% CI: - 0.31, - 0.14) over 6 months (p < 0.001). Intervention parent participants also reported decreased SSB intake (beta = - 1.76; 95% CI: - 2.56, - 0.96) and increased water intake (beta = 1.75; 95% CI: 1.11, 2.40) than comparison parent participants at 6 months (p < 0.001).
CONCLUSIONS: Findings demonstrate the potential of a youth empowerment intervention on reducing SSB intake and zBMI among a diverse sample. Findings will guide a larger cluster-randomized controlled trial to test intervention efficacy on preventing childhood obesity, as well as inform future interventions that aim to target additional diet and physical activity behaviors through youth empowerment.
TRIAL REGISTRATION: ClinicalTrials.gov NCT02890056 . Registered 31 August 2016.
Childhood obesity, Community-based intervention, Sugar-sweetened beverage consumption, Water consumption, Youth empowerment
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© The Author(s). 2019 Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
DOI of Published Version
Int J Behav Nutr Phys Act. 2019 Jul 30;16(1):58. doi: 10.1186/s12966-019-0819-0. Link to article on publisher's site
The international journal of behavioral nutrition and physical activity
Wang, Monica L.; Otis, Marisa; Rosal, Milagros C.; Griecci, Christina F.; and Lemon, Stephenie C., "Reducing sugary drink intake through youth empowerment: results from a pilot-site randomized study" (2019). Open Access Articles. 3916.
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This work is licensed under a Creative Commons Attribution 4.0 License.
Behavioral Medicine Commons, Behavior and Behavior Mechanisms Commons, Community-Based Research Commons, Community Health and Preventive Medicine Commons, Dietetics and Clinical Nutrition Commons, Health Psychology Commons, Nutritional and Metabolic Diseases Commons, Nutritional Epidemiology Commons, Pathological Conditions, Signs and Symptoms Commons, Preventive Medicine Commons