Preventing obesity in infants and toddlers in child care

在托儿所中预防婴幼儿肥胖

基本信息

批准号：
8594247
负责人：
Sara Elizabeth Benjamin-Neelon
金额：
$ 65.75万
依托单位：
DUKE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2013
资助国家：
美国
起止时间：
2013-01-01 至 2017-12-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8594247
关键词：
6 year old Age Age-Years Attention Back to Sleep Behavior Birth Boston Caring Child Child Behavior Child Care Childhood Control Groups Data Development Dietary intake Eating Education and Outreach Energy Intake Energy Metabolism Environment Family Funding Goals Grant Health Health Professional Home environment Hypertension Infant Infant Care Intervention Length Life Measures Mentors National Research Service Awards North Carolina Obesity One-Step dentin bonding system Outcome Measure Outcome Study Parents Physical activity Policies Provider Randomized Randomized Controlled Trials Recurrence Rural Sampling Self Assessment Skinfold Thickness Testing Toddler Training United States Weight Weight Gain Weights and Measures Wheezing Work arm base care systems design early childhood environmental intervention feeding group intervention hospital admission rate improved innovation medical schools novel nutrition obesity in children obesity prevention outreach post intervention prevent programs psychosocial public health relevance successful intervention therapy design

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 few years 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 prevent obesity in early childhood are needed. Because nearly two-thirds of U.S. children under six years of age are routinely cared for outside of the home, organized child care is an important setting for obesity prevention. Few interventions, however, have focused on child care, and even fewer have targeted very young children in care. The proposed study is a novel intervention targeting both the environment of the child care center, the family home, and the interactions that take place between children and their care providers. The primary aim of this study is to evaluate the efficacy of a six-month-long intervention in improving the nutrition and physical activity environments of child care centers serving racially and ethnically diverse children from birth to two years of age and the family home. The study will be a randomized controlled trial with 640 children attending 80 child care centers in North Carolina. The focus will be on center policies, provider and parent practices, and children's home environments that influence dietary intake and physical activity. The intervention will include four complementary and mutually reinforcing components: (1) center self-assessment; (2) targeted technical assistance and guidance by a health professional for providers and parents; (3) training for child care providers; and (4) parent outreach and support. Centers randomized to the control arm will receive intervention materials and abbreviated technical assistance at the end of the intervention. Outcomes for this study include child dietary intake, physical activity, and two adiposity measures: weight-for-length and skin fold thicknesses. Child care centers and children's home environments will also be measured to evaluate how well they support healthy behaviors. Results of this study will provide new information on nutrition and physical activity policies and practices within child care centers and the family home. Findings will also inform policy efforts to 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。肥胖和体重增加过度在生命的最初几年与较高的血压，喘息，较高的医院入院率以及儿童时期其他不良身体和社会心理健康状况有关。因此，需要在幼儿期预防肥胖症的有效方法。由于近三分之二的美国六岁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。但是，很少有干预措施专注于托儿服务，甚至更少针对非常年幼的孩子。拟议的研究是针对儿童保育中心，家庭住宅的环境以及儿童及其护理提供者之间发生的互动的一种新颖干预措施。这项研究的主要目的是评估六个月的干预措施在改善儿童保育中心的营养和体育锻炼环境中的疗效，从出生到两岁，在种族和种族上多样化的儿童以及家庭住宅。该研究将是一项随机对照试验，有640名儿童在北卡罗来纳州参加80个托儿中心。重点将放在中心政策，提供者和家长实践以及影响饮食摄入和体育锻炼的儿童家庭环境上。干预措施将包括四个互补和相互加强的组成部分：（1）中心自我评估；（2）针对提供者和父母的卫生专业人员的针对技术援助和指导； (3) training for child care providers; （4）父母的宣传和支持。在干预结束时，将随机分配给控制部门的中心将获得干预材料和缩写的技术援助。这项研究的结果包括儿童饮食摄入量，体育锻炼和两种肥胖度量：重量长度和皮肤折叠厚度。还将衡量托儿中心和儿童家庭环境，以评估他们如何支持健康行为。这项研究的结果将提供有关托儿中心和家庭住宅内营养和体育活动政策和实践的新信息。调查结果还将为改善儿童保育系统的政策努力提供依据，并有助于预防非常年幼的孩子的肥胖症。