Early child care and risk of obesity

早期儿童保育和肥胖风险

基本信息

批准号：
8399342
负责人：
Sara Elizabeth Benjamin-Neelon
金额：
$ 68.16万
依托单位：
DUKE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2012
资助国家：
美国
起止时间：
2012-08-01 至 2017-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8399342
关键词：
3 year old 6 year old Achievement Adult Age Age-Months Behavior Birth Breast Feeding Caregivers Caring Child Child Care Childhood Data Development Diet Energy Intake Energy Metabolism Etiology Family Food Funding Goals Grant Health Home environment Hypertension Income Infant Intervention Knowledge Latino Length Life Longitudinal Studies Massachusetts Measures Mediator of activation protein Motor National Research Service Awards Obesity Parents Participant Pathway interactions Persons Physical activity Policies Population Heterogeneity Provider Race Recurrence Research Risk Risk Factors Sampling Skinfold Thickness Sleep Socioeconomic Status Solid Stress Technology Telephone Text Time Visit Voice Weight Weight Gain Wheezing Work base care systems cohort early childhood federal policy feeding hospital admission rate improved infancy innovation medical schools obesity in children obesity prevention obesity risk prevent primary outcome psychosocial public health priorities response secondary outcome sedentary tv watching

项目摘要

DESCRIPTION (provided by applicant): The need to prevent childhood obesity extends down to our youngest children. Obesity and excessive weight gain in the first year of life are independently associated with higher blood pressure, recurrent wheezing, higher hospital admission rates, and other adverse physical and psychosocial health conditions in childhood. Thus, effective approaches to obesity prevention in early childhood are needed. Because nearly two-thirds of U.S. children under 6 years of age are routinely cared for outside of the home, organized child care is an important setting for obesity prevention. Recent studies suggest that children who attend child care are more likely to be obese than children cared for at home by a parent or other caregiver, and younger children might be most at risk. Our own research found that infants who spent time in child care during the first 6 months of life were heavier at one yea and still heavier at 3 years of age than children cared for at home. These previous studies identified a relationship between child care and obesity, but failed to pinpoint specific causal pathways. The proposed longitudinal study will examine factors contributing to the development of obesity that may be influenced by the child care setting, including dietary behaviors, physical activity and inactivity, stress, and sleep duration and quality. To accomplish these aims, we propose a diverse southern cohort of 800 black, white, and Latino/a infants in various child care arrangements, followed regularly from birth to 12 months of age. Frequent in-home assessments throughout infancy will help pinpoint exactly when children begin to gain weight excessively and will identify risk factors related to energy intake, energy expenditure, stress, and sleep associated with obesity. To mitigate participant burden and enhance retention, we will use Interactive Voice Response (IVR) technology to supplement in-person visits through innovative telephone-administered assessments with parents and child care providers. Results of this study will provide new information on the relationship between child care attendance and obesity and may help determine causality in instances where the associations between these variables have been unclear. Findings will inform state and federal policy governing child care settings and will also guide intervention efforts to help prevent obesity in young children in chil care. PUBLIC HEALTH RELEVANCE: It is a public health priority to understand determinants of excessive weight gain in the first year of life. Knowledge of energy intake, energy expenditure, stress, and sleep in infants attending child care will inform both intervention and policy efforts o improve the child care system and help prevent obesity in very young children.

描述（由申请人提供）：预防儿童肥胖症的需求延伸到我们最小的孩子。肥胖症和生命第一年的体重增加与较高的血压，复发性喘息，较高的医院入院率以及其他不良身体和心理社会健康状况有关。因此，需要在幼儿期预防肥胖的有效方法。由于近三分之二的6岁以下儿童经常在家外照顾，因此有组织的托儿是预防肥胖症的重要环境。最近的研究表明，与父母或其他照顾者在家照顾的孩子相比，参加儿童保育的儿童更有可能肥胖，而年幼的孩子可能面临最大的危险。我们自己的研究发现，在生命的头六个月中度过的育儿的婴儿在一年中重重，而在3岁时仍然比在家照顾的孩子还重。这些先前的研究确定了育儿和肥胖之间的关系，但未能查明特定的因果途径。拟议的纵向研究将研究可能受到儿童保育环境影响的肥胖发展的因素，包括饮食行为，体育锻炼和不活动，压力以及睡眠持续时间和质量。为了实现这些目标，我们提出了各种以各种儿童保育安排的黑人，白人和拉丁裔/A的婴儿组成的南部队列，从出生到12个月大。在整个婴儿期间，频繁的室内评估将有助于确切地确定儿童何时开始过度体重增加，并确定与能量摄入，能量消耗，压力和与肥胖相关的睡眠有关的风险因素。为了减轻参与者的负担并增强保留率，我们将使用互动语音响应（IVR）技术通过与父母和托儿提供者的创新电话管理评估来补充面对面的访问。这项研究的结果将提供有关育儿出勤与肥胖之间关系的新信息，并可能有助于确定这些变量之间的关联尚不清楚的情况。调查结果将为州和联邦政策提供有关儿童保育环境的政策，还将指导干预措施，以帮助防止幼儿的肥胖症。公共卫生相关性：了解第一年生命中体重增加过多的决定因素是公共卫生的优先事项。在儿童保育的婴儿中了解能量摄入，能量消耗，压力和睡眠的知识将为干预和政策努力o改善儿童保育系统并有助于预防非常年幼的孩子的肥胖症。