Primordial Prevention of Overweight in AI Children

AI儿童超重的根本预防

• 批准号: 7284287
• 负责人: NJERI KARANJA
• 金额: $ 64.03万
• 依托单位: KAISER FOUNDATION RESEARCH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-27 至 2010-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7284287
• 关键词: Adult; Advocate; Age; Age-Months; Age-Years; Alaskan Native American; American; American Indians; Area; Behavior; Beverages; Birth; Body mass index; Breast Feeding; Child; Clinic; Communities; Community Health; Condition; Consumption; Counseling; Coupled; Data; Development; Eating; Family; Food; Goals; Health; Infant; Intervention; Length; Life Style; Maintenance; Methods; Motor; Motor Skills; Obesity; Outcome; Overweight; Physical activity; Pilot Projects; Play; Population; Prevention; Prevention intervention; Prevention program; Professional counselor; Randomized; Rate; Reporting; Research; Score; Series; Services; Socialization; Solid; Staging; Television; Testing; Time; Toddler; Training; Tribes; Visit; Weaning; Weight; Work; abstracting; base; behavior change; cohort; community intervention; design; early childhood; feeding; fruits and vegetables; improved; nutrition; obesity prevention; parental influence; peer; prevent; sedentary; sugar; tribal community

DESCRIPTION (provided by applicant): American Indian/Alaskan native (AI/AN) children have overweight rates that are 18-30% higher than the general American population of children. Adult obesity has early antecedents, and date show that eating and physical activity behaviors are formed and set as early as 3 years of age, through primary socialization within families. Yet there are few, if any, obesity prevention programs that target children younger than 3 years of age. We propose a community-partnered randomized study to prevent early childhood overweight in American Indian (AI) children. A birth cohort of about 780 children from six Indian communities born over a period 18 months will be randomized by community to either a control (3 communities) or intervention condition (3 communities). The intervention comprises a community-wide intervention coupled with individualized family counseling to improve nutrition and physical activity in infants and toddlers. Nutrition goals are to increase breastfeeding initiation and sustainability, limit sugared beverages for infants and toddlers, and make healthful choices during weaning and solid food introduction. Physical activity goals include promoting motor development, limiting video/TV viewing and creating play opportunities for infants and toddlers. Intervention approaches and methods used in the pilot study on which this project is based will be combined with new formative data collected at the beginning of the project to enhance the intervention's feeding and physical activity components. Each component in the community-wide interventions will be collaboratively designed with the tribes, and tailored to each community's needs. Trained peer counselors will deliver the family interventions, during a series of 12 cluster visits, each covering a different developmental stage of the infant/toddler. The primary outcome is BMI Z scores at ages 24-30 months. (End of Abstract)

描述（由申请人提供）： 美洲印第安人/阿拉斯加人（AI/AN）儿童的超重率比 美国一般儿童人口。成年肥胖症患有早期的先例，日期表明，饮食和体育锻炼行为是通过家庭内部的主要社会化形成并设定的。然而，针对3岁以下儿童的肥胖预防计划（如果有的话）很少。我们提出了一项由社区合作的随机研究，以防止美洲印第安人（AI）儿童的早期童年超重。一个来自18个月内出生的六个印度社区的大约780名儿童的出生队列将由社区随机分配给对照（3个社区）或干预条件（3个社区）。该干预措施包括一项社区范围的干预措施，再加上个性化的家庭咨询，以改善婴儿和幼儿的营养和体育锻炼。营养目标是提高母乳喂养的启动和可持续性，为婴儿和幼儿提供限制性饮料，并在断奶和固体食品引入期间做出健康的选择。体育活动的目标包括促进运动开发，限制视频/电视观看以及为婴儿和幼儿创造游戏机会。试点研究中使用的干预方法和方法将与该项目开头的新形成性数据相结合，以增强干预措施的喂养和体育锻炼成分。社区范围内的每个组成部分将与部落合作设计，并根据每个社区的需求量身定制。受过训练的同伴辅导员将在一系列12个集群访问期间提供家庭干预措施，每个人都涵盖了婴儿/幼儿的不同发育阶段。主要结果是24-30个月的BMI Z评分。 （抽象的结尾）