PREVENTING DIABETES--A MOHAWK COMMUNITY INITIATIVE

预防糖尿病——莫霍克社区倡议

• 批准号: 6247012
• 负责人: VIRGINIA L HOOD
• 金额: $ 2.44万
• 依托单位: UNIVERSITY OF VERMONT & ST AGRIC COLLEGE
• 依托单位国家: 美国
• 财政年份: 1997
• 资助国家: 美国
• 起止时间: 1997-01-23 至 1997-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6247012
• 关键词: Native Americans; behavioral /social science research tag; body physical activity; clinical research; community; dietary lipid; disease /disorder prevention /control; epidemiology; health behavior; human subject; lifestyle; noninsulin dependent diabetes mellitus; weight control

The goal of this proposal is to facilitate the establishment of an enduring community commitment to promoting and maintaining healthy lifestyles that include increased physical activity, reduced consumption of fatty foods and decreased excessive weight gain in 5-10 year old children with the long term objective of reducing non-insulin dependent diabetes (NIDDM) in the Mohawk living in Akwesasne. During the spring and summer of 1996, year 3 measurements of food preference were made in all children in the Mohawk school; measurements of height, weight, skinfolds, bioelectrical impedance, waist/hip circumference, dietary intake and activity were made in 138/143 children entered in the evaluation section of the study in year 1 and 43 4-6 year olds entering the Mohawk school and the study in year 3; and assessments of knowledge attitudes and behaviors to diet and physical activity in 80 parents. The results show that over 2 years BMI adjusted for age has not changed while percent body fat has increased. Dietary fat intake and percent dietary fat intake has decreased. However activity levels have also decreased. A significant number of children are overweight by the age of 5 indicating that energy imbalance is occurring in preschool children and being sustained as children grow. The findings reinforce the need to focus on increasing energy expenditure as well as continuing to reduce excess energy intake as a strategy for regaining appropriate weight gain as children grow. The findings also suggest that while even young children know about healthy foods, their eating behavior is mainly guided by food preferences. Hence intervention designed to influence food preferences need to be introduced early. Data analysis was begun, in collaboration with the GCRC Biostatistician.

这项建议的目的是促进建立一个 持续致力促进及维持健康 生活方式，包括增加身体活动，减少消费， 脂肪食物和减少过度体重增加在5-10岁 长期目标是减少非胰岛素依赖的儿童 糖尿病（NIDDM）的莫霍克人生活在Akwesasne。 在1996年春季和夏季， 在莫霍克学校的所有儿童中进行了优先选择;测量 身高、体重、皮褶厚度、生物电阻抗、腰/臀 138/143例测量了围度、膳食摄入量和活动量 第一年进入研究评估部分的儿童， 43名4-6岁的奥尔兹进入莫霍克学校并在3年级学习; 对饮食和体育知识、态度和行为的评估 在80位家长中。结果表明，经过2年的BMI调整， 年龄没有变化，而身体脂肪百分比增加了。膳食 脂肪摄入量和膳食脂肪摄入量百分比下降。然而 活动水平也有所下降。大量儿童 5岁时超重，表明能量不平衡 发生在学龄前儿童，并随着儿童的成长而持续。 这些发现强化了关注增加能源的必要性 消费以及继续减少多余的能量摄入， 随着孩子的成长，体重恢复适当的策略。的 研究结果还表明，即使是年幼的孩子也知道健康的 他们的饮食行为主要受食物偏好的影响。因此 旨在影响食物偏好的干预措施需要 早介绍。 与GCRC生物统计学家合作开始数据分析。