Family-based Intervention for Preventing Obesity and Reducing Cancer Risk in Chil

以家庭为基础的预防儿童肥胖和降低癌症风险的干预措施

• 批准号: 8581026
• 负责人: Temitope O Erinosho
• 金额: $ 11.07万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-09-23 至 2018-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8581026
• 关键词: 5 year old; Adult; Affect; Behavior; Behavior Therapy; Body mass index; Breast; Cancer Prevention Intervention; Cause of Death; Cessation of life; Characteristics; Child; Childhood; Colorectal; Communication; Critiques; Data; Development; Diet; Dietary intake; Eating; Educational process of instructing; Educational workshop; Effectiveness; Elderly; Equation; Family; Family history of; Foundations; Funding; Goals; Grant; Home environment; Incidence; Individual; Intervention; Journals; K-Series Research Career Programs; Kidney; Life; Link; Low income; Malignant Neoplasms; Measures; Mediating; Mentorship; Methods; Minority Groups; Modeling; North Carolina; Obesity; Obesity associated cancer; Outcome; Outcome Study; Parenting behavior; Parents; Peer Review; Personal Satisfaction; Persons; Physical activity; Play; Postmenopause; Preschool Child; Preventive Intervention; Problem Solving; Psychosocial Factor; Public Health; Randomized Controlled Trials; Regression Analysis; Research; Research Personnel; Resources; Risk; Risk Factors; Role; Sampling; Series; Shapes; Social support; Solid; Students; Surveys; Testing; Time; Underserved Population; United States; Universities; Weight; Weight Gain; Work; Writing; arm; base; cancer risk; career; design; early childhood; efficacy testing; experience; follow-up; grandparent; improved; indexing; innovation; intervention effect; lifetime risk; meetings; nutrition; obesity in children; obesity prevention; obesity risk; post intervention; prevent; psychosocial; public health relevance; secondary outcome; sedentary; self esteem; skills; therapy design; working group

DESCRIPTION (provided by applicant): My experience to date has provided a solid foundation in early childhood obesity prevention, particularly in childcare settings, that will sere as a natural launching point for expansion into cancer prevention interventions designed to reach low-income preschool children with a family history of obesity-related cancers. My long-term career goal is to become a successful, independent, externally-funded research investigator, specializing in designing and implementing family-based interventions for the prevention of obesity in childhood that can reduce the lifetime risk for obesity-related cancers, particularly among at-risk and underserved populations. My short-term goals are to: 1) develop scientific and technical skills in: mechanisms linking nutrition, physical activity, and obesity to cancer; and developing and implementing family-based behavioral interventions to prevent obesity in childhood to reduce the incidence of obesity-related cancers in later life among low-income children with a 1st or 2nd degree family history of obesity-related cancers; 2) develop skills for writing grants to become an independent investigator and compete for peer-reviewed funding; and 3) enhance my communication skills through presentations at scientific meetings, writing for peer-reviewed journals, and teaching students. To acquire these skills, I have proposed to take graduate-level courses, participate in workshops, including a research working group and seminars, and develop and pilot-test a behavioral intervention, under the mentorship of a team of accomplished senior researchers at the University of North Carolina-Chapel Hill (UNC-Chapel Hill). RESEARCH Purpose: Obesity contributes to about one-third of all cancer deaths. Having a family history of obesity-related cancers further elevates one's risk for obesity-related cancers. Interventions to prevent the onset of obesity early in life are critical for preventing/reducing the risk of obesity-related cancers in adulthood. Few interventions have focused on preventing obesity in preschool children, particularly those from low-income families, who have a family history of obesity-related cancers. The purpose of the proposed study is to develop and pilot-test a 16-week, family-based intervention that uses the life skills approach to promote healthy weight gain in low-income preschool children (3-5 years old) who have a 1st or 2nd degree family history of obesity- related cancers, to prevent/reduce their risk for obesity-related cancers in adulthood. Methods: Formative research data will be collected to develop the intervention. The intervention will be pilot-tested in a randomized controlled trial among 106 low-income families/parent-child dyads, with change in children's weight status as the primary study outcome. Secondary outcomes include change in: a) children's dietary intakes and physical activity levels; b) parental psychosocial characteristics, and parenting practices related to diet and physical activity; and c), parental dietary intakes, physical activity and weight status. Study outcomes will be assessed at baseline, 16-weeks post-intervention, and at a 2-month follow-up. Statistical Analysis: Multiple regression analyses will be conducted to assess change in child and parent outcomes, respectively, between the intervention and control arm over the16-week intervention, and at the 2-month follow-up, controlling for demographic characteristics. Structural equation modeling will be used to determine whether the effects of the intervention on children's diet and physical activity are mediated by changes in the targeted parental psychosocial variables and parenting practices related to diet and physical activity. ExpectedOutcomes/Hypothesis: At the end of the16-week intervention, children in the intervention arm will have: a) healthier weight gain; b) healthier dietary intakes, as measured by higher Healthy Eating Index-2005 (HEI-2005) scores; and c) higher levels of physical activity, compared to children in the control arm. Parents in the intervention arm will also have: a) improved psychosocial well-being; b) improved parenting practices; c) higher HEI-2005 scores; d) higher physical activity levels; and e) healthier weight gain than parents in the control arm. Study findings will provide information that will be useful in testing the efficacy of the intervenion in a larger sample of low-income families with preschool children. THE ENVIRONMENT UNC-Chapel Hill is a leading educational and research university in the United States with ample resources to support the candidate in acquiring all of the skills proposed for the career development award.

描述（由申请人提供）：到目前为止，我的经验为早期儿童肥胖预防提供了坚实的基础，特别是在儿童保育环境中，这将作为一个自然的起点，扩展到癌症预防干预措施，旨在覆盖有肥胖相关癌症家族史的低收入学龄前儿童。我的长期职业目标是成为一名成功的、独立的、受外部资助的研究人员，专门设计和实施以家庭为基础的干预措施，预防儿童肥胖，从而降低患肥胖相关癌症的终生风险，特别是在高危人群和服务不足的人群中。我的短期目标是：1)在将营养、体育活动和肥胖与肥胖联系起来的机制方面发展科学和技术技能