TY - JOUR
T1 - A multi-level, multi-component obesity intervention (Obesity Prevention and Evaluation of InterVention Effectiveness in NaTive North Americans) decreases soda intake in Native American adults
AU - Redmond, Leslie C.
AU - Jock, Brittany
AU - Kolahdooz, Fariba
AU - Sharma, Sangita
AU - Pardilla, Marla
AU - Swartz, Jacqueline
AU - Caulfield, Laura E.
AU - Gittelsohn, Joel
N1 - Funding Information:
Acknowledgements: The authors would like to acknowledge the following individuals and organisations for their substantial contributions to the development and implementation of the current study and manuscript: all communities participating in OPREVENT and individuals in the evaluation sample; all food store owners and managers, school administration, staff, teachers and business owners for their support, participation in and contribution to this programme; Harrison Platero, Kelly Arnold, Dorothy Chiu, Karina Christensen, Preety Gadhoke and Thomas Eckmann. Financial support: The current work was supported by grant no. 2010-85215-20666 from the United States Department of Agriculture National Institute of Food and Agriculture. United States Department of Agriculture National Institute of Food and Agriculture had no role in the design, analysis or writing of the current article. Conflict of interest: There are no conflicts of interest. Authorship: J.G. was the study principal investigator; J.G., B.J., M.P., J.S. and S.S. designed the study and developed data collection instruments; L.C.R., B.J., M.P. and J.S.: conducted the study; B.J. led data management; L.C.R., B.J., L.E.C., F.K., S.S. and J.G. wrote the manuscript; L.C.R. had primary responsibility for design, writing and final content; and all authors read and approved the final manuscript. Ethics of human subject participation: The current study was conducted according to the guidelines laid down in the Declaration of Helsinki, and all procedures involving research study participants were approved by the Navajo Nation Human Research Review Board, Indian Health Service Institutional Review Board, the Johns Hopkins Bloomberg School of Public Health Institutional Review Board and individual participating tribal councils approved the study. Written informed consent was obtained from all subjects/patients.
Publisher Copyright:
©
PY - 2022/3/29
Y1 - 2022/3/29
N2 - Abstract Objective: To evaluate the impact of a multi-level, multi-component (MLMC) adult obesity intervention on beverage intake in Native American adults living in five geographically and culturally diverse tribal communities. Design: A 14-month, community-randomised, MLMC design was utilised, with three communities randomised to Intervention and two communities randomised to Comparison. FFQ were administered pre-and post-interventions, and difference-in-differences (DiD) analysis was used to assess intervention impact on beverage intake. Setting: The intervention took place within food stores, worksites, schools and selected media outlets located in the five communities. Key activities included working with store owners to stock healthy beverages, display and dispersal of educational materials, support of policies that discouraged unhealthy beverage consumption at worksites and schools and taste tests. Participants: Data were collected from 422 respondents between the ages of 18 and 75 living in the five communities pre-intervention; of those, 299 completed post-intervention surveys. Only respondents completing both pre-and post-intervention surveys were included in the current analysis. Results: The DiD for daily servings of regular, sugar-sweetened soda from pre-to post-intervention was significant, indicating a significant decrease in Intervention communities (P < 0·05). No other changes to beverage intake were observed. Conclusions: Large, MLMC obesity interventions can successfully reduce the intake of regular, sugar-sweetened soda in Native American adults. This is important within modern food environments where sugar-sweetened beverages are a primary source of added sugars in Native American diets.
AB - Abstract Objective: To evaluate the impact of a multi-level, multi-component (MLMC) adult obesity intervention on beverage intake in Native American adults living in five geographically and culturally diverse tribal communities. Design: A 14-month, community-randomised, MLMC design was utilised, with three communities randomised to Intervention and two communities randomised to Comparison. FFQ were administered pre-and post-interventions, and difference-in-differences (DiD) analysis was used to assess intervention impact on beverage intake. Setting: The intervention took place within food stores, worksites, schools and selected media outlets located in the five communities. Key activities included working with store owners to stock healthy beverages, display and dispersal of educational materials, support of policies that discouraged unhealthy beverage consumption at worksites and schools and taste tests. Participants: Data were collected from 422 respondents between the ages of 18 and 75 living in the five communities pre-intervention; of those, 299 completed post-intervention surveys. Only respondents completing both pre-and post-intervention surveys were included in the current analysis. Results: The DiD for daily servings of regular, sugar-sweetened soda from pre-to post-intervention was significant, indicating a significant decrease in Intervention communities (P < 0·05). No other changes to beverage intake were observed. Conclusions: Large, MLMC obesity interventions can successfully reduce the intake of regular, sugar-sweetened soda in Native American adults. This is important within modern food environments where sugar-sweetened beverages are a primary source of added sugars in Native American diets.
KW - Intervention
KW - Native American
KW - Nutrition
KW - Obesity
KW - Sugar-sweetened beverages
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UR - http://www.scopus.com/inward/citedby.url?scp=85120738640&partnerID=8YFLogxK
U2 - 10.1017/S1368980020001172
DO - 10.1017/S1368980020001172
M3 - Article
C2 - 34842130
AN - SCOPUS:85120738640
SN - 1368-9800
VL - 25
SP - 770
EP - 780
JO - Public health nutrition
JF - Public health nutrition
IS - 3
ER -