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Incorporating primary and secondary prevention approaches to address childhood obesity prevention and treatment in a low-income, ethnically diverse population: study design and demographic data from the Texas Childhood Obesity Research Demonstration (TX CORD) study.

Publication ,  Journal Article
Hoelscher, DM; Butte, NF; Barlow, S; Vandewater, EA; Sharma, SV; Huang, T; Finkelstein, E; Pont, S; Sacher, P; Byrd-Williams, C; Oluyomi, AO ...
Published in: Child Obes
February 2015

BACKGROUND: There is consensus that development and evaluation of a systems-oriented approach for child obesity prevention and treatment that includes both primary and secondary prevention efforts is needed. This article describes the study design and baseline data from the Texas Childhood Obesity Research Demonstration (TX CORD) project, which addresses child obesity among low-income, ethnically diverse overweight and obese children, ages 2-12 years; a two-tiered systems-oriented approach is hypothesized to reduce BMI z-scores, compared to primary prevention alone. METHODS: Our study aims are to: (1) implement and evaluate a primary obesity prevention program; (2) implement and evaluate efficacy of a 12-month family-centered secondary obesity prevention program embedded within primary prevention; and (3) quantify the incremental cost-effectiveness of the secondary prevention program. Baseline demographic and behavioral data for the primary prevention community areas are presented. RESULTS: Baseline data from preschool centers, elementary schools, and clinics indicate that most demographic variables are similar between intervention and comparison communities. Most families are low income (≤$25,000) and Hispanic/Latino (73.3-83.8%). The majority of parents were born outside of the United States. Child obesity rates exceed national values, ranging from 19.0% in preschool to 35.2% in fifth-grade children. Most parents report that their children consume sugary beverages, have a television in the bedroom, and do not consume adequate amounts of fruits and vegetables. CONCLUSIONS: Interventions to address childhood obesity are warranted in low-income, ethnically diverse communities. Integrating primary and secondary approaches is anticipated to provide sufficient exposure that will lead to significant decreases in childhood obesity.

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Published In

Child Obes

DOI

EISSN

2153-2176

Publication Date

February 2015

Volume

11

Issue

1

Start / End Page

71 / 91

Location

United States

Related Subject Headings

  • Texas
  • Socioeconomic Factors
  • Secondary Prevention
  • Schools
  • School Health Services
  • Research Design
  • Program Evaluation
  • Primary Prevention
  • Pediatric Obesity
  • Parenting
 

Citation

APA
Chicago
ICMJE
MLA
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Hoelscher, D. M., Butte, N. F., Barlow, S., Vandewater, E. A., Sharma, S. V., Huang, T., … Kelder, S. H. (2015). Incorporating primary and secondary prevention approaches to address childhood obesity prevention and treatment in a low-income, ethnically diverse population: study design and demographic data from the Texas Childhood Obesity Research Demonstration (TX CORD) study. Child Obes, 11(1), 71–91. https://doi.org/10.1089/chi.2014.0084
Hoelscher, Deanna M., Nancy F. Butte, Sarah Barlow, Elizabeth A. Vandewater, Shreela V. Sharma, Terry Huang, Eric Finkelstein, et al. “Incorporating primary and secondary prevention approaches to address childhood obesity prevention and treatment in a low-income, ethnically diverse population: study design and demographic data from the Texas Childhood Obesity Research Demonstration (TX CORD) study.Child Obes 11, no. 1 (February 2015): 71–91. https://doi.org/10.1089/chi.2014.0084.
Hoelscher DM, Butte NF, Barlow S, Vandewater EA, Sharma SV, Huang T, Finkelstein E, Pont S, Sacher P, Byrd-Williams C, Oluyomi AO, Durand C, Li L, Kelder SH. Incorporating primary and secondary prevention approaches to address childhood obesity prevention and treatment in a low-income, ethnically diverse population: study design and demographic data from the Texas Childhood Obesity Research Demonstration (TX CORD) study. Child Obes. 2015 Feb;11(1):71–91.
Journal cover image

Published In

Child Obes

DOI

EISSN

2153-2176

Publication Date

February 2015

Volume

11

Issue

1

Start / End Page

71 / 91

Location

United States

Related Subject Headings

  • Texas
  • Socioeconomic Factors
  • Secondary Prevention
  • Schools
  • School Health Services
  • Research Design
  • Program Evaluation
  • Primary Prevention
  • Pediatric Obesity
  • Parenting