Pacific Kids DASH for Health (PacDASH)
The increasing prevalence of childhood overweight has been found to be related to decreased levels of physical activity (PA) and increased energy content of the diet. Childhood offers an opportunity to develop and support health-promoting behaviors. Pacific Kids DASH for Health (PacDASH) is a community-based intervention that links food, PA, and health, and targets overweight children in Hawaii with a goal of preventing further weight gain. Components of the intervention include a food and PA prescription delivered by physicians at community-based health centers complemented with a toolbox of activities, behaviorally tailored messages, and PacDASH educational materials. This project will extend and apply the nationally recommended DASH eating pattern to children and the growing population of Asians and Pacific Islanders. The investigators will incorporate culturally preferred foods, recipes, and PA messages that meet DASH and other national guidelines. The approach will target child food behaviors and social and environmental cues that are important to making healthy food and PA choices and will provide steps to behavior change. Farmers markets at participating health centers are a support resource for activities. Providing access to, coupons for, and guidance about selecting and preparing fresh fruits and vegetables at a convenient health center farmers market will support increased intake of nutrient-rich foods among these children who are overweight and at risk for obesity.
Pacific Islanders are among the world's most obese populations while Asians, although of relatively low body mass index (BMI), carry much of their body fat in the upper body and exhibit greater health risk at the same BMI. Through this project, the investigators hope to learn more about body size and composition in children of the Pacific Region for whom there are few national data. In addition, evaluate the effectiveness of a community-based intervention within a health care system on managing overweight in children.
調査の概要
詳細な説明
INTRODUCTION The ethnic groups of the Pacific Region are predominantly Pacific Islander and Asian.
Pacific Islanders (PacIsl) are among the world's most obese populations while Asians, although of relatively low body mass index (BMI), carry much of their body fat in the upper body and exhibit greater health risk at the same BMI. Childhood offers an opportunity to develop and support health-promoting behaviors. This project will extend and apply the nationally recommended DASH eating pattern 115, developed for White, African American and Hispanic adults, to children and to the growing population of Asians and PacIsl. We will incorporate culturally-preferred foods, recipes, and physical activities that meet DASH and other national guidelines, with adaptations for children. We will develop the Pacific Kids DASH for Health (PacDASH) intervention in Hawaii, where the majority is of Asian and PacIsl ancestry.
Linking food and health systems is critical to prevent obesity. The PacDASH intervention will include a food and physical activity (PA) prescription delivered by a physician at a community-based health center (HC), in partnership with farmers' markets (FM) that are based at the HC, and complemented with a toolbox of related activities. The intervention approach supports child food behaviors and social and environmental cues, which are important to making healthy food and PA choices. Linking physicians and health with farmers and food at a convenient HC FM will support increased intake of nutrient-rich, less energy dense foods among children of understudied ethnic groups who are at high risk for obesity.
Project Goal Our goal is to develop and evaluate the effectiveness of a community-based intervention that links food and health, and targets children of the Pacific Region who are overweight, in order to slow and prevent further weight gain (for children to "grow into their weight").
Specific Objectives
To develop and evaluate the impact of the PacDASH intervention on preventing weight gain and improving blood pressure in children of the Pacific Region.
- To further develop and test the Pacific Tracker (PacTrac) dietary assessment and education tool by incorporating updated MyPyramid 112 reference data and educational output, and
- To enhance PacTrac with an expert system (ES) of behaviorally-tailored messages and output.
- To evaluate the effect of the PacDASH intervention on nutrition and physical activity behavior of children.
To describe environmental, social, economic and cultural factors associated with body size and composition of children of the Pacific Region, for whom there are few national data.
- To examine body size and composition of children of the Pacific Region according to several measures.
- To examine the influence of individual PacIsl ethnic groups on body size and composition.
研究の種類
入学 (実際)
段階
- 適用できない
連絡先と場所
研究場所
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Hawaii
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Honolulu、Hawaii、アメリカ、96817
- Kaiser Permanente Center for Health Research, Hawaii
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参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
Inclusion Criteria:
- Age 5 - 8 years old
- >85th up to 98th BMI-for-age percentile (overweight)
- Children with a primary care provider at MAP
- Lives on Oahu
- Due for, or scheduled for, a well-child/physical exam visit during months of the pilot study
Exclusion Criteria:
- Diabetes Mellitis
- Polycystic Ovarian Syndrome
- Gastroesophageal Reflux
- Gallbladder disease
- Non alcoholic fatty liver disease
- Pseudo Tumor cerebri
- Slipped capital femoral epiphysis
- Blount's disease
- Obstructive Sleep Apnea/Sleep Disturbance
- Other chronic disease conditions that would affect participation
研究計画
研究はどのように設計されていますか?
デザインの詳細
- 割り当て:ランダム化
- 介入モデル:単一グループの割り当て
- マスキング:独身
武器と介入
参加者グループ / アーム |
介入・治療 |
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実験的:介入
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Effect of the PacDASH intervention on nutrition and physical activity behavior of children. 15 months study. |
介入なし:Attention Control / Usual Care
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この研究は何を測定していますか?
主要な結果の測定
結果測定 |
時間枠 |
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Develop/evaluate effectiveness of a community-based intervention targets children of the Pacific Region who are overweight in order to slow and prevent further weight gain (for children to "grow into their weight")
時間枠:Feb 2008 - Feb 2012
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Feb 2008 - Feb 2012
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協力者と研究者
スポンサー
捜査官
- 主任研究者:Rachel Novotny, PhD,RD、Kaiser Permanente Center for Health Research Hawaii, University of Hawaii, Human Nutrition, Food, Animal Sciences Department
出版物と役立つリンク
研究記録日
主要日程の研究
研究開始
一次修了 (実際)
研究の完了 (実際)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (見積もり)
学習記録の更新
投稿された最後の更新 (見積もり)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。
PacDASH interventionの臨床試験
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University of MichiganNational Institute on Drug Abuse (NIDA)募集
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University of PittsburghCenters for Disease Control and Preventionまだ募集していません暴力, ドメスティック | 思春期の暴力 | 暴力、性的 | 暴力、身体的 | 暴力, 偶然ではない | 社会的結束 | 暴力、構造 | コミュニティ内暴力アメリカ
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University of California, San FranciscoSan Francisco Veterans Affairs Medical Center; Tobacco Related Disease Research Program完了
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University of Southern CaliforniaNational Institutes of Health (NIH)積極的、募集していない
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Massachusetts General HospitalNational Institutes of Health (NIH); Samaritans of Bostonまだ募集していません自殺念慮 | 自殺未遂 | 自殺
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Munich Municipal HospitalTechnical University of Munich; University of Regensburgわからない