Achieving Energy Balance in Overweight Post Partum Teens

超重产后青少年实现能量平衡

• 批准号: 7694262
• 负责人: Debra Haire-Joshu
• 金额: $ 49.39万
• 依托单位: WASHINGTON UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-30 至 2011-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7694262
• 关键词: Active Learning; Adolescence; Adolescent; Adolescent Behavior; Behavior; Body mass index; Calories; Collaborations; Communication; Communities; Control Groups; Country; Decision Making; Development; Diet; Disease; Eating; Educational Curriculum; Energy Intake; Equilibrium; Evaluation; Event; Fatty acid glycerol esters; Foundations; Frequencies; Goals; Home environment; Home visitation; Hour; House Call; Intake; Internet; Intervention; Knowledge; Learning; Life Style; Measures; Mentors; Methods; Milk; Modeling; Non-Insulin-Dependent Diabetes Mellitus; Obesity; Online Systems; Overweight; Parenting Education; Parents; Pattern; Performance; Postpartum Period; Protocols documentation; Psychological reinforcement; Randomized; Reporting; Research Personnel; Risk; Schools; Secure; Series; Site; Social support; Technology; Teenagers; Testing; Time; Visit; Walking; Water consumption; Weight; Weight Gain; base; behavior change; cohort; critical period; design; energy balance; experience; group intervention; high risk; impaired glucose tolerance; improved; innovation; meetings; news; nutrition; parental monitoring; peer; pregnant; prevent; programs; sedentary; social cognitive theory; teacher; teenage parents; therapy design; web page

DESCRIPTION (provided by applicant): Background. Adolescence represents a critical period for the development of overweight that tracks into adulthood. This risk is significantly heightened for teens that become pregnant each year and experience postpartum weight retention and overweight leading to impaired glucose tolerance, type 2 diabetes, and other diseases. The postpartum period offers a window of opportunity to modify eating and activity patterns associated with obesity. Aims. The primary aim of our proposal is to test Balance Adolescent Lifestyle Activities and Nutrition Choices for Energy (BALANCE), a multilevel intervention designed to reduce overweight in postpartum teens, as measured by change in Body Mass Index (BMI). A series of secondary aims will then examine whether all or part of improvements in BMI can be explained by changes in adolescent behavior through replacement of 'obesogenic' patterns (soda, high fat snack intake, excess portion size, and sedentary activity) with 'energy' patterns (low fat milk/water consumption, FV intake, appropriate portion size, and walking), and by improvements in knowledge, modeling, and social support. This study will be conducted in collaboration with Parents As Teachers (PAT), a national parent education organization located in over 3108 PAT-affiliated sites across all 50 states. Methods and Evaluation. BALANCE reflects an ecological approach that recognizes the multiple, protective, and interactive influences on the teen (peers, parent educators) with behavior change strategies based on social cognitive theory. The study will take place within the multiple settings where teens spend time and will be implemented through personal visits by parent educators in the home, classroom-based activities with peers at school, and Internet- based interactions with parent educators and peers across the country. A group randomized, nested cohort design will be used to evaluate the impact of the program on the BMI of the overweight postpartum adolescent randomized to either a control (n=945) group receiving the standard PAT program, or intervention (n=945) group receiving BALANCE. Innovation: This innovative proposal is the first of its kind to (1) prevent or reduce the development of long-term overweight among high risk postpartum teens; (2) test a diet and activity intervention that combines one-to-one personal mentoring at home with group intervention in the classroom setting plus Internet activities supporting both approaches; and (3) secure a foundation for disseminating an empirically tested intervention to 26,000 teen parents located in PAT sites across the nation.

描述（由申请人提供）：背景。青春期代表了追踪到成年的超重发展的关键时期。对于每年怀孕的青少年，这种风险显着增加，并经历产后体重保留和超重，从而导致葡萄糖耐量受损，2型糖尿病和其他疾病。产后时期为修改与肥胖相关的饮食和活动模式提供了机会窗口。目标。我们建议的主要目的是测试青少年生活方式活动和能源的营养选择（平衡），这是一种多层次干预措施，旨在减少产后青少年超重，如体重指数（BMI）的变化所衡量。然后，一系列次要目标将检查BMI的全部或部分改进是否可以通过替换“肥胖”模式（苏打水，高脂肪零食的摄入量，过量的份量和久坐的活动）的变化来解释，并用“能量”模式（低脂肪牛奶/水消耗量，FV摄入，FV摄入量，适当的阶段和步行）以及改进和改善，并改善了知识，并改善了知识。这项研究将与父母合作作为教师（PAT），这是一个国家父母教育组织，该组织位于所有50个州的3108多个PAT相关地点。方法和评估。平衡反映了一种生态学方法，该方法认识到基于社会认知理论的行为改变策略对青少年（同伴，家长教育者）的多种，保护性和互动的影响。这项研究将发生在青少年花费时间的多个环境中，并将通过家长教育者在家庭中的个人访问，与同伴在学校的同龄人进行个人访问以及与全国的家长教育者和同龄人进行基于互联网的互动。随机嵌套队列设计的组将用于评估该程序对随机的超重产后青少年BMI的影响，以随机分配到接受标准PAT程序的对照组（n = 945）组，或者接受干预（n = 945）组接收余额。创新：这项创新提案是（1）预防或减少高风险产后青少年长期超重的第一项此类提议； （2）测试饮食和活动干预措施，该饮食和活动干预将在家中一对一的个人指导与课堂环境中的小组干预相结合，以及支持这两种方法的互联网活动； （3）确保将经验测试的干预措施传播给全国PAT的26,000名青少年父母的基础。

项目成果

The quality of school wellness policies and energy-balance behaviors of adolescent mothers.

学校健康政策的质量和青少年母亲的能量平衡行为。

• 发表时间: 2011
• 期刊: Preventing chronic disease
• 影响因子: 5.5
• 作者: Haire-Joshu,Debra;Yount,ByronW;Budd,ElizabethL;Schwarz,Cynthia;Schermbeck,Rebecca;Green,Scoie;Elliott,Michael
• 通讯作者: Elliott,Michael