Family Functioning, Parenting Characteristics and Obesity in Chinese Adolescents

中国青少年的家庭功能、养育特征与肥胖

• 批准号: 8431041
• 负责人: Bin Xie
• 金额: $ 6.62万
• 依托单位: CLAREMONT GRADUATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-01-01 至 2014-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8431041
• 关键词: 17 year old; Adolescence; Adolescent; Adoption; Appearance; Area; Attitude; Behavior; Behavioral; Body Weight; Cancer Control; Characteristics; Child; Child health care; Childhood; China; Chinese People; Cities; Communication; Conflict (Psychology); Cross-Sectional Studies; Data; Data Set; Developed Countries; Developing Countries; Development; Diet Habits; Eating Behavior; Economic Development; Economics; Elderly; Environment; Epidemic; Exposure to; Family; Family Characteristics; Family Practice; Family Relationship; Frequencies; Funding; Gender; Grant; Growth; Health; Health behavior; Heterogeneity; Influentials; Intervention; Investigation; Knowledge; Life; Maintenance; Malignant Neoplasms; Modeling; Monitor; Morbidity - disease rate; Obesity; Outcome; Overweight; Parent-Child Relations; Parenting behavior; Parents; Perception; Physical activity; Play; Population; Predisposition; Preparation; Prevalence; Prevention; Process; Public Health; Research; Research Design; Risk; Risk Behaviors; Role; Sampling; Social Development; Staging; TNFRSF5 gene; Transdisciplinary Tobacco Research Center; Translating; Weight; Weight maintenance regimen; boys; cancer prevention; cohort; cost effective; depressive symptoms; energy balance; experience; family influence; food consumption; improved; metropolitan; obesity in children; obesity risk; parental influence; prevent; public health relevance

DESCRIPTION (provided by applicant): An alarming increase in pediatric obesity has occurred in China, a developing country undergoing rapid economic transition. The prevalence was even higher in the developed metropolitan areas of China. The dramatic increase in the prevalence of obesity in children and adolescents has raised major concerns due to the long-term health implications. Pediatric obesity may increase morbidity as well as susceptibility to certain cancers in later life. Efforts to prevent obesity and maintain a healthy body weight has been recognized as one of most cost-effective long-term strategies for cancer control. Parents and the family environment play an important role in influencing adolescents' adoption and maintenance of healthy weight-related behaviors that regulate energy balance and ultimately obesity status. Certain characteristics of parenting styles, practices and family functioning may be influential in the development of obesity among adolescents. Even though some empirical studies, most with cross-sectional study designs, have provided preliminary data, there is an urgent need for rigorous investigations with longitudinal data for an improved understanding of these familial and parental characteristics and their roles in influencing management of weight-related behaviors and the risks of obesity in adolescents. There is a lack of research investigating the dynamic reciprocal relationships between multiple aspects of family functioning and obesity and related behaviors in adolescent populations. As obesity is not as widespread in China but is rapidly increasing, it is possible to study an epidemic of obesity in its earlier stags along with rapid social and economic development and the role of family relations in the process. We propose to systematically investigate longitudinal dynamic influences of critical parental and familial factors on adolescents' developmental risks of behavioral outcomes including obesity, eating behaviors and food consumption, physical activity and inactivity, and depressive symptoms with two existing longitudinal cohort datasets collected in representative samples of Chinese adolescents living in several major large cities in China. State of the art modeling approaches will be applied to analyze influence of family functioning and parenting characteristics in the developmental risks of behavioral outcomes and model the dynamic reciprocal relationships between family functioning and behavioral outcomes that may be both causes and consequences of each other during a certain longitudinal period. Potential interactive effects of parenting characteristics and family functioning as well as the potentially differential influences across parent-child gender will be explored to advance understanding of the heterogeneity of longitudinal familial and parental influences on the developmental risks of obesity and related behavioral outcomes. Findings of this study are expected to have the great potential to advance knowledge on the influences of parental and familial factors on the developmental risks of obesity and related behaviors during adolescence, which may guide to translate into the development of appropriate interventions as long-term strategies for cancer prevention and control.

描述（由申请人提供）：在中国，经济快速过渡的发展中国家发生了令人震惊的小儿肥胖症。在中国发达的大都市地区，患病率甚至更高。由于长期的健康影响，儿童和青少年肥胖症患病率的急剧增加引起了重大问题。小儿肥胖可能会增加发病率以及对某些癌症的敏感性。预防肥胖和保持健康体重的努力已被认为是癌症控制最具成本效益的长期策略之一。父母和家庭环境在影响青少年的采用和维持健康相关的行为方面起着重要作用，从而调节能量平衡并最终肥胖。育儿方式，实践和家庭功能的某些特征可能会影响青少年的肥胖。即使一些经验研究（大多数具有横断面研究设计）提供了初步数据，但迫切需要进行严格的研究，并具有纵向数据的严格研究，以提高对这些家族和父母特征的理解及其在影响体重相关行为的管理中的作用，并在影响少年肥胖的风险中。缺乏研究研究青少年人群中家庭功能与肥胖和相关行为之间的动态相互关系。由于肥胖症在中国并不那么普遍，但正在迅速增加，因此可以研究其早期雄鹿的流行病，以及迅速的社会和经济发展以及家庭关系在此过程中的作用。我们建议系统地研究关键父母和家族因素对青少年对行为结果的发展风险的纵向动态影响，包括肥胖，饮食行为和食品消费，体育锻炼和不活跃，以及与现有的两个居住在中国居住在中国大型Ciety中的中国青少年的代表性样本中的现有纵向纵向同类数据集的抑郁症状。艺术建模方法将应用于分析家庭功能和育儿特征在行为结果的发展风险中的影响，并模拟家庭功能与行为结果之间的动态相互关系，这在某个纵向期间既可能是彼此的原因和后果。育儿特征和家庭功能的潜在互动效应以及跨亲子性别之间的潜在差异影响将探索，以提高人们对纵向家族和父母影响肥胖和相关行为结果的发展风险的异质性的理解。预计这项研究的结果具有巨大的潜力，可以提高人们对父母和家族因素对青春期肥胖和相关行为发展风险的影响的知识，这可以指导转化为发展适当的干预措施，作为预防癌症预防和控制的长期策略。