Tipping the energy balance for Latino Children

描述(由申请人提供)：在过去的30年里，6-11岁儿童的肥胖率增加了两倍多，特别是在墨西哥裔美国人中。有希望的干预措施包括促进更积极的身体活动，并将儿童的家人纳入干预措施。在这项提案中，我们将重点关注拉美裔小学学龄儿童(3-5年级)超重(身体质量指数(BMI)等于或等于85%和小于95%)或肥胖(等于或大于95%)风险的活动变化。将鼓励父母子女对增加他们的身体活动，主要提供者的办公室作为渠道，在六个月的时间内定期使用社区娱乐中心(当地的基督教女青年会)。第一个“移动”诊所将结合在一起：针对父母子女对的个人和小组咨询；在诊所现场配置活动面包车；以及制定子女-父母活动合同。接下来的五次每月访问将在基督教女青年会内部进行。YWCA将作为提供者办公室的延伸，通过活动和小组讨论加强儿童的健康，监测BMI和血压(BP)，并与主要提供者办公室沟通。干预组将与年龄和BMI类别(肥胖或超重风险)匹配的拉丁裔儿童的对照组进行比较。控制组将在主要提供者的办公室接受关于定期体力活动重要性的基线咨询，并在6个月和1年后进行跟踪BMI和BP检查。这两个团体都将在学习入学时获得免费的基督教女青年会家庭成员资格，以增加进入位于中心位置的娱乐中心的机会。提供商办公室和社区娱乐中心之间的积极合作有可能减缓肥胖率的上升，并使能量平衡有利于稳定并最终降低BMI。 这项研究是一项探索性研究；我们计划检验拟议过程的可行性，并评估有希望的中间结果，包括自我报告的活动、自我效能和使用社区娱乐中心。作为衡量肥胖程度的指标，我们将在三个时间点测量两组人的BMI。从预防的角度来看，这一结果可能很重要，在我们的州尤其需要，该州拥有美国增长最快的拉丁裔人口。

DESCRIPTION (provided by applicant): The prevalence of obesity has more than tripled for children aged 6-11 years over the past three decades, especially among Mexican-Americans. Promising interventions have involved promotion of more vigorous physical activity and have included the child's family in the intervention. In this proposal, we will focus on activity change in Latino elementary school-aged children (3rd-5th grade) who are at-risk for overweight (body mass index [BMI] equal to or more than 85% and less than 95%) or obese (equal to or more than 95% BMI). Child-parent pairs will be encouraged to increase their physical activity, with the primary provider's office as a conduit to regular use of a community recreation center (a local YWCA) over a period of six months. The first "On the Move" clinic will combine: individual and group counseling for child-parent pairs; collocation of an activity van at the clinic site; and the development of a child-parent activity contract. The subsequent five monthly visits will occur within the YWCA. The YWCA will function as an extension of the provider's office, reinforcing children's health through activity and group discussion sessions, monitoring BMI and blood pressure (BP), and communicating to the primary provider's office. The intervention group will be compared to a control group of Latino children matched for age and BMI category (obese or at risk for overweight). The control group will receive baseline counseling on the importance of regular physical activity in a group setting at the primary provider's office, with a follow-up BMI and BP check 6 months and one year later. Both groups will receive a free YWCA family membership at the time of study enrollment to increase access to a centrally located recreation center. Active collaborations between the provider's office and community recreation centers have the potential to slow the rise of obesity, and tip the energy balance in favor of stabilizing and ultimately decreasing BMIs. This study functions as an exploratory study; we plan to examine feasibility of the proposed process, and evaluate promising intermediate outcomes, including self-reported activity, self-efficacy, and use of a community recreation center. As a measure of adiposity, we will measure BMI at three points in time for both groups. The results could be important from a preventive perspective and are especially needed in our state, which has the fastest-growing Latino population in the U.S.