Obesity and Educational Well-Being: A Population-based Investigation of Multiple Risks and Multiple Contexts

项目摘要 《患者保护和平价医疗法案》（ACA）极大地改变了美国的医疗现状。 学校卫生，把学校的需要和机会放在首位，以满足学生的卫生需要。 他们的学生随着人们对儿童肥胖问题的日益关注和持续关注， 强调学校和教育环境的作用。不幸的是，在十字路口的研究 卫生和教育的发展，特别是在儿童肥胖症方面，没有跟上这一需要。而 研究已经证明了学业成绩和儿童体重状况之间的联系，很少有研究 研究了健康和教育指标之间的中介关系，这可能有助于解释因果关系。 方面的影响.同样，许多风险因素已被确定，因为它们与体重状况有关，但综合 需要进行包括多种风险和教育指标的研究。 本研究的目的是探讨多重风险、儿童体重状况之间的纵向关系 和教育福利与整个全州人口的儿童之间的出生和6年级。三 具体目标指导工作。首先，本研究将调查早期风险与 幼儿园入学结果，包括儿童的体重状况，语言技能，社交情感技能， 学校出勤率。这一目标将提请注意使儿童有可能进入 学校对他们未来的教育福利构成重大威胁。第二，同样的早期风险， 体重状况和教育幸福指数将在整个轨迹上进行纵向检查， 幼儿园到六年级6年级是一个持续的发展时期， 儿童肥胖率，这一目标将揭示重要因素，可用于以后的学校- 基于干预发展，以降低6年级之前的肥胖率。最后，中介分析将 检查多重风险，体重状况和教育福利之间的间接关系。的结果 这项研究有可能为州内和全国范围内的战略干预提供信息， 更全面地了解与发展有关的风险和保护因素， 学龄儿童肥胖症。

PROJECT SUMMARY The Patient Protection and Affordable Health Care Act (ACA) has significantly changed the landscape of school health, bringing to the forefront the needs and opportunities of schools to provide for the health needs of their students. With the increasing, and persistent, attention being drawn to the problem of childhood obesity, the role of schools and the educational environment is emphasized. Unfortunately, research at the intersection of health and education, particularly in the area of childhood obesity, has not kept pace with this need. While research has demonstrated a link between academic outcomes and childhood weight status, few studies have examined the mediating relationships among health and educational indicators that may help explain causal effects. Similarly, a host of risk factors have been identified as they relate to weight status, but comprehensive studies that include multiple risks as well as educational indicators are needed. The purpose of this study is to examine the longitudinal relations between multiple risks, child weight status and educational well-being with an entire statewide population of children between birth and 6th grades. Three specific aims guide the work. First, this study will investigate relationships between early risks and kindergarten entry outcomes, including children's weight status, language skills, social-emotional skills, and school attendance. This aim will draw attention to the important early risks that render children likely to enter school with significant threats to their future educational well-being. Second, these same sets of early risks, weight status, and educational well-being indicators will be examined longitudinally across the trajectory from kindergarten to 6th grade. Where 6th grade is a consistent developmental period that evidences the peak childhood obesity rate, this aim will shed light on important factors that could be used for subsequent school- based intervention development to reduce obesity rates before 6th grade. Lastly, mediational analyses will examine the indirect relations between multiple risks, weight status, and educational well-being. Findings from this study have the potential to inform strategic interventions both within the state as well as nationwide by providing a more comprehensive understanding of risk and protective factors related to the development of obesity for school aged children.