Family-Based Nutrition Intervention for Latino Children

针对拉丁裔儿童的家庭营养干预

• 批准号: 6942867
• 负责人: JOEL D KILLEN
• 金额: $ 4.73万
• 依托单位: STANFORD UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-09-01 至 2007-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6942867
• 关键词: Mexican Americans; behavior therapy; behavioral /social science research tag; body composition; clinical research; clinical trials; counseling; curriculum; developmental nutrition; diet therapy; dietary lipid; disease /disorder prevention /control; family therapy; fruit; human subject; human therapy evaluation; longitudinal human study; middle childhood (6-11); nutrient intake activity; nutrition education; nutrition related tag; obesity; patient oriented research; vegetables; weight gain

DESCRIPTION (provided by applicant): We propose to test the efficacy of an intervention designed to prevent obesity in low-income, Mexican American children. Mexican-American children are more obese than other minority groups in the U.S. population, and are the fastest growing minority group in the U.S.A. Poor dietary practices, especially food habits that are acquired as families acculturate to the American food supply, are thought to be associated with children's excess weight gain. We propose to conduct a randomized clinical trial in which 250 families receive family-based behavioral counseling (FBC) sessions and 250 families receive an active placebo control intervention. Mothers and their second or third grade children from sixteen low-wealth elementary schools will be randomized into either the treatment or control interventions. The purpose of the FBC sessions is to change children's food environment. Specifically, we intend to increase the amount of fruit and vegetables, and decrease the amount of high fat foods available to children in their homes. In addition, we will encourage parents to model healthy dietary practices for their children. Two intervention strategies, a video, "What's to Eat?" designed specifically for this population, and photographs of each family's food practices, taken by family members, will be used in the counseling sessions. The control intervention will consist of group sessions using a curriculum that adapts the standard nutrition recommendations to traditional Mexican-American foods. Community health advisors will conduct the both the FBC and control sessions. The primary outcome of the trial is children's BMI. The secondary outcome is household food supplies. We hypothesize that within a one year timeframe, children's whose mothers are exposed to the FBC will have lower BMI's compared to children whose mothers receive the active placebo control intervention. The mechanism through which we intend to change weight status is altering the type of foods available to children in their homes. Therefore, two household food inventories, one collected prior to and one after the family's payday will be used as secondary outcomes. In addition, mothers' reports of household food security level, food purchase motives, and family food interaction will be collected as covariates. Measurements will be collected within one month of completing the interventions and at six months and one year follow-ups.

描述（由申请人提供）：我们建议测试旨在防止低收入墨西哥裔美国儿童肥胖的干预措施的功效。墨西哥裔美国人的儿童比美国人口中的其他少数群体更肥胖，并且是美国增长最快的少数群体。饮食习惯较差，尤其是随着对美国粮食供应的家庭的饮食习惯，饮食习惯被认为与儿童的体重增加有关。 我们建议进行一项随机临床试验，其中250个家庭接受基于家庭的行为咨询（FBC）会议，而250个家庭接受了积极的安慰剂控制干预措施。母亲及其二年级或三年级的儿童来自十六个低疗法小学，将被随机分为治疗或控制干预措施。 FBC会议的目的是改变儿童的食物环境。具体而言，我们打算增加水果和蔬菜的量，并减少家中儿童可用的高脂食物的量。此外，我们将鼓励父母为孩子们建模健康的饮食习惯。两种干预策略，一个视频，“吃什么？”专为该人群而设计的，由家庭成员拍摄的每个家庭食品实践的照片将用于咨询会议。控制干预措施将包括使用课程，该课程适应标准营养建议，以适应传统的墨西哥裔美国食品。社区健康顾问将同时进行FBC和控制会议。试验的主要结果是儿童BMI。次要结果是家庭食品供应。我们假设在一年的时间范围内，与母亲接受主动安慰剂控制干预措施的孩子相比，他的母亲接触FBC的孩子的BMI较低。我们打算改变体重状况的机制正在改变家中儿童可用的食物类型。因此，两个家庭食品清单，一个在家庭发薪日之前收集，一个收集到一个家庭食品库存将被用作次要结果。此外，母亲关于家庭粮食安全水平，食物购买动机和家庭食品互动的报告将作为协变量收集。将在完成干预措施和六个月零一年的随访后的一个月内收集测量。