Can Changing How Mom Eats Prevent Obesity in Toddlers?

改变妈妈的饮食方式可以预防幼儿肥胖吗？

• 批准号: 7140549
• 负责人: JUDITH A GRONER
• 金额: $ 14.47万
• 依托单位: RESEARCH INST NATIONWIDE CHILDREN'S HOSP
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-20 至 2008-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7140549
• 关键词: behavior modification; behavioral /social science research tag; clinical research; data collection methodology /evaluation; developmental nutrition; diet route /schedule; dietary constituent; disease /disorder prevention /control; family structure /dynamics; human subject; infant human (0-1 year); longitudinal human study; mother child interaction; nutrient intake activity; nutrition related tag; obesity; outcomes research; preschool child (1-5); weight control

DESCRIPTION (provided by applicant): Can Changing How Moms Eat Prevent Obesity in Toddlers? BACKGROUND: Childhood overweight is rising at an alarming rate in younger and younger children. There are family behavior patterns that appear to be protective against overweight. GOAL: To reduce the rate of overweight in very young children by helping mothers to adopt focused eating patterns (eating regularly scheduled meals, avoiding TV while eating, avoiding between meal calories). POPULATION: Low SES urban newborn infants and mothers starting well-child care in Children's Hospital Primary Care Network. DESIGN: The project is a controlled study of two interventions. The first is an innovative addition to the nutritional anticipatory guidance offered during well-child visits, which focuses on structuring maternal eating behavior. This will be presented in five of ten matched practices; the other five will serve as a comparison group. The second intervention will be an augmentation of the advice given in the practices by providing access to a 6-week transition to parenting group which will focus on the eating advice given in the clinics. Mothers who agree to participate in the data collection will be randomized to either receive an invitation to join a group or not. AIMS: (Outcomes measured at 6, 12 and 18 months): 1) To achieve a 10% reduction in the percentage of overweight toddlers in the intervention/ support group compared to the other 3 groups by 18 months, 2) To improve infant and toddler eating patterns as compared to ADA & AAP standards, 3) To increase the mothers' readiness and recognition of a need to change family eating habits, 4) To increase the structure of maternal eating patterns. SIGNIFICANCE: If effective, this intervention is low cost and fits well into current pediatric practice.

描述（由申请人提供）：改变妈妈的饮食方式可以预防幼儿肥胖吗？ 背景：儿童超重在越来越小的儿童中以惊人的速度上升。有一些家庭行为模式似乎可以防止超重。 目标：通过帮助母亲采取有针对性的饮食模式（按时吃饭，吃饭时避免看电视，避免两餐之间的热量），降低幼儿超重率。 人口：社会经济地位低的城市新生儿和母亲在儿童医院初级保健网络开始良好的儿童保健。 设计：两种干预措施的对照研究。第一个是对健康儿童访问期间提供的营养预期指导的创新补充，其重点是构建母亲的饮食行为。这将在十个匹配实践中的五个中呈现;其他五个将作为比较组。第二项干预措施将是通过提供为期6周的过渡到育儿小组的机会来加强实践中提供的建议，该小组将重点关注诊所提供的饮食建议。同意参与数据收集的母亲将被随机分配，以接受或不接受加入小组的邀请。 目标：（6、12和18个月时测量的结局）：1）在18个月内，与其他3组相比，干预/支持组中超重幼儿的百分比减少10%，2）与ADA和AAP标准相比，改善婴儿和幼儿的饮食模式，3）提高母亲对改变家庭饮食习惯的必要性的准备和认识，（4）增加产妇的饮食结构。 意义：如果有效，这种干预是低成本的，很适合目前的儿科实践。

项目成果

Anticipatory guidance for prevention of childhood obesity: design of the MOMS project.

预防儿童肥胖的预期指导：MOMS 项目的设计。

• DOI: 10.1177/0009922809331799
• 发表时间: 2009
• 期刊: Clinical pediatrics
• 影响因子: 1.6
• 作者: Groner,JudithA;Skybo,Theresa;Murray-Johnson,Lisa;Schwirian,Patricia;Eneli,Ihuoma;Sternstein,Amy;Klein,Elizabeth;French,Gina
• 通讯作者: French,Gina