Core--Cardiovascular Disease

核心--心血管疾病

• 批准号: 7525178
• 负责人: Steven Harold Kelder
• 金额: $ 11.3万
• 依托单位: UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON
• 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/7525178
• 关键词: African American; Mexican Americans; biomedical facility; cardiovascular disorder; cardiovascular disorder epidemiology; cardiovascular disorder prevention; child (0-11); clinical research; community; epidemiology; health behavior; health disparity; human data; human subject; medical outreach /case finding; obesity; phenotype

PARENT ABSTRACT (CORE ABSTRACT NOT PROVIDED) The broad objective is to determine prevalence of obesity and type 2 diabetes in Hispanic adolescents. Relationships between these two health problems and factors that contribute to them will be analyzed. Besides providing information to design prevention interventions, this pilot will record baseline data before implementation of a comprehensive children's health program in the school system. After a cohort has encountered this program, the study can be repeated to evaluate its effects. The specific aims of the program are to obtain baseline data, to determine relationships between adiposity, biological markers of type 2 diabetes, behavioral and socioeconomic factors in the development of obesity, to suggest possible prevention interventions, and to use the data to evaluate current and future interventions. The study takes place in Brownsville, on the Texas Mexico border, where the population is 84.8% Hispanic. This community has an average income half that of the rest of the United States, but high disease burdens, particularly chronic diseases such as diabetes. The study population will consist of 474 9th to 12th grade students who are randomly selected. A Type I error level of 0.05, standard deviation of 6.4 BMI units will be assumed and 474 non-respondents will be interviewed. Height, weight, Body Impedance Analysis, blood pressure, acanthosis nigricans, fasting plasma glucose, insulin, lipid profile, C-reactive protein, liver function tests, demographic factors, physical activity and nutritional habits will be recorded. Results from these tests will be shared with the parents of the child. Summary measures (means, median, mode, variability measurements: standard deviation, range, interquartile range, etc.) will be determined. The data will be shared with the Cardiovascular Core for use in evaluation of the effectiveness of their interventions. The Statistical Economic Analysis Core (SEAC) will provide data analyses. A database will contain data from the clinical examination, questionnaire and laboratory. The findings will be analyzed to determine the prevalence of overweight and obese children, type 2 diabetes and association of risk factors. These analyses will be shared with other researchers at the HHRC, with the community, and used to design interventions. A second database will be built to enter data from the non-responder parents.

附件摘要（未提供核心摘要） 广泛的目标是确定西班牙裔青少年肥胖和2型糖尿病的患病率。 将分析这两个健康问题之间的关系以及导致这些问题的因素。 除了为设计预防干预措施提供信息外，该试点项目还将在学校系统实施全面的儿童健康方案之前记录基线数据。 在一个队列遇到这个程序后，可以重复研究以评估其效果。该计划的具体目标是获得基线数据，以确定肥胖，2型糖尿病的生物标志物，肥胖发展中的行为和社会经济因素之间的关系，提出可能的预防干预措施，并使用数据来评估当前和未来的干预措施。 这项研究在德克萨斯州墨西哥边境的布朗斯维尔进行，那里84.8%的人口是西班牙裔。这个社区的平均收入是美国其他地区的一半，但疾病率很高。 负担，特别是糖尿病等慢性疾病。研究人群将包括474名随机选择的9至12年级学生。第一类误差水平为0.05，标准差为6.4 BMI单位，将采访474名非受访者。将记录身高、体重、身体阻抗分析、血压、黑棘皮病、空腹血糖、胰岛素、血脂、C反应蛋白、肝功能检查、人口统计学因素、体力活动和营养习惯。这些测试的结果将与孩子的父母分享。 汇总指标（平均值、中位数、众数、变异性测量：标准差、范围、四分位距等）将被确定。这些数据将与心血管中心共享，用于评价其干预措施的有效性。统计经济分析核心将提供数据分析。数据库将包含来自临床检查、调查问卷和实验室的数据。 研究结果将进行分析，以确定超重和肥胖儿童，2型糖尿病和相关风险因素的患病率。这些分析将与人权委员会的其他研究人员和社区分享，并用于设计干预措施。将建立第二个数据库，以输入来自无应答父母的数据。