Science and Community: Partnering to prevent early childhood obesity

科学与社区：合作预防儿童早期肥胖

• 批准号: 8501612
• 负责人: Rebecca Elizabeth Lee
• 金额: $ 8.48万
• 依托单位: UNIVERSITY OF HOUSTON
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-07-01 至 2013-09-01
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8501612
• 关键词: 3 year old; 5 year old; Adolescence; Adoption; Adult; African American; Age; Area; Awareness; Body mass index; Caregivers; Caring; Cessation of life; Child; Childhood; Color; Communities; Consumption; Counseling; Cues; Data Collection; Development; Diet; Diet Habits; Eating; Education; Educational Curriculum; Epidemic; Event; Exposure to; Feeling; Fellowship Program; Future; Goals; Government; Guidelines; Health; Health Professional; Health education; Hispanics; Hour; Hunger; Institute of Medicine (U.S.); Internships; Intervention; Investigation; Knowledge; Latino; Life; Link; Longevity; Maintenance; Measures; Medical; Mentors; Mexican Americans; Modeling; Not Hispanic or Latino; Nursery Schools; Obesity; Outcome; Overweight; Parents; Physical activity; Policy Research; Population Intervention; Preschool Child; Prevalence; Prevention; Primary Prevention; Public Health; Publishing; Qualitative Methods; Randomized Controlled Trials; Recommendation; Recruitment Activity; Reporting; Research; Research Activity; Research Personnel; Risk; School-Age Population; Schools; Science; Scientist; Solutions; Structure; Students; Testing; Time; Training; Vegetables; Weight Gain; Work; Youth; age group; aged; base; career; community based participatory research; early childhood; fruits and vegetables; good diet; health disparity; high school; improved; insight; longitudinal design; meetings; member; nutrition; nutrition education; obesity in children; obesity prevention; peer; prevent; programs; promoter; sedentary; theories

DESCRIPTION (provided by applicant): Childhood obesity is recognized as a public health epidemic and economically crippling issue, and children of color are particularly vulnerable. The trajectory toward obesity is likely established as early as the age of five, making early childhood a most vulnerable time in the lifespan and a key opportunity for primary prevention. Diets of preschool aged children lack fruit and vegetables, and children in preschool do little physical activity. In order to effectively reduce health disparities in the control and prevention of obesit, community based participatory research (CBPR) may be used to enhance relevance and sustainability of obesity interventions, and includes community members and scientists as equal partners in the research. This project employs an academic-community partnership, which has sought to identify obesity prevention and control strategies via interactive meetings, community events and data collection. The proposed study was developed to incorporate both partnership and government recommendations. A recent Institute of Medicine (IOM) report recommended actions that healthcare professionals, caregivers, and policymakers can take to prevent obesity in children five and younger, including providing PA opportunities for at least 15 minutes per hour while children are in care (Recommendation 3-1), providing meals and snacks as part of a daily routine and reinforcing children's internal cues of hunger and fullness (Recommendation 4-4) and providing guidance, training and educating those working with young children to increase children's healthy eating and counsel parents about their children's diet (Recommendation 4-6). First, this study will develop and test an extracurricular science and career two part internship and fellowship program for high school students. Next we will develop and evaluate a dietary habits and physical activity intervention for delivery in daycare settings to preschool children. Both will be integrated in the delivery in daycare facilities via mentored, trained high school students. High school students will be mentored by undergraduate interns. We will capitalize on the existing partnership and relationships with the community to recruit local daycare centers and high school aged students. Education modules on nutrition and promoting physical activity will be developed using published guidelines and delivered by mentored high school students to preschoolers in daycares using garden and gardening examples. The program will be comprehensively evaluated using quantitative and qualitative methods to determine reach, efficacy, adoption, implementation and maintenance. Presuming that the aims are accomplished and the project is successful, these findings will be distributed to health promoters and researchers as a simple and effective strategy to increase physical activity and fruit and vegetable consumption and promote healthy eating in preschoolers in daycare centers while improving the knowledge and career potential of high school students.

描述（由申请人提供）：儿童肥胖被认为是一种公共卫生流行病和严重影响经济的问题，有色人种儿童尤其容易受到影响。肥胖的轨迹很可能早在五岁时就已确立，这使得幼儿期 一生中最脆弱的时期，也是初级预防的关键时机。学龄前儿童的饮食缺乏水果和蔬菜，学龄前儿童的体力活动很少。为了有效减少肥胖控制和预防方面的健康差异，可采用基于社区的参与性研究（CBPR）来增强肥胖干预措施的相关性和可持续性，并让社区成员和科学家作为研究的平等伙伴。该项目采用学术界与社区的合作伙伴关系，寻求通过互动会议、社区活动和数据收集来确定肥胖预防和控制策略。拟议的研究旨在纳入合作伙伴和政府的建议。最近的一份医学研究所 (IOM) 报告建议医疗保健专业人员、护理人员和政策制定者可以采取行动来预防 5 岁及以下儿童的肥胖，包括在儿童接受护理时提供每小时至少 15 分钟的 PA 机会（建议 3- 1)、提供膳食和零食作为日常生活的一部分，强化儿童饥饿和饱足的内部暗示（建议 4-4），并为幼儿工作人员提供指导、培训和教育，以增加儿童的健康饮食，并为家长提供咨询关于孩子的饮食（建议 4-6）。首先，这项研究将为高中生开发和测试一个由课外科学和职业两部分组成的实习和奖学金计划。接下来，我们将制定并评估在日托机构中向学龄前儿童提供的饮食习惯和身体活动干预措施。两者都将通过受过指导和培训的高中生纳入日托设施的交付中。高中生将由本科生实习生指导。我们将利用现有的合作伙伴关系和与社区的关系来招募当地日托中心和高中适龄学生。关于营养和促进身体活动的教育模块将根据已发布的指南制定，并由受指导的高中生使用花园和园艺示例向日托中心的学龄前儿童提供。该计划将使用定量和定性方法进行全面评估，以确定范围、功效、采用、实施和维护。假设目标已实现且项目成功，这些研究结果将作为一种简单有效的策略分发给健康促进者和研究人员，以增加日托中心学龄前儿童的体育活动和水果和蔬菜消费，促进健康饮食，同时提高知识水平和高中生的职业潜力。