Impact of a school-based intervention and the COVID-19 pandemic on healthy eating in Navajo families: Results from the Yéego! Healthy eating and gardening intervention trial.

Autor:	Beresford SAA; Department of Epidemiology, University of Washington, Seattle, WA, USA.; Cancer Prevention Program, Fred Hutchinson Cancer Center, Seattle, WA, USA., Ornelas IJ; Department of Health Systems and Population Health, University of Washington, Seattle, WA, USA.; Cancer Prevention Program, Fred Hutchinson Cancer Center, Seattle, WA, USA., Garrity G; Academic Affairs, Diné College, Tsaile, AZ, USA., Bauer MC; Public Health, Diné College, Shiprock, NM, USA., Bishop SK; Cancer Prevention Program, Fred Hutchinson Cancer Center, Seattle, WA, USA.; Department of Health Systems and Population Health, University of Washington, Seattle, WA, USA., Vreeke A; Cancer Prevention Program, Fred Hutchinson Cancer Center, Seattle, WA, USA.; Department of Health Systems and Population Health, University of Washington, Seattle, WA, USA., Garcia L; Public Health, Diné College, Shiprock, NM, USA., Francis B; Agricultural Science Center at Farmington, New Mexico State University, Farmington, NM, USA., Rillamas-Sun E; Cancer Prevention Program, Fred Hutchinson Cancer Center, Seattle, WA, USA., Lombard KA; Agricultural Science Center at Farmington, New Mexico State University, Farmington, NM, USA.
Jazyk:	angličtina
Zdroj:	Preventive medicine reports [Prev Med Rep] 2024 Aug 15; Vol. 46, pp. 102858. Date of Electronic Publication: 2024 Aug 15 (Print Publication: 2024).
DOI:	10.1016/j.pmedr.2024.102858
Abstrakt:	Objectives: As part of a group randomized trial of a school-based intervention promoting gardening and healthy eating, health behaviors of adult family members were evaluated. The COVID-19 pandemic hit the Navajo Nation in March 2020 and the ongoing Yéego! collaborative study allowed description of adult response to COVID as an ancillary objective. Methods: Six elementary schools on the Navajo Nation in Arizona or New Mexico had been randomized to intervention or comparison group. One adult family member for each 3rd and 4th grade student completed surveys at baseline, nine-month and 21-month follow-up. Adult outcomes were fruit and vegetable (F&V) intake, obesogenic dietary index and gardening frequency. COVID-related measures were collected at 21-month follow-up. Differential changes and interactions were examined using repeated measures linear mixed models. Results: Adult F&V intake increased significantly more in the intervention group than in the comparison group at nine months by 2.26 servings/day (95% CI: 0.45, 4.06). No other changes were associated with the intervention at nine or 21 months. At 21 months, in the subgroup with COVID concerns, the differential change in F&V intake was 2.02 (95% CI: 0.21, 3.84) servings/day. In cross-sectional analyses, only healthy eating measures varied by levels of COVID concerns, stress and resilience. Conclusions: The child focused school-based intervention had some impact on adult family members, particularly their F&V intake, suggesting the reach of the intervention extended to students' families. The impact on adult F&V intake persisted among those reporting COVID concerns. Findings have important implications for augmenting healthy eating interventions. Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. (© 2024 The Author(s).)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu