Primordial Prevention of Overweight in AI Children

AI儿童超重的根本预防

• 批准号: 7125435
• 负责人: NJERI KARANJA
• 金额: $ 65.34万
• 依托单位: KAISER FOUNDATION RESEARCH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-27 至 2010-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7125435
• 关键词: Native Americans; behavioral /social science research tag; body physical activity; breast feeding; child rearing; clinical research; clinical trials; community health services; counseling; data collection methodology /evaluation; dietary constituent; disease /disorder prevention /control; family medicine; health behavior; health education; health services research tag; human subject; infant human (0-1 year); nutrition education; nutrition related tag; obesity; outcomes research; preschool child (1-5); weight control

DESCRIPTION (provided by applicant): American Indian/Alaskan native (AI/AN) children have overweight rates that are 18-30% higher than the general American population of children. Adult obesity has early antecedents, and date show that eating and physical activity behaviors are formed and set as early as 3 years of age, through primary socialization within families. Yet there are few, if any, obesity prevention programs that target children younger than 3 years of age. We propose a community-partnered randomized study to prevent early childhood overweight in American Indian (AI) children. A birth cohort of about 780 children from six Indian communities born over a period 18 months will be randomized by community to either a control (3 communities) or intervention condition (3 communities). The intervention comprises a community-wide intervention coupled with individualized family counseling to improve nutrition and physical activity in infants and toddlers. Nutrition goals are to increase breastfeeding initiation and sustainability, limit sugared beverages for infants and toddlers, and make healthful choices during weaning and solid food introduction. Physical activity goals include promoting motor development, limiting video/TV viewing and creating play opportunities for infants and toddlers. Intervention approaches and methods used in the pilot study on which this project is based will be combined with new formative data collected at the beginning of the project to enhance the intervention's feeding and physical activity components. Each component in the community-wide interventions will be collaboratively designed with the tribes, and tailored to each community's needs. Trained peer counselors will deliver the family interventions, during a series of 12 cluster visits, each covering a different developmental stage of the infant/toddler. The primary outcome is BMI Z scores at ages 24-30 months. (End of Abstract)

描述（由申请人提供）： 美洲印第安人/阿拉斯加原住民 (AI/AN) 儿童的超重率比正常儿童高 18-30% 美国儿童的总人口。成人肥胖有很早的前因，数据表明，饮食和身体活动行为早在 3 岁时就通过家庭内的初级社会化形成和设定。然而，针对 3 岁以下儿童的肥胖预防计划即使有，也很少。我们提议开展一项社区合作随机研究，以预防美洲印第安人 (AI) 儿童的幼儿期超重。来自六个印度社区的大约 780 名儿童在 18 个月内出生，出生队列将按社区随机分为对照组（3 个社区）或干预条件（3 个社区）。该干预措施包括社区范围的干预以及个性化的家庭咨询，以改善婴儿和幼儿的营养和身体活动。营养目标是增加母乳喂养的开始和可持续性，限制婴儿和幼儿的含糖饮料，并在断奶和引入固体食物期间做出健康的选择。体育活动目标包括促进运动发育、限制视频/电视观看以及为婴幼儿创造玩耍机会。该项目所依据的试点研究中使用的干预途径和方法将与项目开始时收集的新的形成性数据相结合，以加强干预措施的喂养和身体活动部分。社区干预措施的每个组成部分都将与部落合作设计，并根据每个社区的需求进行定制。训练有素的同伴辅导员将在 12 次集群访问中提供家庭干预，每次访问涵盖婴儿/幼儿的不同发育阶段。主要结果是 24-30 个月时的 BMI Z 评分。 （摘要完）