OBESITY PREVENTION IN APACHE SCHOOL CHILDREN

这项建议的广泛和长期目标是建立一个全面的 预防白色地区学龄儿童肥胖的计划 亚利桑那州怀特里弗的阿帕奇山地部落。具体目标是 三年期项目（第一阶段）是：a）评估流行率， 六所小学儿童肥胖的特点 阿帕契保留区的学校（k-5年级）; B）确定专业 饮食、文化和行为因素与过多的身体 （c）评估小学生体重的可行性; 旨在改变膳食能量摄入和身体健康的干预措施 d）开发和测试仪器， 培训所需人员，以支持以学校为基础的长期 预防肥胖的干预措施;以及e）与 其他领域的网站在开发一个多中心，随机 美国印第安学校预防肥胖的干预试验 孩子 利用社会科学研究技术，我们的建议将确定 与肥胖相关的主要行为和心理社会危险因素 小学生。然后，我们将发展校本 干预措施侧重于行为改变和参与性学习。 这些干预措施将辅之以基于家庭的方案， 确保父母的持续参与，并让儿童作为代理人参与 改变的力量一个重要的考虑因素将是制定干预措施 具有最强的长期自我维持潜力。 为了实现这些目标，我们组建了一个多学科团队， 儿童肥胖、社会科学、营养教育方面的专家， 美洲印第安人健康、流行病学和生物统计学。建筑15 Whiteriver Apache社区之间多年的持续合作 和约翰霍普金斯公共卫生学院，我们的建议已经收到 来自白色山地阿帕奇部落的大力支持， 联合学区和怀特里弗印第安人卫生服务单位。

The broad, long-term goal of this proposal is to establish a comprehensive program for the prevention of obesity among schoolchildren of the White Mountain Apache Tribe in Whiteriver, Arizona. The specific aims for this three-year project (Phase I) are: a) to assess the prevalence and characteristics of obesity among children attending all six elementary schools in the Apache reservation (grades k-5); b) to identify the major dietary, cultural and behavioral factors associated with excess body weight among elementary school children; c) to evaluate the feasibility of interventions aimed at modifying dietary energy intake and physical activity of schoolchildren; d) to develop and test the instruments and to train the personnel needed to support a school-based long-term intervention for the prevention of obesity; and e) to collaborate with other field sites in the development of a muticenter, randomized intervention trial for the prevention of obesity in American Indian school children. Using social sciences research techniques, our proposal will identify the major behavioral and psychosocial risk factors associated with obesity in elementary school children. We will then develop school-based interventions focused on behavioral change and participatory learning. These interventions will be complemented with family-based programs to ensure consistent parental involvement, and to engage childrens as agents of change. An important consideration will be to develop interventions with strongest potential for long-term self-sustainability. To achieve these goals, we have assembled a multidisciplinary team of experts in pediatric obesity, social sciences, nutrition education, American Indian health, epidemiology and biostatistics. Building on 15 years of continuing collaboration between the Whiteriver Apache community and the Johns Hopkins School of Public Health, our proposal has received strong support from the White Mountain Apache Tribe, the Whiteriver Unified School District, and the Whiteriver Indian Health Service Unit.