PREVENTING DIABETES--A MOHAWK COMMUNITY INITIATIVE

预防糖尿病——莫霍克社区倡议

• 批准号: 2146424
• 负责人: VIRGINIA L HOOD
• 金额: $ 22.26万
• 依托单位: UNIVERSITY OF VERMONT & ST AGRIC COLLEGE
• 依托单位国家: 美国
• 财政年份: 1993
• 资助国家: 美国
• 起止时间: 1993-08-01 至 1997-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2146424
• 关键词: Native Americans; child (0-11); community; diabetes education; dietary lipid; disease /disorder prevention /control; exercise; human subject; longitudinal human study; noninsulin dependent diabetes mellitus; nutrition education; nutrition related tag; weight control

Non-insulin dependent diabetes mellitus (NIDDM) and obesity (its major risk factor) are disorders of epidemic proportion in Native American communities and they are occurring at progressively earlier ages. The long-term goal of this proposal is to reduce the prevalence of NIDDM in the Mohawk people in Akwesasne by supporting the development of an enduring community commitment to healthy lifestyles and by enhancing the community's capacity to facilitate more physical activity and a lower caloric intake, especially from fats. The primary target of the intervention in this study will be the children aged 5-8 years living in Akwesasne and a secondary target will be their parents. The major outcomes sought during the study period are; 1. a reduction in the proportion of children eating diets containing 38% fat, from the median national level of 50% to 35%; 2. an increase in the proportion of children reporting playing running games or sports more than 3 times per week from 75% to 90% and a reduction in the proportion of children watching more than 2 hours of television per day from 65% to 50%; 3. a reduction int he proportion of children with a body mass index above the 85th percentile from the current level of 43% to 30%, an objective consistent with the Healthy People 2000 goal for Native Americans. The effectiveness of the broad-based community health education approach, which will address a wide range of community needs, will be tested in a quasi-experimental design, using pre- and post-measurements in a cohort of 5-8 year old children who will be compared longitudinally over 5 years, and cross-sectionally with a second cohort of 5-8 year old children 5 years later. In addition changes over time in the first cohort will be compared with those in the children of the same age living in Kahnawake (a similarly sized Mohawk community 300 miles away) to compare the effectiveness of the community-wide effort to prevent NIDDM with the focused approach of a school health education curriculum that will emphasize dietary behavior, exercise and weight control, that is being undertaken in Kahnawake.

非胰岛素依赖型糖尿病（NIDDM）和肥胖（主要）