Feasibility Study of a Faith-Based Approach to Promote Energy Balance among Latinas in Texas

Obesity has reached epidemic levels, with nearly two-thirds of the U.S. population considered overweight or obese. Latinos have one of the highest rates of overweight, obesity and sedentary lifestyle. Mexican American adults are especially affected, with the highest rates among females. Research of scientifically sound evidence-based interventions to reduce the disproportionate burden of obesity and its associated morbidity and mortality among Latinas is greatly needed. The purpose of this study was to assess knowledge, attitudes and behaviors about nutrition and exercise among Latinas over 40 years of age residing in a low-income community in Houston, Texas and the applicability of an evidence-based church program to promote energy balance. Qualitative assessment was conducted through 10 focus groups with 75 women recruited through three Catholic churches, and 15 personal interviews with community leaders serving this Latino community. Participants identified barriers and enabling factors to healthy nutrition and physical activity. Main barriers were related to lack of awareness, cultural beliefs, and socioeconomic and environmental factors. Preferred strategies were those involving group activities with direct guidance, interpersonal contact, social support with positive reinforcement for behavior change and/or maintenance, and a friendly environment for learning and achieving suitable goals. The church was considered a powerful resource to influence Latinas to improve their health, exercise and nutrition practices. Using the church environment to reach this group is a feasible and culturally appropriate strategy. It would provide a safe, comfortable and familiar atmosphere for women and address safety concerns of family members.