Growing UIp Healthy in East Harlem (CBPR)

东哈莱姆区健康发展 UIP (CBPR)

• 批准号: 7063295
• 负责人: Mary S Wolff
• 金额: $ 13.52万
• 依托单位: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
• 依托单位国家: 美国
• 资助国家: 美国
• 起止时间: 至
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/7063295
• 关键词: African American; Hispanic Americans; body physical characteristic; child (0-11); clinical research; consumer product; diet; disease /disorder proneness /risk; environmental contamination; environmental exposure; exercise; human subject; lifestyle; longitudinal human study; nutrient intake activity; nutrition related tag; obesity; outcomes research; phenols; phthalates; phytoestrogens; plastics; public health; recreation; socioenvironment; urban area; urinalysis

Description (provided by applicant): Exposure Assessment of Environmental Factors in the Urban Built Environment of East Harlem, NY. Childhood obesity has become epidemic in the U.S., especially among African-American and Latino children. East Harlem, a predominantly minority community, has the highest prevalence of obesity of any neighborhood in NYC. East Harlem community leaders, who advise the Mount Sinai Children's Environmental Health Center, including members of the East Harlem Community Health Committee, the Boriken Neighborhood Health Center and Settlement Health, have recommended that childhood obesity in East Harlem become a major Center priority. Environmental factors are increasingly acknowledged to influence development of overweight and obesity. Leaders in East Harlem have identified a series of environmental factors unique to the urban built environment that appear to be barriers to healthy lifestyles and promoters of childhood obesity. These include, paucity of play-spaces, concerns about safety, lack of fresh foods and limited opportunities for youth activities. To assess and characterize these factors, this proposed CBPR project will study structural features of the urban built environment of East Harlem with particular attention to, 1) accessibility of parks and recreational areas; 2) opportunities and spaces for physical activity; 3) safety; 4) neighborhood aesthetics; and 5) accessibility to healthy foods. The investigators also plan to examine children's exposures to contemporary-use synthetic EDs (chemicals that may alter endocrine function) in the built environment, in particular, phthalates, bisphenol A, and phytoestrogens. Recent national surveys conducted by the CDC found that residues of EDs are present almost universally in Americans, but that there exist significant disparities in body burdens by age, sex, race and ethnicity with highest levels found in children and in minorities. Sources of ED exposure appear to include diet, personal care products and plastics. The investigators plan to assess children's biological levels and environmental sources of ED exposure in the urban built environment of East Harlem, NY. This project will continue a tradition in the Center of strong partnership with the East Harlem community.

描述(申请人提供)：纽约东哈莱姆区城市建成环境因素暴露评估。儿童肥胖症在美国已经变得流行起来，特别是在非洲裔美国人和拉美裔儿童中。东哈莱姆是一个以少数族裔为主的社区，是纽约市肥胖率最高的社区。为西奈山儿童环境健康中心提供建议的东哈莱姆区社区领袖，包括东哈莱姆区社区健康委员会、博里肯社区健康中心和定居点健康中心的成员，建议将东哈莱姆区的儿童肥胖症作为中心的主要优先事项。越来越多的人认识到环境因素影响着超重和肥胖的发展。东哈莱姆区的领导人已经确定了一系列城市建筑环境特有的环境因素，这些因素似乎是健康生活方式的障碍，也是儿童肥胖的促进者。这些问题包括缺乏游戏空间、对安全的担忧、缺乏新鲜食物以及青少年活动机会有限。为了评估和描述这些因素，这个拟议的CBPR项目将研究东哈莱姆区城市建成环境的结构特征，特别注意：1)公园和娱乐区的可达性；2)体育活动的机会和空间；3)安全；4)社区美学；5)获得健康食品。研究人员还计划检查儿童在建筑环境中接触当代使用的合成EDs(可能改变内分泌功能的化学物质)的情况，特别是邻苯二甲酸盐、双酚A和植物雌激素。最近的国家 疾控中心进行的调查发现，EDS的残留量几乎普遍存在于 儿童和少数群体的负担水平最高，但按年龄、性别、种族和族裔划分的身体负担存在显著差异。接触ED的来源似乎包括饮食、个人护理产品和塑料制品。研究人员计划在纽约东哈莱姆区的城市建成环境中评估儿童暴露于ED的生物学水平和环境来源。该项目将延续该中心与东哈莱姆社区密切合作的传统。