Cardiovascular Diseases Clinical Trial
To continue analysis of data from a longitudinal study of 246 urban Black preschool children and their families in order to identify the long-term effects of social and environmental influences on nutrition and activity and the consequences of these influences for the children's cardiovascular disease (CVD) risk status.
BACKGROUND:
This study contributed to understanding the development of patterns of eating and exercise,
focusing on environmental influences that promoted healthful life styles and prevented risk
behaviors for CVD.
DESIGN NARRATIVE:
The data set included additional measures of activity and nutrition of the preschool child
as well as measures of the activity of an older sibling and mother. The data were gathered
in the homes and schools of the children and included both self-report and direct
measurement of activity and nutrition. Additional assessments of activity, lipid fractions
and apolipoproteins, and Type A Behavior Patterns and Life Stress in the preschool child,
i.e., target child , an older sibling and the children's mother added considerably to the
complexity and value of the data set permitting additional questions regarding the
development of activity, the influences of siblings and parents on this development, and the
relationship to CVD risk status and Type A Behavior Patterns.
Hypotheses addressed included 1. Activity levels and the activities selected showed
increasing stability with age in preschool and older Black children. 2. The influence of
parental prompts and family environment on activity increased asymptotically with age: The
effects increased during early childhood; the effects did not increase significantly in
older children. 3. Older sibling's influence on the target child's behavior increased with
age. The target child's CVD risk status became more like the older sibling's with age. 4.
Perceptions of recent Life Stress and ratings of Type A Behavior Patterns for target child,
the older sibling, and mother were predisposing variables that were positively related to
the target child's activity. 5. Long-term patterns of physical activity were associated with
HDL and apo A-1 in the target child and the older sibling; the effect was stronger for the
older sibling. Long-term patterns of the target child's nutrient intake were associated with
his/her lipid levels.
The study completion date listed in this record was obtained from the "End Date" entered in
the Protocol Registration and Results System (PRS) record.
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