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The Development of Obesity in Mexican-origin Youth

墨西哥裔青少年肥胖的发展

基本信息

批准号：
8878710
负责人：
Angelina R Sutin
金额：
$ 45.12万
依托单位：
FLORIDA STATE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2015
资助国家：
美国
起止时间：
2015-04-01 至 2018-09-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8878710
关键词：
Acculturation Address Adolescence Adolescent Adult Affect Age Alcohol or Other Drugs use American Behavioral California Calories Characteristics Child Child Rearing Childhood Chronic Disease Communities Cross-Sectional Studies Data Development Discrimination Disease Distal Early Intervention Economics Elements Emotional Energy Intake Ensure Environment Environmental Risk Factor Epidemiologic Studies Exposure to Family Fathers Funding Goals Health Height Hispanics Income Individual Intake Intervention Interview Lead Linear Models Longitudinal Studies Measures Mental Depression Mexican Mexican Americans Modeling Morbid Obesity Mothers National Institute of Drug Abuse Neighborhoods Not Hispanic or Latino Obesity Outcome Overweight Parents Participant Personality Physical activity Population Prevention program Preventive Intervention Process Psychopathology Request for Proposals Research Risk Risk Factors Robin bird Role Stress Testing Time Weight Weight Gain Work Youth base critical developmental period density depressive symptoms design diet and exercise fast food improved insight intervention program male novel obesity in children obesity risk parent grant prevent programs psychologic public health relevance resilience social trait twelfth grade

项目摘要

DESCRIPTION (provided by applicant): Although a significant health concern for all Americans, overweight/obesity disproportionately affects Mexican- Americans. To reduce the risk of obesity-related chronic diseases in adulthood, it is critical to intervene in childhood. Th transition from childhood to adolescence is a particularly important period because adolescent obesity is a strong risk factor for severe obesity in adulthood, a risk that is amplified for Hispaic males. Intervention efforts to reduce caloric intake and increase physical activity, however, have been only modestly successful. To better understand obesity and improve prevention/intervention outcomes, it is necessary to identify distal factors that increase risk of obesity, in addition to the more proximal causes of diet and exercise. To address this need, the present research will identify distal causes of obesity across multiple levels of functioning durin a critical developmental period - the transition from childhood to adolescence - in Mexican-origin youth. This proposal requests funds to analyze existing longitudinal data on environmental, family, and child factors that may increase risk of/promote resilience to obesity and excess weight gain across this transition. The proposed research will capitalize on data already collected from the California Families Project (CFP), a longitudinal study of 674 adolescents of Mexican origin and their parents. The purpose of the CFP is to identify risk and protective factors for substance use initiation in Mexican-origin adolescents. The proposed study addresses critical research questions about obesity that were not part of the parent grant. Starting at age 10, children and both parents completed comprehensive measures of individual, family, and sociocultural development and functioning at yearly assessments, including weight, height, and pubertal status of the child. A total of seven years of annual assessments are available for analysis. Hierarchical linear modeling will be used to model the trajectory of weight gain across adolescence. The aims of this research are (1) to identify aspects of the economic (family income, financial stresses), built (density of fast food, distance to parks), and social (neighborhood disorder, discrimination) environment, family factors (parenting, parents' BMI, depressive symptoms, personality), and child factors (child's depressive symptoms, personality) that increase risk of obesity and excess weight gain across the transition from childhood to adolescence in Mexican-origin youth, (2) to examine whether family and child factors regulate the risk of environmental determinants of excess weight gain and obesity, and (3) to decompose the effect of child and parent acculturation on risk of adolescent weight gain and obesity. Identifying distal causes of obesity will provide unique insights into the development and progression of obesity in adolescence and suggest novel targets for intervention efforts.

描述（由申请人提供）：尽管超重/肥胖是所有美国人的一个重大健康问题，但超重/肥胖不成比例地影响墨西哥裔美国人。为了降低成年后患肥胖相关慢性疾病的风险，在童年时期进行干预至关重要。从童年到青春期的过渡是一个特别重要的时期，因为青少年肥胖是成年后严重肥胖的一个强有力的危险因素，这种风险在西班牙男性中被放大。然而，减少热量摄入和增加体力活动的干预努力只取得了一定的成功。为了更好地了解肥胖和改善预防/干预结果，除了饮食和运动的近端原因外，还需要确定增加肥胖风险的远端因素。为了满足这一需求，本研究将在墨西哥裔青年的关键发育期（从童年到青春期的过渡期）确定肥胖的多个功能水平的远端原因。该提案要求提供资金，以分析有关环境，家庭和儿童因素的现有纵向数据，这些因素可能会增加肥胖和过度体重增加的风险/促进对肥胖和过度体重增加的恢复力。这项拟议中的研究将利用加州家庭项目（CFP）已经收集的数据，CFP是一项对674名墨西哥裔青少年及其父母的纵向研究。CFP的目的是确定墨西哥裔青少年开始使用药物的风险和保护因素。这项拟议中的研究解决了关于肥胖的关键研究问题，这些问题不属于父母资助的一部分。从10岁开始，儿童和父母双方在年度评估中完成了个人，家庭和社会文化发展和功能的综合措施，包括体重，身高和儿童的青春期状况。共有七年的年度摊款可供分析。分层线性模型将被用来模拟重量的轨迹跨越青春期。本研究的目的是（1）确定经济的各个方面，（家庭收入，财务压力），（快餐店的密度，到公园的距离），（邻里关系障碍、歧视）环境、家庭因素（父母教养，父母的BMI，抑郁症状，个性）和儿童因素（儿童的抑郁症状，个性），增加了墨西哥裔青年从童年到青春期过渡期间肥胖和体重过度增加的风险，（2）研究家庭和儿童因素是否调节过度体重增加和肥胖的环境决定因素的风险;（3）分解儿童和父母文化适应对青少年体重增加和肥胖风险的影响。确定肥胖的远端原因将为青少年肥胖的发展和进展提供独特的见解，并为干预工作提出新的目标。

项目成果

期刊论文数量（14）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

A systematic review of the relationship between weight status perceptions and weight loss attempts, strategies, behaviours and outcomes.

DOI：
10.1111/obr.12634
发表时间：
2018-03
期刊：
Obesity reviews : an official journal of the International Association for the Study of Obesity
影响因子：
0
作者：
Haynes A;Kersbergen I;Sutin A;Daly M;Robinson E
通讯作者：
Robinson E

Weight discrimination and unhealthy eating-related behaviors.