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 (US) 的主要原因。数据来自知名人士 Bogalusa 心脏研究表明 CVD 的发病机制可以始于幼儿，早期 表现与肥胖直接相关。与肥胖相关的是不良的饮食质量和不良的饮食习惯 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 家庭可以轻松实施儿童心血管疾病的一级预防。家庭喂养 父母作为儿童可获得食物的看门人的环境已被确定为 饮食行为的关键影响。在家庭喂养环境中进行观察工作 事实证明，更频繁的家庭聚餐与饮食质量的提高、更多的食物消耗有关 水果和蔬菜，降低超重和肥胖的风险，以及积极的心理社会结果。家庭 膳食可以作为促进预防肥胖和促进幼儿心血管疾病健康的工具， 但先前研究的严谨性并未充分检验家庭进餐频率作为干预目标的情况。这 拟议的随机对照试验的目的是检查家庭进餐频率作为 解决CVD一级预防的干预目标。九十名儿童（6-12岁）及其 家长将被随机接受两种干预措施之一：(1) 增加家庭进餐频率，或 (2) 增加 水果和蔬菜的摄入量。两个干预部门都将接受以预防为重点的家庭干预 多成分生活方式改变计划，基于行为的干预研究的黄金标准。 感兴趣的 CVD 风险因素包括饮食质量（目标 1）、zBMI（目标 2）和心血管健康（评估如下） 血压、空腹血胰岛素、血脂、血管功能（目标3）。鉴于以家庭为基础的性质 该研究将作为探索性目标，对父母随时间变化的缓和进行审查。这 综合评估CVD危险因素，阐明与家庭膳食的关系 频率，一种建议在家庭喂养环境中用于一级预防 CVD 的工具 孩子们。