Obesity Prevention in Head Start: The Miranos! Program

肥胖预防先行者：米拉诺斯！

基本信息

批准号：
9354453
负责人：
DEBORAH PARRA-MEDINA
金额：
$ 63.16万
依托单位：
UNIVERSITY OF TEXAS SAN ANTONIO
依托单位国家：
美国
项目类别：
财政年份：
2016
资助国家：
美国
起止时间：
2016-09-20 至 2021-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9354453
关键词：
3 year old Accelerometer Address Administrator Adolescence Adult Affect Age American Behavior Body mass index Caring Child Child Care Chronic Disease Cluster randomized trial Collaborations Complex Consensus Consumption Control Groups Cost Effectiveness Analysis Data Collection Development Diet Dietary Fiber Dietary intake Economic Burden Education Educational Intervention Enrollment Environment Epidemic Ethnic group Evaluation Family Family Practice Fatty acid glycerol esters Female Food Food Preferences Fructose Gender Gold Growth Guidelines Habits Head Start Program Health Health behavior Health education Height Home environment Home visitation Incidence Intake Interdisciplinary Study Intervention Latino Literature Low income Methods Motor Motor Skills Nutrition Policy Obesity Outcome Overweight Parents Performance Physical activity Play Policies Preschool Child Prevalence Prevention Prevention program Prevention strategy Process Provider Public Health Randomized Randomized Controlled Trials Recommendation Reporting Research Infrastructure Resources Services Sleep South Texas Staff Development Strenuous Exercise Testing Time Training United States Weight age group aged arm base cardiometabolic risk combat cost cost effectiveness cost-effectiveness evaluation design early childhood early onset efficacy study efficacy testing energy balance evidence base follow-up fruits and vegetables healthy weight intervention program lower income families nutrition nutrition education obesity in children obesity prevention population health post intervention preference prevent primary outcome programs prospective psychosocial racial and ethnic secondary outcome sedentary lifestyle sugar synergism treatment group tv watching

项目摘要

Abstract The prevalence of obesity remains high in American children aged 2-5 while one in three Head Start children is overweight or obese. The proposed study is designed to test the efficacy of an early childhood obesity prevention program, “Obesity Prevention in Head Start: The Míranos! Program”, which promotes healthy growth in predominantly Latino children in Head Start. The Míranos! includes center-based (policy changes, staff development, gross motor program, and nutrition education) and home-based (parent engagement/ education and home visits) interventions to address key enablers and barriers in obesity prevention in young children. In partnership with Head Start, we have demonstrated the feasibility and acceptability of the proposed interventions to influence energy-balance-related behaviors favorably in Head Start children. Using a three-arm cluster randomized design, 21 Head Start centers in equal number will be randomly assigned to one of three conditions: 1) a combined center- and home-based intervention, 2) center-based intervention only, or 3) control. The interventions will be delivered during the academic year (an 8-month period). A total of 525 3-year-old children (52% females; n=25 per center at baseline) will be enrolled in the study and followed prospectively one year post intervention. Data collection will be conducted at baseline, immediate post-intervention, and 1-year follow-up and include height, weight, physical activity (PA) and sedentary behaviors by accelerometry, parent-reports of sleep duration and TV watching time, gross motor development, dietary intakes and food and activity preferences. Information on family background, parental weight, PA- and nutrition-related practices and behaviors, PA and nutrition policy and environment at center and home, intervention program costs, and treatment fidelity will also be collected. The study has three specific aims: 1) to test the efficacy of the Míranos! intervention on healthy weight growth (primary outcome) in normal weight, overweight and obese children, 2) to test the impact of the Míranos! intervention on children's PA, sedentary behavior, sleep, and dietary behaviors (secondary outcomes), and 3) to evaluate cost- effectiveness of the Míranos! intervention. With endorsement of a large local Head Start administrator and a multi-disciplinary research team, the Míranos!, a culturally tailored obesity prevention program, is poised to provide evidence of a policy and environmental approach to prevent early onset of obesity and its cost-effectiveness in low-income Latino preschool children. By targeting multiple behaviors at different levels of influence and in multiple settings, the Míranos! holds great promise of developing long-term health habits that reduce the energy imbalance gap by targeting multiple energy-balance-related behaviors. The Míranos! can be disseminated to various organized child care settings since it is built on Head Start program and its infrastructure—a gold standard in early childhood education, as well as current PA and nutrition recommendations for preschool children.

抽象的 2-5岁的美国儿童的肥胖症缓解率高，而三分之一的启动儿童是IS IS IS IS 超重或肥胖。预防计划，“肥胖的生产：米拉诺斯计划！” 主要是拉丁裔儿童的成长。员工开发，总体运动计划和营养教育）和家庭（父母参与/ 教育和家庭访问）干预措施，以解决年轻肥胖症肥胖的关键推动因素和障碍儿童与刚起步合作，我们已经证明了你的可行性和可接受性拟议的IntervuationNtiors首先喜欢启动儿童。使用三臂群集随机设计，21个同等数字的头启动中心将是随机的分配给三个条件之一：1）仅间隔，或3）干预措施。时期）。研究并在干预后一年进行研究。立即干预后和1年的随访，包括身高，体重，体育锻炼（PA）和通过加速度计，睡眠持续时间和电视观看时间的久坐行为开发，饮食摄入量，食品和食物活动偏好。体重，PA和营养领导的实践和行为，PA和营养政策与环境的中心和家庭，国际计划成本和信任忠诚度也将收集。目的：1）测试Míranos的功效！正常体重，超重和肥胖的孩子，2）测试米拉诺斯的影响！ PA，久坐行为，睡眠和饮食行为（次要结果），以及3）评估成本 - Míranos的有效性！在认可大型本地头部启动管理员和一个多学科研究团队的情况下，米拉诺斯！防止早期观察肥胖症及其在低收入拉丁美洲的成本效益的环境方法学龄前儿童。米拉诺斯（Míranos）！针对多个能量平衡相关，可以将米拉诺斯传播到各种有组织的由于它是建立在Head Start计划ATS基础架构的基础架构的基础架构的基础设施之上，因此儿童保育定居点是早期的黄金标准儿童教育以及当前针对学龄前儿童的PA和营养建议。