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Nutrition Intervention and Play Group Exercise for Low-Income Latinas (CHICOS)

The recruitment status of this study is unknown. The completion date has passed and the status has not been verified in more than two years.
Verified March 2007 by Stanford University.
Recruitment status was:  Recruiting
Information provided by:
Stanford University Identifier:
First received: March 29, 2007
Last updated: March 30, 2007
Last verified: March 2007

Obesity among Mexican-American women has the potential to become a public health crisis. Hispanics are one of the fastest growing minority populations in the United States and the prevalence of obesity in Mexican American woman is increasing at an alarming rate. Poor dietary practices, especially food habits that are acquired as families acculturate to the American food supply, and lack of exercise are thought to be associated with women's excess weight gain. Accordingly, interventions are needed to improve the dietary intake and physical activity levels of Mexican-American families.

We propose to conduct a randomized clinical trial in which women are randomly assigned to receive either family-based behavioral counseling (FBC) sessions and play group physical activity sessions or group based nutrition and exercise classes and health related activity worksheets to complete with their child. The FBC sessions, conducted by community health advisors, will use photographs of the family's food practices, taken by mothers, as visual aids in the counseling sessions. The control intervention will consist of group sessions using curricula designed to motivate women to exercise and to promote the Food Guide Pyramid recommendations using traditional Mexican-American foods. The primary outcome of the trial is mother's BMI. The secondary outcomes are dietary intake, moderate to vigorous physical activity and household food supplies. We hypothesize that within a one year time frame, women who are exposed to the FBC will have lower BMI's compared to women who receive the active placebo control intervention. The mechanisms through which we intend to change weight status are altering the type of foods purchased and cooking practices and promoting mothers to engage in physical activities with their children during their play. Measurements of secondary outcomes include three 24 hour dietary recalls, a household food inventory and activity monitoring using MTI actigraph monitors. In addition, mothers' reports of household food security level, and food purchase motives, will be collected as covariates. Measurements will be collected within one month of completing the interventions and at six months and one year follow-up.

Condition Intervention Phase
Behavioral: Home-based nutrition sessions and play group exercise
Behavioral: Group-based nutrition sessions and mail-out activities
Phase 1

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single Blind
Primary Purpose: Prevention
Official Title: Home Based Nutrition Intervention Nad Play Group Exercise for Low-Income Latinas

Resource links provided by NLM:

Further study details as provided by Stanford University:

Primary Outcome Measures:
  • BMI at one year after randomization

Secondary Outcome Measures:
  • BMI percentile score of children one year after intervention
  • Dietary intake of mothers and their child one year after intervention as measured by multiple 24 hour recalls
  • Physical activity of mother and their child as measured by actigraph monitoring.

Estimated Enrollment: 250
Study Start Date: March 2007
Estimated Study Completion Date: August 2009
Detailed Description:

We propose to evaluate a family-based intervention designed to prevent obesity by increasing fruit and vegetable (F&V) intake, decreasing fat intake and increasing physical activity. The target group for the intervention is low-income Mexican-American mothers of preschool aged children. The intervention uses family-based behavioral counseling (FBC) sessions with a community health advisor (CHA) to promote changing the types of foods that mothers prepare and consume, and increasing the time that mothers spend being active with their children. In previous research, we have used this approach to improve Mexican-American school aged children's nutritional status. The mothers of these children were extremely motivated to improve their children's diets, and in doing so, improved their own health behaviors and reduced their BMI's. Accordingly, in the proposed research, we will conduct a randomized controlled trial with a sample of 250 Mexican-American mothers-child dyads to evaluate a family based intervention designed to prevent obesity in low income Mexican-American women. As families enroll in the study, they will be randomly assigned to either the FBC sessions or an active placebo control condition. Data will be collected immediately prior to participation in the intervention, within one-month of completing the intervention and at six months and one year follow-up. Mother's body mass index (BMI) will serve as the primary outcome variable. Multiple 24-hour dietary recalls, a modified household food inventory and physical activity monitoring will be used as secondary indices of program efficacy. The following hypotheses will be examined in this experiment.

Primary Hypothesis Women who receive the FBC sessions will have significantly lower BMI one year after randomization into the intervention compared to women whose families receive an active placebo control.

Secondary Hypotheses

Women who receive the FBC sessions will have significantly lower fat intakes and higher fruit and vegetable intakes, as measured by 24 hour recalls, one year after randomization into the intervention compared to women whose families receive an active placebo control.

Women who receive the FBC sessions will have significantly fewer high fat foods and significantly more fruits and vegetables in their homes, as measured by targeted household food inventories, one year after randomization into the intervention compared to women whose families receive an active placebo control.

Women who receive the FBC sessions will be significantly more active one year after randomization into the intervention, as measured by activity monitoring, compared to women whose families receive an active placebo control.


Ages Eligible for Study:   Child, Adult, Senior
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   Yes

Inclusion Criteria:

  • Mother is of Mexican descent
  • Mother has a child between the ages of 3 and 4.9 years

Exclusion Criteria:

  • Child is eligible for kindergarten in the upcoming 6 months
  • Mother is pregnant
  • Mother is less then 4 months post partum
  • Family plans on moving outside of San Jose in the upcoming 6 months
  • Family shares food supplies with more than one other household
  • Mother has medical condition or takes medication that affects weight
  • Child has medical condition or takes medication that affects weight or growth
  Contacts and Locations
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Please refer to this study by its identifier: NCT00454948

Contact: Donna M Matheson, PhD (650) 498-4765
Contact: Joel D Killen, PhD 650-725-9443

United States, California
San Jose, California, United States
Sponsors and Collaborators
Stanford University
Principal Investigator: Donna M Matheson, PhD Stanford University
  More Information Identifier: NCT00454948     History of Changes
Other Study ID Numbers: R01DK073377-01 ( US NIH Grant/Contract Award Number )
Study First Received: March 29, 2007
Last Updated: March 30, 2007

Keywords provided by Stanford University:
Obesity prevention
Dietary intake
Physical activity
Mexican American
Family Characteristics processed this record on May 24, 2017