Universal childhood obesity prevention in a rural community: Study design, methods and baseline participant characteristics of the NU-HOME randomized controlled trial.
Universal childhood obesity prevention in a rural community: Study design, methods and baseline participant characteristics of the NU-HOME randomized controlled trial.
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DOI：
10.1016/j.cct.2020.106160
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发表时间：
2021-01
影响因子：
2.2
通讯作者：
Freese RL
中科院分区：
文献类型：
--
作者：
Fulkerson JA;Horning ML;Barr-Anderson DJ;Linde JA;Sidebottom AC;Lindberg R;Friend S;Flattum C;Freese RL
儿童肥胖是美国的一个主要健康问题，生活在农村社区的儿童比城市儿童面临更高的风险。很少有预防试验在社区环境中让学龄儿童的整个家庭参与，迄今为止，还没有一项通过严格的随机对照试验（RCT）在农村环境中促进家庭用餐，家庭活动和健康的家庭环境。新乌尔姆在家（NU-HOME）研究招募了114名父母/儿童配对的双臂（干预与等待名单控制）RCT，以测试旨在防止明尼苏达州农村7-10岁儿童体重过度增加的家庭膳食计划的有效性。NU-HOME计划是通过独特的社区合作，从以前测试过的城市家庭计划中改编而成的。该计划包括每月为所有家庭成员举办7次面对面会议。父母也参与了4个激励目标设定电话。主要结果指标是年龄和性别校正的儿童体重指数（BMI）z评分、体脂百分比以及干预后超重和肥胖的发生率。次要结果包括家庭中食物和饮料的质量，家庭膳食和零食;儿童的饮食摄入质量（例如，健康饮食指数（HEI）-2015，水果和蔬菜，含糖饮料，零食）;以及儿童的屏幕时间和每周中等至剧烈体力活动分钟数，总体力活动和久坐行为。NU-HOME RCT是学术和卫生系统研究人员，干预人员和社区领导人的合作努力，旨在通过整个家庭参与互动干预来预防农村社区的儿童肥胖症。
Childhood obesity is a major health concern in the United States (US) and those living in rural communities are at higher risk than their urban counterparts. Few prevention trials have engaged whole families of school-age children in community settings, and none to date have promoted family meals, family activity and healthful home environments in rural settings through a rigorous, randomized controlled trial (RCT). The New Ulm at HOME (NU-HOME) study recruited 114 parent/child dyads in a two-arm (intervention versus wait-list control) RCT to test the efficacy of a family meals-focused program aimed to prevent excess weight gain among 7–10 year-old children in rural Minnesota. The NU-HOME program was adapted from a previously tested program for urban families through a unique community collaboration. The program included 7 monthly in-person sessions for all family members. Parents also participated in 4 motivational goal-setting phone calls. The primary outcome measures were age- and sex-adjusted child body mass index (BMI) z-score, percent body fat, and incidence of overweight and obesity post-intervention. Secondary outcomes included quality of food and beverage availability in the home, family meals and snacks; children’s dietary intake quality (e.g., Healthy Eating Index (HEI)-2015, fruits and vegetables, sugar-sweetened beverages, snacks); and children’s screen time and weekly minutes of moderate-to-vigorous physical activity, total physical activity, and sedentary behavior. The NU-HOME RCT was a collaborative effort of academic and health system researchers, interventionists and community leaders that aimed to prevent childhood obesity in rural communities through engagement of the whole family in an interactive intervention.
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