Family Based Obesity Prevention in Latino Families

描述（由申请人提供）：肥胖在美国是流行病，并与许多医疗问题的风险增加有关。许多与肥胖有关的风险因素和疾病在少数群体中非常明显。非西班牙裔白色和非裔美国儿童的超重率在2至5岁之间是相当的。然而，超重的患病率在学龄前墨西哥裔美国儿童中相当高。因此，如果我们要有效地解决这一公共卫生危机，学龄前是改变高危儿童超重轨迹的关键时期。拟议的研究是一个探索性/发展性的应用程序，并响应PA-06-351“探索性赠款行为研究在癌症控制”和PA-06-417“学校为基础的干预措施，以防止肥胖。该项目建立在“嘻哈健康小。”“（HL58871）。Hip Hop的主要目的是比较两组3-5岁少数民族儿童的体重指数（BMI）[kg/m2]变化，这些儿童被随机分配到体重控制干预（WCI）或一般健康干预（GHI）。第1年和第2年随访的儿童结果显示，与GHI对照组儿童相比，WCI组儿童的BMI相对增加显著较小。成功的是主要为黑人儿童服务的学校。拉丁裔儿童在第1年和第2年的随访结果没有显示出同样的积极结果。拉丁美洲学校的潜在限制是，干预措施完全是以学校为基础的，家长干预最少，对识字水平和文化能力的关注不够。我们现在提出了一项干预措施，以测试拉丁美洲家庭超重预防干预措施的可行性/可接受性，“Ni <$os Felices，Ni <$os Sanos”（快乐健康的孩子），利用学校环境，提供与儿童的持续接触，更容易接触父母，并信任教育环境。我们提出三个目标：目标1：测试的可接受性，14周的家庭为基础的干预与3-5岁的拉丁美洲儿童和他们的父母;目标2。评估该干预措施的有效性，该干预措施旨在显示干预后和第1年随访时3-5岁拉丁裔儿童BMI的平均变化较小，适合生长;目标3。评估这种干预措施的有效性，旨在改变3-5岁拉丁裔儿童及其父母在干预后和第1年随访时的电视观看、体育活动、脂肪、纤维和水果蔬菜摄入量。肥胖症在美国很流行。许多与肥胖相关的风险因素在少数民族人群中非常明显，在拉丁美洲儿童中也是一个严重的问题。如果我们要有效地影响公共卫生，学龄前阶段是进行干预的关键时期。

DESCRIPTION (provided by applicant): Obesity is epidemic in the United States and is associated with increased risk for numerous medical problems. Many obesity-related risk factors and diseases are strikingly apparent in minority populations. Comparable rates of overweight exist for two to five year old non-Hispanic white and African-American children. However, the prevalence of overweight is considerably higher among preschool Mexican American children. Thus, the preschool years are a crucial time to alter the trajectory toward overweight among high-risk children if we are to effectively address this public health crisis. The proposed research is an exploratory/developmental application and responds to PA-06-351 "Exploratory Grants for Behavioral Research in Cancer Control" and to PA-06-417 "School-Based Interventions to Prevent Obesity." The project builds upon findings of "Hip Hop to Health Jr." (HL58871). The primary aim of Hip Hop was to compare changes in body mass index (BMI) [kg/m2 ) in two groups of 3-5 year old minority children randomized to a Weight Control Intervention (WCI) or a General Health Intervention (GHI). Results for the children at the Year 1 and Year 2 follow-ups showed that children in WCI had significantly smaller relative increases in BMI compared to children in the GHI control group. The success was among the schools that served predominantly Black children. Results at Year 1 and Year 2 follow-up for the Latino children did not show these same positive results. Potential limitations for the Latino schools were that the intervention was solely school-based with a minimal parental intervention and not sufficient in its attention to literacy level and cultural competence. We now propose an intervention to test the feasibility/acceptability of an overweight prevention intervention for Latino families, "Ni¿os Felices, Ni¿os Sanos" (Happy Healthy Kids) that takes advantage of the school setting which provides continuous contact with children, easier access to parents, and trust in the educational setting. We propose three aims: Aim 1: To test the acceptability of a 14-week family-based intervention with 3-5 year old Latino children and their parents; Aim 2. To estimate the effectiveness of this intervention designed to show smaller changes, on average, in BMI appropriate for growth in 3-5 year old Latino children at post-intervention and Year 1 follow-up; and Aim 3. To estimate the effectiveness of this intervention designed to produce changes in television viewing, physical activity, fat, fiber, and fruit and vegetable intake in 3-5 year old Latino children and their parents at post-intervention and Year 1 follow-up. Obesity is epidemic in the United States. Many obesity-related risk factors are strikingly apparent in minority populations and are a significant problem among Latino children. The preschool years are a crucial time to intervene if we are to effectively impact public health.