Disparities in the Relationship Between the School Nutrition Environment and Childhood Obesity

学校营养环境与儿童肥胖关系的差异

• 批准号: 9079298
• 负责人: Lauren E Au
• 金额: $ 11.42万
• 依托单位: UNIV OF CALIF/DIV/AGRICULTURE/NAT/RESOUR
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-05-02 至 2021-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9079298
• 关键词: 15 year old; Address; Affect; Age; Applications Grants; Area; Behavior; Behavioral; Child; Child Nutrition; Child health care; Communities; Comorbidity; Country; Data; Development; Diabetes Mellitus; Diet; Dietary Intervention; Dietary intake; Disadvantaged; Environment; Epidemic; Ethnic Origin; Evaluation; Funding; Goals; Guidelines; Health; Hyperlipidemia; Income; Intervention; Knowledge; Low income; Measures; Mentored Research Scientist Development Award; Minority; National Heart, Lung, and Blood Institute; Nature; Nutritional; Obesity; Outcome; Overweight; Parents; Pattern; Policies; Preparation; Prevalence; Public Health; Public Health Practice; Race; Reading; Research; Sampling; Schools; Series; Socioeconomic Factors; Statistical Methods; Testing; Time; Training; Training Programs; United States National Institutes of Health; Vulnerable Populations; Weight; Weight Gain; apprenticeship; base; career; design; disparity reduction; effective intervention; elementary school; ethnic minority population; experience; health disparity; healthy weight; improved; innovation; junior high school; meetings; minority student; nutrition; nutrition education; obesity in children; obesity prevention; obesity risk; prevent; programs; public health relevance; racial minority; skills; socioeconomics; success; trend

 DESCRIPTION (provided by applicant): The prevalence of childhood obesity has tripled over the last three decades, and ethnic minority and low- income children are disproportionally affected. Improving the school nutrition environment has the potential to reach disadvantaged children, yet little is known about the impact of the school nutrition environment on preventing obesity and reducing disparities. Understanding the relationship of the school nutrition environment to child obesity is important for addressing ways to improve dietary behaviors that are likely to prevent obesity and obesity-related co-morbidities such as hyperlipidemia and diabetes. I am pursuing a K01 Mentored Research Scientist Development Award to fill critical training gaps in the areas of school nutrition, health disparities, and longitudinal statistical methods. My career goal is to develop, implement, evaluate, and disseminate school-based nutrition interventions to promote nutritional health and reduce the risk of obesity within vulnerable populations. My detailed training plan includes formal coursework at UCSF and UC Berkeley, meetings, seminars, readings, and research apprenticeships. Through the proposed series of studies, I will determine which school nutrition programs and policies are associated with overweight and obesity and examine how disparities in access might underlie obesity patterns within the NIH-funded (NHLBI-led) Healthy Communities Study. My primary hypothesis is that higher intensity efforts to improve school nutrition environments, defined by duration, reach, and behavioral strategy, will have healthier weight children compared to lower intensity school nutrition environments, and this will differ by income and race/ethnicity. In preparation fo submitting an R01 grant application to test this hypothesis, I will first identify trends in the intensity of school nutrition programs and policies over a 10-year period in a national evaluation of elementary and middle schools in diverse communities. Second, I will examine the associations between the current school nutrition environment and children's weight status by income and race/ethnicity. Finally, I will determine whether the combination of a supportive school nutrition environment and school nutrition education is associated with improved weight status. These findings will be innovative because it will be the first critical step in identifying which school nutrition programs and policies are most effective for obesity prevention across a diverse set of socioeconomic factors to better inform public health practice. The proposed training plan and series of studies will provide me with a set of skills and expertise needed to successfully compete for R01 funding and to serve as a leader in the field of school-based interventions to prevent childhood obesity and reduce health disparities.

 描述（由适用提供）：在过去的三十年中，儿童肥胖的患病率增加了两倍，少数民族和低收入儿童受到了不成比例的影响。改善学校营养环境有可能吸引灾难儿童，但对学校营养环境对预防肥胖和减少差异的影响知之甚少。了解学校营养环境与儿童对象的关系对于解决可能预防肥胖症和与肥胖相关的合并症（例如高脂血症和糖尿病）的饮食行为的方法很重要。我正在寻求K01指导的研究科学家发展奖，以填补学校营养，健康差异和纵向统计方法领域的关键培训空白。我的职业目标是开发，实施，评估和传播基于学校的营养干预措施，以促进营养健康并降低脆弱人群中肥胖的风险。我的详细培训计划包括在UCSF和加州大学伯克利分校的正式课程，会议，半手，阅读和研究学徒制。通过拟议的一系列研究，我将确定哪些学校营养计划和政策与超重和肥胖有关，并研究进入中NIH资助（NHLBI-LED）健康社区研究中肥胖模式的基础。我的主要假设是，与较低强度的学校营养环境相比，由持续时间，覆盖范围和行为策略定义的更高强度的努力（由持续时间，覆盖范围和行为策略定义）将具有更健康的体重儿童，这将因收入和种族/种族/种族/种族而有所不同。 FO在提交R01赠款申请以检验这一假设的过程中，我将首先在10年内在对潜水员社区的小学和中学的全国评估中确定学校营养计划和政策强度的趋势。其次，我将研究当前的学校营养环境与儿童体重状况之间的关联。最后，我将确定支持的学校营养环境和学校营养教育的结合是否与体重状况的改善有关。这些发现将是创新的，因为它将是识别的第一步 哪些学校营养计划和政策最有效地预防一系列潜水员的社会经济因素，以更好地为公共卫生实践提供信息。拟议的培训计划和一系列研究将为我提供成功竞争R01资金并成为基于学校干预领域的领导者所需的一系列技能和专业知识，以防止儿童肥胖症并降低健康差异。