BROCODILE THE CROCODILE: OBESITY PREVENTION IN DAY CARE

BROCODILE 鳄鱼：日托中的肥胖预防

• 批准号: 6390772
• 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 2003-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6390772
• 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.

美国的肥胖流行病不仅包括成年人，还延伸到学龄前儿童。尽管遗传学在肥胖的发生中发挥着重要作用，但只有环境和行为的变化才能解释最近的肥胖增加。因此，为了扭转目前肥胖及其伴随疾病患病率不断上升的趋势，需要采取以人群为基础的干预措施，重点关注行为改变。由于生活方式行为起源于儿童时期，并且肥胖患病率在 5 岁时就出现增加，因此需要在学龄前开始采取干预措施来改变肥胖的自然进程。我们提出了一种新颖的、创新的、令人兴奋的、基于日托的方法来预防儿童肥胖的发展。 Brocodile 鳄鱼认识到日托在幼儿生活中发挥着越来越重要的作用，因此旨在为幼儿、他们的父母和他们的日托提供者提供乐趣和吸引力。这个由三部分组成的计划包括： l) 适合发展的音乐运动，以完善的音乐运动计划 Kindermusik(R) 为基础，充分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，基于发展的心脏健康饮食计划，重点关注行为和环境； 3) 育儿，一项基于技能的计划。我们建议在 20 个日托中心进行为期 18 个月的随机临床试验，其中 10 个干预中心将接受 Brocodile the Crocodile 计划，10 个中心将作为对照，并评估参加干预与对照日托中心的儿童之间 BMI（肥胖）变化的差异作为主要结果。此外，还将评估其他变量（例如儿童饮食、体力活动、电视观看、父母行为等）与体重指数变化的关系，以及识别最有肥胖风险的儿童的筛查策略。该研究项目结束时，将制定、实施一项基于日托的创新型肥胖预防计划，并评估其预防儿童肥胖的有效性。这些发现将有助于填补知识空白，并指导未来预防幼儿肥胖的建议。