CV RISK FACTORS IN MINORITY PRESCHOOL CHILDREN

健康开始计划的目的将是确定影响 一项为期两年的日托和基于家庭的干预计划 学龄前儿童患心血管疾病的风险。健康的开始将是 从六个大城市招募一批3岁和4岁的少数族裔儿童 Head Start中心学前教育计划的资格要求家庭 保持在贫困线以下。经过基线评估，将有六个中心 随机分配到三个条件之一：C/FS；课程加食物 服务修改；FS；仅食品服务修改；以及C：控制。 课程中的儿童加上食物服务(C/FS)条件将 接受两年以行为为导向的健康和营养 教育课程，将包括以下课堂学习活动 儿童与综合家庭教育活动。此外， 餐饮服务将得到改善，为老年人提供的餐饮和零食 儿童符合NCEP儿科小组指南的建议 对于两岁以上的儿童。餐饮服务中的儿童 修改条件(FS)将收到修改后的学校食品计划 只有这样。 令人感兴趣的主要结果是饮食中总脂肪和 饱和脂肪。据推测，在后测试中，孩子们暴露在 C/FS和FS计划干预，在控制基线之后 价值，将有较低的膳食总脂肪和饱和脂肪摄入量 与对照组相比。另一个令人感兴趣的结果是血清 与对照组儿童的胆固醇水平进行比较。 还将进行观察，以确定对增长模式的影响。

The purpose of the Healthy Start Program will be to determine the effects of a two-year program of day care and family-based interventions on preschool children's risk for cardiovascular disease. Healthy Start will recruit a cohort of minority 3- and 4-year old children from six large Head Start Centers. Eligibility for Head Start requires that the family be below poverty level. After baseline evaluation, six centers will be randomly assigned to one of three conditions: C/FS; curriculum plus food service modification; FS; food service modification only; and C: control. Children in the curriculum plus food service (C/FS) condition will receive two years of a behaviorally-oriented health and nutrition education curriculum which will include classroom learning activities for the child and integrated family educational activities. In addition, the food service will be modified so that meals and snacks provided to the children meet the recommendations of the NCEP pediatric panel guidelines for children over two years of age. Children in the food service modification condition (FS) will receive the modified school food program only. The primary outcome of interest is dietary intake of total fat and saturated fat. It is hypothesized that at post-test, children exposed to the C/FS and FS program interventions, after controlling for baseline values, will have lower dietary intake of total fat and saturated fat compared with controls. A secondary outcome of interest is serum cholesterol levels compared with children in the control condition. Observations will also be made to determine effects on growth patterns.