State-level policies, demographics and behaviors associated with youth obesity

与青少年肥胖相关的州级政策、人口统计和行为

• 批准号: 8065943
• 负责人: JUNE STEVENS
• 金额: $ 18.81万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-05-01 至 2014-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8065943
• 关键词: Accounting; Adolescent; Adolescent Behavior; Adolescent Risk Behavior; Adoption; American; Arkansas; Behavior; Behavioral; Body mass index; Data; Diet; Eating; Epidemic; Future; Goals; Health; Helmet; Heterogeneity; Individual; Intervention; Longitudinal Studies; Modeling; National Health and Nutrition Examination Survey; Obesity; Physical Education; Physical activity; Policies; Policy Research; Prevalence; Public Health; Public Policy; Reporting; Research; Research Personnel; Resolution; Schools; Seat Belts; Students; Testing; Texas; Time; Tobacco; United States; Weight; Work; Youth; demographics; design; good diet; high school; nutrition; programs; public health relevance; school health; success; therapy design; tool; trend

DESCRIPTION (provided by applicant): Obesity among youth tripled in the United States from 1980 to 2000 despite numerous public health interventions designed to educate youth about the benefits of a healthy diet and physical activity. After witnessing the success of public policy adoption targeting other public health issues (e.g. tobacco, bike helmets, seat belts) obesity researchers and policymakers have promoted policy as an intervention tool. The number of state bills and resolutions targeting youth obesity increased substantially in the past decade; however, very little is known about whether these policies have an effect on diet, activity, or BMI. A recent report from NHANES showed that there was no significant increase in average national prevalence of youth obesity between 1999 and 2006. This absence of change, after decades of consistent increases, suggests that policies implemented in the past decade could be having a positive effect. In this research we will use multi-level modeling to examine trends in BMI and weight-related behaviors in high school students within and across states. We will then examine associations between study state level policies for high schools and BMI and weight-related behaviors. Data for this work will be from the Youth Risk Behavior Surveillance (YRBS) and the School Health Programs and Policies Study (SHPPS). The Aims of the research are: Aim 1: To examine between-state differences in youth BMI time trends from 2001-07 and identify demographic and behavioral variables that contribute to the heterogeneity. Aim 2: To estimate the proportion of within-state changes in youth BMI from 2001-07 that is associated with demographic and behavioral changes. Aim 3: To determine if changes in state-level nutrition and physical activity policies from 2000-06 are associated with youth nutrition and physical activity behaviors in 2007. Aim 4: To determine if changes in state-level nutrition and physical activity related policies from 2000-06 are associated with youth BMI and obesity prevalence in 2007. Given the enormity of the destructive effects of the obesity epidemic on the current and future health of American youth, it is surprising that so little work has been done to evaluate the effects of large scale policies. To our knowledge, this will be the first study to merge data from the YRBS to that from SHPPS to estimate the impact of state-level policies on weight-related behaviors and obesity in youth. PUBLIC HEALTH RELEVANCE: We will study state policies effecting high schools to estimate their effects on adolescent behavior and BMI. This will be the most comprehensive study on this topic to date and will advance the field of obesity policy research; a field that has strong potential to impact the health of our youth, but has only just begun.

描述（由申请人提供）：尽管许多公共卫生干预措施旨在教育青年人的健康饮食和体育锻炼的益处，但在1980年至2000年的青年中的肥胖症两倍。在目睹了针对其他公共卫生问题的公共政策采用成功之后（例如烟草，自行车头盔，安全带）肥胖研究人员和政策制定者作为干预工具提倡政策。在过去的十年中，针对青年肥胖的国家账单和决议数量大大增加；但是，对于这些政策对饮食，活动还是BMI的影响鲜为人知。 NHANES最近的一份报告显示，在1999年至2006年之间，年轻肥胖的平均普通患病率没有显着提高。在数十年的持续增长后，这种缺乏变化的情况表明，过去十年来实施的政策可能会产生积极影响。 在这项研究中，我们将使用多层次建模来检查州内外高中生BMI和与体重相关的行为的趋势。然后，我们将研究高中研究国家一级政策与BMI和与体重相关的行为之间的关联。这项工作的数据将来自青年风险行为监视（YRB）以及学校健康计划和政策研究（SHPPS）。该研究的目的是：目标1：检查2001 - 07年度青年BMI时间趋势的国家之间差异，并确定有助于异质性的人口统计和行为变量。目的2：估计2001 - 07年度青年BMI州内变化的比例，这些变化与人口和行为变化有关。目标3：确定2000 - 06年度状态水平的营养和体育锻炼政策的变化是否与2007年的青年营养和体育活动行为有关。目标4：确定2000-06的状态级营养和与身体活动相关的政策的变化是否与2007年的青年BMI和肥胖症相关的2007年及其在2007年的预期。年轻人，令人惊讶的是，对评估大规模政策的影响的工作很少。据我们所知，这将是将数据合并为从SHPP的数据，以估算国家级政策对体重相关行为和青年人肥胖的影响。 公共卫生相关性：我们将研究影响高中的国家政策，以估计其对青少年行为和BMI的影响。这将是迄今为止有关此主题的最全面的研究，并将推进肥胖政策研究领域；一个具有影响我们年轻人健康的强大潜力的领域，但才刚刚开始。

项目成果

State disparities in time trends of adolescent body mass index percentile and weight-related behaviors in the United States.

美国青少年体重指数百分位数和体重相关行为的时间趋势存在差异。

• DOI: 10.1007/s10900-011-9442-y
• 发表时间: 2012
• 期刊: Journal of community health
• 影响因子: 5.9
• 作者: Taber,DanielR;Stevens,June;Poole,Charles;Maciejewski,MatthewL;Evenson,KellyR;Ward,DianneS
• 通讯作者: Ward,DianneS

State policies targeting junk food in schools: racial/ethnic differences in the effect of policy change on soda consumption.

针对学校垃圾食品的国家政策：政策变化对汽水消费影响的种族/民族差异。

• DOI: 10.2105/ajph.2011.300221
• 发表时间: 2011
• 期刊: American journal of public health
• 影响因子: 12.7
• 作者: Taber,DanielR;Stevens,June;Evenson,KellyR;Ward,DianneS;Poole,Charles;Maciejewski,MatthewL;Murray,DavidM;Brownson,RossC
• 通讯作者: Brownson,RossC