dc.contributor.author | Fernandez-Jimenez, Rodrigo | |
dc.contributor.author | Jaslow, Risa | |
dc.contributor.author | Bansilal, Sameer | |
dc.contributor.author | Santana, Maribel | |
dc.contributor.author | Diaz-Munoz, Raquel | |
dc.contributor.author | Latina, Jacqueline | |
dc.contributor.author | Soto, Ana V | |
dc.contributor.author | Vedanthan, Rajesh | |
dc.contributor.author | Al-Kazaz, Mohamed | |
dc.contributor.author | Giannarelli, Chiara | |
dc.contributor.author | Kovacic, Jason C | |
dc.contributor.author | Bagiella, Emilia | |
dc.contributor.author | Kasarskis, Andrew | |
dc.contributor.author | Fayad, Zahi A | |
dc.contributor.author | Hajjar, Roger J | |
dc.contributor.author | Fuster, Valentin | |
dc.date.accessioned | 2019-04-29T06:29:29Z | |
dc.date.available | 2019-04-29T06:29:29Z | |
dc.date.issued | 2019-04-30 | |
dc.identifier.citation | J Am Coll Cardiol. 2019; 73(16):2011-2021 | es_ES |
dc.identifier.issn | 07351097 | es_ES |
dc.identifier.uri | http://hdl.handle.net/20.500.12105/7519 | |
dc.description.abstract | 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]; NCT02343341). | es_ES |
dc.description.sponsorship | This 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. | es_ES |
dc.language.iso | eng | es_ES |
dc.publisher | Elsevier | es_ES |
dc.type.hasVersion | VoR | es_ES |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | * |
dc.subject | Attitude | es_ES |
dc.subject | Diet | es_ES |
dc.subject | Emotions | es_ES |
dc.subject | Exercise | es_ES |
dc.subject | Health promotion | es_ES |
dc.subject | Vulnerable populations | es_ES |
dc.title | Child Health Promotion in Underserved Communities: The FAMILIA Trial | es_ES |
dc.type | journal article | es_ES |
dc.rights.license | Attribution-NonCommercial-NoDerivatives 4.0 Internacional | * |
dc.identifier.pubmedID | 31023422 | es_ES |
dc.format.volume | 73 | es_ES |
dc.format.number | 16 | es_ES |
dc.format.page | 2011-2021 | es_ES |
dc.identifier.doi | 10.1016/j.jacc.2019.01.057 | es_ES |
dc.contributor.funder | American Heart Association | |
dc.contributor.funder | Ministerio de Ciencia, Innovación y Universidades (España) | |
dc.contributor.funder | Fundación ProCNIC | |
dc.contributor.funder | Unión Europea. Comisión Europea | |
dc.contributor.funder | Bayer Healthcare Pharmaceuticals-Bayer Pharma AG | |
dc.description.peerreviewed | Sí | es_ES |
dc.identifier.e-issn | 1558-3597 | es_ES |
dc.relation.publisherversion | https://doi.org/10.1016/j.jacc.2019.01.057 | es_ES |
dc.identifier.journal | Journal of the American College of Cardiology | es_ES |
dc.repisalud.orgCNIC | CNIC::Grupos de investigación::Imagen Cardiovascular y Estudios Poblacionales | es_ES |
dc.repisalud.orgCNIC | CNIC::Grupos de investigación::Laboratorio Traslacional para la Imagen y Terapia Cardiovascular | es_ES |
dc.repisalud.institucion | CNIC | es_ES |
dc.relation.projectID | info:eu-repo/grantAgreement/ES/SEV-2015-0505 | es_ES |
dc.relation.projectID | info:eu-repo/grantAgreement/EC/H2020/707642 | es_ES |
dc.rights.accessRights | open access | es_ES |