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Obesity Prevention in Head Start: The Miranos! Program

肥胖预防先行者：米拉诺斯！

基本信息

批准号：
9240011
负责人：
DEBORAH PARRA-MEDINA
金额：
$ 63.51万
依托单位：
UNIVERSITY OF TEXAS SAN ANTONIO
依托单位国家：
美国
项目类别：
财政年份：
2016
资助国家：
美国
起止时间：
2016-09-20 至 2021-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9240011
关键词：
3 year old Accelerometer Address Administrator Adolescence Adult Age American Behavior Body mass index Caring Child Child Care Chronic Disease Cluster randomized trial Collaborations Complex Consensus Consumption Control Groups Cost Effectiveness Analysis Data Collection Development Diet Dietary Fiber Dietary intake Economic Burden Education Educational Intervention Enrollment Environment Environmental Policy Epidemic Ethnic group Evaluation Family Family Practice Fatty acid glycerol esters Female Food Food Preferences Fructose Gender Gold Growth Guidelines Habits Head Start Program Health Health behavior Health education Height Home environment Home visitation House Call Incidence Intake Intervention Latino Literature Low income Methods Motor Motor Skills Nursery Schools Nutrition Policy Obesity Overweight Parents Performance Physical activity Play Policies Preschool Child Prevalence Prevention Prevention program Prevention strategy Process Provider Public Health Randomized Randomized Controlled Trials Recommendation Reporting Research Research Infrastructure Resources Services Sleep Staff Development Strenuous Exercise Testing Time Training Treatment Cost United States Weight abstracting age group aged arm base cardiometabolic risk combat cost cost effectiveness design drinking early childhood early onset efficacy testing energy balance evidence base follow-up fruits and vegetables healthy weight intervention program nutrition nutrition education obesity in children obesity prevention population health post intervention preference prevent primary outcome programs psychosocial racial and ethnic secondary outcome sedentary lifestyle sugar treatment group

项目摘要

Abstract The prevalence of obesity remains high in American children aged 2-5 while one in three Head Start children is overweight or obese. The proposed study is designed to test the efficacy of an early childhood obesity prevention program, “Obesity Prevention in Head Start: The Míranos! Program”, which promotes healthy growth in predominantly Latino children in Head Start. The Míranos! includes center-based (policy changes, staff development, gross motor program, and nutrition education) and home-based (parent engagement/ education and home visits) interventions to address key enablers and barriers in obesity prevention in young children. In partnership with Head Start, we have demonstrated the feasibility and acceptability of the proposed interventions to influence energy-balance-related behaviors favorably in Head Start children. Using a three-arm cluster randomized design, 21 Head Start centers in equal number will be randomly assigned to one of three conditions: 1) a combined center- and home-based intervention, 2) center-based intervention only, or 3) control. The interventions will be delivered during the academic year (an 8-month period). A total of 525 3-year-old children (52% females; n=25 per center at baseline) will be enrolled in the study and followed prospectively one year post intervention. Data collection will be conducted at baseline, immediate post-intervention, and 1-year follow-up and include height, weight, physical activity (PA) and sedentary behaviors by accelerometry, parent-reports of sleep duration and TV watching time, gross motor development, dietary intakes and food and activity preferences. Information on family background, parental weight, PA- and nutrition-related practices and behaviors, PA and nutrition policy and environment at center and home, intervention program costs, and treatment fidelity will also be collected. The study has three specific aims: 1) to test the efficacy of the Míranos! intervention on healthy weight growth (primary outcome) in normal weight, overweight and obese children, 2) to test the impact of the Míranos! intervention on children's PA, sedentary behavior, sleep, and dietary behaviors (secondary outcomes), and 3) to evaluate cost- effectiveness of the Míranos! intervention. With endorsement of a large local Head Start administrator and a multi-disciplinary research team, the Míranos!, a culturally tailored obesity prevention program, is poised to provide evidence of a policy and environmental approach to prevent early onset of obesity and its cost-effectiveness in low-income Latino preschool children. By targeting multiple behaviors at different levels of influence and in multiple settings, the Míranos! holds great promise of developing long-term health habits that reduce the energy imbalance gap by targeting multiple energy-balance-related behaviors. The Míranos! can be disseminated to various organized child care settings since it is built on Head Start program and its infrastructure—a gold standard in early childhood education, as well as current PA and nutrition recommendations for preschool children.

摘要