Child health promotion in underserved communities: The FAMILIA trial
AuthorFernández-Jiménez, Rodrigo; Jaslow, Rias; Bansilal, Sameer; Santana, Maribel; Díaz-Muñoz, Raquel; Latina, Jacqueline; Soto, Ana V.; Vedanthan, Rajesh; Al-Kazaz, Mohamed; Giannarelli, Chiara; Kovacic, Jason C.; Bagiella, Emilia; Kasarskis, Andrew; Fayad, Zahi A.; Hajjar, Roger J.; Fuster, Valentín
EntityUAM. Departamento de Medicina
10.1016/j.jacc.2019.01.057Journal American College Cardiology 73.16 (2019): 2021
Funded byThis study is funded by the American Heart Association under grant No. 14SFRN20490315. The CNIC is supported by the Ministerio de Ciencia, Innovación y Universidades and the Pro CNIC Foundation, and is a Severo Ochoa Center of Excellence (SEV-2015-0505). Dr. Fernandez-Jimenez is a recipient of funding from the European Union Horizon 2020 research and innovation programme under the Marie Skłodowska-Curie grant agreement No. 707642. Dr. Bansilal is an employee of Bayer Pharmaceuticals
SubjectsAttitude; Diet; Emotions; Exercise; Health promotion; Vulnerable populations; Medicina
Rights© 2019 The Authors
Esta obra está bajo una licencia de Creative Commons Reconocimiento-NoComercial-SinObraDerivada 4.0 Internacional.
Background: Preschool-based interventions offer promise to instill healthy behaviors in children, which can be a strategy to reduce the burden of cardiovascular disease later. However, their efficacy in underserved communities is not well established. Objectives: The purpose of this study was to assess the impact of a preschool-based health promotion educational intervention in an underserved community. Methods: This cluster-randomized controlled study involved 15 Head Start preschools in Harlem, New York. Schools and their children were randomized 3:2 to receive either a 4-month (50 h) educational intervention to instill healthy behaviors in relation to diet, physical activity, body/heart awareness, and emotion management; or their standard curriculum (control). The primary outcome was the change from baseline in the overall knowledge, attitudes, and habits (KAH) score of the children at 5 months. As secondary outcomes, we evaluated the changes in KAH subcomponents and emotion comprehension. Linear mixed-effects models were used to test for intervention effects. Results: The authors enrolled 562 preschool children age 3 to 5 years, 51% female, 54% Hispanic/Latino, and 37% African-American. Compared with the control group, the mean relative change from baseline in the overall KAH score was ∼2.2 fold higher in the intervention group (average absolute difference of 2.86 points; 95% confidence interval: 0.58 to 5.14; p = 0.014). The maximal effect was observed in children who received >75% of the curriculum. Physical activity and body/heart awareness components, and knowledge and attitudes domains, were the main drivers of the effect (p values <0.05). Changes in emotion comprehension trended toward favoring intervened children. Conclusions: This multidimensional school-based educational intervention may be an effective strategy for establishing healthy behaviors among preschoolers from a diverse and socioeconomically disadvantaged community. Early primordial prevention strategies may contribute to reducing the global burden of cardiovascular disease. (Family-Based Approach in a Minority Community Integrating Systems-Biology for Promotion of Health [FAMILIA
Google Scholar:Fernández-Jiménez, Rodrigo - Jaslow, Rias - Bansilal, Sameer - Santana, Maribel - Díaz-Muñoz, Raquel - Latina, Jacqueline - Soto, Ana V. - Vedanthan, Rajesh - Al-Kazaz, Mohamed - Giannarelli, Chiara - Kovacic, Jason C. - Bagiella, Emilia - Kasarskis, Andrew - Fayad, Zahi A. - Hajjar, Roger J. - Fuster, Valentín
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