Reifsnider Elizabeth, McCormick David P, Cullen Karen W, Szalacha Laura, Moramarco Michael W, Diaz Abigail, Reyna Lucy
College of Nursing and Health Innovation, Arizona State University, 500 N, 3rd Street, Phoenix, AZ 85004, USA.
BMC Public Health. 2013 Sep 24;13:880. doi: 10.1186/1471-2458-13-880.
Early and rapid growth in Infants is strongly associated with early development and persistence of obesity in young children. Substantial research has linked child obesity/overweight to increased risks for serious health outcomes, which include adverse physical, psychological, behavioral, or social consequences.
METHODS/DESIGN: The goal of this study is to compare the effectiveness of structured Community Health Worker (CHW)--provided home visits, using an intervention created through community-based participatory research, to standard care received through the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) office visits in preventing the development of overweight (weight/length ≥ 85th percentile) and obesity (weight/length ≥ 95th percentile) in infants during their first 3 years of life. One hundred forty pregnant women in their third trimester (30-36 weeks) will be recruited and randomly assigned to the intervention or control group.
This study will provide prospective data on the effects of an intervention to prevent childhood obesity in children at high risk for obesity due to ethnicity, income, and maternal body mass index (BMI). It will have wide-ranging applicability and the potential for rapid dissemination through the WIC program, and will demonstrate the effectiveness of a community approach though employing CHWs in preventing obesity during the first 3 years of life. This easy-to-implement obesity prevention intervention can be adapted for many locales and diverse communities and can provide evidence for policy change to influence health throughout life.
Clinical Trials Number: NCT01905072.
婴儿期的早期快速生长与幼儿期肥胖的早期发展及持续存在密切相关。大量研究已将儿童肥胖/超重与严重健康后果风险增加联系起来，这些后果包括不良的身体、心理、行为或社会影响。
方法/设计：本研究的目的是比较由经过培训的社区卫生工作者提供的结构化家访（采用通过社区参与性研究创建的一种干预措施）与通过妇女、婴儿和儿童特别补充营养计划（WIC）办公室访视所接受的标准护理在预防婴儿出生后头3年内超重（体重/身长≥第85百分位数）和肥胖（体重/身长≥第95百分位数）方面的效果。将招募140名孕晚期（30 - 36周）的孕妇，并随机分配到干预组或对照组。
本研究将提供前瞻性数据，以了解一种干预措施对因种族、收入和母亲体重指数（BMI）而处于肥胖高风险的儿童预防儿童肥胖的效果。它将具有广泛的适用性，并有可能通过WIC计划迅速传播，并且将通过在出生后头3年中聘用社区卫生工作者来证明一种社区方法在预防肥胖方面的有效性。这种易于实施的肥胖预防干预措施可适用于许多地区和不同社区，并可为影响一生健康的政策变革提供证据。
临床试验编号：NCT01905072。
