Consumo de Opciones Más Ideales De Alimentos (Eating More Ideal Food Options)

Immigrant Health & Cancer Disparities Service
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Consumo de Opciones Más Ideales De Alimentos (Eating More Ideal Food Options)

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Family COMIDA (Consumo de Opciones Más Ideales De Alimentos) (Eating More Ideal Food Options) targets the obesity epidemic in the U.S., and was developed for the Hispanic population, a community at increased risk for obesity and its associated adverse health outcomes. Hispanic adults are 1.2 times more likely to be obese than non-Hispanic whites (NHWs), and Hispanic children are 1.8 times more likely to be obese than NHW children. Childhood obesity is a significant predictor of obesity in adulthood. Parental obesity more than doubles the risk of future adult obesity among obese and nonobese children under age 10.

In our prior work to address adult obesity in the NYC Mexican community, up to 19% met the target 5% weight loss, and in focus groups, participants were particularly concerned about obesity in their children. Participants described family as a primary motivator for behavior change, desire for group-based motivation, belief in short-term goal-setting, and time constraints as barriers to intervention adoption.

In Family COMIDA, we aim to address these findings by adapting the our SANOS intervention that is more inclusive of household family members, including children, to address both adult and childhood obesity among Hispanic-heritage families.

  • To conduct a pilot study to collect preliminary data from the Family COMIDA intervention group (Family Education session, thrice weekly healthy living text messages, weekly group teleconference calls, written/digital materials) and control group (written/digital materials only) regarding feasibility and diet and physical activity among adult index participants and their children (1 randomly selected child per family) (as reported by index adult).
  • To summarize self-reported dietary behavior (adults and children); BMI (adults and children); diet and nutrition knowledge, attitudes, and beliefs (adults only); nutrition and physical exercise self-efficacy and outcome expectancies (adults only); food insecurity (adults only in context of their household); and physical activity (adults and children).