EFFECT OF ACTIVE PLAY ON OBESE AT RISK TODDLERS

儿童肥胖症是一种流行病，具有深远的个人，社会，社区和国家健康影响。改变的可能性最大，也许是非常年幼的儿童。改变的可能性最大，也许是非常年幼的儿童。本研究的目的是探讨在达拉斯WIC项目服务的肥胖幼儿中，与父母一起参与18个月发育适当的主动游戏项目对身体成分和游戏活动的影响。将根据年龄/性别特定生长图表中约95%的身高体重招募12-35个月的肥胖幼儿（N=120）。我们的目标不是让孩子减肥，而是通过健康积极的生活方式获得适合年龄的体重。母亲和她的幼儿将被随机分配到咨询或主动游戏组，并根据性别种族（非裔美国人、西班牙裔、白色）和年龄（+/- 3个月）进行匹配。在咨询小组中，母亲将接受注册营养师每两个月一次的个人咨询，并获得各种营养策略，以减少热量摄入。在积极游戏小组中，母亲们将获得咨询小组提供的所有服务。 此外，他们将参加积极发挥类在他们的WIC网站每周一次，其中研究人员模型的技能，使幼儿积极发挥。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。我们来检验游戏活动对肥胖高危幼儿身体成分（体重、身高、体重指数）的影响。AIM 2.比较游戏活动对肥胖高危幼儿体成分（体重、身高、体重指数）的影响。目标2.比较游戏活动对男女生身体成分的影响。我是3号。确定游戏活动对非裔美国人、西班牙裔美国人和白人身体组成的影响。目标4。探讨游戏活动、性别及种族对肥胖幼儿的影响。第二个具体目标是：目标1。评估计划前后母亲和孩子之间的游戏互动（母亲星座）的质量。目标2.评估母亲对肥胖和超重的认识及其对孩子健康的影响。目标3：确定计划前后母亲和孩子的游戏和活动偏好。我是4号。评估活动前后幼儿的自尊和身体形象。

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.