Healthy Weight: Linking Child Care Centers with the Home

健康体重：将托儿中心与家庭联系起来

• 批准号: 7140612
• 负责人: Dianne Stanton Ward
• 金额: $ 15.67万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-30 至 2008-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7140612
• 关键词: behavioral /social science research tag; behavioral habituation /sensitization; body composition; body physical activity; caloric dietary content; child care personnel; clinical research; day care center; dietary constituent; early experience; family medicine; family structure /dynamics; health behavior; human subject; interpersonal relations; nutrition education; nutrition related tag; obesity; outcomes research; preschool child (1-5); social cooperation; weight control

DESCRIPTION (provided by applicant): The prevalence of overweight among young children has risen more than 40% over the past decade. More specifically, in North Carolina 10% of children ages 2-5 years are considered overweight. Because a majority of preschool children spend much of their day and consume up to two-thirds of their daily calories" in child care centers, centers are in a unique position to encourage and role model healthy nutrition and physical activity behaviors for children. In addition, centers can share healthy lifestyle messages, emphasizing the importance of lifelong health, with parents. With children forming nutrition and physical activity lifestyles early in life, reciprocal reinforcement of a consistent message between the child care center and the home can greatly promote the formation of healthy behaviors and potentially prevent the development of childhood overweight. This proposal is for a child care-home intervention that uses a previously developed intervention (NAP SACC) designed to change the nutrition and physical activity environments at the child care center with a simultaneous home-based, family component (to be called NAP SACC Family) that includes parenting skills training, home visits, resource material, and telephone support to prevent overweight in children aged 3-5 years. The first half of this intervention, NAP SACC, or Nutrition and Physical Activity Self-Assessment for Child Care, was recently developed by this research team and results from pilot work are promising. We now propose to recruit 18 child care centers from one county in North Carolina and randomly assign them to three groups: six of the centers will receive NAP SACC intervention only, six will receive NAP SACC and Family intervention, and six will be used as a control group and receive no formal intervention. NAP SACC and NAP SACC Family interventions are based on Social Cognitive Theory and focus on reciprocal interaction among environment, policy, and interpersonal channels of influence within the child care centers and the home environments. The primary outcomes of this feasibility study are physical activity, as measured by accelerometry, and diet (fruit/vegetable, milk, and fat consumption), as measured by a validated food frequency measure obtained from parents (Block for Kids). BMI will be assessed pre and post intervention. Accomplishing the aims of this proposal will allow the expansion of this intervention into a full-scale trial that can be used in a wide range of child care and family settings.

描述（由申请人提供）：过去十年中，幼儿超重的发生率上升了 40% 以上。更具体地说，在北卡罗来纳州，10% 的 2-5 岁儿童被认为超重。由于大多数学龄前儿童一天中的大部分时间都在托儿中心度过，消耗的热量高达三分之二”，因此托儿中心在鼓励儿童健康营养和体育活动行为方面处于独特地位，并为其树立榜样。此外，中心可以与父母分享健康生活方式的信息，强调终身健康的重要性，随着孩子在生命早期形成营养和身体活动的生活方式，托儿中心和家庭之间相互强化一致的信息可以极大地促进形成。健康的行为并可能预防该提案针对儿童保育中心干预措施，该干预措施使用先前开发的干预措施（NAP SACC），旨在改变儿童保育中心的营养和身体活动环境，同时以家庭为基础（称为 NAP SACC Family），包括育儿技能培训、家访、资源材料和电话支持，以防止 3-5 岁儿童超重。该干预措施的前半部分，即 NAP SACC（儿童保育营养和身体活动自我评估），是由该研究团队最近开发的，试点工作的结果令人鼓舞。我们现在建议从北卡罗来纳州的一个县招募 18 个托儿中心，并将它们随机分配到三组：其中 6 个中心将仅接受 NAP SACC 干预，6 个中心将接受 NAP SACC 和家庭干预，6 个中心将用作对照组，不接受正式干预。 NAP SACC 和 NAP SACC 家庭干预以社会认知理论为基础，重点关注托儿中心和家庭环境中环境、政策和人际影响渠道之间的相互作用。该可行性研究的主要结果是身体活动（通过加速度测量法测量）和饮食（水果/蔬菜、牛奶和脂肪消耗）（通过从父母处获得的经过验证的食物频率测量（Block for Kids）测量）。将在干预前和干预后评估体重指数。实现该提案的目标将使该干预措施扩大为全面试验，可用于广泛的儿童保育和家庭环境。

项目成果

An instrument to assess the obesogenic environment of child care centers.

评估儿童保育中心肥胖环境的工具。

• DOI: 10.5555/ajhb.2008.32.4.380
• 发表时间: 2008
• 期刊: American journal of health behavior
• 影响因子: 2.3
• 作者: Ward,Dianne;Hales,Derek;Haverly,Katie;Marks,Julie;Benjamin,Sara;Ball,Sarah;Trost,Stewart
• 通讯作者: Trost,Stewart