Household Environmental Weight Gain Prevention

家庭环境体重增加预防

• 批准号: 7007937
• 负责人: SIMONE A. FRENCH
• 金额: $ 30.86万
• 依托单位: UNIVERSITY OF MINNESOTA
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-01 至 2010-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7007937
• 关键词: behavior modification; behavioral /social science research tag; body physical activity; cancer risk; clinical trials; cooperative study; disease /disorder prevention /control; disease outbreaks; family therapy; group therapy; household; human subject; human therapy evaluation; nutrient intake activity; nutrition related tag; obesity; patient oriented research; questionnaires; telemedicine; television; weight control; weight gain

Obesity is a national epidemic that is widely recognized to be environmental in origin, Primary prevention interventions that address both environmental and individual-level influences on obesity are urgently needed. The primary aim of the proposed study is to evaluate a household-level weight-gain prevention intervention that includes both environmental change and individual-level behavior change components. Four hundred forty households will be recruited and randomized to one of two groups for a 1-year period: 1) household environmental weight-gain prevention program or 2) control program that provides only general behavioral weight control recommendations The primary outcome is household-level change in body weight over the 1-year intervention period. The household environmental weight-gain prevention program includes reduced access to television viewing via a television time-limiting device; reduced household availability of high fat/energy prepackaged foods and less frequent fast food restaurant use; and increased frequency of self-weighing with the provision of a home scale to each household. In addition, the individual-level behavioral change component targets specific eating and exercise behaviors that dovetail with the household environmental changes to promote weight control. The intervention program format consists of 6 monthly face-to-face group meetings, 12 monthly newsletters, 6 encouragement telephone calls, and continuous access to intervention staff via telephone and email. The control group program consists of 12 monthly newsletters that provide general behavioral recommendations for weight control. The primary outcome is household-level percent weight change measured one year following the initiation of treatment. Secondary outcomes are changes in energy intake, physical activity, television viewing time, and frequency of self-weighing. It is hypothesized that intervention households will gain significantly less weight over the 1-year intervention period than households randomized to the control group.

肥胖是一种民族流行病，被广泛认为是原产地的环境 迫切需要针对环境和个体影响肥胖的影响的预防干预措施。拟议研究的主要目的是评估包括环境变化和个人级别行为变化组成部分的家庭水平的预防干预措施。将在1年期间招募四十户家庭并随机分为两组之一：1）家庭环境重量获得预防计划或2）仅提供一般行为重量控制建议的控制计划，主要结果是体重的家庭级别变化 在1年的干预期内。家庭环境减肥预防计划包括通过电视限制设备降低观看电视的访问；家庭可用性降低了高脂/能量预包装的食物和频率较低的快餐店的使用；并通过为每个家庭提供家庭规模来增加自我差异的频率。此外，个人级别的行为变化组件目标 特定的饮食和运动行为与家庭环境变化相吻合以促进体重控制。干预计划格式包括6个每月面对面的小组会议，12个每月的新闻通讯，6个鼓励电话以及通过电话和电子邮件持续访问干预人员。对照组计划由12个每月的新闻通讯组成，这些新闻通讯提供了用于体重控制的一般行为建议。 主要结果是在开始治疗后一年衡量的家庭级别重量变化。次要结果是能量摄入，体育锻炼，电视观看时间和自我投资频率的变化。假设干预家庭在1年的干预期内的体重将比随机分配给对照组的家庭的体重明显少得多。