Development and evaluation of interventions for the prevention of childhood obesity in a multi-ethnic population: the Born in Bradford NHS ...


Ontology type: schema:MonetaryGrant     


Grant Info

YEARS

2008-2013

FUNDING AMOUNT

2107859 GBP

ABSTRACT

Aims. To study the patterns and aetiology of childhood obesity in a multi-ethnic population and use this evidence to develop a tailored prevention intervention. Background. The obesity epidemic is one of the most daunting public health threats facing the UK. Contemporary data indicate that this epidemic begins in early childhood and that children from South Asian origin are at particular risk. Epidemiological evidence has highlighted the importance of a number of early life factors for the development of obesity but there are gaps in our knowledge about the impact of potentially important exposures in pregnancy and early life. Early childhood provides a unique and circumscribed opportunity to promote health and prevent obesity. However there is a disappointing lack of evidence for effective interventions in pre-school children and in children of South Asian origin. Research plan: Enrolment and data collection for the Born in Bradford cohort (10,000 babies ~ 5000 of South Asian origin) began in March 2007 with over 80% recruitment rates. Objective 1. Measuring child growth. This study will establish research-calibre routine data collection on growth monitoring in a deprived, biethnic population through strengthening routine surveillance and monitoring growth trajectories. A 10% sub-sample of the cohort (n=1080 with ~ 50% European and 50% South Asian origin) will be selected for more intensive follow-up to augment and validate data collection. Objective 2: Identifying modifiable risk factors for childhood obesity. The focus for this objective will be to identify modifiable behaviours and environmental risk factors that can be targeted in future interventions. Data will be collected in the 10% sub-sample through home visits by bilingual researchers who will administer survey instruments for behavioural measures and undertake anthropometry assessments. Objective 3. Reviewing the evidence of effectiveness of obesity prevention interventions in pregnant women and/or children up to the age of 5 years of South Asian origin. Objective 4: Determining appropriate intervention targets. Qualitative interviews, observational methods, geospatial mapping and nutritional audits will be undertaken to explore determinants of feeding practices; cultural and social differences in feeding practices; influence of key stakeholders; beliefs, attitudes and practices in relation to obesity, diet and exercise; perceptions in the South Asian community about childhood obesity; access to food retrailing; eating patterns. Objective 5: Field-testing implementation methods and potential intervention components. Evidence from current and previous implementation methods will be supplemented by a survey of nationally relevant work. Field testing of candidate components for an intervention strategy will be undertaken to test their feasibility and acceptability in small scale action research cycles. Objective 6.Feasibility of implementation and evaluation of intervention to prevent obesity. The ultimate aim of the programme is to design an innovative community/family-based intervention to improve modifiable behaviours in both parent and child. The exploratory trial will to inform a definitive (phase 3) cluster randomised trial which can be implemented within the NHS. Early evaluation will help to refine and optimise the interventions in partnership with families and professionals. We will describe the process of implementation and assess: the feasibility and acceptability of the interventions for different communities; eligibility, consent and recruitment rates; acceptability of randomisation process; follow up rates. The outcomes will inform the components and delivery of the interventions, estimate the effect size and test and validate outcome measures. Research team. The programme is built on a strong and established multidisciplinary NHS/academic partnership. The applicants have a proven track record in high quality applied NHS research, epidemiology, ethnicity and health and obesity prevention trials. Research environment. A key strength of the programme is how the research is embedded within local communities and the NHS. This will bridge the divide between research and practice to promote translation and sustainability. Outcomes and impact on health. The findings will have a wide national and international application to the prevention of childhood obesity. The research will contribute crucial aetiological evidence about the timing and nature of obesity in early childhood, with a strong focus on modifiable risk factors. This information will be used to develop and design early childhood interventions that have a strong theoretical basis and process evaluation. Public involvement. Parents and children in Bradford will be the focus of our research and will be actively involved both in the Born in Bradford cohort and in the specific programmeprojects More... »

Related SciGraph Publications

  • 2018-12. Association of food security status with overweight and dietary intake: exploration of White British and Pakistani-origin families in the Born in Bradford cohort in NUTRITION JOURNAL
  • 2018-10. Prevalence of, and risk factors for, presenting visual impairment: findings from a vision screening programme based on UK NSC guidance in a multi-ethnic population in EYE
  • 2017-12. Prevalence, trajectories, and determinants of television viewing time in an ethnically diverse sample of young children from the UK in INTERNATIONAL JOURNAL OF BEHAVIORAL NUTRITION AND PHYSICAL ACTIVITY
  • 2016-12. Validity and reliability of the semi-quantitative self-report Home Food Availability Inventory Checklist (HFAI-C) in White and South Asian populations in INTERNATIONAL JOURNAL OF BEHAVIORAL NUTRITION AND PHYSICAL ACTIVITY
  • 2016-07. Ethno-Specific Risk Factors for Adverse Pregnancy Outcomes: Findings from the Born in Bradford Cohort Study in MATERNAL AND CHILD HEALTH JOURNAL
  • 2015-12. The objective measurement of physical activity and sedentary behaviour in 2–3 year olds and their parents: a cross-sectional feasibility study in the bi-ethnic Born in Bradford cohort in BMC PUBLIC HEALTH
  • 2015-12. The relationship between early life modifiable risk factors for childhood obesity, ethnicity and body mass index at age 3 years: findings from the Born in Bradford birth cohort study in BMC OBESITY
  • 2014-12. What factors explain pregnant women’s feeding intentions in Bradford, England: A multi-methods, multi-ethnic study in BMC PREGNANCY AND CHILDBIRTH
  • 2014-03. A comparison of South Asian specific and established BMI thresholds for determining obesity prevalence in pregnancy and predicting pregnancy complications: findings from the Born in Bradford cohort in INTERNATIONAL JOURNAL OF OBESITY
  • 2013-12. The psychometric properties of the subscales of the GHQ-28 in a multi-ethnic maternal sample: results from the Born in Bradford cohort in BMC PSYCHIATRY
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