Maternal Self-Regulation and Early Childhood Obesity

母亲的自我调节和儿童早期肥胖

• 批准号: 10322121
• 负责人: Katherine W. Bauer
• 金额: $ 77.97万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-01-01 至 2025-12-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10322121
• 关键词: Address; Adherence; Adult; Age; Behavior; Body mass index; Cardiovascular Diseases; Child; Child Rearing; Child Support; Cognition; Data; Data Collection; Development; Eating Disorders; Effectiveness of Interventions; Elements; Emotions; Enrollment; Environment; Family; Food; Future; Goals; Growth; Health Promotion; Healthy Eating; Individual; Informal Social Control; Insulin-Dependent Diabetes Mellitus; Intervention; Measures; Mediating; Methods; Mothers; Obesity; Outcome; Parents; Patient Self-Report; Positioning Attribute; Prospective cohort study; Research; Resources; Risk; Risk Factors; Role; Sampling; Skinfold Thickness; Sleep; Testing; Thinking; Time; United States National Institutes of Health; Vulnerable Populations; Weight; Weight maintenance regimen; Work; base; behavior change; community partnership; critical period; diabetes management; dyadic interaction; early childhood; emotion regulation; executive function; experience; family support; healthy weight; improved; innovation; modifiable risk; novel; novel strategies; obesity development; obesity in children; obesity prevention; obesity risk; obesity treatment; parental role; prevent; public health priorities; sociodemographics; success; therapy design

PROJECT SUMMARY Young children are dependent on their parents to create family environments that support healthy weight, yet many parents do not consistently parent in ways that protect their children from obesity. Further, several interventions to improve parenting as a means to address early childhood obesity have struggled with parent engagement and adherence. In adults, poor self-regulation, or limitations in an individuals' capacity to regulate emotions, thoughts, and behavior, is a robust, yet modifiable, risk factor for obesity. Poor self-regulation may similarly interfere with parents' ability to parent in ways that support their children's healthy weight, but there are no robust data to directly support this conjecture. Further, while improving children's self-regulation has been identified as a promising method to address childhood obesity, we do not currently understand how parent and child self-regulation work together to impact children's growth. This lack of information precludes us from identifying whether targeting child self-regulation alone, parent self-regulation alone, or both together, may be the most effective means to prevent or treat childhood obesity. Our long-term goal is to identify strategies to sustainably improve parents' use of practices that support children's healthy weight. The objective of this study is to identify the interrelationships between mothers' self-regulation, their weight-related parenting practices, child self-regulation, and child adiposity from ages 3 through 5, a critical period for preventing the onset of long-term obesity. Our central hypothesis is that poor self-regulation impedes mothers' engagement in parenting practices that support children's healthy weight, leading to excessive gains in adiposity among young children. We also expect that in families where both mothers and children have poor self-regulation, mothers have even greater difficulty engaging in effective weight-related parenting, and children will experience the most rapid gains in adiposity. To test this central hypothesis, we will conduct a prospective cohort study enrolling a socio-demographically diverse sample of 300 mother/child dyads, collecting data 3 times over 2.5 years to address the following specific aims: (1) Identify relationships between mothers' self-regulation and weight-related parenting practices, (2) Identify relationships between mothers' self-regulation and changes in child adiposity, and (3) Identify how child self-regulation modifies relationships between mothers' self- regulation, weight-related parenting, and child adiposity. This project is conceptually innovative in its focus on mothers' self-regulation, its recognition of the dyadic interactions between mothers and children, and the use of rigorous methods to measure self-regulation and parenting. This research is significant because it will elucidate when, how, and among whom deficits in mothers' self-regulation contribute to their young children's obesity risk. There are known strategies to improve self-regulation and enhance behavior change among adults with poor self-regulation. Findings will provide essential guidance for the development of novel intervention approaches to target mothers' self-regulation as a mechanism to prevent and treat childhood obesity.

项目总结 幼儿依赖父母创造支持健康体重的家庭环境，但 许多父母并没有始终如一地以保护孩子免受肥胖的方式为人父母。此外，还有几个 作为解决儿童早期肥胖问题的一种手段，改善育儿方式的干预措施一直在与父母抗争 参与度和忠诚度。成年人自我调节能力差，或个人调节能力有限 情绪、思想和行为是肥胖的一个强有力的、但可以改变的风险因素。自我监管不力可能 类似地，干预父母养育子女的能力，以支持他们孩子的健康体重，但 没有可靠的数据直接支持这一猜测。此外，在改善儿童自我调节能力的同时， 已被确定为解决儿童肥胖症的一种有希望的方法，我们目前尚不清楚 父母和孩子的自我调节共同影响孩子的成长。这种信息的缺乏使我们无法 从确定是单独针对儿童自律，还是单独针对家长自律，还是两者都针对， 可能是预防或治疗儿童肥胖症的最有效手段。我们的长期目标是确定 可持续地改善父母对支持儿童健康体重的做法的使用的战略。目标是 这项研究的目的是确定母亲的自我调节、与体重相关的父母教养方式之间的相互关系 从3岁到5岁的实践、儿童自我调节和儿童肥胖，这是预防儿童肥胖的关键时期 长期肥胖的开始。我们的中心假设是，糟糕的自我调节会阻碍母亲参与到 支持儿童健康体重的育儿做法，导致年轻人肥胖过度增加 孩子们。我们还预计，在母亲和孩子都缺乏自我调节的家庭中，母亲 更难参与有效的与体重相关的育儿工作，孩子们将经历 肥胖症的增长最快。为了验证这一中心假设，我们将进行一项前瞻性队列研究 招募了300名母亲/孩子的社会人口学多样性样本，收集的数据是2.5倍 几年来解决以下具体目标：(1)确定母亲的自律与 与体重相关的育儿实践，(2)确定母亲的自我调节与 儿童肥胖症，以及(3)确定儿童自我调节如何改变母亲的自我调节之间的关系 监管、与体重相关的育儿和儿童肥胖症。该项目在概念上是创新的，其重点是 母亲的自我调节，它对母亲和孩子之间的二元互动的认识，以及对 衡量自我调节和养育子女的严格方法。这项研究具有重要意义，因为它将阐明 母亲的自我调节缺陷何时、如何以及在哪些人中导致年幼的孩子肥胖 风险。有一些已知的策略可以改善自我调节和增强成年人的行为改变 自律能力差。研究结果将为开发新的干预措施提供必要的指导 将母亲的自我调节作为预防和治疗儿童肥胖症的一种机制。