Childhood obesity treatment targeting specific behaviors

针对特定行为的儿童肥胖治疗

• 批准号: 7140545
• 负责人: Hollie A Raynor
• 金额: $ 3.38万
• 依托单位: MIRIAM HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-15 至 2007-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7140545
• 关键词: Address; Adherence; Affect; Age; Age-Years; Arts; Asthma; Behavior; Behavior Therapy; Behavioral; Body Weight decreased; Body mass index; Child; Childhood; Condition; Consumption; Data; Diet; Dietary intake; Eating; Economics; Energy Intake; Energy Metabolism; Epidemic; Family; Fatty acid glycerol esters; Feasibility Studies; Feedback; Feeling; Food; Goals; Health; Health Status; Healthcare; Height; Hour; Intake; Intervention; Letters; Milk; Modeling; Newsletter; Obesity; Parenting behavior; Parents; Patient Self-Report; Pediatric Research; Physical activity; Pilot Projects; Primary Health Care; Randomized; Rate; Recommendation; Research Personnel; Role; Techniques; Testing; Time; Week; Weight; Writing; aged; base; behavior change; day; drinking; energy balance; follow-up; improved; obesity treatment; pediatrician; programs; sedentary; theories; treatment program; weight maintenance

The US is in the midst of an obesity epidemic, affecting young children. The pediatric primary care setting is an ideal place to address this problem since most families have frequent contact with their pediatrician and a child's health status is regularly assessed in this setting. Recommendations for treating children with a body mass index (BMI) over the 85th percentile in the primary care setting have been developed by an Expert Committee on childhood. Programs are needed that meet the recommendations from the Committee, which include: 1) beginning treatment as young as possible; 2) focusing on the family, with the parent being the primary change agent for treatment; 3) using behavior modification techniques to change eating and activity behaviors; and 4) making 2 or 3 very specific changes in diet and activity at one time. Thus, the aim of this R21 application is to develop, implement, and evaluate a 6-month behavioral childhood obesity intervention that meets the Committee's recommendations and can be implemented in a primary care setting. A second aim of this project is to determine which eating and activity behaviors should be targeted in the intervention. One hundred thirty-five children, aged 4 to 8 years with a BMI > 85th percentile, assessed and referred by their pediatricians, will be randomized to one of three conditions: 1) a newsletter condition; 2) a Behavioral Parenting Program that increases physical activity (60 min/day) and decreases sweetened drink consumption (< 3 servings/week) (Traditional); or 3) a Behavioral Parenting Program that reduces TV watching (< 2 hours/day) and increases low-fat milk consumption (2 servings/day) (Substitutes). Follow-up assessments on weight, height, and standardized BMI (z-BMI), the primary dependent variable, will be conducted at 3, 6, 9, and 12 months. Pediatricians will provide follow-up letters to families, regarding weight and height status, following the assessments. This pilot study allows us to determine the feasibility and efficacy of a pediatric obesity intervention that optimizes the role of the pediatrician and meets the Committee's recommendations for treatment in a primary care setting. Moreover, by comparing the effects of targeting the traditional or substitute behaviors, data will be obtained for a power analysis for a full-scale trial of the effects of these two approaches on long-term weight loss.

美国正处于肥胖症的流行中，影响了幼儿。小儿初级保健环境是 解决此问题的理想场所，因为大多数家庭与儿科医生经常接触 在这种情况下，定期评估孩子的健康状况。针对治疗身体的孩子的建议 专家已经开发了初级保健环境中第85个百分点的质量指数（BMI） 童年委员会。需要计划来满足委员会的建议， 包括：1）尽可能年轻的开始治疗； 2）专注于家庭，父母是 治疗的主要变化剂； 3）使用行为修改技术来改变饮食和活动 行为； 4）一次进行2或3个非常具体的饮食和活动变化。因此，目的 R21应用程序是开发，实施和评估6个月的行为儿童肥胖干预措施 符合委员会的建议，可以在初级保健环境中实施。第二 该项目的目的是确定干预措施应针对哪些饮食和活动行为。 一百三十五个儿童，年龄4至8岁，BMI> 85个百分位数，由评估和转诊 他们的儿科医生将被随机分为三个条件之一：1）新闻通讯条件； 2）行为 育儿计划增加体育锻炼（每天60分钟）并减少甜味饮料 消费（<3份/周）（传统）；或3）减少电视的行为育儿计划 观看（每天<2小时），并增加低脂牛奶消耗（2份/天）（替代品）。后续 对重量，身高和标准化BMI（Z-BMI）的评估（主要因变量）将为 在3、6、9和12个月进行。儿科医生将向家庭提供有关体重的后续信 和身高状态，遵循评估。这项试点研究使我们能够确定可行性和 小儿肥胖干预的功效，优化儿科医生的作用并符合 委员会在初级保健环境中的治疗建议。而且，通过比较效果 针对传统或替代行为，将获得用于全面的功率分析的数据 试验这两种方法对长期体重减轻的影响。