BROCODILE THE CROCODILE: OBESITY PREVENTION IN DAY CARE

BROCODILE 鳄鱼：日托中的肥胖预防

• 批准号: 6075970
• 负责人: Barbara Anne Dennison
• 金额: $ 18.63万
• 依托单位: MARY IMOGENE BASSETT HOSPITAL
• 依托单位国家: 美国
• 财政年份: 1999
• 资助国家: 美国
• 起止时间: 1999-09-30 至 2002-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6075970
• 关键词: behavior therapy; behavioral /social science research tag; child physical development; clinical research; day care center; diet; disease /disorder prevention /control; exercise; human subject; human therapy evaluation; method development; music therapy; nutrition related tag; obesity; outcomes research; parents; physical fitness; preschool child (1-5)

The obesity epidemic in the US includes not only adults but extends to the preschool-age group. Although genetics plays a role in the development of obesity, only environmental and behavioral changes can account for the recent increases. Thus, to reverse the current trend of increasing prevalence of obesity and its attendant comorbidities, population-based interventions, focusing on behavioral changes are required. Because lifestyle behaviors have their origins in childhood and the increased prevalence of obesity is present by age 5, interventions to alter the natural course of obesity need to begin during the preschool years. We propose a novel, innovative, exciting, day care-based approach to prevent the development of childhood obesity. Brocodile the Crocodile, recognizes the increasing role that day care plays in the lives of young children and is designed to be fun and appealing to young children, their parents, and their day care providers. This three- component program consists of: l) developmentally-appropriate Music Movement, based on a well-developed music-movement program, Kindermusik(R), capitalizes on children's gross motor abilities, response to repetition, and enjoyment of music; 2) Healthy Eating, a developmentally-based heart-healthy eating program, focusing on behavior and environment; and 3) Parenting, a skills-based program. We propose to conduct a 18-month, randomized clinical trial among 20 day care centers, where 10 Intervention centers will receive the Brocodile the Crocodile program and 10 centers will be the Controls, and to evaluate, as the primary outcome, the difference in the change in BMI (adiposity) between the children attending the Intervention vs. Control day care centers. In addition, the relationship of other variables (e.g., child diet, physical activity, TV viewing, parent behavior, etc.), to change in BMI will be evaluated, as will screening strategies to identify children at greatest risk of developing obesity. At the conclusion of this research project, an innovative day care-based obesity prevention program will have been developed, implemented, and evaluated for effectiveness in preventing childhood obesity. The findings will help fill the knowledge gap and guide future recommendations for the prevention of obesity in young children.

在美国，肥胖症的流行不仅包括成年人，还蔓延到学龄前群体。虽然遗传因素在肥胖的发生中起到了一定作用，但只有环境和行为的变化才能解释最近肥胖的增加。因此，为了扭转目前肥胖症及其伴随的共病日益增加的趋势，需要以人群为基础的干预措施，重点放在行为变化上。由于生活方式的行为起源于儿童时期，肥胖症患病率的增加在5岁时出现，因此需要从学龄前几年开始干预，以改变肥胖症的自然过程。我们提出了一种新的、创新的、令人兴奋的、以日托为基础的方法来预防儿童肥胖的发展。鳄鱼，承认日托在幼儿的生活中发挥着越来越大的作用，旨在有趣和吸引幼儿、他们的父母和日托提供者。这项由三部分组成的计划包括：L)基于成熟的音乐运动计划Kindermusik(R)的适合发育的音乐运动，它利用儿童的粗大运动能力、对重复的反应和对音乐的享受；2)健康饮食，这是一个基于发育的心脏健康饮食计划，侧重于行为和环境；以及3)育儿，一个以技能为基础的计划。我们建议在20个日托中心中进行一项为期18个月的随机临床试验，其中10个干预中心将接受鳄鱼计划，10个中心将作为对照，并评估参加干预和对照日托中心的儿童BMI(肥胖症)变化的主要结果。此外，还将评估其他变量(例如，儿童饮食、体力活动、看电视、父母行为等)与体重指数变化的关系，以及确定儿童肥胖风险最大的筛查策略。在这项研究项目结束时，将开发、实施和评估在预防儿童肥胖方面的有效性的以日托为基础的创新肥胖预防计划。这些发现将有助于填补这一知识空白，并指导未来预防幼儿肥胖的建议。