CHILD HEALTH EFFECTS OF RAPID SOCIO-DEMOGRAPHIC CHANGE

快速的社会人口变化对儿童健康的影响

• 批准号: 6721490
• 负责人: Barry M Popkin
• 金额: $ 31.89万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 2000
• 资助国家: 美国
• 起止时间: 2000-05-10 至 2006-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6721490
• 关键词: Africa; China; Commonwealth of Independent States; Philippines; adolescence (12-20); behavioral /social science research tag; child physical development; disease /disorder proneness /risk; family structure /dynamics; health behavior; human data; hypertension; longitudinal human study; mass information media; mathematical model; middle childhood (6-11); obesity; outcomes research; prognosis; psychological models; social change; socioeconomics; socioenvironment

Rapid economic, demographic, and social change characterizes the lower income and transitional countries of the world. Concomitant with the health benefits of such change, there is an emerging pattern of increased morbidity and mortality from noncommunicable diseases. The main goal of the proposed research is to explain how specific components of socioeconomic change affect a set of intermediate health-related behaviors (diet, physical activity, smoking), which in turn affect 2 main child health outcomes (overweight and elevated blood pressure). These outcomes are among the most important risk factors for adult chronic disease. We also explore whether pre- and early postnatal nutritional status reflected by size at birth and stunting at age 2 exacerbate the health risks of rapid development. The research is based on the classic Mosley and Chen health determinants model, and will use structural equations to estimate the relationships. We focus on children because risk factors for adult chronic disease develop in childhood and track into adulthood. We propose a comparative longitudinal study of children in 4 populations at different levels of economic development. The data are from our ongoing prospective studies in Soweto (South Africa), Russia, China and Cebu (Philippines). Each country is characterized by rapid socioeconomic change; each study covers the key years of childhood; and all include detailed measures of socioeconomic status, anthropometry, and many intermediate health-related behaviors measured on large, representative samples of children and their households. Our structural equations models will examine: (1) the relationship of critical components of rapid economic and social change in each country (e.g. income, prices, food availability, technology, family structure, degree of urbanization, mass media) to health-related behaviors; and (2) the relationship of these health behaviors and other proximate factors to overweight and elevated blood pressure. We will explore whether compositional changes, changes in the structure of relationships or both affect health related behavior and whether there is a synergism of key components of threshold levels of factors that predict major shifts in health related behavior and outcomes. We will use the model results to predict consequences of selected social and demographic changes for child health outcomes. Finally, we will compare results across countries to determine whether there is a consistent pattern or structure of relationships across countries at different levels of development.

快速的经济、人口和社会变化是世界上低收入国家和转型国家的特点。伴随着这种变化带来的健康益处，出现了非传染性疾病发病率和死亡率增加的新模式。这项拟议研究的主要目标是解释社会经济变化的特定组成部分如何影响一系列与健康相关的中间行为(饮食、体育活动、吸烟)，这些行为反过来又影响两个主要的儿童健康结果(超重和血压升高)。这些结果是成人慢性病最重要的风险因素之一。我们还探讨了出生时大小和2岁时发育迟缓所反映的出生前和出生后早期的营养状况是否加剧了快速发育的健康风险。这项研究是基于经典的Mosley和Chen健康决定因素模型，并将使用结构方程来估计这些关系。我们把重点放在儿童身上，因为成人慢性病的风险因素在儿童时期发展起来，一直持续到成年。我们建议对不同经济发展水平的4个人口中的儿童进行纵向比较研究。数据来自我们在索韦托(南非)、俄罗斯、中国和宿务(菲律宾)正在进行的前瞻性研究。每个国家的特点都是快速的社会经济变化；每项研究涵盖关键的童年时期；所有研究都包括详细的社会经济地位测量、人体测量和许多中间的健康相关行为，这些都是对具有代表性的大样本儿童及其家庭的测量。我们的结构方程模型将检验：(1)每个国家快速经济和社会变化的关键因素(如收入、价格、食品可获得性、技术、家庭结构、城市化程度、大众媒体)与健康相关行为的关系；(2)这些健康行为和其他邻近因素与超重和高血压的关系。我们将探索成分变化、关系结构变化或两者是否影响与健康相关的行为，以及预测与健康相关的行为和结果发生重大变化的因素阈值水平的关键组成部分是否存在协同作用。我们将使用模型结果来预测选定的社会和人口变化对儿童健康结果的影响。最后，我们将比较各国的结果，以确定处于不同发展水平的国家之间的关系是否存在一致的模式或结构。

项目成果

Energy and macronutrient intakes at breakfast and cognitive declines in community-dwelling older adults: a 9-year follow-up cohort study.

• DOI: 10.1093/ajcn/nqaa403
• 发表时间: 2021-03
• 期刊: The American journal of clinical nutrition
• 作者: Xianwen Shang;Edward Hill;Yanping Li;M. He

Is the obesity epidemic a national security issue around the globe?

• DOI: 10.1097/med.0b013e3283471c74
• 发表时间: 2011-10
• 期刊: Current opinion in endocrinology, diabetes, and obesity
• 作者: Popkin BM

Increasing trends in central obesity among Chinese adults with normal body mass index, 1993-2009.

• DOI: 10.1186/1471-2458-13-327
• 发表时间: 2013-04-10
• 期刊: BMC public health
• 影响因子: 4.5
• 作者: Du T;Sun X;Yin P;Huo R;Ni C;Yu X
• 通讯作者: Yu X

Fatty acids in Chinese edible oils: value of direct analysis as a basis for labeling.

中国食用油中的脂肪酸：直接分析作为标签基础的价值。

• DOI: 10.1177/156482650402500402
• 发表时间: 2004
• 期刊: Food and nutrition bulletin
• 影响因子: 1.9
• 作者: Wallingford,JohnC;Yuhas,Rebecca;Du,Shufa;Zhai,Fengying;Popkin,BarryM
• 通讯作者: Popkin,BarryM

Global, regional and national consumption of major food groups in 1990 and 2010: a systematic analysis including 266 country-specific nutrition surveys worldwide.

• DOI: 10.1136/bmjopen-2015-008705
• 发表时间: 2015-09-24
• 期刊: BMJ open
• 影响因子: 2.9
• 作者: Micha R;Khatibzadeh S;Shi P;Andrews KG;Engell RE;Mozaffarian D;Global Burden of Diseases Nutrition and Chronic Diseases Expert Group (NutriCoDE)
• 通讯作者: Global Burden of Diseases Nutrition and Chronic Diseases Expert Group (NutriCoDE)