Assessing and Preventing Obesity Among New Immigrants

评估和预防新移民的肥胖

基本信息

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
项目类别：
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

项目摘要

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：移民人口由于医疗服务不足、收入低以及在种族/族裔和语言上属于少数群体，在适应肥胖环境时变得肥胖的风险特别高他们曾经在美国居住过。在这些社区的积极参与下制定的预防性干预措施有可能预防或减轻体重增加。我们将使用有效性衡量标准来证明与马萨诸塞州萨默维尔的移民社区合作完善、实施、评估和传播为期 2 年的预防性干预措施的可行性，以减轻或减少 435 名新移民母子的体重增加。移民。主要试验完成后，435 名母子组合将被随机分配接受干预或作为对照组接受延迟干预。我们将招收来自巴西、海地和拉丁美洲国家的移民，这些群体大量来到马萨诸塞州东部，并由当地社区机构提供服务。干预目标侧重于健康饮食、增加身体活动和减少久坐行为等领域的 10 个以家庭为基础的目标。具体来说，该干预措施旨在通过提供教育、技能发展和支持来降低或维持体重指数，从而使成年人进入健康体重范围。对于儿童来说，它的设计目的是使每天的能量消耗增加高达 125 kcals，超出伴随生长的能量消耗和能量摄入的增加。根据我们在这些群体中的形成性研究，干预内容将在我们的社区合作伙伴的机构中以小组形式提供。针对特定移民群体需求的“生活方式辅导”课程和支持小组将利用新移民的传统健康行为，并教授影响家庭环境的具体策略。拟议的项目反映了一个多学科研究小组正在进行的工作，并建立在萨默维尔两项成功的研究计划的基础上，一项已完成，一项正在进行。这项基于社区的参与性研究的目标是根据社区的兴趣和参与制定的。社区合作伙伴与我们合作进行了用于开发此应用程序的形成性研究，并将参与整个项目的设计、招募、交付和研究评估。向受影响社区传播结果被认为至关重要，这样做的目的是加强社区资源、预防性医疗保健和移民教育。此外，如果成功，该试验在全国范围内推广可以帮助其他拥有大量移民人口的社区降低这一弱势群体的肥胖风险。公共卫生相关性：美国的新移民在适应新的致胖环境时面临着体重增加和肥胖的高风险。我们在社区合作伙伴的积极投入下制定了量身定制的干预措施，有利于长期健康，预防心脏病、糖尿病和某些癌症，从而降低不断增长的医疗保健成本。