Community-Based Interventions to Reduce the Risk of Diabetes and Cardiovascular Disease in Indigenous Australians

以社区为基础的干预措施，降低澳大利亚原住民患糖尿病和心血管疾病的风险

• 批准号: nhmrc : 124319
• 负责人: Prof Kerin O'Dea
• 金额: $ 113.31万
• 依托单位国家: 澳大利亚
• 项目类别: NHMRC Project Grants
• 财政年份: 2001
• 资助国家: 澳大利亚
• 起止时间: 2001-01-01 至 2004-12-31
• 项目状态: 已结题
• 来源: https://researchdata.edu.au/community-based-interventions-indigenous-australians/99538
• 关键词: Community; Based; Interventions; Reduce; Risk

Poor nutrition is one of the main factors causing high rates of diabetes and heart disease in Aboriginal and Torres Strait Islander people. Obesity is one of the main risk factors for diabetes and cardiovascular diseases and it is associated with poor diet, lack of exercise and many social factors. Access to fresh vegetables and fruit is often difficult for indigenous people , especially in remote areas. The aim of this project is to work with indigenous communities in rural and remote areas to plan and run programs to lower the risk of diabetes and heart disease. The programs will be designed by community members and involve health education, diet, exercise and improving availability of healthy food choices in community stores. The programs will target diabetic people and their families or, in most cases, the whole community. It is very difficult for overweight adults to lose weight permanently, so school-based programs will be run to provide health education and healthy canteen policies put in place to try and prevent excess weight gain in younger people. To see whether these programs are effective, we will measure changes over time in risk factors for diabetes and heart disease, nutrition and community support and involvement in the program. Where a community achieves even modest improvements in diet and exercise, this is likely to lead to a much lower risk of diabetes and heart disease. We will identify what factors make a program effective and sustainable over the long term. This study will help us to set up a system for introducing and monitoring similar programs in other indigenous communities. (1358 characters)

营养不良是导致原住民和托雷斯海峡岛民糖尿病和心脏病高发的主要因素之一。肥胖是糖尿病和心血管疾病的主要危险因素之一，与不良饮食、缺乏运动和许多社会因素有关。对于土著人民来说，获得新鲜蔬菜和水果往往很困难，特别是在偏远地区。该项目的目的是与农村和偏远地区的土著社区合作，规划和实施降低糖尿病和心脏病风险的项目。这些计划将由社区成员设计，涉及健康教育、饮食、锻炼以及改善社区商店健康食品选择的供应。这些计划将针对糖尿病患者及其家人，或者在大多数情况下针对整个社区。超重的成年人很难永久减肥，因此将开展以学校为基础的计划，提供健康教育，并制定健康食堂政策，以试图防止年轻人体重过度增加。为了了解这些计划是否有效，我们将衡量糖尿病和心脏病风险因素、营养和社区支持以及参与该计划的情况随时间的变化。如果一个社区在饮食和锻炼方面取得哪怕是适度的改善，就有可能大大降低患糖尿病和心脏病的风险。我们将确定哪些因素使计划长期有效且可持续。这项研究将帮助我们建立一个系统，在其他土著社区引入和监测类似的项目。 （1358 个字符）