Assessing and Preventing Obesity Among New Immigrants

评估和预防新移民的肥胖

• 批准号: 7878678
• 负责人: CHRISTINA D ECONOMOS
• 金额: $ 59.01万
• 依托单位: TUFTS UNIVERSITY BOSTON
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-09-30 至 2012-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7878678
• 关键词: Address; Adopted; Adult; Affect; Age; American; Area; Behavior; Behavioral; Brazil; Characteristics; Child; Child Nutrition; Cities; Communities; Community Participation; Country; Development; Diabetes Mellitus; Eating; Economics; Education; Educational process of instructing; Elements; Energy Intake; Energy Metabolism; Enrollment; Environment; Evaluation Research; Family; Funding; Goals; Growth; Haiti; Health; Health Care Costs; Healthcare; Household; Immigrant; Immigration; Intention; Interdisciplinary Study; Intervention; Knowledge; Laboratories; Life Style; Linguistics; Location; Low income; Malignant Neoplasms; Massachusetts; Measures; Mental Depression; Minority; Modeling; Mothers; Neighborhoods; Obesity; Parent-Child Relations; Parents; Physical activity; Population; Preventive; Preventive Intervention; Psychosocial Factor; Race; Randomized; Research; Resources; Risk Factors; Stress; Support Groups; Testing; Time; Vulnerable Populations; Weight; Weight Gain; Work; base; behavior change; community based participatory research; design; dissemination trial; effectiveness measure; group intervention; heart disease prevention; high risk; improved; indexing; interest; medically underserved; meetings; obesity in children; obesity prevention; obesity risk; prevent; psychosocial; public health relevance; research study; residence; response; sedentary; skills; weight gain prevention

DESCRIPTION (provided by applicant): Project Description: Immigrant populations, by virtue of being medically-underserved, low-income, and of race-/ethnic and linguistic minority status are at particularly high risk to become obese as they adapt to the obesogenic environment in which they reside once in the US. Preventive interventions developed with the active participation of these communities have the potential to prevent or moderate the weight gain. We will demonstrate, using measures of effectiveness, the feasibility of partnering with the immigrant community in Somerville, MA to refine, implement, evaluate, and disseminate a 2-year preventive intervention to moderate or reduce weight gain in 435 mother/child dyads of new immigrants. The 435 mother/child dyads will be randomized to either receive the intervention or to serve as controls that will receive a delayed intervention, once the main trial is completed. We will enroll immigrants from Brazil, Haiti, and Latin-American countries, groups who are coming in large numbers to eastern MA, and are served by local community agencies. Intervention targets focus on 10 family-based goals in the areas of healthy eating, increased physical activity, and the reduction of sedentary behavior. Specifically, the intervention is designed to bring adults into the healthy weight range by reducing or maintaining BMI by providing education, skill development and support. In children it will be designed to result in an increased energy expenditure of up to 125 kcals per day beyond the increases in energy expenditure and energy intake that accompany growth. Based on our formative research within these groups, intervention elements will be delivered in small groups at the agencies of our community partners. }Lifestyle coaching} sessions and support groups tailored to the specific immigrant groups' needs will capitalize on traditional healthy behaviors practiced by new immigrants and teach specific strategies that effect family environments. The proposed project reflects the ongoing work of a multidisciplinary research group and builds on two successful research initiatives in Somerville, one completed and one ongoing. The goals of this community-based participatory research study have been developed from community interest and involvement. The community partners engaged with us to conduct the formative research used to develop this application, and will be involved in the design, recruitment, delivery, and research evaluation throughout the project. Dissemination of results to the affected community was deemed critical and will be done with the intention of strengthening community resources, preventive health care and education for immigrants. Furthermore, if successful, national dissemination of this trial can assist other communities with large immigrant populations to reduce the risk of obesity in this vulnerable population. PUBLIC HEALTH RELEVANCE: New immigrants to the US are at high risk of weight gain and obesity as they adapt to their new obesogenic environment. Our tailored intervention, developed with active input of our community partners, stands to benefit long-term health, in the prevention of heart disease, diabetes, and some cancers, and thereby reduce burgeoning health care costs.

描述（由申请人提供）：项目描述：移民人口，由于是医学上的，低收入和种族/种族和语言少数群体地位，在适应美国居住的肥胖环境时，肥胖的风险尤其高。通过这些社区的积极参与而制定的预防干预措施有可能预防或减轻体重增加。我们将使用有效性的度量来证明与马萨诸塞州萨默维尔的移民社区合作的可行性，以完善，实施，评估和传播2年的预防性干预措施，以适度或减轻435个新移民的母亲/儿童的体重增加。一旦主审判完成，435个母亲/子二元组将随机分配接受干预措施或用作控制延迟干预措施的对照。我们将招募来自巴西，海地和拉丁美洲国家的移民，这些国家大量向马萨诸塞州东部招募，并由当地社区机构提供服务。干预目标集中在健康饮食领域，体育锻炼增加以及久坐行为的减少方面的10个基于家庭的目标。具体而言，干预措施旨在通过提供教育，技能发展和支持来减少或维持BMI，使成年人进入健康的体重范围。在儿童中，它的设计将导致每天增加125 kcals的能源消耗，而不是能源消耗和能量摄入伴随增长的增加。基于我们在这些小组中的形成性研究，干预因素将在我们社区合作伙伴的机构的小组中交付。 }生活方式教练}会议和支持团体量身定制的针对特定移民团体需求的团体将利用新移民实践的传统健康行为，并教授影响家庭环境的特定策略。拟议的项目反映了一个跨学科研究小组的持续工作，并建立在萨默维尔的两项成功研究计划的基础上，其中一项完成了。这项基于社区的参与性研究的目标是从社区的兴趣和参与中发展出来的。社区合作伙伴与我们互动，进行了用于开发此应用的形成性研究，并将参与整个项目的设计，招聘，交付和研究评估。将结果传播给受影响的社区被认为是至关重要的，将以加强社区资源，预防性医疗保健和移民的教育为目的。此外，如果成功，该试验的全国传播可以帮助其他人口大量移民人群的其他社区，以减少这一脆弱人群的肥胖风险。公共卫生相关性：美国的新移民在适应新的肥胖环境时面临体重增加和肥胖的高风险。我们的量身定制干预措施是通过社区伙伴积极投入开发的，可以使长期健康，预防心脏病，糖尿病和某些癌症，从而降低迅速发展的医疗保健费用。