Angela Trude|Pamela J. Surkan|Lawrence J. Cheskin|Joel Gittelsohn
A multilevel, multicomponent childhood obesity prevention group-randomized controlled trial improves healthier food purchasing and reduces sweet-snack consumption among low-income African-American youth
Johns Hopkins University|Johns Hopkins University|Johns Hopkins University|Johns Hopkins University
consumption foods beverages rich sugar remains high across races ages united states interventions address childhood obesity decrease sugar intake needed particularly lowincome settings bmore healthy communities kids bhck grouprandomized controlled trial implemented among 915year olds 30 lowincome areas baltimore increased access lowsugar foods beverages wholesalers small food stores concurrently encouraged purchase consumption children youthled nutrition education recreation centers instore promotions text messaging social media program directed caregivers sugar consumption sugar sweetened beverage ssb sweets youth assessed pre n 534 postintervention n 401 using block kids food frequency questionnaire purchasing 38 healthier 28 less healthier foodbeverage varieties previous 7 days assessed via selfreport multilevel models community individual levels used analyses stratified age younger 912year olds n 339 vs older 1315 n 170 models controlled childs sex race total daily caloric intake caregivers age sex overall baseline mean healthier food purchasing 25 36 min 0 max 34 items per week unhealthier food purchasing 46 37 019 items per week mean intake baseline kcal ssb 176 1891 153 1425 calories sweets ie cookies cakes pies donuts candy ice cream sweetened cereals chocolate beverages 159 97 159 77 comparison intervention youth respectively intervention youth increased healthier foods beverages purchases 14 items per week comparison youth 14 95 ci 01 28 intervention 35 decrease kcal sweets older intervention youth compared control group 35 95 ci 776 005 impact seen ssb consumption bhck successfully increased healthier food purchasing variety youth decreased calories sweet snacks older youth multilevel multicomponent environmental childhood obesity programs promising strategy improve eating behaviors among lowincome urban youth nct02181010 july 2 2014 retrospectively registered