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.

项目概要超重或肥胖的西班牙裔妇女和儿童有患糖尿病前期的风险， 2 型糖尿病和晚年心血管疾病。迄今为止，还没有跨学科的研究针对西班牙裔妇女及其 4 岁儿童的干预措施，旨在改善营养和控制母亲肥胖和体重并防止过度肥胖的体育活动行为孩子的体重增加轨迹。使用随机两组、重复测量实验设计中，拟议研究的目标是调查 12 周营养和运动的效果西班牙裔的教育、体育活动、应对技能培训和家庭体育活动干预妇女及其 4 岁儿童每月持续 6 个月接触，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（营养和体力活动），以及自我效能感及其 4 岁孩子改善肥胖和体重增加轨迹及健康状况行为（营养和身体活动）。我们将与两个具有联邦资格的卫生部门合作在北卡罗来纳州的达勒姆和查塔姆，招收西班牙裔妇女及其 4 岁的孩子，我们将与社区中心合作提供干预措施。共有 294 名具有 BMI 的西班牙裔女性 2 >25 kg/m 和 294 名 BMI 百分位数 > 25 的西班牙裔 4 岁儿童将在 4 年内入学并随机分配到实验组或同等关注对照组。数据将在时间 1（0 月[基线]）到时间 2（9 个月[完成干预]）以及时间 1 到时间 3（15 个月） [6 个月后研究人员没有联系]）。收集的数据将包括肥胖（原发性肥胖）结果：母亲和儿童的腰围、三头肌和肩胛下皮褶）以及体重（主要结果：母亲的体重指数 [BMI] 和儿童的 BMI 百分位）。中学结果将包括母亲的健康行为和自我效能（成人健康行为调查问卷、生活方式健康促进概况 II、3 天 24 小时食品召回和 7 天加速计，饮食自我效能感量表和运动自我效能感量表）和儿童（7 天加速计和 3 天 24 小时食品召回）。我们还将评估实施该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。减少西班牙裔女性超重和肥胖以及年轻人肥胖和体重增加轨迹减缓迫切需要西班牙裔儿童降低发病率、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以为将该干预措施扩展到其他领域奠定基础其他社区的西班牙裔母亲和儿童协助母亲控制体重和体重防止孩子过度肥胖和体重增加。这种方法是可翻译的，现实世界的，并可以在美国其他地区复制。