Outcome Evaluation of a Policy-Mandated Lifestyle and Environmental Modification Program in a National Job Training Center |
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Authors: | Elizabeth Yakes Jimenez Amanda Harris Donald Luna Daniel Velasquez Jonathan Slovik Alberta Kong |
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Affiliation: | 1.Center for Education Policy Research,University of New Mexico (UNM),Albuquerque,USA;2.Pacific Institute for Research and Evaluation,Albuquerque,USA;3.Division of Adolescent Medicine, Department of Pediatrics,UNM School of Medicine,Albuquerque,USA;4.UNM School of Medicine,Albuquerque,USA;5.Department of Family and Community Medicine,UNM School of Medicine,Albuquerque,USA |
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Abstract: | Excess weight gain is common when adolescents become young adults, but there are no obesity prevention or weight management interventions that have been tested for emerging adults who follow non-traditional post-secondary paths, such as enrolling in job training programs. We evaluated Healthy Eating & Active Lifestyles (HEALs), a policy-mandated lifestyle education/environmental modification program, at a job training center for low-income 16–24 year olds. We examined average change in body mass index (BMI) z-score from baseline to 6 months for emerging adults (aged 16–24 years) in pre-HEALs implementation (n?=?125) and post-HEALs implementation (n?=?126) cohorts living at the job training center, by baseline weight status. In both cohorts, average BMI z-score significantly increased from baseline to 6 months for students with BMI?25. Average BMI z-score significantly decreased for the overweight (BMI 25 to <30; ?0.11, p?=?.03) and obese (BMI?≥?30; ?0.11, p?=?.001) students only within the post-HEALs cohort; changes within the pre-HEALs cohort and between cohorts were not significant. HEALs may promote positive weight-related trends for overweight/obese students, but prevention efforts for non-overweight/obese students need to be improved. |
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