Reducing Overweight Among Galveston WIC Participants

减少加尔维斯顿 WIC 参与者的超重

• 批准号: 7471307
• 负责人: ELIZABETH A. REIFSNIDER
• 金额: $ 22.65万
• 依托单位: UNIVERSITY OF TEXAS MED BR GALVESTON
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-04-01 至 2010-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7471307
• 关键词: 3 year old; Address; Age; Biomedical Research; Body Weight decreased; Carbohydrates; Cardiovascular Diseases; Child; Child Nutrition; Childhood; Class; Clinic; Communities; Complex; Control Groups; County; Development; Dietary intake; Eating; Effectiveness of Interventions; Elements; Enrollment; Family; Fatty acid glycerol esters; Food Selections; Gender; Goals; Growth; Health; Height; Home environment; Incidence; Individual; Infant; Intervention; Living Wills; Low income; Methods; Mexican Americans; Minority; Neighborhoods; Non-Insulin-Dependent Diabetes Mellitus; Obesity; Outcome; Overweight; Parenting Education; Parents; Participant; Pattern; Physical activity; Population; Prevalence; Principal Investigator; Public Health; Purpose; Quality of life; Research; Sampling; Severities; Testing; Training; Treatment Efficacy; Weight; Woman; abstracting; base; design; improved; innovation; nutrition; nutrition education; peer; prevent; programs; sex; size; type 2 diabetes in children

DESCRIPTION (provided by applicant): Abstract The purpose of this R21 study is to determine the impact of an intervention delivered in neighborhood Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) clinics on childhood overweight (BMI> 95 percent for age and sex) in 3 year old children. The intervention will be delivered through nutrition education classes at the WIC clinics in Galveston County. This application will test the adaptation of an intervention that has been previously used in the same population to reduce incidence of stunted growth (height for age < 5 percent). The intervention will be adapted to target BMI reduction through weight stability while height increases. The specific aim of this application is: 1. Examine the effects of the intervention, compared to routine WIC nutrition education, on height, weight, dietary intake, and physical inactivity of low-income 3 year old children who are overweight. The hypotheses for the specific aim of this application are as follows: 1. There will be a significant difference in the BMI for age between the children in the experimental group compared to the children in the control group at the end of the intervention. 2. There will be a significant increase in the experimental children's dietary intake of complex carbohydrates when compared to control children. 3. There will be a significant decrease in the experimental children's dietary intake of simple carbohydrates and fat when compared to control children. 4. There will be a significant decrease in the experimental children's levels of physical inactivity when compared to control children. 5. There will be a significant difference in the home environment between the children in the experimental group compared to the children in the control group at the end of the intervention. The outcomes used to evaluate intervention effectiveness are changes in anthropometrics, dietary patterns, inactivity patterns, and home environments of intervention participants. The proposed study will result in a community-based intervention for childhood overweight that can be delivered to diverse minority children through WIC clinics. Innovative strategies are needed to prevent the development of cardiovascular disease (CVD) and type 2 diabetes in these children. The goals of this project address overweight and obesity, two leading health indicators for our nation's health. PUBLIC HEALTH RELEVANCE: The primary purpose of the proposed project is to test a program designed to reduce BMI in low-income, overweight children who participate in the WIC program

描述（由申请人提供）： 摘要 本 R21 研究的目的是确定社区妇女、婴儿和儿童特殊补充营养计划 (WIC) 诊所提供的干预措施对 3 岁儿童儿童超重（年龄和性别的 BMI > 95%）的影响。该干预措施将通过加尔维斯顿县 WIC 诊所的营养教育课程进行。该应用程序将测试先前在同一人群中使用的干预措施的适应性，以减少生长发育不良（年龄身高< 5%）的发生率。该干预措施将在身高增加的同时通过体重稳定来降低体重指数。此应用程序的具体目标是： 1. 与常规 WIC 营养教育相比，检查干预措施对超重的低收入 3 岁儿童的身高、体重、膳食摄入量和缺乏身体活动的影响。本申请具体目的的假设如下： 1.干预结束时，实验组儿童与对照组儿童的年龄BMI存在显着差异。 2.与对照儿童相比，实验儿童的复合碳水化合物膳食摄入量会显着增加。 3.与对照儿童相比，实验儿童膳食中简单碳水化合物和脂肪的摄入量会显着减少。 4. 与对照儿童相比，实验儿童的身体活动不足程度会显着下降。 5.干预结束时实验组儿童与对照组儿童的家庭环境会出现显着差异。用于评估干预效果的结果是干预参与者的人体测量、饮食模式、不活动模式和家庭环境的变化。拟议的研究将针对儿童超重问题开展基于社区的干预措施，并可通过 WIC 诊所向不同的少数族裔儿童提供干预措施。需要创新策略来预防这些儿童患心血管疾病 (CVD) 和 2 型糖尿病。该项目的目标是解决超重和肥胖问题，这是我们国家健康的两个主要健康指标。公共健康相关性：拟议项目的主要目的是测试一项旨在降低参加 WIC 计划的低收入超重儿童 BMI 的计划