EFFECT OF ACTIVE PLAY ON OBESE AT RISK TODDLERS

儿童肥胖是一种流行病，对个人、社会、社区和国家健康都有深远的影响。也许，改变的潜力最大的是非常年幼的孩子。也许，改变的潜力最大的是非常年幼的孩子。这项研究的目的是考察与父母一起参加为期18个月的适合发育的积极游戏计划对达拉斯WIC计划服务的肥胖幼儿的身体成分和游戏活动的影响。12-35个月的肥胖学步儿童(N=120)将根据年龄/性别特定生长曲线中约95%的身高体重进行招募。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称的体重。母亲和她的孩子将被随机分配到咨询或积极游戏小组，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，母亲们将接受注册营养师的双月个别咨询，并提供各种营养策略以减少卡路里摄入量。在积极游戏小组中，母亲们将获得提供给咨询小组的所有服务。此外，他们将在他们的WIC站点每周参加一次积极的游戏课程，研究人员在课程中示范让幼儿参与积极游戏所必需的技能。此外，每月一次，研究人员将在家庭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：目的1.研究游戏活动对肥胖高危幼儿的身体成分(体重、身高、体重指数)的影响。目的2.比较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。目的2.比较游戏活动对男生和女生身体成分的影响。游戏活动对非裔美国人、西班牙裔美国人和白人的身体成分的影响。目的4.研究游戏活动、性别和种族对肥胖高危幼儿的交互作用。第二个具体目标是：目的1.评估项目前后母子之间的游戏互动(母亲星座)的质量。目的2.评估母亲在计划实施前后对肥胖和超重的知识及其对孩子健康的影响。目的3.确定项目实施前后母子双方的游戏和活动偏好。评估学步儿童的自尊和身体形象。

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.