Health Outcomes Monitoring and Evaluation: Learning about Activity, Nutrition, Diet and Social Factors

糖尿病、心脏病和肾脏疾病在澳大利亚土著居民中流行。尤其令人担忧的是，在更广泛的澳大利亚社区中，老年疾病的发病年龄较早。虽然已知这些慢性病会在土著和托雷斯海峡岛民社区造成过早死亡和痛苦，但我们的知识存在差距。例如，我们对这些情况如何在不同人群中随时间发展知之甚少。最大的知识差距可能是有效干预的领域--既要预防年轻人的糖尿病、肾脏和心脏病，又要有效地治疗现有病例。该计划的主要目标是汇聚一支多技能的研究团队，以更好地了解这些慢性疾病在整个生命周期内的发展(包括不同人群之间的差异)，并指导饮食、生活方式和临床干预的发展。这种干预措施必须简单、有效、为土著人民所接受并能够长期持续下去。所有干预措施都将经过严格评估。这些结果将为以下领域的政策提供参考：偏远社区的食品供应质量和可负担性；促进体力活动的基础设施；提供高质量的初级保健，重点是对慢性病风险人群的早期干预和护理。

Diabetes, Heart and Kidney disease occur in epidemic proportions among Indigenous Australians. Of particular concerns is the early age of onset of conditions that are to disease of older adulthood in the broader Australian community. While these chronic diseases are known to cause premature death and suffering in Aboriginal and Torres Strait Islander communities, there are gaps in our knowledge. For example, we know very little about how these conditionsdevelop over time in different populations. Probably the greatest knowledge gap is the area of effective intervention - both to prevent to prevent diabetes, kidney and heart disease in young people, and to treat existing cases effectivly. The main goal of this program is to bring together a multi skilled team of researchers to better understand the development of these chronic disease across the lifespan ( including differences between different populations), and to guuide the development of diet, lifestyle, and clinical interventions. Such interventions need to be simple, effective, acceptable to Indigenous people and able to be sustained over the long term. All interventions will be rigorously evaluated. The results will inform policies in ares such as quality and affordability of the food supply in remote communnities; infrastructure to promote physical activity; and provision of high quality primary health care focussing on early intervention and care of people at risk of chronic disease.