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）：在过去的十年中，幼儿超重的患病率上升了40％以上。更具体地说，在北卡罗来纳州，有10％的2-5岁儿童被认为超重。因为大多数学龄前儿童度过一天的大部分时间，并消耗多达三分之二的日常卡路里“在儿童保育中心”，因此中心处于一个独特的位置，可以鼓励和榜样健康的营养和身体活动行为。此外，中心还可以共享健康的生活方式，强调与父母相处的一致性，以培养孩子的生活，从而培养了一贯的生命，并具有生命的生活。在儿童保育中心和家庭之间可以极大地促进健康行为的形成，并有可能防止儿童期超重的发展。 3-5岁的儿童超重。该研究团队最近开发了这项干预，NAP SACC或营养和体育活动自我评估的上半年，而试点工作的结果很有希望。现在，我们建议从北卡罗来纳州的一个县招募18个托儿中心，并将其随机分配给三个组：其中6个中心将仅接受NAP SACC干预，其中6个将接受NAP SACC和家庭干预，而6个将被用作对照组，不接受正式干预。 NAP SACC和NAP SACC家庭干预措施基于社会认知理论，并关注环境，政策和人际关系互动渠道之间的互惠互动，在儿童保育中心和家庭环境中。这项可行性研究的主要结果是通过加速度测定法和饮食（水果/蔬菜，牛奶和脂肪消耗）来衡量的体育锻炼，这是通过从父母那里获得的经过验证的食物频率度量来衡量的（儿童的障碍）。 BMI将在干预前后评估。实现该提案的目的将允许将这种干预措施扩展到全面试验中，该试验可在各种托儿和家庭环境中使用。

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