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Tipping the energy balance for Latino Children

改变拉丁裔儿童的能量平衡

基本信息

批准号：
7140550
负责人：
Shari Barkin
金额：
$ 14.63万
依托单位：
VANDERBILT UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2005
资助国家：
美国
起止时间：
2005-08-05 至 2008-08-31
项目状态：
已结题

项目摘要

DESCRIPTION (provided by applicant): The prevalence of obesity has more than tripled for children aged 6-11 years over the past three decades, especially among Mexican-Americans. Promising interventions have involved promotion of more vigorous physical activity and have included the child's family in the intervention. In this proposal, we will focus on activity change in Latino elementary school-aged children (3rd-5th grade) who are at-risk for overweight (body mass index [BMI] equal to or more than 85% and less than 95%) or obese (equal to or more than 95% BMI). Child-parent pairs will be encouraged to increase their physical activity, with the primary provider's office as a conduit to regular use of a community recreation center (a local YWCA) over a period of six months. The first "On the Move" clinic will combine: individual and group counseling for child-parent pairs; collocation of an activity van at the clinic site; and the development of a child-parent activity contract. The subsequent five monthly visits will occur within the YWCA. The YWCA will function as an extension of the provider's office, reinforcing children's health through activity and group discussion sessions, monitoring BMI and blood pressure (BP), and communicating to the primary provider's office. The intervention group will be compared to a control group of Latino children matched for age and BMI category (obese or at risk for overweight). The control group will receive baseline counseling on the importance of regular physical activity in a group setting at the primary provider's office, with a follow-up BMI and BP check 6 months and one year later. Both groups will receive a free YWCA family membership at the time of study enrollment to increase access to a centrally located recreation center. Active collaborations between the provider's office and community recreation centers have the potential to slow the rise of obesity, and tip the energy balance in favor of stabilizing and ultimately decreasing BMIs. This study functions as an exploratory study; we plan to examine feasibility of the proposed process, and evaluate promising intermediate outcomes, including self-reported activity, self-efficacy, and use of a community recreation center. As a measure of adiposity, we will measure BMI at three points in time for both groups. The results could be important from a preventive perspective and are especially needed in our state, which has the fastest-growing Latino population in the U.S.

描述（由申请人提供）：在过去三十年中，6-11岁儿童的肥胖患病率增加了两倍多，尤其是在墨西哥裔美国人中。有希望的干预措施包括促进更剧烈的体育活动，并将儿童的家庭纳入干预措施。在这项提案中，我们将重点关注拉丁美洲小学学龄儿童（3 - 5年级）的活动变化，这些儿童有超重（体重指数[BMI]等于或大于85%且小于95%）或肥胖（等于或大于95%BMI）的风险。将鼓励父母子女增加体育活动，主要提供者的办公室将作为在六个月内定期使用社区娱乐中心（当地基督教女青年会）的渠道。第一个“在移动中”诊所将结合联合收割机：为儿童和父母提供个人和团体咨询;在诊所地点安排一辆活动货车;以及制定儿童和父母活动合同。随后的五个月访问将在基督教女青年会内进行。基督教女青年会将作为提供者办公室的延伸，通过活动和小组讨论会加强儿童的健康，监测体重指数和血压，并与主要提供者办公室进行沟通。干预组将与年龄和BMI类别（肥胖或超重风险）匹配的拉丁美洲儿童对照组进行比较。对照组将在主要提供者的办公室接受关于定期身体活动的重要性的基线咨询，并在6个月和1年后进行随访BMI和BP检查。这两个群体将在研究登记时获得免费的YWCA家庭会员资格，以增加进入位于市中心的娱乐中心的机会。供应商办公室和社区娱乐中心之间的积极合作有可能减缓肥胖的上升，并使能量平衡有利于稳定并最终降低BMI。本研究的功能作为一个探索性研究，我们计划研究所提出的过程的可行性，并评估有前途的中间成果，包括自我报告的活动，自我效能，并使用社区娱乐中心。作为肥胖的衡量标准，我们将在三个时间点测量两组的BMI。从预防的角度来看，这些结果可能很重要，在我们州尤其需要，因为我们州是美国拉丁裔人口增长最快的州。