Intervention to promote physical activation and improve sleep and response feeding in infants for preventing obesity early in life, the baby-act trial: Rationale and design.
Intervention to promote physical activation and improve sleep and response feeding in infants for preventing obesity early in life, the baby-act trial: Rationale and design.
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干预措施以促进身体激活，改善婴儿的睡眠和反应喂养，以预防生命早期肥胖症，婴儿演员试验：基本原理和设计。
DOI：
10.1016/j.cct.2020.106185
复制
发表时间：
2020-12
影响因子：
2.2
通讯作者：
Palacios C
中科院分区：
文献类型：
--
作者：
Campos M;Pomeroy J;Mays MH;Lopez A;Palacios C
婴儿肥胖在美国正在增加，特别是在西班牙裔美国人中。婴儿期体重快速增加会增加以后患肥胖症的风险，可以通过多模式干预措施来预防，通过人口水平的计划来解决多种风险因素。1)确定干预措施与通常的护理控制条件相比在多大程度上改善了生命第一年的健康体重增加和特定行为（体力活动、睡眠、饮食），以及2）评估干预措施作为当前WIC护理标准的修改的成本。生活方式干预的重点是通过技术（网络平台和短信）和电话咨询相结合，提高育儿技能，使适龄婴儿身体活动、健康睡眠和久坐模式以及反应喂养。通过在圣胡安的14个WIC诊所进行的一项群集随机对照试验，在波多黎各WIC项目婴儿参与者的护理人员中进行测试，从怀孕开始，直到婴儿12个月大。主要结果是婴儿12个月时的体重增加率;次要结果包括客观测量的婴儿运动小时数、久坐行为和睡眠、饮食质量评分和反应喂养行为。我们还记录了参与干预措施开发、维护和传播的费用、时间和人员。如果成功的话，干预措施可以通过WIC政策作为一种手段，加强肥胖预防工作，以改善少数民族的健康和消除西班牙裔和其他可能的危险群体之间的健康差距超越童年时期的“最佳实践”。
Infant obesity is increasing in the US, particularly among Hispanics. Rapid weight gain during infancy increases the risk of obesity later in life and could be prevented through multi-modal interventions addressing multiple risk factors through population-level programs. 1) determine the extent to which the intervention, compared with the usual care control condition, improves healthy weight gain and specific behaviors (physical activity, sleep, diet) in the first year of life and 2) evaluate the cost of the intervention as a modification of the current WIC standard of care. The lifestyle intervention focuses on age-appropriate infant physical activation, healthy sleep and sedentary patterns, and response feeding, by improving parenting skills delivered through a combination of technology (web-platform and text messages) and phone counseling. It is being tested among caregivers of infant participants of the Puerto Rico WIC program through a cluster-randomized controlled trial in 14 WIC clinics in San Juan starting in pregnancy until the infant is 12 months of age. The main outcome is infant rate of weight gain at 12 months; secondary outcomes include objectively measured hours of infant movement, sedentary behaviors and sleep, diet quality score and response feeding behaviors. We are also recording fees, time and personnel involved in the intervention development, maintenance and dissemination. If successful, the intervention could be incorporated as a ‘best practice’ through WIC policy as a means to strengthen obesity prevention efforts to improve minority health and eliminate health disparities among Hispanics and possibly other at-risk groups beyond the childhood period.
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影响因子：
2.2
作者：
Banna, Jinan;Campos, Maribel;Palacios, Cristina
通讯作者：
Palacios, Cristina
DOI：
10.1001/jama.2014.732
发表时间：
2014-02-26
期刊：
JAMA
影响因子：
--
作者：
Ogden CL;Carroll MD;Kit BK;Flegal KM
通讯作者：
Flegal KM
影响因子：
8
作者：
Campbell, Karen J.;Lioret, Sandrine;Hesketh, Kylie D.
通讯作者：
Hesketh, Kylie D.
DOI：
10.1136/jamia.2010.010025
发表时间：
2011-03-01
影响因子：
6.4
作者：
Florez-Arango, Jose F.;Iyengar, M. Sriram;Zhang, Jiajie
通讯作者：
Zhang, Jiajie
影响因子：
1.9
作者：
OBRIEN, PC;FLEMING, TR
通讯作者：
FLEMING, TR