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Effects of an Early Childhood Intervention on Childhood Obesity

儿童早期干预对儿童肥胖的影响

基本信息

批准号：
10198909
负责人：
ASHLESHA DATAR
金额：
$ 73.41万
依托单位：
UNIVERSITY OF SOUTHERN CALIFORNIA
依托单位国家：
美国
项目类别：
财政年份：
2017
资助国家：
美国
起止时间：
2017-09-01 至 2024-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10198909
关键词：
10 year old 4 year old Academic achievement Academic skills Address Adolescent Adolescent obesity Adult Affect African American Age Cardiovascular Diseases Caucasians Chicago Child Childhood Complex Control Groups Data Development Diet Early Intervention Eating Education Educational process of instructing Emotional Ethnic Origin Etiology Family Habits Health Hispanic Americans Hispanics Home Home environment Household Incentives Intervention Learning Life Link Literature Mathematics Measures Mediator of activation protein Modeling Non-Insulin-Dependent Diabetes Mellitus Nursery Schools Nutrition Labeling Nutritional Obesity Outcome Parents Policies Process Public Policy Race Randomized Research Research Personnel Risk Risk Factors Role Socioeconomic Status Surveys Time United States Work World Health Organization adequate sleep adult obesity base caucasian American cognitive skill control trial early childhood executive function experimental study health disparity health knowledge health literacy high risk improved low socioeconomic status minority children obesity in children obesity risk parental involvement programs protective factors randomized trial skills time use treatment center treatment comparison treatment group tv watching

项目摘要

PROJECT SUMMARY/ABSTRACT Obesity is a major health challenge of the 21st century, putting nearly one-third of adults and one-fifth of children and adolescents in the United States at risk for a range of health problems, including type 2 diabetes and cardiovascular diseases. Childhood obesity is now associated with a higher likelihood of obesity in adulthood, suggesting a vital role for early interventions. Research has identified a number of early life factors that affect childhood obesity; however, little is known about whether early childhood programs (i.e., preschool) affects childhood obesity. To address this critical evidence gap, this project builds upon an existing early childhood study — in which nearly 1,500 3-4 year-old children were randomly assigned to early childhood programs or to a control group — and measures the causal impact of preschool and parent programs on children’s diet, activity and obesity. Returning to the children who are now 6-10 years of age, we will compare early childhood program groups and control groups using data we will collect on diet, activity and obesity for up to 4 years. Our project will evaluate three new mediators underlying the effects of the programs, specifically children’s cognitive skills, their executive functions and related skills and parental involvement. Our study also examines whether there are differential effects by race, comparing the impact of the programs on Hispanic, African-American and Caucasian children. Understanding the causal impact of early childhood education on obesity is crucial for the development of public policies aimed at improving the health of the nation, particularly the widely debated policy on the public provision of preschool. Given the rise in childhood obesity and the disparities in health outcomes in the U.S., it is imperative to learn about whether such early childhood programs also have an impact on obesity.

项目总结/摘要肥胖是21世纪世纪的一个主要健康挑战，近三分之一的成年人和五分之一的美国儿童和青少年面临一系列健康问题的风险，包括2型糖尿病和心血管疾病。儿童肥胖现在与肥胖的可能性更高，成年期，这表明早期干预的重要作用。研究已经确定了一些早期生活因素影响儿童肥胖症;然而，关于早期儿童计划（即，学前班）影响儿童肥胖症。为了解决这一关键的证据差距，该项目建立在现有的早期儿童研究-其中近1,500名3-4岁的儿童被随机分配到幼儿期计划或控制组-并衡量学前教育和家长计划对儿童的饮食、活动和肥胖。回到现在6-10岁的孩子身上，我们来比较一下幼儿项目组和对照组使用我们收集的有关饮食、活动和肥胖的数据，到4年。我们的项目将评估三个新的调解人潜在的影响的计划，具体来说，儿童的认知技能、执行功能和相关技能以及父母的参与。我们的研究还检查是否有不同的种族影响，比较该计划对西班牙裔的影响，非裔美国人和白人儿童。了解幼儿教育对儿童成长的影响肥胖对于旨在改善国民健康的公共政策的制定至关重要，关于公共提供学前教育的广泛辩论政策。鉴于儿童肥胖症的增加和在美国健康结果的差异，必须了解这种幼儿期是否这些项目对肥胖也有影响。