How Can Parents Get Their Kids to Eat More Fruits and Vegetables?

描述（由研究者提供）：儿童肥胖症在美国呈流行性，并持续增加。超重的儿童成为超重的成年人的风险更高。超重的儿童和成年人都有可能出现严重的健康问题。由于肥胖治疗计划只取得了有限的成功，肥胖预防计划，教孩子健康的饮食习惯似乎提供了一种方法，让他们成长到他们的体重或不增加进一步的体重。大多数现有的儿童肥胖预防计划都是以学校为基础的，通常不起作用或效果甚微。肥胖预防活动应该在生命的早期进行，而行为仍然是可塑性的，并且在成为肥胖成年人的风险主要增加之前。水果和蔬菜（FaV）消费与较低的热量摄入，较低的脂肪摄入和较低的BMI相关。食物养育实践已被证明会影响儿童的FAV摄入量。特别是权威的育儿实践已被证明可以增加儿童的FaV摄入量并减少肥胖。干预措施，以加强权威的FAV育儿做法，应增加儿童的FAV摄入量和降低体重增加。电子游戏是一种非常流行和吸引人的媒介。我们最近的审查显示，在27项评估中，有26项与健康相关的积极影响。使用模拟真实的世界体验的视频游戏已经足够复杂，可以训练成年人，例如学习驾驶飞机。通过模拟父母在亲子喂养互动中的经验，视频游戏可以提供一种干预方式来训练父母进行权威的FAV育儿。需要一个影响父母决定实施权威FaV育儿实践的因素模型来指导此类视频游戏的开发并对其进行评估。目标导向行为模型为理解FaV育儿提供了高度预测性的模型。因此，我们建议制定和测试措施的目标导向权威FAV育儿实践与父母的3-5奥尔兹从占主导地位的种族群体在休斯顿的模型;并使用它来开发和试点测试会议的FAV育儿视频游戏。更好的食物养育方法应该会导致更高的儿童FaV消费，从而降低肥胖和肥胖风险。公共卫生相关性：儿童肥胖是一个日益严重的全国性问题，而肥胖预防计划通常没有多大效果。由于父母控制着家中幼儿的食物环境，而食物养育实践与儿童的饮食摄入和肥胖有关，因此增加父母使用更有效的食物养育技术的干预措施应改变儿童的饮食摄入并降低其肥胖风险。我们建议开发一个影响食物养育行为的模型，以帮助指导干预措施的设计，并开发一种创新的形式，一个休闲的视频游戏，以促进变化。更好的食物养育方法应该会导致更高的儿童FaV消费，从而降低肥胖和肥胖风险。

DESCRIPTION (provided by investigator): Childhood obesity is at epidemic proportions and continuing to increase in the US. Overweight children are at higher risk of becoming overweight adults. Both overweight children and adults are at risk of developing serious health problems. Since obesity treatment programs have had only limited success, obesity prevention programs that teach children healthy eating habits appear to offer a way for them to grow into their weight or not gain further weight. Most of the existing obesity prevention programs for children have been school based, and generally not worked or had minimal effects. Obesity prevention activities should occur early in life while the behaviors are still malleable and before the major increases in risk to become an obese adult. Fruit and vegetable (FaV) consumption has been associated with lower caloric intake, lower fat intake and lower BMI. Food parenting practices have been demonstrated to influence children's FaV intake. Authoritative parenting practices in particular have been demonstrated to increase children's FaV intake and decrease obesity. Interventions to enhance Authoritative FaV parenting practices should increase children's FaV intake and lower weight gain. Videogames are a very popular and engaging medium. Our recent review showed positive health related effects in 26 out of 27 evaluations. Videogames using simulated real world experiences have been sophisticated enough to train adults, e.g. in learning to fly airplanes. By simulating the parent's experience in parent-child feeding interactions, videogames can provide an intervention modality to train parents in authoritative FaV parenting. A model of factors influencing a parent's decision to implement authoritative FaV parenting practices is needed to guide the development of such a videogame and to evaluate it. The Model of Goal Directed Behavior offers a highly predictive model for understanding FaV parenting. As a result we propose to develop and test measures for a Model of Goal Directed Authoritative FaV Parenting Practices with parents of 3-5 year olds from the dominant ethnic groups in Houston; and to use it to develop and pilot test sessions of a FaV Parenting videogame. Better food parenting practices should lead to higher children's FaV consumption, and thereby lower adiposity and lower risk of obesity. PUBLIC HEALTH RELEVANCE: Childhood obesity is a growing national problem, while obesity prevention programs have generally not had much effect. Since parents control the food environment at home for young children, and food parenting practices have been related to child dietary intake and obesity, an intervention increasing parents use of more effective food parenting techniques should change children's dietary intake and lower their obesity risk. We propose to develop a model of influences on food parenting practices to help guide the design of an intervention, and to develop an innovative format, a casual videogame, to promoting change. Better food parenting practices should lead to higher children's FaV consumption, and thereby lower adiposity and lower risk of obesity.