School-Based Intervention to Prevent Metabolic Syndrome

预防代谢综合症的校本干预

• 批准号: 7409107
• 负责人: Alan M Delamater
• 金额: $ 22.49万
• 依托单位: UNIVERSITY OF MIAMI SCHOOL OF MEDICINE
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-05-01 至 2011-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7409107
• 关键词: Adolescence; Age; Age-Years; Area; Behavior; Behavioral; Beta Cell; Blood Pressure; Child; Child health care; Childhood; Clinical; Condition; Data; Development; Diet; Dietary intake; Disease; Early Diagnosis; Eating; Educational Curriculum; Educational Materials; Environment; Family; Feedback; Female; Focus Groups; Frequencies; Functional disorder; Gender; Health Promotion; Health behavior; Health behavior change; Health education; Home environment; Incidence; Insulin Resistance; Intervention; Knowledge; Life Style; Measures; Mediating; Metabolic; Metabolic syndrome; Minority; Modeling; Modification; Natural History; Non-Insulin-Dependent Diabetes Mellitus; Obesity; Outcome; Outcome Measure; Overweight; Parents; Pattern; Physical activity; Pilot Projects; Prevention; Psychosocial Factor; Randomized; Rate; Recruitment Activity; Research; Risk; Risk Factors; School-Age Population; Schools; Second Degree Relative; Social Marketing; Testing; Time; Treatment Efficacy; Weight maintenance regimen; Youth; base; blood lipid; design; elementary school; ethnic minority population; improved; intervention program; modifiable risk; obesity prevention; prevent; programs; sedentary; type 2 diabetes in children

DESCRIPTION (provided by applicant): More than 25% of children are at risk of or overweight and this increases metabolic risk factors for type 2 diabetes; ethnic minority children are at even higher risk for being overweight and developing type 2 diabetes. Prevention of metabolic syndrome and type 2 diabetes should begin by prevention of overweight in childhood. We will develop a school-based multi-component intervention program to promote healthy lifestyles in young children in order to prevent overweight and metabolic syndrome. The intervention will promote healthful eating and physical activity through social marketing, a health education curriculum, modification of the school environment, and family programming at the school so that parents can reinforce behavioral changes and model these change in the home environment. Focus groups will first be conducted at one school to refine the intervention for acceptability and cultural appropriateness and then the intervention approach and materials will be pre-tested in additional focus groups. A pilot study will then be conducted in order to test the hypothesis that the school-based intervention for children in grades K-1 will reduce their risk for overweight and metabolic syndrome. We will recruit 60 children from each of two additional schools and randomize one school to receive the 12 month intervention and the other school to receive a control condition consisting of children's health risk feedback and educational materials for parents. Primary outcomes are measures of overweight and metabolic risk, including estimates of insulin resistance. Secondary outcomes include measures of dietary intake, physical activity, blood pressure, and blood lipids. Children will be assessed at baseline and after six and 12 months of the intervention. The results from this study will contribute new knowledge concerning school-based interventions to improve health behaviors so that overweight and metabolic syndrome can be prevented in ethnic minority children. These findings will provide the preliminary feasibility and efficacy data needed for the development and submission of a subsequent R18 application. Approximately 30% of ethnic minority children are overweight and at increased risk for developing metabolic syndrome and eventually type 2 diabetes. Prevention of metabolic syndrome and type 2 diabetes should begin by prevention of overweight in childhood. We will develop and test the efficacy of a school-based multi- component intervention program to promote healthy lifestyles in young ethnic minority children in order to prevent overweight and metabolic syndrome.

描述（由申请人提供）：超过 25% 的儿童面临体重超重的风险，这增加了 2 型糖尿病的代谢风险因素；少数民族儿童超重和患 2 型糖尿病的风险甚至更高。预防代谢综合征和 2 型糖尿病应从预防儿童期超重开始。我们将制定一项以学校为基础的多成分干预计划，以促进幼儿健康的生活方式，以预防超重和代谢综合征。该干预措施将通过社会营销、健康教育课程、学校环境的改造和学校的家庭规划来促进健康饮食和身体活动，以便家长可以加强行为改变并在家庭环境中模仿这些变化。首先将在一所学校进行焦点小组，以完善干预措施的可接受性和文化适当性，然后干预方法和材料将在其他焦点小组中进行预先测试。然后将进行一项试点研究，以检验以下假设：对 K-1 年级儿童进行学校干预将降低他们超重和代谢综合征的风险。我们将从另外两所学校中各招募 60 名儿童，并随机抽取一所学校接受为期 12 个月的干预，另一所学校接受包括儿童健康风险反馈和家长教育材料在内的控制条件。主要结果是超重和代谢风险的测量，包括胰岛素抵抗的估计。次要结果包括饮食摄入量、体力活动、血压和血脂的测量。儿童将在基线以及干预后 6 个月和 12 个月后接受评估。这项研究的结果将提供有关以学校为基础的干预措施的新知识，以改善健康行为，从而预防少数民族儿童的超重和代谢综合征。这些发现将为后续 R18 申请的开发和提交提供所需的初步可行性和功效数据。大约 30% 的少数族裔儿童体重超重，罹患代谢综合征并最终罹患 2 型糖尿病的风险增加。预防代谢综合征和 2 型糖尿病应从预防儿童期超重开始。我们将制定并测试以学校为基础的多成分干预计划的有效性，以促进少数民族儿童的健康生活方式，从而预防超重和代谢综合征。

项目成果

Sedentary behavior moderates the relationship between physical activity and cardiometabolic risk in young Latino children.

久坐行为调节了拉丁裔儿童体力活动与心脏代谢风险之间的关系。

• 发表时间: 2021
• 影响因子: 3.6
• 作者: Malik, Jamil A;Coto, Jennifer;Pulgaron, Elizabeth R;Daigre, Amber;Sanchez, Janine E;Goldberg, Ronald B;Wilson, Dawn K;Delamater, Alan M
• 通讯作者: Delamater, Alan M

School-based health promotion intervention: parent and school staff perspectives.

以学校为基础的健康促进干预：家长和学校工作人员的观点。

• 发表时间: 2013-11
• 作者: Patino;Hernandez, Jennifer;Villa, Manuela;Delamater, Alan
• 通讯作者: Delamater, Alan