All in the Family: Family Members Weight and Weight-Related Behaviors and Adoles

家庭成员：家庭成员体重以及与体重相关的行为和青少年

• 批准号: 8692987
• 负责人: Jerica M Berge
• 金额: $ 7.14万
• 依托单位: UNIVERSITY OF MINNESOTA
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-07-01 至 2015-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8692987
• 关键词: Address; Adolescent; Adolescent Behavior; Behavior; Body mass index; Caregivers; Child; Complex; Cost Savings; Data; Data Analyses; Data Collection; Data Set; Development; Diet; Dietary intake; Eating; Evaluation; Family; Family member; Fathers; Female; Goals; Health; Home environment; Intervention; Intervention Studies; Knowledge; Life; Link; Literature; Modeling; Mothers; Obesity; Observational Study; Outcome; Overweight; Parenting behavior; Parents; Physical activity; Preventive Intervention; Publishing; Relative (related person); Reporting; Research; Research Personnel; Resources; Risk; Siblings; Stepparent; Teenagers; United States National Institutes of Health; Weight; Youth; abstracting; base; food restriction; insight; modifiable risk; novel; obesity prevention; parental influence; population based; prevent; sedentary; sex

DESCRIPTION (provided by applicant): Abstract Expert panels, researchers and the NIH have recommended examining multiple familial influences and interpersonal relationships within the home environment in order to identify modifiable risk and protective factors for child and adolescent obesity. The main aim of the proposed study, all in the Family, is to examine the relationships between multiple family members' weight and weight-related behaviors and adolescents' body mass index (BMI) z-score, overweight status, dietary intake and physical activity. This study will address unanswered methodological questions relevant to investigating and intervening on factors that may influence adolescent obesity within the home environment. (1) First, it is unknown whether parents treat siblings within the home similarly (or differently) n regards to weight and weight-related behaviors. Knowledge about differential treatment of siblings by parents will inform whether obesity prevention interventions need to be tailored to different children within the home. (2) Second, it is important to determine who to include in adolescent obesity interventions; should both parents be included and should siblings be involved? Knowing which family members' weight and weight-related behaviors are more highly associated with adolescents' weight, dietary intake and physical activity may give insight into which family member(s) should be included in interventions to prevent adolescent obesity. (3) Third, a critical unanswered question in regards to familial influences on adolescent obesity is whether it is important to include multiple family members' reports of the home environment. For example, do the father or siblings provide unique information about the home environment above and beyond reports by the target child or the mother? The proposed study will answer these important questions by conducting a secondary data analysis using two NIH R01 studies that are multi-level, population-based studies. The proposed study, All in the Family, will use a subset of data from Project F-EAT (Families and Eating and Activity in Teens) and EAT 2010 (Eating and Activity in Teens), which link parent/caregiver (custodial, non-custodial, step-parent) other caregivers (grandmother, aunt), adolescent child, and sibling data. The overall dataset includes 3,709 ethnically/racially and socio-demographically diverse parents (62% female), 2,793 adolescents (53% female), and a subset of 204 adolescent siblings (57% female).The inclusion of sibling data was not originally planned, nor were analyses regarding siblings addressed in the original study aims for EAT 2010 or F-EAT. Thus, the proposed study will uniquely add to the results from EAT 2010 and F-EAT by analyzing data from siblings to identify dyadic and triadic relationships between family members and examining the association between these relationships with adolescent weight and weight-related outcomes. This rich dataset will allow for the evaluation of a more complex interactive model of the familial dynamics contributing to adolescent weight, dietary intake and physical activity that will directly inform te development of more effective family-based adolescent obesity prevention interventions.

描述(由申请人提供)：摘要专家小组、研究人员和美国国立卫生研究院建议研究家庭环境中的多种家庭影响和人际关系，以确定儿童和青少年肥胖的可改变的风险和保护因素。这项名为All in the Family的研究的主要目的是研究多个家庭成员的体重和与体重相关的行为与青少年的身体质量指数(BMI)z分数、超重状况、饮食摄入量和体力活动之间的关系。这项研究将解决与家庭环境中可能影响青少年肥胖的因素的调查和干预相关的未回答的方法学问题。(1)首先，目前尚不清楚父母在对待家里的兄弟姐妹时是否在体重和与体重相关的行为上是相似的(或不同的)。了解父母区别对待兄弟姐妹的知识将有助于了解是否需要针对家庭中不同的儿童量身定做肥胖预防措施。(2)其次，重要的是确定青少年肥胖干预中应该包括哪些人；父母双方是否应该包括在内，兄弟姐妹是否应该参与？了解哪些家庭成员的体重和与体重相关的行为与青少年的体重、饮食摄入量和体力活动更相关，可能会让我们深入了解哪些家庭成员(S)应该被纳入预防青少年肥胖的干预措施。(3)第三，关于家庭对青少年肥胖的影响，一个关键的悬而未决的问题是，包括多个家庭成员关于家庭环境的报告是否重要。例如，除了目标儿童或母亲的报告之外，父亲或兄弟姐妹是否提供关于家庭环境的独特信息？这项拟议的研究将通过使用两项NIH R01研究进行二次数据分析来回答这些重要问题，这两项研究是多水平的、基于人群的研究。这项拟议的研究将使用项目F-Eat(青少年的家庭、饮食和活动)和Eat 2010(青少年的饮食和活动)的子集，将父母/照顾者(监护、非监护、继父)联系起来 其他照顾者(祖母、阿姨)、青春期儿童和兄弟姐妹数据。整个数据集包括3709名不同种族/种族和社会人口统计学差异的父母(62%是女性)，2793名青少年(53%是女性)，以及204名青少年兄弟姐妹(57%是女性)的子集。纳入兄弟姐妹数据并不是最初的计划，最初研究中涉及的兄弟姐妹分析也不是为了EAT 2010或F-EAT。因此，这项拟议的研究将通过分析兄弟姐妹的数据来确定家庭成员之间的二元和三元关系，并检查这些关系与青少年体重和体重相关结果之间的关系，从而独特地增加EAT 2010和F-EAT的结果。这一丰富的数据集将允许评估影响青少年体重、饮食摄入量和体力活动的家庭动态的更复杂的互动模型，这将直接为制定更有效的以家庭为基础的青少年肥胖症预防干预措施提供信息。