scholarly journals Pilot Study of an Individually Tailored Educational Program by Mail to Promote Healthy Weight in Chinese American Children

2008 ◽  
Vol 13 (3) ◽  
pp. 212-222 ◽  
Author(s):  
Jyu-Lin Chen ◽  
Sandra Weiss ◽  
Melvin B. Heyman ◽  
Eric Vittinghoff ◽  
Robert Lustig
Keyword(s):  
Pilot Study ◽  
Educational Program ◽  
Chinese American ◽  
Healthy Weight ◽  
American Children

scholarly journals Dietary disparities of urban immigrant schoolchildren in New York City: Results from a mixed-methods pilot study

2020 ◽  
Author(s):  
Stella S. Yi ◽  
Neile K. Edens ◽  
Ashley Lederer ◽  
Janet Pan ◽  
Stella K. Chong ◽  
...  
Keyword(s):  
Pilot Study ◽  
Healthy Eating ◽  
Nutrient Intake ◽  
Qualitative Data ◽  
Chinese American ◽  
Dietary Intakes ◽  
Whole Grain ◽  
Food Diary ◽  
American Children ◽  
Family Based

AbstractBackgroundObesity has been identified as an emerging health concern for Chinese American children; however, very little is known about diets in Asian American children.ObjectiveTo assess the feasibility of assessing diet of urban Chinese American children in an applied (school) setting and to gain insight on diet and drivers of dietary intakes from community nutrition experts.DesignData were from the Food Journal Project 2017, a school-based pilot study conducted by a multi-sector collaboration, and qualitative data from nutrition and community experts.Participants/SettingChildren aged 8-12 (n=83) completed two dietary assessments using a food diary from January-June 2017. Children were then interviewed using the food diary as a guide; dietary data were entered into the ASA24 system by study staff. Chinese American children were compared to non-Chinese peers with respect to nutrient intake and the Healthy Eating Index 2010 (HEI-2010). Six semi-structured interviews and one panel discussion including two registered dietitians and community leaders with working knowledge of the Chinese American community were conducted from January-June 2018.Main Outcome MeasuresNutrient intake and HEI-2010 scores.Statistical Analyses PerformedChi-squared and t-test comparisons, with statistical significance set at α=0.05.ResultsAdjusted for caloric intake, Chinese American children consumed 20% more sodium, 21% more protein but 27% less sugar compared to non-Chinese children. With regards to the HEI-2010, Chinese American children had less favorable whole grains and sodium scores; and more favorable seafood protein and empty calories scores compared to non-Chinese children. Qualitative data underscored the current burden of diet-related health disparities among Chinese American children and suggested Chinese American receptivity to family-based nutritional and cooking education interventions.ConclusionsSodium reduction and increasing whole grain intakes may be warranted in Chinese American children but should be verified with additional studies. Interventions to improve nutrition in this understudied population are critical.Research SnapshotResearch QuestionWhat are typical dietary intakes and current community and family-based challenges related to healthy eating in Chinese American children – an understudied disparity group?Key FindingsChinese American schoolchildren have high sodium and low whole grain intakes compared to non-Chinese peers. These specific dietary disparities work in concert with low physical activity levels and cultural norms in contributing to diet-related health disparities in this group. Family-based nutrition education and potential focus of dietetic counseling on sodium and whole grain intake areas are indicated to address these disparities.

The Obesity Epidemic in Chinese American Youth?: A Literature Review and Pilot Study

2008 ◽  
Vol 6 (1) ◽  
pp. 31-42 ◽  
Author(s):  
Robyn Matloff ◽  
Angela Lee ◽  
Roland Tang ◽  
Doug Brugge
Keyword(s):  
Asian Americans ◽  
Ethnic Diversity ◽  
Large Scale ◽  
Community Health Center ◽  
Chinese American ◽  
The United States ◽  
Overweight And Obesity ◽  
Waiting Room ◽  
Obesity Epidemic ◽  
American Children

Despite nearly 12 million Asian Americans living in the United States and continued immigration, this increasingly substantial subpopulation has consistently been left out of national obesity studies. When included in national studies, Chinese-American children have been grouped together with other Asian Americans, Pacific Islanders or simply as “other,” yielding significantly lower rates of overweight and obesity compared to non-Asians. There is a failure to recognize the ethnic diversity of Asian Americans as well as the effect of acculturation. Results from smaller studies of Chinese American youth suggest that they are adopting lifestyles less Chinese and more Americans and that their share of disease burden is growing. We screened 142 children from the waiting room of a community health center that serves primarily recent Chinese immigrants for height, weight and demographic profile. Body Mass Index was calculated and evaluated using CDC growth charts. Overall, 30.1 percent of children were above the 85th we found being male and being born in the U .S. to be statistically significant for BMI > 85th percentile (p=0.039, p=0.001, respectively). Our results suggest that being overweight in this Chinese American immigrant population is associated with being born in the U.S. A change in public policy and framework for research are required to accurately assess the extent of overweight and obesity in Chinese American children. In particular, large scale data should be stratified by age, sex, birthplace and measure of acculturation to identify those at risk and construct tailored interventions.

A cross-cultural comparison of dietary intakes and physical activity between American and Czech school-aged children

2009 ◽  
Vol 12 (7) ◽  
pp. 986-990 ◽  
Author(s):  
Lenka Humenikova Shriver ◽  
Gail Gates
Keyword(s):  
Physical Activity ◽  
Czech Republic ◽  
Public Schools ◽  
Pilot Study ◽  
Fast Food ◽  
Dietary Intakes ◽  
Cross Sectional ◽  
The Czech Republic ◽  
The Usa ◽  
American Children

AbstractObjectiveThe prevalence of child overweight in the Czech Republic is substantially lower than that in the USA. The objective of the present pilot study was to explore dietary intakes, frequency of dining in fast-food establishments, and the amount and intensity of physical activity between a sample of American and Czech children.DesignA cross-sectional correlational pilot study.SettingFour public schools in the USA and four public schools in the Czech Republic.SubjectsNinety-five Czech and forty-four American 4–6th graders from urban public schools participated in the study. Dietary intake and number of fast-food visits were evaluated using two multiple-pass 24 h recalls. Physical activity was measured using the modified Self-Administered Physical Activity Checklist.ResultsAmerican children (mean age 10·8 (se 0·2) years) consumed more energy and fat, less fruits and vegetables, more soft drinks, and visited fast-food establishments more often than Czech children (mean age 11·0 (se 0·1) years). Although no differences were found in vigorous activity by nationality, Czech children spent significantly more time in moderate physical activities than American children.ConclusionsDespite the influx of some negative Western dietary trends into the country, Czech children had a healthier diet and were more physically active than American children. Further research is warranted to determine whether the same differences in dietary intakes, physical activity and fast-food visits exist between nationally representative samples of American and Czech children.

A Diet and Exercise Regimen: Its Effect upon Mental Acuity and Personality, a Pilot Study

1979 ◽  
Vol 48 (2) ◽  
pp. 367-371 ◽  
Author(s):  
Claude Fell Merzbacher
Keyword(s):  
Pilot Study ◽  
Psychological Factors ◽  
Educational Program ◽  
T Test ◽  
Sign Test ◽  
California Psychological Inventory ◽  
Santa Barbara ◽  
Exercise Regimen ◽  
Diet And Exercise ◽  
Psychological Inventory

Of the 75 patients in the February 1977 “class” at the Longevity Research Institute, Santa Barbara, California, 11 volunteers were pre- and posttested (21- to 23-day intervals) with the MMPI, 13 with the California Psychological Inventory, and 17 with four subtests of the WAIS (total: 21 males, 10 females). Ten of the (total) 32 scales showed changes in the predicted, favorable direction, statistically significant at the .05 level or better by t test. Further, the number of scales changing in the predicted, desirable direction for each of the three tests was statistically significant at the .06, and .001, and .06 levels (sign test), respectively. The pilot results indicate improvement in psychological factors and mental acuity within a month's time concomitant with the diet, activity, and educational program and warrant further investigation.

scholarly journals Developing a Socioculturally Nuanced Systems Model of Childhood Obesity in Manhattan’s Chinese American Community via Group Model Building

2020 ◽  
Vol 2020 ◽  
pp. 1-11
Author(s):  
Ewelina Swierad ◽  
Terry T.-K. Huang ◽  
Ellis Ballard ◽  
Karen Flórez ◽  
Sheng Li
Keyword(s):  
Childhood Obesity ◽  
Model Building ◽  
Empirical Studies ◽  
Chinese American ◽  
Group Model ◽  
Group Model Building ◽  
Systems Model ◽  
Time Availability ◽  
Novel Method ◽  
American Children

The purpose of this study was to develop a qualitative and socioculturally tailored systems model of childhood obesity in the Chinese American community in Manhattan’s Chinatown. We utilized group model building (GMB) methodology as a form of participatory systems modeling. The study was conducted in Manhattan’s Chinatown community. We recruited 16 Chinese American adults from the community. GMB workshops engendered a causal loop diagram (CLD), the visualization of a complex systems model illustrating the structures, feedbacks, and interdependencies among socioculturally specific pathways underlying childhood obesity, in Manhattan’s Chinatown community. The analysis of CLD revealed that participants considered the following factors to influence childhood obesity: (1) traditional social norms affecting body image, how children are raised, parental pressure to study, and trust in health of traditional foods; (2) grandparents’ responsibility for children; (3) limited time availability of parents at home; and (4) a significant amount of children’s time spent indoors. GMB represents a novel method to understand the complexity of childhood obesity in culturally specific populations and contexts. The study identified sociocultural subsystems that may underlie the development and perpetuation of childhood obesity among Chinese American children. Insights from the study can be useful in the design of future empirical studies and interventions.

scholarly journals Pilot Study of a Video-Based Educational Program to Reduce Family Violence for Parents of Adult Children with Schizophrenia

2020 ◽  
Vol 91 (2) ◽  
pp. 547-560
Author(s):  
Masako Kageyama ◽  
Keiko Yokoyama ◽  
Yuichiro Horiai ◽  
Phyllis Solomon
Keyword(s):  
Pilot Study ◽  
Family Violence ◽  
Adult Children ◽  
Educational Program

scholarly journals Measuring overweight and obesity in Chinese American children using US, international and ethnic-specific growth charts

2020 ◽  
Vol 23 (15) ◽  
pp. 2663-2670
Author(s):  
Jennifer D Lau ◽  
Laminasti Elbaar ◽  
Eda Chao ◽  
Olivia Zhong ◽  
Chihang Ray Yu ◽  
...  
Keyword(s):  
Specific Growth ◽  
Task Force ◽  
Health Centre ◽  
Chinese American ◽  
Overweight And Obesity ◽  
World Health ◽  
Specific Reference ◽  
Obesity Prevalence ◽  
American Children ◽  
Overweight Prevalence

AbstractObjective:The aim is to determine the disparity between the overweight and obesity prevalence of Chinese American school-aged children and adolescents as measured by the Centers for Disease Control and Prevention (CDC) growth reference and the prevalence as measured by international and ethnic-specific-growth references.Design:This retrospective, cross-sectional study measured overweight and obesity prevalence among a paediatric population using the CDC, International Obesity Task Force (IOTF), World Health Organization (WHO) and an ethnic Chinese growth curve.Setting:A community health centre in New York City, USA.Participants:Chinese American children aged 6–17 years in 2017 (N 9160).Results:The overweight prevalence was 24 % (CDC), 23 % (IOTF), 30 % (WHO) and 31 % (China). The obesity prevalence was 10 % (CDC), 5 % (IOTF), 10 % (WHO) and 10 % (China). When disaggregated by age and sex, the difference was the most prominent in girls; using the China reference compared with using the CDC reference almost doubles the overweight prevalence (school-aged: 31 v. 17 %, P < 0·001, adolescent: 27 v. 14 %, P < 0·001) and the obesity prevalence (school-aged: 11 v. 5 %, P < 0·001, adolescent: 7 v. 4 %, P < 0·001).Conclusions:Use of the CDC reference compared with the Chinese ethnic-specific reference results in lower overweight and obesity prevalence in Chinese American girls. Almost half of the girls who were overweight and half of the girls who were obese were not identified using the CDC reference. Using ethnic-specific references or ethnic-specific cut-points may help improve overweight identification for Chinese American children.

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