Parental Influences on Obesity Among Mexican American Children

父母对墨西哥裔美国儿童肥胖的影响

基本信息

批准号：
7603031
负责人：
Jeanne M. Tschann
金额：
$ 74.51万
依托单位：
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
依托单位国家：
美国
项目类别：
财政年份：
2007
资助国家：
美国
起止时间：
2007-07-15 至 2012-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7603031
关键词：
Accounting Affect Age American Area Arts Behavior Behavior Therapy Behavioral Body Composition Body Size Body mass index Censuses Child Childhood Coronary Arteriosclerosis Country Data Development Dietary intake Eating Eating Behavior Extended Family Family Family member Fathers Food Frequencies Future Hispanics Home visitation House Call Hyperlipidemia Hypertension Intervention Interview Latino Longitudinal Studies Measures Mediating Methods Mexican Mexican Americans Modeling Mothers Non-Insulin-Dependent Diabetes Mellitus Obesity Overweight Parenting behavior Parents Patient Self-Report Perception Physical activity Population Prevalence Preventive Intervention Recruitment Activity Research Research Personnel Risk San Francisco Socioeconomic Status Strategic Planning United States United States National Institutes of Health Weight Weight Gain behavior influence cultural competence feeding improved obesity prevention parental influence socioeconomics waist circumference

项目摘要

DESCRIPTION (provided by applicant): The prevalence of overweight among children in the United States has increased markedly during the past several decades. Latino children are at particular risk of overweight. Children who are overweight are at increased risk of hypertension, hyperlipidemia, coronary artery disease, and type 2 diabetes. Childhood overweight is partially due to behavioral factors, but the specific behavioral factors contributing to overweight among Latino children are poorly understood. Parental behaviors are thought to be important influences, on children's obesity, but most studies to date have examined a narrow range of parental behaviors. Moreover, few studies have focused on Latino children. There is an urgent need for more comprehensive research that elucidates the ways in which multiple aspects of parents' behaviors influence overweight among Latino children, and which considers the socioeconomic and cultural contexts in which Latino children's dietary intake and accelerated weight gain occur. This longitudinal study will focus on Mexican Americans, who constitute the largest Latino group in the U.S. The research will examine parental and family member behaviors that promote or protect against obesity among Mexican American children. The study will particularly focus on parental and family members' dietary-related behaviors, including child-feeding practices, parental modeling of eating, and family meals. The research will (a) assess whether parental and extended family members' dietary-related behaviors predict children's dietary intake; (b) assess whether parental and extended family members' behaviors predict children's weight status, mediated by children's dietary intake; and (c) examine the effects of socioeconomic status and cultural factors on parental behaviors. Specific cultural factors to be examined include extended family support, perceptions of food, and preferred child body size. For this longitudinal research, we will recruit 376 Mexican American children, ages 8-9, and their parents, from the membership lists of a large HMO. At annual home visits over a two- year period, we will interview and assess mothers, fathers, and children. We will obtain both self-report and observational assessments of child-feeding practices.; We will utilize state-of-the-art methods to measure dietary intake, physical activity, and obtain anthropometric data. The study will provide vital information for family-focused behavioral interventions targeting obesity among Mexican American children, particularly regarding parental behaviors that influence the development of obesity. Moreover, the research will provide critical information to improve the cultural competence of future interventions, by taking into account both SES and cultural factors that are related to parents' behaviors.

描述（由申请人提供）：在过去的几十年中，美国儿童超重的患病率显着增加。拉丁裔儿童特别有超重的风险。超重的儿童患高血压，高脂血症，冠状动脉疾病和2型糖尿病的风险增加。童年超重部分是由于行为因素造成的，但是对拉丁裔儿童超重的特定行为因素知之甚少。父母行为被认为是对儿童肥胖症的重要影响，但是迄今为止，大多数研究都检查了父母的行为范围狭窄。此外，很少有研究集中在拉丁裔儿童上。迫切需要进行更全面的研究，以阐明父母行为的多个方面影响拉丁裔儿童超重的方式，并考虑了拉丁裔儿童饮食摄入量和加速体重增加的社会经济和文化背景。这项纵向研究将集中于墨西哥裔美国人，墨西哥裔美国人构成美国最大的拉丁裔群体，研究将研究促进或预防墨西哥裔美国儿童肥胖症的父母和家庭成员行为。该研究将特别关注父母和家庭成员与饮食相关的行为，包括养育子女的习惯，饮食的父母建模和家庭餐。研究将（a）评估父母和大家庭成员的饮食相关行为是否可以预测儿童饮食摄入量；（b）评估父母和大家庭的行为是否可以预测儿童的饮食摄入量介导的儿童体重状况；（c）检查社会经济地位和文化因素对父母行为的影响。要检查的特定文化因素包括扩大家庭支持，对食物的看法和首选的儿童体型。对于这项纵向研究，我们将从大型HMO的会员名单中招募376名墨西哥裔美国儿童及其父母。在两年内的年度访问中，我们将采访并评估母亲，父亲和孩子。我们将获得对儿童喂养实践的自我报告和观察评估。我们将利用最先进的方法来衡量饮食摄入，体育锻炼并获得人体测量数据。这项研究将为针对墨西哥裔美国儿童肥胖的以家庭为中心的行为干预措施提供重要信息，尤其是关于影响肥胖发展的父母行为。此外，该研究将通过考虑与父母行为相关的SES和文化因素来提供关键信息，以提高未来干预措施的文化能力。