Family context, child characteristics, child-rearing features, and obesity risk: a 15-year longitudinal analysis

家庭背景、儿童特征、育儿特征和肥胖风险：15年纵向分析

• 批准号: 9922712
• 负责人: Liang Wang
• 金额: $ 0.65万
• 依托单位: EAST TENNESSEE STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-05-01 至 2020-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9922712
• 关键词: Adolescence; Age; Behavioral; Biological; Birth; Birth Intervals; Body Height; Body Weight; Body Weights and Measures; Body mass index; Caring; Centers for Disease Control and Prevention (U.S.); Characteristics; Child; Child Care; Child Rearing; Childhood; Cohort Studies; Complex; Coronary heart disease; Data; Data Analyses; Data Set; Degenerative polyarthritis; Development; Diet Habits; Disease; Economic Factors; Endocrine; Environmental Risk Factor; Equation; Etiology; Family; Family Characteristics; Family Relationship; Family dynamics; Gall Bladder Diseases; Genetic; Health Promotion; Hypertension; Impairment; Individual; Intervention; Investigation; Knowledge; Life; Life Cycle Stages; Literature; Longitudinal Surveys; Malignant Neoplasms; Marital Status; Mediating; Mediator of activation protein; Mental Depression; Modeling; Morbidity - disease rate; National Institute of Child Health and Human Development; Nature; Non-Insulin-Dependent Diabetes Mellitus; Nursery Schools; Obesity; Outcome; Pathway interactions; Phase; Poverty; Preschool Child; Prevalence; Preventive Intervention; Process; Psychosocial Factor; Public Health; Quality of Care; Quality of life; Regulation; Research; Risk; Risk Factors; Role; Sampling; Single Parent; Sleep Apnea Syndromes; Socioeconomic Status; Stroke; Structure; Techniques; Temperament; Time; United States; Weight; World Health Organization; base; cohort; design; effective intervention; experience; family structure; high risk; infancy; innovation; interest; longitudinal analysis; obesity development; obesity in children; obesity risk; pandemic disease; protective factors; psychosocial; respiratory; response; social; standard measure; theories

Project Summary Obesity among children and youth in the U.S. has become a serious public health problem. To date, there is still a large gap in our knowledge of the roles of family factors and child characteristics in the etiology of childhood obesity. A thorough understanding of the natural process of the problem and how the risks intersect and accumulate over the course of the child’s life is the key for effective intervention strategies. We propose to assess the longitudinal relationships of family factors (poverty, marital status/family structure, and maternal/paternal depression), child’s temperament, and child-rearing features (parenting styles, non-maternal child care) with the development of obesity and the transition/persistence of weight status over the different phases of childhood and adolescence. The National Institute of Child Health and Human Development (NICHD) Study of Early Child Care and Youth Development (SECCYD) has examined a national birth cohort of 1,364 subjects and have collected comprehensive information longitudinally, at frequent intervals from birth to adolescence (age 15), including parental and child characteristics, and standard measured body weight and height. Guided by the Life Course Theory and the Social Ecological Theory, the proposed study will determine if there are critical phases for risks and if there is an accumulation of risks across the child’s life in the development of childhood obesity. The study will explore the interplay between key family factors and child characteristics on childhood obesity risk, as well as examine the average/marginal effects of these individual variables on the development of obesity and the transition/persistence of weight status during childhood and adolescence. The specific aims are: 1) Aim 1: Assess the impact of family (poverty, marital status/family structure, maternal/paternal depression, parenting styles, non-maternal child care) and individual (child temperament) level characteristics on the development of obesity and the transition/persistence of weight status during childhood; 2) Explore the possible interplay of family factors and child’s temperament characteristics with child-rearing features (parenting styles, non-maternal child care) on the development of obesity and the transition/persistence of weight status during childhood. Mixed models, generalized estimating equations (GEE), and structural equation modeling (SEM) techniques will be used to analyze the data. This data set provides a unique opportunity to conduct a comprehensive data analysis with valid and accurate estimates of the dynamic associations of key family factors and child characteristics with obesity risk from childhood through adolescence. Therefore, our proposed study will significantly extend the current knowledge about the risk of and the pathways to obesity in childhood and adolescence. Findings from this study will help to identify key family contexts and child rearing practices for targeted interventions to promote health and reduce obesity.

项目概要 美国儿童和青少年的肥胖已成为一个严重的公共卫生问题。 迄今为止，我们对家庭因素和孩子的作用的认识还存在很大差距。 对儿童肥胖的病因学特征有透彻的了解。 问题的过程以及风险如何在孩子的成长过程中交叉和累积 生活是有效干预策略的关键。 家庭因素（贫困、婚姻状况/家庭结构、母亲/父亲）的关系 抑郁症）、孩子的气质和养育孩子的特征（养育方式、非母性 儿童保育）随着肥胖的发展和体重状态的转变/持续 儿童期和青春期的不同阶段。 人类发展 (NICHD) 幼儿保育和青少年发展研究 (SECCYD) 检查了全国 1,364 名出生队列的受试者，并全面收集了 纵向信息，从出生到青春期（15 岁）频繁间隔，包括 父母和孩子的特征，以及标准测量的体重和身高。 生命历程理论和社会生态理论，拟议的研究将确定是否 存在风险的关键阶段，并且在孩子的一生中是否存在风险积累 该研究将探讨关键家庭之间的相互作用。 影响儿童肥胖风险的因素和儿童特征，并检查 这些个体变量对肥胖发展的平均/边际影响和 儿童期和青春期体重状况的转变/持续具体目标是： 1) 目标 1：评估家庭的影响（贫困、婚姻状况/家庭结构、母亲/父亲 抑郁症、教养方式、非母育儿）和个人（孩子气质）水平 肥胖发展的特征和体重状态的转变/持续 2）探索童年时期家庭因素与孩子气质之间可能的相互作用 特征与育儿特征（教养方式、非母性育儿） 肥胖的发展和儿童时期体重状态的转变/持续 混合。 模型、广义估计方程 (GEE) 和结构方程建模 (SEM) 该技术将用于分析数据。 进行全面的数据分析，对动态进行有效和准确的估计 关键家庭因素和儿童特征与童年时期肥胖风险的关联 因此，我们提出的研究将显着延长目前的研究范围。 有关儿童和青少年肥胖风险和途径的知识。 这项研究将有助于确定关键的家庭背景和儿童抚养方式，以实现有针对性的目标 促进健康和减少肥胖的干预措施。