Family Life and Child Obesity: Interactions that Matter

家庭生活和儿童肥胖：重要的相互作用

基本信息

批准号：
8207907
负责人：
Solveig Argeseanu Cunningham
金额：
$ 7.75万
依托单位：
EMORY UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2011
资助国家：
美国
起止时间：
2011-01-01 至 2013-12-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8207907
关键词：
11 year old Address Adult Affect Age American Behavior Biological Body Weight Body Weight Changes Body mass index Boxing Child Child Nutrition Child health care Childhood Chronic Disease Consumption Data Data Analyses Data Set Education Elements Environment Equation Ethnic Origin Family Fatty acid glycerol esters Food Food Preferences Fostering Future Growth Health Health Services Accessibility Health behavior Height Home environment Household Immigrant Individual Influentials Intake Intervention Intervention Studies Investigation Life Light Linear Models Link Literature Longitudinal Studies Measures Mental Depression Mental Health Methods Modeling Non-Insulin-Dependent Diabetes Mellitus Nutritional Obesity Outcome Parents Pathway interactions Policy Research Prevalence Psyche structure Race Recommendation Relative (related person)Reliance Research Resources Risk Risk Factors Role School-Age Population Schools Shapes Single Parent Single-Parent Family Staging Stepparent Structure Testing Time Weight base early childhood early onset elementary school expectation experience family structure fast food fruits and vegetables grandparent kindergarten middle childhood middle school multilevel analysis nutrition obesity in children obesity prevention obesity risk physical conditioning prevent prospective public health relevance racial difference racial/ethnic difference residence respiratory social

项目摘要

DESCRIPTION (provided by applicant): The prevalence of obesity among American children is at an all-time high, with 17% of 6-11 year-olds having high body mass index for their age. Child obesity is associated with poorer physical and mental health and social wellbeing. OBJECTIVES: The home is the most influential environment for health in middle childhood. The proposed research will examine understudied relationships between family structure, family activities, and children's nutrition and weight. AIMS: The study addresses the following specific hypotheses: 1. Family structure is associated with children's nutrition environment and consumption choices in elementary and middle school; 2. Family structure is associated with children's weight trajectories and obesity risks; 3. The influence of family structure on children's nutrition and weight trajectories is partly through family interactions; and 4. There are cultural and racial differences in the implications of home environment for children's nutrition and weight. American children experience a myriad of family structures in terms of parental co-residence (biological, step, single-parent families), co-residence with other non-parental adults, and co-residence with other children, and these diverse and shifting circumstances may affect nutrition and obesity risks. Previous studies have shown that these aspects of the home environment affect several child outcomes, including education, health behaviors, and mental and physical health. Family structure may also influence children's nutrition and obesity risks. We test the family interactions that are expected to affect children's weight, including meals, activity levels and rules, and consider whether some are more likely to provide health promoting interactions. In addition, we examine disparities in obesity risks between diverse origin children and explore whether these arise from systematic differences in home environments. DESIGN: This will be a secondary data analysis using the Early Childhood Longitudinal Study Kindergarten Class of 1998-99 (ECLSK), the largest national longitudinal study measuring child weight and height. METHODS: We use several methods with time-varying information on weight status, family roster, family activities and other covariates at 7 points over 9 years: first-difference regressions and hierarchical linear models will be used to explore relationships between changes in family structure and changes in weight and nutrition. Two-stage models and multilevel structural equation models will be used to examine how family structure operates through family interactions. SIGNIFICANCE: This study will provide empirical evidence about the effects of the home environment on children's obesity risks, which family activities hold the greatest promise for healthy growth, and strategies for incorporating the family in interventions. It will show whether demographic changes in the American family are affecting children's obesity risks and whether changes in family activities, such as shared meals, can indeed affect children's weight, as is the expectation of current recommendations. PUBLIC HEALTH RELEVANCE: Childhood obesity is associated with poorer physical and mental health and social wellbeing. Previous studies and interventions have indicated that the family environment is important for healthy weight in children, but in order to reduce increases in child obesity, a better understanding is needed of specifically how the family environment affects children's weight trajectories, which individuals within the home are important, and what home-based activities really affect weight and bring about weight change in children. This study will inform research and policy about the extent to which children's health behavior and weight are shaped by the family and about the expected value of involving the family or promoting family activities as part of interventions to prevent and reverse obesity among children. Public

描述（由申请人提供）：美国儿童肥胖症的患病率是历史最高的，有17％的6-11岁儿童的体重高。儿童肥胖症与身体和心理健康和社会健康较差有关。目标：房屋是中年童年最有影响力的健康环境。拟议的研究将研究家庭结构，家庭活动与儿童营养和体重之间的研究研究。目的：研究介绍了以下特定假设：1。家庭结构与小学和中学中儿童的营养环境和消费选择有关； 2。家庭结构与儿童的体重轨迹和肥胖风险有关； 3。家庭结构对儿童营养和体重轨迹的影响部分是通过家庭互动。和4。家庭环境对儿童营养和体重的影响存在文化和种族差异。美国儿童在父母的共同住所（生物学，步骤，单亲家庭），与其他非父母成年人的共同住所以及与其他儿童共同居住的情况下，经历了无数的家庭结构，以及这些多样化和转移的环境可能会影响营养和肥胖风险。先前的研究表明，家庭环境的这些方面会影响几种儿童结果，包括教育，健康行为以及心理和身体健康。家庭结构还可能影响儿童的营养和肥胖风险。我们测试了预计会影响儿童体重的家庭互动，包括餐，活动水平和规则，并考虑一些是否更有可能提供健康促进互动。此外，我们研究了各种起源儿童之间肥胖风险的差异，并探索这些肥胖风险是否来自家庭环境中的系统差异。设计：这将是使用幼儿纵向研究1998 - 99年幼儿园幼儿园班级（ECLSK）的二级数据分析，这是测量儿童体重和身高的最大国家纵向研究。方法：我们在9年内以7点的7点使用有关体重状况，家庭阵容，家庭活动和其他协变量的时间变化信息的多种方法：第一差回归和层次线性模型将用于探索家庭结构变化与家庭结构的变化之间的关系体重和营养的变化。两阶段模型和多级结构方程模型将用于检查家庭结构如何通过家庭互动进行运作。意义：这项研究将提供有关家庭环境对儿童肥胖风险的影响的经验证据，家庭活动对健康增长的最大希望以及将家庭纳入干预措施的策略。它将显示美国家庭中的人口变化是否会影响儿童肥胖风险，以及家庭活动（例如共享餐点）的变化是否确实会影响儿童体重，对当前建议的期望也是如此。公共卫生相关性：儿童肥胖与身体和心理健康和社会健康较差有关。先前的研究和干预措施表明，家庭环境对于儿童的健康体重很重要，但是为了减少儿童肥胖的增加，需要更好地理解家庭环境如何影响儿童的体重轨迹重要的是，哪些家庭活动真正影响体重并带来儿童体重的变化。这项研究将为研究和政策提供信息，以了解儿童的健康行为和体重是由家庭塑造的，以及涉及家庭或促进家庭活动的预期价值，这是预防和逆转儿童肥胖的干预措施的一部分。民众