EFFECT OF ACTIVE PLAY ON OBESE AT RISK TODDLERS

儿童肥胖是一种流行病，具有深远的个人、社会、社区和国家卫生影响。对于非常年幼的孩子来说，改变的潜力可能是最大的。对于非常年幼的孩子来说，改变的潜力可能是最大的。本研究的目的是考察参加一个为期18个月的适合发展的积极游戏项目对达拉斯WIC项目服务的肥胖幼儿的身体组成和游戏活动的影响。肥胖幼儿（N=120），年龄12-35个月，将根据大约95%的体重/长度进行招募，绘制年龄/性别特定的生长图表。目标不是让孩子减肥，而是通过健康积极的生活方式获得与年龄相适应的体重。母亲和她的孩子将被随机分配到咨询组或积极游戏组，并根据性别种族（非裔美国人、西班牙裔、白人）和年龄（+/- 3个月）进行匹配。在咨询小组中，母亲们将每两个月接受一位注册营养师的个人咨询，并给予各种营养策略以减少热量摄入。在积极游戏小组，妈妈们将接受所有提供给咨询小组的服务。此外，他们每周将在WIC网站参加一次积极游戏课程，研究人员将在课程中示范让幼儿参与积极游戏所需的技能。此外，每月一次，研究人员将在家中或其他最自然的环境中提供干预和建模。该项目的主要具体目标是：目标1。研究游戏活动对肥胖危险幼儿的身体构成（体重、身高、体重指数）的影响。目标2。比较游戏活动对肥胖危险幼儿身体组成（体重、身高、体重指数）的影响。目标2。比较游戏活动对男孩和女孩身体成分的影响。我3。确定游戏活动对非裔美国人、西班牙裔美国人和白人身体成分的影响。目标4。研究游戏活动、性别和种族对肥胖高危幼儿的影响。第二个具体目标是：目标1。评价节目前后母亲与孩子的游戏互动（母亲星座）质量。目标2。评估母亲在项目前后对肥胖和超重的认识及其对孩子健康的影响。目标3。确定母亲和孩子在项目前后的游戏和活动偏好。我4。评估幼儿在节目前后的自尊和身体形象。

Childhood obesity is an epidemic with far-reaching personal, social, community and national health implications. The potential for change is greatest, perhaps, with very young children. The potential for change is greatest, perhaps, with very young children. The purpose of the study is to examine the impact of participation in an 18-month developmentally appropriate active play program, with a parent, on body composition and play activity in obese toddlers served by Dallas WIC Program. Obese toddlers (N=120), ages 12-35 months, will be recruited based on approximately 95% weight for length for age/sex specific growth charts. The goal is not to have the child lose weight but to obtain an age-appropriate weight for length through a healthy active lifestyle. The mother and her toddler will be randomly assigned to the Counseling or Active Play Group and matched for gender ethnicity (African American, Hispanic, White) and age (+/- 3 months). In the Counseling Group, mothers will receive bimonthly individual counseling with a registered dietician and given a variety of nutrition strategies to reduce caloric intake. In the Active Play Group, the mothers will receive all the services offered to the Counseling Group. In addition, they will participate in Active Play classes at their WIC site one time per week in which researchers model skills necessary to engage the toddler in active play. Also, once per month, researchers will provide intervention and modeling within the home or other most natural setting. The primary specific aims of the project are: Aim 1. T examine the effects of play activity on body composition (weight, height, body mass index) of obese at-risk toddlers. AIM 2. To compare the effects of play activity on body composition (weight, height, body mass index) of obese at- risk toddlers. Aim 2. To compare the effects of play activity on body composition between boys and girls. Im 3. To determine the effects of play activity on body composition among African Americans, Hispanics, and Whites. Aim 4. To examine the interaction of play activity, gender and ethnicity on obese at-risk toddlers. The secondary specific aims are: Aim 1. To evaluate the quality of the play interaction (mother constellation) between the mother and the child before and after the program. Aim 2. To evaluate the mother's knowledge regarding obesity and overweight and its health implications for her child before and after the program. Aim 3. To determine the play and activity preferences of the mother and child before and after the program. Im 4. To evaluate the toddler's self esteem and body image before and after the program.