Longitudinal and Micro-Level Dyadic Analysis of Toddler-Caregiver Feeding Interactions among Low-Income Dyads

低收入二人组中幼儿与看护者喂养互动的纵向和微观二元分析

基本信息

批准号：
9529253
负责人：
Bridget R. Armstrong
金额：
$ 6.12万
依托单位：
UNIVERSITY OF MARYLAND BALTIMORE
依托单位国家：
美国
项目类别：
财政年份：
2017
资助国家：
美国
起止时间：
2017-07-10 至 2019-07-09
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9529253
关键词：
Adolescence Adult African American Age Anthropometry Asthma Attitude Behavior Behavioral Cardiovascular Diseases Caregivers Child Child Behavior Child Health Childhood Code Data Data Analyses Development Diet Habits Dietary intake Disease Eating Eating Behavior Eating Disorders Emotional Epidemic Family Food Foundations Funding Future Grant Growth Habits Health Healthy Eating Hypertension Individual Intervention Investigation Life Life Style Link Low income Maternal Behavior Mediating Mental Depression Mentorship Methodology Methods Mission Modeling Mothers Musculoskeletal National Heart, Lung, and Blood Institute Nature Non-Insulin-Dependent Diabetes Mellitus Obesity Outcome Overweight Parent-Child Relations Parents Pathway interactions Pattern Preventive Intervention Process Questionnaires Reporting Research Risk Risk Factors Scheme Science Scientist Sleep Disorders Statistical Models Stigmatization Techniques Time Toddler Training Translating United States National Institutes of Health Weight Weight Gain cardiovascular disorder risk dyadic interaction early childhood experience feeding health disparity insight minority children obesity in children obesity prevention obesity risk parental influence prevent skills social socioeconomics time use training opportunity

项目摘要

Project Summary The purpose of this proposal is to provide training opportunities and mentorship in latent variable and dyadic data analyses. These skills will be used to examine the science that underlies parent-child mealtime interactions and to predict weight gain in toddlers. This training grant includes coursework in advanced statistical modeling and mentorship geared towards professional development. This coursework and mentorship provides the opportunity to build a foundation as an independent research scientist. The pediatric obesity epidemic contributes to health disparities by increasing the risk for health outcomes including cardiovascular disease, asthma, and obstructive sleep disorders. Obesity occurs disproportionately among low-income and minority children. The origins of pediatric obesity begin early in life; eating habits formed during early childhood comprise the basis of long term lifestyle behaviors. Parent-child mealtime interactions are linked to eating and overweight in children. Furthermore, disordered maternal eating attitudes often translate to less harmonious mealtime interactions. Therefore, investigation into bidirectional parent-child mealtime interactions may yield insight into disordered eating patterns and ultimately reduce obesity risk. The proposed study seeks to examine the relation between maternal eating attitudes and childhood health outcomes. Specifically, the study aims to create a theoretically inclusive model to determine if mealtime interactions mediate the relation between maternal eating attitudes and child weight over time. Latent variable modeling techniques will be used to examine if maternal eating attitudes predict mealtime behaviors and toddler weight trajectory. Additionally, the proposed study aims to elucidate the bidirectional relations between parent-child interactions during mealtimes. This will be accomplished using analysis of intensive micro-level dyadic longitudinal data. The proposed study is unique in the use of observational methods to examine longitudinal dyadic interactions. This project is in line with NHLBI's mission to prevent HLBS diseases through identification of changeable risk factors associated with obesity in young children.

项目概要该提案的目的是提供潜在变量和潜在变量方面的培训机会和指导二元数据分析。这些技能将用于检验亲子进餐的科学依据相互作用并预测幼儿的体重增加。该培训补助金包括高级课程面向专业发展的统计建模和指导。本课程作业和导师制提供了为独立研究科学家奠定基础的机会。儿童肥胖流行增加了健康风险，从而加剧了健康差异后果包括心血管疾病、哮喘和阻塞性睡眠障碍。肥胖发生在低收入儿童和少数民族儿童中所占比例不成比例。儿童肥胖症的起源始于生命早期。幼儿时期形成的饮食习惯构成了长期生活方式行为的基础。亲子进餐时的互动与儿童的饮食和超重有关。另外，产妇饮食不规律态度往往会导致进餐时的互动不太和谐。因此，研究双向亲子进餐时的互动可能有助于了解饮食失调模式，并最终减少肥胖风险。拟议的研究旨在探讨母亲饮食态度与童年之间的关系健康结果。具体来说，该研究旨在创建一个理论上具有包容性的模型来确定进餐时间是否随着时间的推移，相互作用调节母亲饮食态度和孩子体重之间的关系。潜变量建模技术将用于检查母亲的饮食态度是否可以预测进餐时间的行为幼儿体重轨迹。此外，拟议的研究旨在阐明之间的双向关系进餐时亲子互动。这将通过对微观层面的深入分析来完成二元纵向数据。拟议的研究的独特之处在于使用观察方法来检查纵向二元相互作用。该项目符合 NHLBI 的使命，即通过以下方式预防 HLBS 疾病：识别与幼儿肥胖相关的可变危险因素。