TransCommunity Approach to Pediatric Obesity Prevention and Treatment

跨社区儿童肥胖预防和治疗方法

• 批准号: 7011013
• 负责人: Scott B Going
• 金额: $ 26.4万
• 依托单位: UNIVERSITY OF ARIZONA
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-04-25 至 2008-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7011013
• 关键词: Mexican Americans; behavior modification; behavioral /social science research tag; body composition; body physical activity; children; clinical research; culture; diet; disease /disorder prevention /control; elementary school; health behavior; human subject; interview; nutrient intake activity; nutritional epidemiology; obesity; parent offspring interaction; questionnaires; weight gain

DESCRIPTION (provided by applicant): In this developmental application (R21), we propose to develop and test the impact of a trans-community approach to the prevention of weight-gain in a predominantly Mexican-American population. We will recruit at-risk and overweight (BMI >85th percentile) 3rd and 4th grade children, and their parents/primary caregivers, from 3 elementary schools to participate in the program and undergo assessments (baseline, 6, 9,12, and 18 months) of BMI, body composition, physical activity, diet and psychosocial factors related to behavior change and weight. The 3 schools, matched on student demographics, will be randomly assigned to 1 of the following 3 interventions: Level 1 - a school-based program that meets state mandated standards for nutrition and physical activity; Level 2 - the school-based program plus an after- school physical activity and nutrition program; and Level 3 - the school-based and after-school programs plus a family-based physical activity and nutrition program. The Level 1 program represents the minimal requirement of nutrition and physical activity programs for Arizona schools and is the equivalent of the "standard of care" in medical research. The Level 1 school will serve as the comparison group. Building on the "standard of care" by adding an after-school program (Level 2) and a family component (Level 3) will allow us to assess the contribution that each added component (i.e., after-school program and family intervention) makes to a typical school-based program. Furthermore, integrating the Level 1 and Level 2 programs into the Level 3 program will allow assessment of the contribution of the family component to these programs. The interventions will incorporate existing programs that have been developed by our research team and capitalize on existing relationships between our team, the schools and the community. Moreover, the trans-community approach is not only reflected in the design of the interventions but in the collaborations between the University of Arizona, Pima County (via the Expanded Food and Nutrition Education Program), the Sunnyside School District and the YMCA to reduce and prevent childhood obesity. Building on existing programs and collaborations with widespread organizations (Cooperative Extension and YMCA) is expected to promote sustainability and rapid dissemination.

描述（由申请人提供）：在本开发申请（R21）中，我们建议开发和测试跨社区方法对预防主要是墨西哥裔美国人的体重增加的影响。我们将从 3 所小学招募有风险和超重（BMI > 85%）的三年级和四年级儿童及其家长/主要看护者来参加该计划并接受评估（基线、6、9、12 和 18）月）的 BMI、身体成分、体力活动、饮食以及与行为变化和体重相关的心理社会因素。根据学生人口统计数据，这 3 所学校将被随机分配到以下 3 种干预措施中的 1 种： 1 级 - 符合州规定的营养和体育活动标准的校本计划； 2 级 - 校内计划加上课后体育活动和营养计划；第 3 级 - 以学校为基础的计划和课后计划以及以家庭为基础的体育活动和营养计划。 1 级计划代表亚利桑那州学校营养和身体活动计划的最低要求，相当于医学研究中的“护理标准”。一级学校将作为对照组。在“护理标准”的基础上添加课外计划（2级）和家庭部分（3级）将使我们能够评估每个添加的部分（即课后计划和家庭干预）所做出的贡献典型的校本课程。此外，将 1 级和 2 级计划纳入 3 级计划将允许评估家庭部分对这些计划的贡献。这些干预措施将纳入我们的研究团队开发的现有计划，并利用我们的团队、学校和社区之间的现有关系。此外，跨社区方法不仅体现在干预措施的设计中，还体现在亚利桑那大学、皮马县（通过扩展食品和营养教育计划）、森尼赛德学区和基督教青年会之间的合作中，以减少和预防儿童肥胖。以现有计划以及与广泛组织（合作推广和基督教青年会）的合作为基础，预计将促进可持续性和快速传播。