Father-Focused Nutrition and Parenting Program to Help Prevent Childhood Obesity in Preschool Age Children

以父亲为中心的营养和育儿计划，帮助预防学龄前儿童儿童肥胖

• 批准号: 9093186
• 负责人: Amy R Mobley
• 金额: $ 22.99万
• 依托单位: UNIVERSITY OF CONNECTICUT STORRS
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-06-01 至 2018-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9093186
• 关键词: 5 year old; Adult; African American; Age; Attitude; Behavior; Behavioral; Biological; Body mass index; Child; Child Nutrition; Child Rearing; Consumption; Control Groups; Data; Diet; Dietary Fiber; Eating; Effectiveness; Enhancement Technology; Enrollment; Environment; Evaluation; Fabaceae; Family; Fathers; Focus Groups; Food; Frequencies; Frustration; Funding; Future; Hispanics; Home environment; Hour; Household; Income; Intake; Intervention; Interview; Life; Low Income Population; Low income; Measures; Mediating; Methods; Mothers; Nursery Schools; Obesity; Oranges; Outcome; Outcome Measure; Overweight; Parenting Education; Parents; Perception; Physical activity; Pilot Projects; Play; Preparation; Prevention program; Problem Solving; Public Health; Publishing; Randomized; Randomized Controlled Trials; Reporting; Research; Research Personnel; Risk; Risk Factors; Role; Self Efficacy; Structure; Testing; Time; United States; Vegetables; Waiting Lists; Water consumption; Weight; Work; base; community setting; cooking; ethnic minority population; fast food; feeding; fruits and vegetables; high risk; improved; innovation; men; novel; novel strategies; nutrition; nutrition education; obesity in children; obesity prevention; obesity risk; obesogenic; outreach; pressure; prevent; programs; public health relevance; skills; soft drink; sugar; sweetened beverage; tv watching

 DESCRIPTION (provided by applicant): Approximately one quarter of children between the ages of 2 and 5 years are overweight or obese with higher rates among African American, Hispanic and low-income children. Certain risk factors for obesity in low- income children and their families include consumption of more convenience food than their higher income counterparts, higher intake of sugar sweetened beverages and lower diet quality scores for total vegetables, dark green and orange vegetables, legumes, and whole grains. When considering potential novel intervention targets for obesity prevention in low-income families, fathers are spending more time with their children than they have in the past and becoming much more involved in their children's lives. Similar to mothers, fathers have expressed difficulty and frustration with children being picky eaters, and report using undesirable feeding practices, such as bribing, to get their children to eat. Furthermore, because a father's weight may be a stronger predictor of a child's weight than a mother's weight, childhood obesity interventions may be unsuccessful if they only involve mothers and do not determine the unique influences of fathers. Therefore, the specific aims of the proposed research are to conduct a pilot feasibility trial with low-income father/child dyads to inform a future randomized controlled trial (RCT) including: a) Testing feasibility of recruitment/retention methods, intervention delivery, evaluation methods and measures; b) Comparing the DAD intervention with a wait-list control intervention to calculate effect sizes for outcomes including food- related parenting practices, mealtime behaviors and practices, and father/child nutrition and physical activity behaviors. Additional aims will explore the effectiveness of the DAD intervention on father/child diet quality and BMI/BMI z-score and the relationship between outcome measures and potential mediating variables. Father and child dyads (n=60) will enroll in an 8 session (2 hours/session) intervention (DAD) including nutrition and parent education with between-session technology enhancement outreach. Dyads will be randomly assigned within groups of 10 to DAD or a wait-list control group. Assessments will be conducted at pre, post and 1 month post including a subset of data from cohabiting mothers to assess moderating influences on outcomes. The proposed intervention will evaluate and explore the unique influences that low-income fathers have on their preschool age children's obesogenic behaviors and obesity risk. The innovation of combining nutrition and parent education while targeting a novel population, low income fathers, for childhood obesity prevention will provide evidence for future RCTs and programs to be implemented in the US especially for high risk families participating in federally funded nutrition assistance programs.

 描述（由申请人提供）：大约四分之一的2至5岁儿童超重或肥胖，非洲裔美国人，西班牙裔和低收入儿童的比例更高。低收入儿童及其家庭肥胖的某些风险因素包括比高收入儿童消费更多的方便食品，更多的含糖饮料摄入，以及总蔬菜、深绿色和橙子蔬菜、豆类和全谷物的饮食质量评分较低。在考虑低收入家庭预防肥胖的潜在新干预目标时，父亲们比过去花更多的时间与孩子在一起，更多地参与孩子的生活。与母亲类似，父亲们也对孩子挑食表示了困难和沮丧，并报告说他们使用了不受欢迎的喂养方法，如贿赂，让他们的孩子吃饭。此外，由于父亲的体重可能比母亲的体重更能预测儿童的体重，因此，如果儿童肥胖干预措施只涉及母亲，而不确定父亲的独特影响，则可能不成功。因此，拟议研究的具体目标是进行试点可行性试验， 低收入的父亲/孩子二人组，以告知未来的随机对照试验（RCT），包括：a）测试招募/保留方法，干预交付，评估方法和措施的可行性; B）比较DAD干预与等待列表控制干预，以计算结果的效应量，包括食物相关的养育行为，进餐时间行为和实践，以及父亲/孩子营养和身体活动行为。其他目的将探讨DAD干预对父亲/儿童饮食质量和BMI/BMI z评分的有效性，以及结局指标与潜在中介变量之间的关系。父亲和孩子的二人组（n=60）将参加8个疗程（2小时/疗程）的干预（DAD），包括营养和家长教育，以及疗程间的技术增强外展。将在10人一组中随机分配二人组至DAD组或等待列表对照组。将在术前、术后和术后1个月进行评估，包括来自同居母亲的数据子集，以评估对结局的调节影响。这项研究将评估和探索低收入父亲对学龄前儿童肥胖行为和肥胖风险的独特影响。结合营养和家长教育的创新，同时针对新的人群，低收入父亲，预防儿童肥胖，将为未来在美国实施的RCT和计划提供证据，特别是对参与联邦资助营养的高危家庭 援助方案。