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

点击翻译按钮获取中文摘要

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)