Pediatric Obesity Management Intervention Trial for Hispanic Families

西班牙裔家庭儿童肥胖管理干预试验

基本信息

批准号：
8632213
负责人：
DEBORAH PARRA-MEDINA
金额：
$ 60.33万
依托单位：
UNIVERSITY OF TEXAS HLTH SCIENCE CENTER
依托单位国家：
美国
项目类别：
财政年份：
2014
资助国家：
美国
起止时间：
2014-04-10 至 2019-03-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8632213
关键词：
Address Adolescent Adult Affect Aftercare Age Area Behavior Behavior Therapy Behavioral Beverages Body Composition Body mass index Cardiovascular Diseases Child Childhood Cholesterol Cities Clinic Clinical Communities Comorbidity Consumption Counseling Diet Disadvantaged Epidemic Evidence based intervention Family Fasting Funding Future Glucose Health Health behavior change Hispanics Home environment Insulin Insulin Resistance Intervention Intervention Trial Knowledge Longevity Maintenance Measures Mediator of activation protein Medical Mental Health Metabolic syndrome Mexican Americans Minority Newsletter Non-Insulin-Dependent Diabetes Mellitus Obesity Outcome Overweight Parents Physical activity Physicians Pilot Projects Population Prevalence Primary Health Care Public Health Randomized Randomized Controlled Trials Recruitment Activity Relative (related person)Research Research Personnel Risk Risk Factors Telephone Testing Texas Text Time United States Centers for Medicare and Medicaid Services Weight Work base behavior change design efficacy testing experience fruits and vegetables improved intervention effect obesity in children obesity management obesity prevention obesity risk outreach parental role peer primary care setting primary outcome public health relevance secondary outcome sedentary socioeconomics standard care waist circumference

项目摘要

ABSTRACT Given the continuing rise of the U.S. Hispanic population, reversing the Hispanic childhood obesity epidemic is critical to the nation's future health. Mexican American children and those from socioeconomically disadvantaged families often are far more overweight and obese than their peers, heightening their risk for obesity-related health complications. Our proposed randomized controlled trial, the Pediatric Obesity Management Trial (POM) for Hispanic Families, aims to improve Hispanic children's body composition by testing a comprehensive, culturally and linguistically relevant, family-oriented intervention for overweight and obese (e 85th percentile of body mass index [BMI]) Hispanic children ages 6-11 in pediatric clinics in San Antonio, Texas, a largely Hispanic city. Our team, formed during our pilot research funded by the Centers for Medicare and Medicaid Services (1H0CMS030457), unites academic investigators and community partners with experience working together to conduct behavioral and clinical interventions and outreach with Hispanics. The POM trial will test the efficacy of a 6-month pediatric obesity management intervention (physician counseling plus telephone counseling, newsletters and text messages) compared to standard care (physician counseling only) on three outcomes: 1) body composition (i.e., waist circumference, weight and z-BMI); 2) insulin, glucose and cholesterol levels; and 3) behavior change in physical activity (PA), sedentary behavior and consumption of sugary beverages and fruits and vegetables. We will recruit 230 overweight and obese children-and a parent or guardian for each-and randomize them to the POM intervention (n = 115 child/parent dyads) or standard care (n = 115 child/parent dyads). From a baseline, we will measure the impact of the trial on the primary outcome (body composition) and secondary outcomes (insulin, glucose and cholesterol levels and several specific health behavior changes) at 1 month, 6 and 12 months post-randomization. We also will evaluate the critical role of parenting strategies and changes in the home environment as mediators of intervention effects. We hypothesize that intervention children will significantly improve their body composition, increased their PA levels and diet quality (more fruits and vegetables and less sugary beverages), and decrease their sedentary activity, compared to children in standard care. If successful, this study will generate new scientific knowledge about effective Hispanic family-based approaches for obesity prevention with high potential for replication in underserved areas across the nation.

抽象的鉴于美国西班牙裔人口的持续增长，扭转了西班牙裔童年肥胖症流行病对国家的未来健康至关重要。墨西哥裔美国儿童和来自社会经济上处于弱势家庭的家庭通常比他们的超重和肥胖要比他们同龄人增加了与肥胖相关健康并发症的风险。我们提出的随机对照试验，西班牙裔家庭的儿科肥胖管理试验（POM）旨在通过测试全面，文化和超重和肥胖的语言相关，面向家庭的干预措施（e）第85个百分点体重指数[BMI]）西班牙裔儿童6-11岁德克萨斯州圣安东尼奥市的儿科诊所西班牙裔城市。我们的团队由中心资助的试点研究组成 Medicare和Medicaid服务（1H0CMS030457），团结学术研究人员和社区合作伙伴具有共同开展行为和临床的经验干预和与西班牙裔的宣传。 POM试验将测试6个月的功效小儿肥胖管理干预措施（医师咨询以及电话咨询，与标准护理（仅医师咨询）相比，时事通讯和短信）结果：1）身体成分（即腰围，体重和Z-BMI）； 2）胰岛素，葡萄糖和胆固醇水平； 3）体育活动（PA），久坐行为和食用含糖饮料，水果和蔬菜。我们将招募230超重和肥胖的孩子以及每个人的父母或监护人，然后将他们随机进行POM干预（n = 115个儿童/父二元）或标准护理（n = 115个孩子/家长二元组）。从基线，我们将衡量试验对主要结果（身体组成）和次级的影响结果（胰岛素，葡萄糖和胆固醇水平以及几种特定的健康行为变化）随机化后1个月，6个月和12个月。我们还将评估育儿的关键作用作为干预效果的介体，策略和家庭环境的变化。我们假设干预儿童将显着改善其身体成分，增加它们的PA水平和饮食质量（更多的水果和蔬菜以及更少的含糖饮料），以及与标准护理中的儿童相比，减少久坐的活动。如果成功，这项研究将产生有关有效基于西班牙裔家庭方法的新科学知识在全国范围内服务不足的地区，肥胖预防具有很高的复制潜力。