Environmental and Family Influences on Adolescent Overweight

环境和家庭对青少年超重的影响

• 批准号: 7476261
• 负责人: Madeline A. Dalton
• 金额: $ 46.24万
• 依托单位: DARTMOUTH COLLEGE
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-19 至 2010-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7476261
• 关键词: Accounting; Adolescence; Adolescent; Adult; Age; Age-Years; Area; Average Household Income; Baseline Surveys; Body mass index; Characteristics; Child; Communities; Consumption; Data; Dependence; Dietary intake; Doctor of Philosophy; Eating; Engineering; Enrollment; Ensure; Environment; Epidemiology; Ethnography; Family; Family Characteristics; Family Practice; Fatty acid glycerol esters; Food; Frequencies; Geographic Information Systems; Goals; Growth; Health; Height; Home environment; Incidence; Individual; Intervention; Life; Longitudinal Surveys; Maps; Marketing; Measures; Mediating; Methods; Modeling; Morbidity - disease rate; Motor Vehicles; Nature; New England; New Hampshire; Obesity; Outcome; Overweight; Parents; Participant; Pattern; Pediatrics; Physical activity; Population Heterogeneity; Preparation; Prevalence; Prospective Studies; Qualitative Methods; Range; Rate; Recreation; Recruitment Activity; Reporting; Research; Research Personnel; Restaurants; Risk; Risk Factors; Rural; Rural Community; Rural Population; Sampling; Schools; Site; Skiing; Socioeconomic Status; Sports; Stable Populations; Standards of Weights and Measures; Surveys; Target Populations; Telephone; Transportation; Update; Variant; Vermont; Weight; cohort; dalton; density; design; family influence; farmer; fast food; follow-up; food resource; improved; information gathering; land use; modifiable risk; multidisciplinary; obesity risk; peer; prevent; programs; response; rural area; sex; success

DESCRIPTION (provided by applicant) Project Summary: The impact of the built environment on health in rural areas has been understudied and virtually nothing is known about the influence of the rural built environment on overweight in adolescents. Our overarching goal for this study is to examine the influence of the built environment on adolescent overweight in the predominantly rural communities of Northern New England. Our multidisciplinary team will use quantitative and qualitative methods to conduct multi-level assessments of risk factors for adolescent overweight. We will accomplish our aims by studying an established cohort of 2567 adolescents and their parents, representing 26 stable and largely rural communities in Vermont and New Hampshire. When adolescents (8-13 years of age) were first surveyed in 2002-2003, the prevalence of overweight by community ranged from 9.7% to 34.1%, indicating substantial variation at the community level. Relevant individual and family characteristics of this cohort will be assessed through three annual telephone surveys, beginning in January 2006. We will use GIS data and on-site mapping, to characterize the built environment of each community. The community level data will include assessments of recreational resources and food (including fast food) availability, as well as standard measures of density, diversity and design. We will use an ethnographic approach to assess and describe the 'culture' surrounding physical activity and food within each of the schools attended by our cohort. The assessment of multi-level data will allow us to investigate how individual and family characteristics interact with the built environment to influence adolescent overweight. Our primary outcome will be adolescent overweight (defined as body mass index (BMI) equal to or greater than the 95th percentile of the sex-specific BMI-for-age growth curves. Intermediate outcomes will include adolescent physical activity levels and dietary intake patterns, including consumption of high fat and high calorie foods. The multi-disciplinary expertise of our investigative group and the availability of a well-established cohort ensure the feasibility, efficiency, and success of the proposed effort. Relevance: Our study includes children and low SES communities, two populations targeted by RFA-04-003 because of their vulnerability. In addition, our study focuses on rural communities, meeting the expressed need for studies of rural populations. Results from this study will help to identify risk factors that could be targeted through specific interventions to prevent adolescent overweight.

描述（由申请人提供） 项目摘要：建筑环境对农村地区健康的影响已经进行了研究，几乎对农村建筑环境对青少年超重的影响一无所知。 这项研究的总体目标是研究建筑环境对新英格兰北部农村社区青少年超重的影响。 我们的多学科团队将使用定量和定性方法来对青少年超重的风险因素进行多层次评估。 我们将通过研究成立的2567名青少年及其父母的既定队列来实现我们的目标，代表佛蒙特州和新罕布什尔州的26个稳定且很大程度上的农村社区。 当青少年（8-13岁）于2002 - 2003年首次接受调查时，社区超重的患病率在9.7％至34.1％之间，表明社区一级的差异很大。 该队列的相关个人和家庭特征将通过2006年1月开始的三年年度电话调查进行评估。我们将使用GIS数据和现场映射来表征每个社区的建筑环境。 社区级别的数据将包括评估休闲资源和食物（包括快餐）的可用性，以及密度，多样性和设计的标准衡量标准。 我们将使用一种民族志方法来评估和描述我们队列所参加的每所学校内的体育活动和食物的“文化”。多层次数据的评估将使我们能够调查个人和家庭特征如何与建筑环境相互作用以影响青少年超重。我们的主要结果将是青春期的超重（定义为体重指数（BMI）等于或大于或大于性别特定的性别BMI的第95个百分点。中等结果。中等结果包括青少年体育锻炼水平和饮食中的饮食摄入量，包括高脂肪和高脂肪的食用，包括高脂肪和高级良好的良好型群体，我们的群体良好的良好型专业企业是我们的一定份量，我们的富裕量是一定的，我们的专业疗法是一定的，并且是我们的一定份量的良好型，并且是我们的一定份量的良好型，并且是我们的一定份量的良好型，并且我们的饮食良好的良好份额和饮食良好的良好份额既有良好的成分又有型号。拟议的工作的可行性，效率和成功：我们的研究包括儿童和较低的社区，因为他们的脆弱性是RFA-04-003的两个人群，我们的研究集中在农村社区中，满足了对农村人群的明确需求。