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Noe C. Crespo
School of Public Health, San Diego State University, San Diego, USA

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Full length manuscript
Published: 08 January 2021 in International Journal of Behavioral Medicine
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Physical activity (PA) research extensively focuses on initiation of PA, yet lapse and relapse among PA intervention participants are less well understood, particularly among minority populations such as Latinas in the USA. This study aimed to (1) determine the probability of lapse during two PA interventions for Latinas; (2) assess demographic, psychosocial, and environmental predictors of the amount of time until first lapse; and (3) identify factors predictive of lapse recovery. Data from 176 Latina intervention participants were pooled. Survival functions and Kaplan-Meier curves were used to illustrate probability of lapse. Cox proportional hazard models assessed predictors of time to lapse. Logistic regressions identified predictors of lapse recovery. The probability of lapse after 1 month of starting to exercise was 18%, escalating to 34% after 4 months. Predictors of earlier lapse included various psychosocial constructs (i.e., self-efficacy and various processes of change), but none of the measured environmental factors, and only one demographic factor (≥ 2 children under 18). Increased use of consciousness raising at 2 months was associated with lower likelihood of lapse recovery, yet use of behavioral processes of change at 6 months was associated with higher likelihood of recovery. Lapsing may not be pre-determined by demographic and environmental characteristics. On the other hand, skills that can be learned through interventions, such as skills to improve self-efficacy, seem important in the delay or prevention of lapses. Results pertaining to lapse recovery are less clear.

ACS Style

Andrea S. Mendoza-Vasconez; Elva M. Arredondo; Britta Larsen; Noe Crespo; Samantha Hurst; Bess H. Marcus. Lapse, Relapse, and Recovery in Physical Activity Interventions for Latinas: a Survival Analysis. International Journal of Behavioral Medicine 2021, 1 -12.

AMA Style

Andrea S. Mendoza-Vasconez, Elva M. Arredondo, Britta Larsen, Noe Crespo, Samantha Hurst, Bess H. Marcus. Lapse, Relapse, and Recovery in Physical Activity Interventions for Latinas: a Survival Analysis. International Journal of Behavioral Medicine. 2021; ():1-12.

Chicago/Turabian Style

Andrea S. Mendoza-Vasconez; Elva M. Arredondo; Britta Larsen; Noe Crespo; Samantha Hurst; Bess H. Marcus. 2021. "Lapse, Relapse, and Recovery in Physical Activity Interventions for Latinas: a Survival Analysis." International Journal of Behavioral Medicine , no. : 1-12.

Journal article
Published: 11 November 2020 in International Journal of Environmental Research and Public Health
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The purpose of this study was to assess the effects of a pilot community-based behavioral intervention on the home food environment in U.S. households. Parents (21 females, 2 males; age = 36 ± 5.5 years; 78% Hispanic) of elementary school-aged children attended a 10-week dietary improvement behavioral intervention targeting an increase in fruit and vegetable consumption and a reduction in sugar intake. Home food availability of fruit, vegetables, and sugar-laden foods and beverages were assessed before and after the intervention using a modified version of the Home Food Inventory. Relative to baseline, the intervention resulted in significant increases in fruit availability (7.7 ± 3.2 items vs. 9.4 ± 3.1 items; p = 0.004) and low sugar cereal (2.3 ± 1.4 types vs. 2.7 ± 1.4 types; p = 0.033). There was a significant reduction in sugar-sweetened beverage availability (3.2 ± 1.9 types vs. 1.7 ± 1.3 types; p = 0.004). There was a significant increase in the number of households with accessible ready-to-eat vegetables and fruit, and a significant reduction in available prepared desserts, and candy (p < 0.01). There were no significant changes in the availability of vegetables and sugar-laden cereals. The current intervention resulted in positive changes in the home food environment. Further research to confirm these results in a randomized controlled trial is warranted.

ACS Style

Rachel A. Cassinat; Meg Bruening; Noe C. Crespo; Mónica Gutiérrez; Adrian Chavez; Frank Ray; Sonia Vega-López. Effects of a Community-Based Pilot Intervention on Home Food Availability among U.S. Households. International Journal of Environmental Research and Public Health 2020, 17, 8327 .

AMA Style

Rachel A. Cassinat, Meg Bruening, Noe C. Crespo, Mónica Gutiérrez, Adrian Chavez, Frank Ray, Sonia Vega-López. Effects of a Community-Based Pilot Intervention on Home Food Availability among U.S. Households. International Journal of Environmental Research and Public Health. 2020; 17 (22):8327.

Chicago/Turabian Style

Rachel A. Cassinat; Meg Bruening; Noe C. Crespo; Mónica Gutiérrez; Adrian Chavez; Frank Ray; Sonia Vega-López. 2020. "Effects of a Community-Based Pilot Intervention on Home Food Availability among U.S. Households." International Journal of Environmental Research and Public Health 17, no. 22: 8327.

Journal article
Published: 13 February 2020 in Contemporary Clinical Trials
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Community-based programs have had modest success in combating obesity in Latino populations. Latino families' norms and beliefs about weight often hold larger body sizes to be normal, leading to lower engagement in weight-focused programs. Because improvements in cardiorespiratory fitness confer health benefits, regardless of weight, they offer an alternative to obesity-focused approaches. We describe the rationale and design of Athletes for Life (AFL), a community- and family-based intervention for Latino families. This two-group randomized controlled trial will test the efficacy of AFL for improving cardiorespiratory fitness and diet in 6- to 11-year-old children (N = 160) and their parents, relative to a wait-list control group. Children will participate in 12 weeks of semiweekly sports skill programing and nutrition sessions. Concurrently, parents will participate in sports-focused activity and behavior change sessions that focus on nutrition, chronic disease prevention, and healthy eating. Cardiovascular fitness will be measured by the 1-mile run and 3-min step-test for both parents and children. Secondary outcomes include changes in objectively measured physical activity, dietary measures, body composition, and cardiometabolic risk (waist circumference, blood pressure, blood lipids, glucose, insulin, and C-reactive protein). AFL, implemented with a strong community partnership, will provide a test of the efficacy of culturally tailored intervention programming to promote positive health behaviors and improve health outcomes in Latino families. Intervention content, structure, and messaging will provide guidance for future methods to engage Latino families in health promotion programs that highlight their cultural norms, and beliefs. Clinicaltrials.gov Identifier NCT03761589 (12/3/2018).

ACS Style

Jacob Szeszulski; Sonia Vega-López; Michael Todd; Frank Ray; Alma Behar; Maria Campbell; Adrian Chavez; Ryan Eckert; Anabell Lorenzo-Quintero; Leopoldo Hartmann Manrique; Noe C. Crespo. Athletes for life: Rationale and methodology of a community- and family-based randomized controlled trial to promote cardiovascular fitness among primarily Latino families. Contemporary Clinical Trials 2020, 91, 105956 -105956.

AMA Style

Jacob Szeszulski, Sonia Vega-López, Michael Todd, Frank Ray, Alma Behar, Maria Campbell, Adrian Chavez, Ryan Eckert, Anabell Lorenzo-Quintero, Leopoldo Hartmann Manrique, Noe C. Crespo. Athletes for life: Rationale and methodology of a community- and family-based randomized controlled trial to promote cardiovascular fitness among primarily Latino families. Contemporary Clinical Trials. 2020; 91 ():105956-105956.

Chicago/Turabian Style

Jacob Szeszulski; Sonia Vega-López; Michael Todd; Frank Ray; Alma Behar; Maria Campbell; Adrian Chavez; Ryan Eckert; Anabell Lorenzo-Quintero; Leopoldo Hartmann Manrique; Noe C. Crespo. 2020. "Athletes for life: Rationale and methodology of a community- and family-based randomized controlled trial to promote cardiovascular fitness among primarily Latino families." Contemporary Clinical Trials 91, no. : 105956-105956.

Review
Published: 26 September 2019 in Appetite
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Meat consumption has been linked to some negative health and environmental outcomes. Studies have assessed motivations among those who have reduced or eliminated meat consumption; less work identifies strategies to reduce meat consumption among those who consume meat. This paper describes factors associated with lower meat consumption and reviews experimental studies that targeted those factors to either change behavior or intention/willingness to reduce meat. A systematic review of the literature was conducted among four databases. Inclusion criteria were experimental and quasi-experimental designs and studies that measured variables indirectly or directly related to meat consumption. Twenty-two articles were identified. These studies targeted factors such as knowledge and skills with informational provisions about health and the environment; values and attitudes concerning the relationship between social dominance and meat; evocation of emotion such as empathy and disgust; social norms both dynamic and growing; changes to the food environment with default vegan menu options, perceived behavioral control, and intentions. The majority of studies (n = 15) investigated the effects of providing information such as personal health effects of meat consumption. In general, increasing knowledge alone or when combined with other methods was shown to successfully reduce meat consumption behavior or intentions/willingness to eat meat. Evoking emotions with animal images and making changes to the environment proved effective. Factors identified in correlational studies were generally found to be useful agents of behavior change in experimental studies. However, several factors have not been tested experimentally. More experimental studies are required to confirm the results of this review; for example, experiments focused on modifications of the food environment such as increasing the number of meatless meals on restaurant menus.

ACS Style

Jamie M. Harguess; Noe C. Crespo; Mee Yong Hong. Strategies to reduce meat consumption: A systematic literature review of experimental studies. Appetite 2019, 144, 104478 .

AMA Style

Jamie M. Harguess, Noe C. Crespo, Mee Yong Hong. Strategies to reduce meat consumption: A systematic literature review of experimental studies. Appetite. 2019; 144 ():104478.

Chicago/Turabian Style

Jamie M. Harguess; Noe C. Crespo; Mee Yong Hong. 2019. "Strategies to reduce meat consumption: A systematic literature review of experimental studies." Appetite 144, no. : 104478.

Special issue article
Published: 26 September 2018 in Pediatric Obesity
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Background Obesity disproportionately affects Latino youth. Community clinics are an important resource, yet there is little evidence for the efficacy of clinic‐based approaches in this population. Objective The purpose of this study was to test the efficacy of a clinic‐based intervention to lower body mass index (BMI) and improve body composition among overweight Latino children. Methods A randomized trial (2 group × 3 repeated measures) was conducted among 297 randomly sampled, overweight paediatric patients (5–10 years old) and their parents. The 12‐month family‐based culturally tailored behavioural intervention (Luces de Cambio) was based on the ‘traffic light’ concepts to address behaviour change and was delivered by clinic health educators and mid‐level providers. The primary study outcome was child BMI (kg m−2) assessed at baseline, 6‐month (n = 191) and 12‐month (n = 201) post‐baseline. A subsample of the children was examined for overall and site‐specific adiposity using dual‐energy X‐ray absorptiometry (n = 79). Results There were no significant intervention effects on child BMI (p > 0.05); however, intervention children showed significantly (p < 0.05) lower total and trunk per cent fat compared with the usual care condition. Conclusions The Luces intervention did not reduce child BMI, yet small but significant reductions were observed for child per cent body fat. Further research is needed to identify and reduce barriers to recruitment and participation among Latino families.

ACS Style

N. C. Crespo; G. A. Talavera; N. R. Campbell; L. M. Shadron; A. I. Behar; D. Slymen; G. X. Ayala; D. Wilfley; J. P. Elder. A randomized controlled trial to prevent obesity among Latino paediatric patients. Pediatric Obesity 2018, 13, 697 -704.

AMA Style

N. C. Crespo, G. A. Talavera, N. R. Campbell, L. M. Shadron, A. I. Behar, D. Slymen, G. X. Ayala, D. Wilfley, J. P. Elder. A randomized controlled trial to prevent obesity among Latino paediatric patients. Pediatric Obesity. 2018; 13 (11):697-704.

Chicago/Turabian Style

N. C. Crespo; G. A. Talavera; N. R. Campbell; L. M. Shadron; A. I. Behar; D. Slymen; G. X. Ayala; D. Wilfley; J. P. Elder. 2018. "A randomized controlled trial to prevent obesity among Latino paediatric patients." Pediatric Obesity 13, no. 11: 697-704.

Journal article
Published: 17 September 2018 in Current Geriatrics Reports
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The purpose of this paper was to review multiple levels of risk factors related to obesity among older Latino adults aged 65 years and over. Obesity disproportionately affects Latino older adults. Multiple obesity-related risk factors among Latino older adults have been identified through qualitative and quantitative research. Risk factors at each of the levels of the socio-ecological model include biological predispositions, lifestyle and behaviors, social support from family members, access to recreational facilities, and public policies that support tailored and effective prevention and treatment programs. This review outlines several key obesity-related risk factors among Latino older adults which can be targeted for future research and for tailoring obesity prevention clinical practice.

ACS Style

Noe C. Crespo; Alma I. Behar; Janeth Juarez; John P. Elder. Multilevel Risk Factors Associated with Obesity in Older Latinos Ages 65 Years and Over. Current Geriatrics Reports 2018, 7, 296 -300.

AMA Style

Noe C. Crespo, Alma I. Behar, Janeth Juarez, John P. Elder. Multilevel Risk Factors Associated with Obesity in Older Latinos Ages 65 Years and Over. Current Geriatrics Reports. 2018; 7 (4):296-300.

Chicago/Turabian Style

Noe C. Crespo; Alma I. Behar; Janeth Juarez; John P. Elder. 2018. "Multilevel Risk Factors Associated with Obesity in Older Latinos Ages 65 Years and Over." Current Geriatrics Reports 7, no. 4: 296-300.

Randomized controlled trial
Published: 01 April 2018 in Journal of Nutrition Education and Behavior
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To examine the validity of the Children's Eating Behavior Questionnaire (CEBQ) through the associations of its 3 subscale scores (food responsiveness, slowness in eating, and satiety responsiveness) with body mass index (BMI).Cross-sectional study of baseline data from a clinic-based obesity prevention and control randomized controlled trial.Latino pediatric patients (n = 295) aged 5-11 years from a federally qualified health center in San Diego County, CA, with BMI percentiles ranging from 75.5 to 99.0.Child BMI-for-age percentile computed using the standardized program for the 2000 Centers for Disease Control and Prevention growth charts.Principal components analysis and multivariate linear regressions.Principal components analysis showed a factor structure relatively similar to that of the original 3 CEBQ subscales, with acceptable internal consistency and between-subscale correlations. Analyses demonstrated the validity of the 3 subscales: child BMI was positively associated with food responsiveness (β = .336; P ≤ .001) and negatively associated with slowness in eating (β = -.209; P ≤ .001) and satiety responsiveness (β = -.211; P ≤ .001).The 14-item CEBQ scale may be useful for assessing obesogenic eating behaviors of Latino children. Further study is needed to replicate these findings.

ACS Style

Alma I. Behar; Noe C. Crespo; Melawhy L. Garcia; Guadalupe X. Ayala; Nadia Campbell; Lisa M. Shadron; John P. Elder. Validation of a Shortened Version of the Children's Eating Behavior Questionnaire and Associations with BMI in a Clinical Sample of Latino Children. Journal of Nutrition Education and Behavior 2018, 50, 372 -378.e1.

AMA Style

Alma I. Behar, Noe C. Crespo, Melawhy L. Garcia, Guadalupe X. Ayala, Nadia Campbell, Lisa M. Shadron, John P. Elder. Validation of a Shortened Version of the Children's Eating Behavior Questionnaire and Associations with BMI in a Clinical Sample of Latino Children. Journal of Nutrition Education and Behavior. 2018; 50 (4):372-378.e1.

Chicago/Turabian Style

Alma I. Behar; Noe C. Crespo; Melawhy L. Garcia; Guadalupe X. Ayala; Nadia Campbell; Lisa M. Shadron; John P. Elder. 2018. "Validation of a Shortened Version of the Children's Eating Behavior Questionnaire and Associations with BMI in a Clinical Sample of Latino Children." Journal of Nutrition Education and Behavior 50, no. 4: 372-378.e1.