Evaluating clinic and community-based lifestyle interventions for obesity reduction in a lowincome Latino neighborhood: Vivamos Activos Fair Oaks Program

Drieling, Rebecca L.; Jun Ma; Stafford, Randall S.
January 2011
BMC Public Health;2011, Vol. 11 Issue 1, p98
Academic Journal
Background: Obesity exerts an enormous health impact through its effect on coronary heart disease and its risk factors. Primary care-based and community-based intensive lifestyle counseling may effectively promote weight loss. There has been limited implementation and evaluation of these strategies, particularly the added benefit of community-based intervention, in low-income Latino populations. Design: The Vivamos Activos Fair Oaks project is a randomized clinical trial designed to evaluate the clinical and cost-effectiveness of two obesity reduction lifestyle interventions: clinic-based intensive lifestyle counseling, either alone (n = 80) or combined with community health worker support (n = 80), in comparison to usual primary care (n = 40). Clinic-based counseling consists of 15 group and four individual lifestyle counseling sessions provided by health educators targeting behavior change in physical activity and dietary practices. Community health worker support includes seven home visits aimed at practical implementation of weight loss strategies within the person's home and neighborhood. The interventions use a framework based on Social Cognitive Theory, the Transtheoretical Model of behavior change, and techniques from previously tested lifestyle interventions. Application of the framework was culturally tailored based on past interventions in the same community and elsewhere, as well as a community needs and assets assessment. The interventions include a 12-month intensive phase followed by a 12-month maintenance phase. Participants are obese Spanish-speaking adults with at least one cardiovascular risk factor recruited from a community health center in a low-income neighborhood of San Mateo County, California. Follow-up assessments occur at 6, 12, and 24 months for the primary outcome of percent change in body mass index at 24 months. Secondary outcomes include specific cardiovascular risk factors, particularly blood pressure and fasting glucose levels. Discussion and Conclusions: If successful, this study will provide evidence for broad implementation of obesity interventions in minority populations and guidance about the selection of strategies involving clinic-based case management and community-based community health worker support. Clinical Trial Registration: ClinicalTrials.gov: NCT01242683


Related Articles

  • Obesity in the United States. Crespo, Carlos J.; Arbesman, Joshua // Physician & Sportsmedicine;Nov2003, Vol. 31 Issue 11, p23 

    IN BRIEF: In the past decades, obesity has reached epidemic proportions in the United States, even among children, adolescents, and young adults. The prevalence of obesity is higher among non-Hispanic black (36%) and Mexican American women (33%) than among non-Hispanic white women (22%). Various...

  • The development of a network for community-based obesity prevention: the CO-OPS Collaboration. Allender, Steven; Nichols, Melanie; Foulkes, Chad; Reynolds, Rebecca; Waters, Elizabeth; King, Lesley; Gill, Tim; Armstrong, Rebecca; Swinburn, Boyd // BMC Public Health;2011, Vol. 11 Issue 1, p132 

    Background: Community-based interventions are a promising approach and an important component of a comprehensive response to obesity. In this paper we describe the Collaboration of COmmunity-based Obesity Prevention Sites (CO-OPS Collaboration) in Australia as an example of a collaborative...

  • Relationship between adiposity and admixture in African-American and Hispanic-American women. Nassir, R; Qi, L; Kosoy, R; Garcia, L; Allison, M; Ochs-Balcom, H M; Tylavsky, F; Manson, J E; Shigeta, R; Robbins, J; Seldin, M F // International Journal of Obesity;Feb2012, Vol. 36 Issue 2, p304 

    Objective:The objective of this study was to investigate whether differences in admixture in African-American (AFA) and Hispanic-American (HA) adult women are associated with adiposity and adipose distribution.Design:The proportion of European, sub-Saharan African and Amerindian admixture was...

  • Physical Activity in Latino Adolescents: Understanding Influences on Activity Intentions. Eakin, Brenda L.; Villarruel, Antonia M.; Jemmott, III, John B.; Jemmott, Loretta S.; Ronis, David L.; Bigelow, April // Hispanic Health Care International (Springer Publishing Company,;Winter2005, Vol. 3 Issue 3, p125 

    Obesity has risen in all segments of the population but is more prevalent among Latino youth than non-Hispanic Whites. While physical activity is important in preventing obesity; little research is related to attitudes toward activity and intentions in Latino youth. This study describes activity...

  • Curbing obesity: prevention and treatment. Braet, Caroline; Van Winckel, Myriam // European Journal of Public Health;Dec2005, Vol. 15 Issue 6, p561 

    The article focuses on the prevention and treatment of obesity. It discusses the factors that contributed to the development of obesity. The importance of an active lifestyle in preventing obesity is discussed. The results of research which revealed that obesity is inversely related to the time...

  • Role of prevention in the contention of the obesity epidemic. Carraro, R.; Cebrián, M. García // European Journal of Clinical Nutrition;Sep2003 Supplement, Vol. 57, pS94 

    Obesity has become one of the major health burdens of the westernized world with an increasing number of people affected at any age. Although genetic factors explain around 40% of individual susceptibility to the disease, obesity may and should be controlled through interventions on the...

  • Sloth, not ads, is responsible for fat kids. Berman, Richard // Advertising Age;4/18/2005, Vol. 76 Issue 16, p30 

    Refutes the notion that food advertising is the cause of the rise in obesity among children in the U.S. International organization and government agency which have blamed food advertising for childhood obesity; Contention that there is no solid scientific evidence that could link food...

  • Health System Addressing Community's Concerns. Weeks, Katie // San Diego Business Journal;10/31/2005, Vol. 26 Issue 44, p9 

    The article reports on the health study among Spanish Americans released by Palomar Pomerado Health in the U.S. Study shows that Hispanic children are more overweight than white children. Obesity is the top most concern of the Palomar Pomerado Health. Encouraging students to learn about making...

  • ABSTRACT SECTION.  // Journal of Nutrition Education & Behavior;Jul2006 Supplement, Vol. 38, pS17 

    The article presents several abstracts that relate to nutritional education. They include "Cornell NutritionWorks: An Online Course for Planning Community Action to Prevent Childhood Obesity Using an Ecological Approach," "Sean Una Familia Activa Y Sana: An Innovative Intervention Program to...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics