Biopsychosocial predictors of obesity during the first 2 years of life

生命头两年肥胖的生物心理社会预测因素

基本信息

批准号：
9766877
负责人：
Esther M Leerkes
金额：
$ 57.59万
依托单位：
UNIVERSITY OF NORTH CAROLINA GREENSBORO
依托单位国家：
美国
项目类别：
财政年份：
2018
资助国家：
美国
起止时间：
2018-08-18 至 2023-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9766877
关键词：
2 year old Address Adolescence Adult Age Basic Science Behavior Biological Birth Centers for Disease Control and Prevention (U.S.)Child Childhood Complex Development Developmental Course Dimensions Discipline Environment Family Family Caregiver Health Health Surveys Hormonal Risk Factor Individual Differences Infant Informal Social Control Intervention Knowledge Life Longitudinal Studies Maternal Behavior Measures Mental Health Methods Modeling Morbidity - disease rate Mothers National Institute of Diabetes and Digestive and Kidney Diseases Nutrition Surveys Obesity Outcome Overweight Pathway interactions Pattern Predictive Factor Pregnant Women Prevalence Prevention Prevention program Public Health Research Personnel Risk Risk Behaviors Risk Factors Role Sampling Scientist Social Interaction Social Processes Testing Time United States Weight Weight Gain World Health Organization biopsychosocial caregiving early childhood experience feeding indicated prevention infancy innovation intervention program multidisciplinary novel obesity development obesity in children obesity risk obesogenic peer physical conditioning prenatal psychobiologic psychologic psychosocial recruit response social societal costs

项目摘要

Project Summary The prevalence of childhood obesity is a significant public health crisis. Overweight children experience significantly more health and psychosocial problems compared to their same age peers and are likely to carry these problems with them into adolescence and adulthood. In this proposal, we describe a study of the early development of risk for obesity in childhood. The risk for obesity in early childhood is likely determined by multiple biological, psychological, and social factors that are observable in infancy. We propose a conceptual model, a biopsychosocial model, of the early development of risk for obesity that focuses on several key biological, psychological, and social factors. Using an experienced team of investigators from multiple disciplines, we propose to investigate this model with an innovative, multi-method, longitudinal study of infants and their families (n = 300) beginning in the prenatal period that addresses these factors across the first two years of life. Our two key aims focus on understanding (1) factors that predict infant weight gain in the first 6 months of life and (2) the ways in which this weight gain and infant’s social interactions with mothers in feeding and non- feeding contexts predict self-regulation, and subsequent obesity risk at age 2. The study has important implications for the development of targeted prevention and intervention programs for families and children that may be utilized early in development, prior to the onset of weight gain that is difficult to reverse.

项目概要儿童肥胖的流行是超重儿童的重大公共卫生危机。与同龄人相比，有更多的健康问题和显着的心理社会问题与同龄人一样，这些问题很可能会伴随他们进入青春期和成年期。在提案中，我们描述了一项关于儿童肥胖风险早期发展的研究。儿童早期肥胖可能是由多种生物、心理和因素决定的我们提出了一个概念模型，即在婴儿期可观察到的社会因素。肥胖风险早期发展的生物心理社会模型，重点关注几个关键使用来自生物、心理和社会因素的经验丰富的研究人员团队。多个学科，我们建议用创新的多方法来研究这个模型，从产前时期开始对婴儿及其家人（n = 300）进行的纵向研究我们的两个主要目标集中在生命的头两年中解决这些因素。了解 (1) 预测婴儿出生后前 6 个月体重增加的因素以及 (2) 这种体重增加以及婴儿在喂养和非喂养方面与母亲的社交互动的方式喂养环境可预测自我调节能力以及随后 2 岁时的肥胖风险。该研究表明对于制定有针对性的预防和干预计划具有重要意义在体重增加之前，可以在发育早期使用的家庭和儿童这是很难扭转的。