Rationale, design and methods for the RIGHT Track Health Study: pathways from childhood self-regulation to cardiovascular risk in adolescence

BMC Public Health

Study Protocol

Susan D. Calkins¹  Jessica M. Dollar¹  Laurie Wideman²  James A. Janssen²  Cheryl A. Lovelady³  Lilly Shanahan⁴  Susan P. Keane⁵  Eliana M. Perrin⁶ 

[1] Department of Human Development and Family Studies, University of North Carolina Greensboro, 27402, Greensboro, NC, USA;Department of Kinesiology, University of North Carolina Greensboro, 27402, Greensboro, NC, USA;Department of Nutrition, University of North Carolina Greensboro, 27402, Greensboro, NC, USA;Department of Psychology and Neuroscience, University of North Carolina Chapel Hill, 27599-3270, Chapel Hill, NC, USA;Department of Psychology, University of North Carolina Greensboro, 27402, Greensboro, NC, USA;Division of General Pediatrics and Adolescent Medicine, Department of Pediatrics, University of North Carolina Chapel Hill, 27599-7225, Chapel Hill, NC, USA;

关键词: Longitudinal cohort;    Childhood self-regulation;    Cardiovascular risk factors;    Adolescent health behaviors;    Diet;    Physical activity;   

DOI  :  10.1186/s12889-016-3133-7

 received in 2016-04-24, accepted in 2016-05-18,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundCardiovascular risk factors during adolescence—including obesity, elevated lipids, altered glucose metabolism, hypertension, and elevated low-grade inflammation—is cause for serious concern and potentially impacts subsequent morbidity and mortality. Despite the importance of these cardiovascular risk factors, very little is known about their developmental origins in childhood. In addition, since adolescence is a time when individuals are navigating major life changes and gaining increasing autonomy from their parents or parental figures, it is a period when control over their own health behaviors (e.g. drug use, sleep, nutrition) also increases. The primary aim of this paper is to describe the rationale, design and methods for the RIGHT Track Health Study. This study examines self-regulation as a key factor in the development of cardiovascular risk, and further explores health behaviors as an explanatory mechanism of this association. We also examine potential moderators (e.g. psychosocial adversities such as harsh parenting) of this association.Method/designRIGHT Track is a longitudinal study that investigates social and emotional development. The RIGHT Track Health Study prospectively follows participants from age 2 through young adulthood in an effort to understand how self-regulatory behavior throughout childhood alters the trajectories of various cardiovascular risk factors during late adolescence via health behaviors. Individuals from RIGHT Track were re-contacted and invited to participate in adolescent data collection (~16.5, 17.5 and 18+ years old). Individuals completed assessments of body composition, anthropometric indicators, fitness testing (via peak oxygen consumption), heart rate variability during orthostatic challenge, 7-day accelerometry for physical activity and sleep, 24-h dietary recalls, and blood analysis for biomarkers related to metabolic syndrome, inflammatory status and various hormones and cytokines. Individuals also completed extensive self-report measures on diet and eating regulation, physical activity and sedentary behaviors, sleep, substance use, medical history, medication use and a laboratory-day checklist, which chronicled previous day activities and menstrual information for female participants.DiscussionInsights emerging from this analysis can help researchers and public health policy administrators target intervention efforts in early childhood, when preventing chronic disease is most cost-effective and behavior is more malleable.

【 授权许可】

CC BY   
© Wideman et al. 2016