2026-06-14T03:32:08Zhttps://repisalud.isciii.es/rest/oai/request

oai:repisalud.isciii.es:20.500.12105/75192024-10-31T11:42:35Zcom_20.500.12105_19604com_20.500.12105_2051col_20.500.12105_19605

00925njm 22002777a 4500 dc Fernandez-Jimenez, Rodrigo author Jaslow, Risa author Bansilal, Sameer author Santana, Maribel author Diaz-Munoz, Raquel author Latina, Jacqueline author Soto, Ana V author Vedanthan, Rajesh author Al-Kazaz, Mohamed author Giannarelli, Chiara author Kovacic, Jason C author Bagiella, Emilia author Kasarskis, Andrew author Fayad, Zahi A author Hajjar, Roger J author Fuster, Valentin author 2019-04-30 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). J Am Coll Cardiol. 2019; 73(16):2011-2021 10.1016/j.jacc.2019.01.057 1558-3597 07351097 Journal of the American College of Cardiology 31023422 http://hdl.handle.net/20.500.12105/7519 Attitude Diet Emotions Exercise Health promotion Vulnerable populations Child Health Promotion in Underserved Communities: The FAMILIA Trial