Epidemiology of Parenting and Childhood Obesity

育儿和儿童肥胖的流行病学

• 批准号: 8808221
• 负责人: Sarah E Anderson
• 金额: $ 24.57万
• 依托单位: OHIO STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-04-15 至 2017-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8808221
• 关键词: Address; Adherence; Adolescent; Affect; Age; Behavior Therapy; Birth; Child; Child Behavior; Child Care; Child Development; Child Rearing; Child Support; Cognitive; Cohort Studies; Data; Data Analyses; Development; Effectiveness; Emotional; Ensure; Epidemiology; Family; Future; Goals; Health; Height; Household; Informal Social Control; Institute of Medicine (U.S.); Intermediate Variables; Intervention; Knowledge; Lead; Life; Longitudinal Studies; Measurement; Mission; Mothers; Motivation; National Institute of Child Health and Human Development; Obesity; Outcome; Parent-Child Relations; Parents; Population; Preschool Child; Prevention; Prevention program; Prevention strategy; Preventive Intervention; Public Health; Quality of life; Research; Risk; Role; Science; Scientist; Sleep; Structure; Testing; Weight; Work; Youth; base; cognitive development; cohort; cost; early childhood; evidence base; improved; innovation; obesity in children; obesity prevention; obesity risk; population based; population health; prevent; public health relevance; response; social

DESCRIPTION (provided by applicant): Obesity prevention efforts are increasingly focused on early childhood. Substantial evidence indicates that household routines for children that support having family meals and obtaining adequate sleep can help prevent obesity. Emerging evidence suggests that responsive parenting and children's self-regulation may also reduce risk for obesity. However, no population-based studies have investigated how household routines, parental responsiveness, and child self-regulation work together to influence future weight status. It is unknown whether household routines are more effective in preventing obesity when they are implemented in the context of parental responsiveness or if the impact of routines on obesity prevention is due to children's greater self- regulation. The objective of this applicationis to use epidemiologic analyses of existing data from two cohort studies-the Early Childhood Longitudinal Study, Birth Cohort (ECLS-B), and the NICHD Study of Early Child Care and Youth Development (SECCYD)-to investigate the extent to which parental responsiveness modifies the impact of household routines on children's risk for obesity and whether self-regulation offers an explanatory mechanism. The central hypothesis is that household routines around sleep and meals, when practiced in the context of parental responsiveness, will reduce children's risk for obesity by increasing their capacity for self- regulation. The rationale for this research is to provide the basis for improving childhood obesity prevention strategies by addressing the emotional context in which household routines are implemented and identifying self-regulation as a potential mechanism. The proposal has two specific aims: 1) to determine the extent to which parental responsiveness in early childhood modifies the impact of household routines to protect against later obesity, and 2) to identify self-regulation as a mechanism explaining how routines and responsiveness are associated with obesity. Both ECLS-B and SECCYD include structured observations of parental responsiveness and children's self-regulation, serial measurements of children's height and weight, and assessment of household routines in early childhood. The proposed epidemiologic analyses will focus on obesity at age 5.5 years in ECLS-B and adolescent obesity in SECCYD, with assessment of routines, responsiveness, and self-regulation at age 24 months in ECLS-B and 54 months in SECCYD. The approach is innovative because it uses creative and cost-efficient analyses of existing data, informed by developmental science, to provide the basis for new and more effective obesity prevention interventions in early childhood. The proposed research is significant because the knowledge gained can be expected to stimulate innovation in efforts to prevent childhood obesity. Obesity interventions, informed by the proposed research, that increase household routines, responsive parenting, and children's self-regulation can be expected to have additional positive impacts on children's behavior, cognitive development, and social-emotional functioning. Childhood obesity prevention interventions that offer non-obesity benefits may effectively motivate and engage parents.

描述（由申请人提供）：肥胖预防工作越来越多地集中在儿童早期。大量证据表明，支持家庭用餐和获得充足睡眠的儿童家庭日常生活有助于预防肥胖。新出现的证据表明，负责任的父母和儿童的自我调节也可能降低肥胖的风险。然而，还没有基于人口的研究调查家庭惯例，父母的反应和儿童的自我调节如何共同影响未来的体重状况。目前尚不清楚，当家庭日常生活在父母的回应下实施时，是否更有效地预防肥胖，或者日常生活对肥胖预防的影响是否是由于儿童更大的自我调节。本应用程序的目的是使用流行病学分析现有的数据从两个队列研究-早期儿童纵向研究，出生队列（ECLS-B），和NICHD研究早期儿童保育和青年发展（SECCYD）-调查在何种程度上，父母的反应修改的影响，家庭惯例对儿童的肥胖风险和自我调节是否提供了一个解释机制。核心假设是，当在父母反应的背景下实施围绕睡眠和膳食的家庭惯例时，将通过提高儿童的自我调节能力来降低他们患肥胖症的风险。这项研究的基本原理是通过解决家庭日常生活中的情感环境，并确定自我调节作为一种潜在的机制，为改善儿童肥胖预防策略提供基础。该提案有两个具体目标：1）确定幼儿期父母的反应在多大程度上改变了家庭惯例的影响，以防止以后的肥胖，2）确定自我调节作为一种机制，解释惯例和反应如何与肥胖相关。ECLS-B和SECCYD都包括对父母反应和儿童自我调节的结构化观察，对儿童身高和体重的连续测量，以及对幼儿期家庭惯例的评估。拟定的流行病学分析将侧重于ECLS-B中5.5岁时的肥胖和SECCYD中的青少年肥胖，并评估ECLS-B中24个月时和SECCYD中54个月时的常规、反应性和自我调节。该方法具有创新性，因为它利用发展科学对现有数据进行了创造性和具有成本效益的分析，为幼儿期新的更有效的肥胖预防干预措施提供了基础。这项拟议中的研究意义重大，因为所获得的知识有望刺激预防儿童肥胖的创新。肥胖干预，由拟议的研究，增加家庭日常生活，响应父母，和儿童的自我调节，可以预期有额外的积极影响儿童的行为，认知发展和社会情感功能。提供非肥胖益处的儿童肥胖预防干预措施可以有效地激励和吸引父母。