¡Miranos! An 8-Month Comprehensive Preschool Obesity Prevention Program in Low-Income Latino Children: Effects on Children’s Gross Motor Development

Vanessa L. Errisuriz, Deborah Parra-Medina (), Yuanyuan Liang, Jeffrey T. Howard, Shiyu Li, Erica Sosa, Sarah L. Ullevig, Vanessa M. Estrada-Coats and Zenong Yin
Additional contact information
Vanessa L. Errisuriz: Department of Public Health, Santa Clara University, 500 El Camino Real, Santa Clara, CA 95053, USA
Deborah Parra-Medina: Latino Research Institute, University of Texas at Austin, 210 W. 24th Street, Austin, TX 78712, USA
Yuanyuan Liang: Department of Epidemiology and Public Health, University of Maryland School of Medicine, 660 W. Redwood Street, Baltimore, MD 21201, USA
Jeffrey T. Howard: Department of Public Health, University of Texas at San Antonio, One UTSA Circle, San Antonio, TX 78249, USA
Shiyu Li: School of Nursing, UT Health San Antonio, 7703 Floyd Curl Dr, San Antonio, TX 78229, USA
Erica Sosa: Department of Public Health, University of Texas at San Antonio, One UTSA Circle, San Antonio, TX 78249, USA
Sarah L. Ullevig: Department of Nutrition and Dietetics, University of Texas at San Antonio, One UTSA Circle, San Antonio, TX 78249, USA
Vanessa M. Estrada-Coats: Department of Public Health, University of Texas at San Antonio, One UTSA Circle, San Antonio, TX 78249, USA
Zenong Yin: Department of Public Health, University of Texas at San Antonio, One UTSA Circle, San Antonio, TX 78249, USA

IJERPH, 2023, vol. 20, issue 21, 1-15

Abstract: Organized childcare is an ideal setting to promote gross motor development in young children from low-income minority families. A three-group clustered randomized controlled trial was conducted in Head Start centers serving low-income Latino children to evaluate the impact of an 8-month comprehensive obesity-prevention intervention on children’s percentile scores for locomotive skills (LS pctl) and ball skills (BS pctl), and general motor quotient (GMQ). Trained Head Start staff delivered the center-based intervention (CBI) to modify center physical activity and nutrition policies, staff practices, and child behaviors, while the home-based intervention (HBI) offered training and support to parents for obesity prevention at home. Participants were 3-year-old children ( n = 310; 87% Latino; 58% female) enrolled in Head Start centers in South Texas. Twelve centers were randomized (1:1:1 ratio) to receive CBI, CBI and HBI (CBI + HBI), or control treatment. Posttest data were collected from 79.1% of participants. All gross motor development measures improved significantly for children in CBI compared to the control, while children in CBI + HBI only showed improvement for GMQ ( p = 0.09) and LS pctl ( p < 0.001) compared to the control. A comprehensive and culturally competent intervention targeting childcare centers and children’s homes was effective at improving children’s gross motor development and reducing disparities in child development.

Keywords: preschool children; gross motor development; Latino; low income (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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