Family Meals as a Strategy for the Primary Prevention of Cardiovascular Disease in Children

家庭聚餐作为儿童心血管疾病一级预防的策略

• 批准号: 10475097
• 负责人: Shannon Marie Robson
• 金额: $ 31.54万
• 依托单位: UNIVERSITY OF DELAWARE
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-05-15 至 2026-05-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10475097
• 关键词: 12 year old; 18 year old; 5 year old; Academy; Address; Adult; American; American Heart Association; Behavior; Behavioral; Blood; Blood Pressure; Blood Vessels; Body mass index; Cardiovascular Diseases; Cardiovascular system; Cause of Death; Centers of Research Excellence; Child; Childhood; Cholesterol; Consumption; Data; Diabetes Mellitus; Diet; Dietary intake; Eating Behavior; Endothelium; Environment; Evaluation; Family; Fasting; Food; Frequencies; Gatekeeping; Goals; Gold; Health; Health Promotion; Healthy Eating; Heart; Home; Hypertension; Individual; Insulin; Intake; Intervention; Intervention Studies; Life Cycle Stages; Life Style; Life Style Modification; Literature; Maintenance; Measures; Meta-Analysis; Nature; Obesity; Observational Study; Outcome; Overweight; Parents; Pathogenesis; Physical activity; Prevalence; Prevention; Primary Prevention; Process; Randomized; Randomized Controlled Trials; Research; Risk; Risk Factors; Smoking; Social Environment; Testing; Time; Unhealthy Diet; United States; Weight; Weight maintenance regimen; Work; Youth; arterial stiffness; base; behavior influence; blood lipid; cardiovascular disorder prevention; cardiovascular disorder risk; cardiovascular health; cardiovascular risk factor; dietary; efficacy evaluation; feeding; fruits and vegetables; good diet; healthy weight; improved outcome; interest; obesity development; obesity prevention; physical inactivity; programs; psychosocial; social factors; systematic review; treatment arm

ABSTRACT Cardiovascular disease (CVD) is a leading cause of death in the United States (US). Data from the famous Bogalusa Heart Study have demonstrated the pathogenesis of CVD can start in young children, with early manifestation directly associated with obesity. Inter-related with obesity, is poor diet quality, and poor diet quality has been identified as a leading cause of CVD. The long-term goal of this work is to identify strategies that can be easily implemented by families for the primary prevention of CVD in children. The home feeding environment, where parents serve as the gatekeepers of the foods available to children has been identified as a key influence on eating behavior. Within the home feeding environment observational work has demonstrated more frequent family meals is associated with increased dietary quality, greater consumption of fruits and vegetables, decreased risk for overweight and obesity, and positive psychosocial outcomes. Family meals may serve as a vehicle to promote the prevention of obesity and promote CVD health in young children, but the rigor of prior research has not sufficiently tested family meal frequency as an intervention target. The objective of the proposed randomized controlled trial is to examine the efficacy of family meal frequency as an intervention target in addressing the primary prevention of CVD. Ninety children (6-12 years-old) and their parent will be randomized to one of two interventions: (1) increasing family meal frequency, or (2) increasing fruit and vegetable intake. Both intervention arms will receive a prevention-focused family-based multicomponent lifestyle modification program, the gold standard in behavioral-based intervention research. CVD risk factors of interest include diet quality (Aim 1), zBMI (Aim 2) and cardiovascular health as assessed by blood pressure, fasting blood insulin, blood lipids, vascular function (Aim 3). Given, the family-based nature of the study the moderation of parent change over time will be examined as an exploratory aim. The comprehensive evaluation of CVD risk factors will be used to elucidate the relationship with family meal frequency, a proposed vehicle within the home feeding environment for the primary prevention of CVD in children.

抽象的 心血管疾病（CVD）是美国（美国）的主要死亡原因。来自著名的数据 Bogalusa心脏研究表明，CVD的发病机理可以从幼儿开始，早期 表现与肥胖直接相关。与肥胖相关，饮食质量差，饮食不佳 质量已被确定为CVD的主要原因。这项工作的长期目标是确定策略 家庭可以轻松地实施儿童的主要预防CVD。房屋喂养 环境，父母担任儿童可用食物的看门人的环境已被确定为 对饮食行为的关键影响。在家庭喂养环境中，观察工作有 表现出更多频繁的家庭餐与饮食质量的提高有关，更大的消费量 水果和蔬菜，降低了超重和肥胖的风险以及积极的社会心理结局。家庭 餐点可以作为促进预防肥胖和促进幼儿CVD健康的工具， 但是，先前研究的严格性尚未充分测试家庭用餐频率作为干预目标。这 拟议的随机对照试验的目的是检查家庭用餐频率的功效 干预目标是针对CVD的主要预防。九十个孩子（6-12岁）及其 父母将被随机分为两种干预措施之一：（1）增加家庭用餐频率，或（2）增加 水果和蔬菜摄入量。两种干预臂都将获得以预防为中心的家庭 多组分生活方式修改计划，基于行为的干预研究的黄金标准。 CVD感兴趣的风险因素包括饮食质量（AIM 1），ZBMI（AIM 2）和心血管健康。 血压，空腹血液胰岛素，血脂，血管功能（AIM 3）。给出的是基于家庭的本性 该研究随着时间的推移，父母变化的适度将被视为探索目的。这 CVD风险因素的全面评估将用于阐明与家庭餐的关系 频率，在家庭喂养环境中提议的车辆，用于主要预防CVD 孩子们。