Healthy Mothers-Healthy Children: An Intervention with Hispanic Mothers and their Young Children

健康母亲-健康儿童：对西班牙裔母亲及其幼儿的干预

基本信息

批准号：
10188650
负责人：
Hudson Santos
金额：
$ 58.54万
依托单位：
UNIV OF NORTH CAROLINA CHAPEL HILL
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：
2018-08-30 至 2022-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10188650
关键词：
11 year old 14 year old 4 year old 5 year old Accelerometer Address Adult Area Behavior Body Weight decreased Body mass index Cardiovascular Diseases Categories Child Child Health Child Nutrition Chronic Disease Color Communities Control Groups Coping Skills Cost-Benefit Analysis Data Data Analyses Eating Economics Education Effectiveness Enrollment Exercise Experimental Designs Food Foundations Future Goals Health Health Care Costs Health Promotion Health behavior Hispanics Home Hour Intervention Knowledge Learning Life Life Style Low income Measures Mediating Mediator of activation protein Minority Mission Modeling Morbidity - disease rate Mothers Non-Insulin-Dependent Diabetes Mellitus North Carolina Obesity Outcome Overweight Physical Education Physical activity Play Policies Populations at Risk Prediabetes syndrome Prevalence Prevention Public Health Questionnaires Randomized Research Risk Role Self Efficacy Shapes Testing Thinness Time Treatment Efficacy Triceps Brachii Muscle United States United States National Institutes of Health Weight Weight Gain Woman Work attentional control base community center cost cost effective cost effectiveness efficacy testing elementary school exercise intervention group intervention health of the mother improved infancy intervention cost minority children mortality mother nutrition nutrition obese mothers obesity in children prevent primary outcome programs public health intervention secondary outcome skills training theories waist circumference

项目摘要

PROJECT SUMMARY Hispanic women and children who become overweight or obese are at risk for developing prediabetes, type 2 diabetes, and cardiovascular disease later in life. To date, there have been no interdisciplinary interventions that have targeted Hispanic women and their 4-year old children to improve nutrition and physical activity behaviors to manage adiposity and weight in mothers and prevent excessive adiposity and weight gain trajectory in their children. Using a randomized two-group, repeated measures experimental design, the goal of the proposed study is to investigate the efficacy of a 12-week nutrition and exercise education, physical activity, coping skills training, and home-based physical activity intervention in Hispanic women and their 4-year old children and 6 months of continued monthly contact to help overweight and obese Hispanic mothers improve adiposity, weight, health behaviors (nutrition and physical activity), and self-efficacy and their 4-year old children improve their adiposity and weight gain trajectory and health behaviors (nutrition and physical activity). W e will partner with two federally qualified health departments in Durham and Chatham, North Carolina to enroll Hispanic women and their 4-year old children and we will partner with community centers to deliver the intervention. A total of 294 Hispanic women with a BMI 2 >25 kg/m and 294 Hispanic 4-year old children with a BMI percentile > 25 will be enrolled over 4 years and randomized to the experimental or equal attention control group. Data will be collected at Time 1 (0 months [baseline]) to Time 2 (9 months [completion of the intervention]) and Time 1 to Time 3 (15 months [after 6 months with no contact from the study staff]). Data collected will include adiposity (primary outcomes: waist circumference, triceps and subscapular skinfolds) in mothers and children and weight (primary outcomes: body mass index [BMI] in mothers and BMI percentile in the children). Secondary outcomes will include health behaviors and self-efficacy in the mothers (Adult Health Behavior Questionnaire, Lifestyle Health Promoting Profile II, 3 day 24-Hour Food Recall, and 7 day Accelerometer, Eating Self-Efficacy Scale and Exercise Self-Efficacy Scale) and in the children (7 day Accelerometer and 3 day 24-Hour Food Recall). We will also evaluate the cost of delivering the program for public health departments. Data analysis will use general linear mixed models to test the hypotheses. Decreasing overweight and obesity in Hispanic women and slowing adiposity and weight gain trajectory in young Hispanic children is urgently needed to decrease morbidity, mortality, and future health care costs. The knowledge to be gained from this study may provide a foundation for extending this intervention to other Hispanic mothers and children in other communities to assist mothers in managing their weight and preventing excessive adiposity and weight gain in their children. This approach is translatable, real-world, and could be replicated in other areas of the United States.

项目摘要超重或肥胖的西班牙裔妇女和儿童有发展糖尿病前期的风险， 2型糖尿病和心血管疾病以后。迄今为止，还没有跨学科针对西班牙裔妇女及其4岁儿童的干预措施，以改善营养和身体活动行为以管理母亲的肥胖和体重，并防止过度肥胖和体重增加的孩子。使用随机的两组重复测量实验设计，拟议的研究的目的是研究12周营养和运动的功效西班牙裔的教育，体育活动，应对技能培训和家庭体育锻炼干预妇女及其4岁的孩子以及6个月的每月联系，以帮助超重和肥胖的西班牙裔母亲改善肥胖，体重，健康行为（营养和体育锻炼），以及自我效能感和4岁的孩子改善了他们的肥胖和体重增加的轨迹和健康行为（营养和体育锻炼）。我们将与两个联邦合格的卫生部门合作在北卡罗来纳州达勒姆和查塔姆，招募西班牙裔妇女及其4岁的孩子，我们将与社区中心合作以进行干预。共有294名西班牙裔女性 2 > 25 kg/m和294个西班牙裔4岁儿童，BMI百分位数> 25年将在4年内注册并随机分为实验或相等的注意对照组。数据将在时间1收集（0 月份[基线]）到时间2（9个月[干预的完成]）和时间1到时间3（15个月 [6个月后，没有研究人员的联系））。收集的数据将包括肥胖（主要结果：腰围，三头肌和肩cap骨皮）在母亲和儿童中（主要结果：母亲的体重指数[BMI]和儿童的BMI百分位数）。次要成果将包括母亲的健康行为和自我效能感（成人健康行为问卷调查，生活方式健康促进资料II，3天24小时食物召回和7天加速度计，饮食自我效能量表和运动自我效能量表）和儿童（7天加速度计和 3天24小时的食物召回）。我们还将评估提供公共卫生计划的成本部门。数据分析将使用一般线性混合模型来检验假设。减少西班牙裔女性的超重和肥胖症，减缓肥胖和体重增加的年轻人迫切需要西班牙裔儿童以降低发病率，死亡率和未来的医疗保健费用。这从这项研究中获得的知识可能为将这种干预扩展到其他西班牙裔母亲和其他社区的儿童协助母亲管理体重和防止孩子过度肥胖和体重增加。这种方法是可以翻译的，真实的，并且可以在美国其他地区进行复制。