权益分类	功能权益	普通用户	{{item.name}}会员
{{category.name}}	{{benefitItem.name}}

PREVENTING DIABETES--A MOHAWK COMMUNITY INITIATIVE

预防糖尿病——莫霍克社区倡议

基本信息

批准号：
2661268
负责人：
VIRGINIA L HOOD
金额：
$ 24.22万
依托单位：
UNIVERSITY OF VERMONT & ST AGRIC COLLEGE
依托单位国家：
美国
项目类别：
财政年份：
1993
资助国家：
美国
起止时间：
1993-08-01 至 1999-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/2661268
关键词：
Native Americans behavioral /social science research tag 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

项目摘要

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（其主要危险因素）是美洲原住民中流行比例的疾病社区和他们发生在越来越早的年龄。的该提案的长期目标是降低NIDDM的患病率， Akwesasne的莫霍克人通过支持发展一种持续推行健康生活方式，以及加强社区的能力，以促进更多的身体活动和较低的热量摄入，尤其是脂肪。本研究干预的主要目标是儿童年龄5-8岁的生活在Akwesasne和次要目标将是他们的父母研究期间寻求的主要结果是：1。一减少食用含38%脂肪的食物的儿童比例，从全国中位数50%降至35%; 2.的增加报告玩跑步游戏或运动的儿童比例每周3次以上的比例从75%下降到90%，每天看电视超过2小时的儿童从65%增加到 50%; 3.降低体重指数低于从目前的43%到30%，目标符合2000年土著人民健康目标美国人基础广泛的社区健康教育方法的有效性，，以满足广泛的社会需要，将在一个准实验设计，在队列中使用前后测量 5-8岁的儿童，他们将在5岁以上进行纵向比较，第二组为5-8岁儿童， 5年后的孩子此外，随着时间的推移，将队列与生活在同一年龄段的儿童进行比较。在卡纳瓦克（300英里外一个类似规模的莫霍克社区），比较社区预防NIDDM的有效性学校健康教育课程的重点，将强调饮食行为、锻炼和体重控制，在卡纳瓦克进行