Building capacity in food bank organizations for obesity prevention programs

食品银行组织肥胖预防计划的能力建设

• 批准号: 8146988
• 负责人: Jayna Markand Dave
• 金额: $ 15.25万
• 依托单位: BAYLOR COLLEGE OF MEDICINE
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-09-22 至 2013-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8146988
• 关键词: Address; Adolescent; Adult; Affect; African American; Americas; Behavior; Caucasians; Caucasoid Race; Charities; Child; Child Nutrition; Chronic Disease; Church; Client; Communities; Control Groups; Data; Diet; Dose; Eating; Education; Environment; Evaluation Studies; Family; Fatty acid glycerol esters; Feasibility Studies; Food; Food Supply; Future; Goals; Health; Health behavior; Health education; Hispanics; Home environment; Hunger; Income; Individual; Intervention; Low income; Malignant Neoplasms; Mediating; Medicine; Methods; Modeling; Nutritional Study; Obesity; Obesity associated disease; Outcome; Physical activity; Play; Population; Populations at Risk; Poverty; Prevalence; Prevention program; Process; Process Measure; Psychosocial Factor; Public Health; Randomized Controlled Trials; Reporting; Research; Research Activity; Research Methodology; Resources; Risk Reduction; Role; Sample Size; System; Training Activity; Underserved Population; United States; Water; Weight; base; behavior change; cancer prevention; cancer risk; college; community based participatory research; disorder risk; feeding; fruits and vegetables; group intervention; high risk; improved; innovation; interest; nutrition; nutrition education; obesity prevention; operation; programs; public health relevance; successful intervention; sugar; sweetened beverage

DESCRIPTION (provided by applicant): Obesity is a serious public health problem in the United States and increases risk for cancer and other chronic diseases. Obesity as well as cancer rates are high for poor, low-income, Hispanic, and African- American populations, compared with Caucasians and individuals from higher-income families. Reducing obesity can play an important role in reducing these disparities in cancer and chronic disease rates. Innovative intervention strategies are needed to reduce this gap in obesity prevalence between the low-income underserved population and higher-income groups. Many low income families depend on food banks to supply foods each month. Food banks, therefore, are potential existing channels to reach low-income individuals, who are at higher risk for obesity and obesity-related diseases, with health education messages. However, very little has been done to explore this opportunity. The HFB provides food assistance to approximately 500,000 low-income individuals annually (24 percent of individuals served in TX) with the help of its 400 community based agencies (churches, food pantries, and community kitchens). A goal of the HFB is to impact client health behaviors related to weight. However, effective and acceptable methods and strategies to accomplish this goal are unknown, and are of great interest to the HFB. Our proposed study represents a model initiative in which the HFB, its agencies, and the Children's Nutrition Research Center (CNRC) at Baylor College of Medicine (BCM) collaborate and coordinate efforts to build the capacity within the HFB system, to provide nutrition education for obesity prevention as well as cancer and other chronic disease risk reduction. This innovative and highly significant R21 application will investigate the potential of food banks to integrate nutrition education into their usual operations using community-based participatory research (CBPR) principles. This innovative study will provide data that will enable us to establish effect sizes, sample size, as well as a successful intervention for obesity prevention, and reduction of cancer and other chronic disease risks, using a food bank setting for a future R01, that will include large scale randomized control trial of the intervention(s). PUBLIC HEALTH RELEVANCE: The HFB and other food banks in the United States provide an untapped channel to reach a large number of low-income underserved at-risk populations, and improve their dietary behaviors associated with cancer prevention. The proposed collaborative research and training activities seek to develop an intervention in obesity prevention/reduction in order to reduce cancer risks due to energy imbalance/obesity among low- income food insecure individuals using this untapped channel.

描述（由申请人提供）：肥胖在美国是一个严重的公共卫生问题，增加了患癌症和其他慢性疾病的风险。与高加索人和高收入家庭的人相比，穷人、低收入者、西班牙裔和非裔美国人的肥胖和癌症发病率都很高。减少肥胖可以在减少癌症和慢性疾病发病率方面发挥重要作用。需要创新的干预策略来缩小低收入服务不足人群和高收入群体之间的肥胖患病率差距。许多低收入家庭每月依靠食品银行供应食物。因此，食品银行是向低收入人群提供健康教育信息的潜在现有渠道，这些人群患肥胖和肥胖相关疾病的风险较高。然而，在探索这一机会方面做得很少。在其400个社区机构（教堂、食品储藏室和社区厨房）的帮助下，HFB每年向大约50万低收入者（占德克萨斯州服务人数的24%）提供食品援助。HFB的一个目标是影响客户与体重有关的健康行为。然而，实现这一目标的有效和可接受的方法和策略是未知的，这是HFB非常感兴趣的。我们提出的研究代表了HFB及其机构和贝勒医学院（BCM）儿童营养研究中心（CNRC）合作和协调努力建立HFB系统内的能力，为预防肥胖以及癌症和其他慢性疾病风险提供营养教育的模式倡议。这一具有创新意义的R21应用程序将调查食品银行利用社区参与性研究（CBPR）原则将营养教育纳入其日常业务的潜力。这项创新的研究将提供数据，使我们能够建立效应大小，样本量，以及成功的干预措施，预防肥胖，减少癌症和其他慢性疾病的风险，使用食品银行设置未来的R01，这将包括大规模的随机对照试验的干预。