Back to Basics: Addressing Childhood Obesity Through Traditional Foods in Alaska

项目负责人/主要研究者（最后，第一，中间）：托马斯，蒂莫西K。 摘要 Back to Basics是一项混合方法干预试验，旨在降低阿拉斯加原住民肥胖的患病率。 通过增加营养丰富的传统和非传统食物的消费比例， 减少含糖饮料（SSB）的消费。这项针对0-5岁儿童的5年干预试验 20奥尔兹的儿童与农村行动社区行动计划合作进行。(RC)领先优势， 在阿拉斯加12个农村社区开展的“早期开端”和"父母当教师“项目，每个地点都是 分配到9个月的营养教育和膳食计划干预或标准教育， 每年重复的膳食计划。 阿拉斯加原住民曾经是一个完全依靠陆地、河流和海洋生活的游牧民族， 经历了突然的营养转变，更多地消费商店购买的加工食品， 更多久坐的生活方式最近一项关于阿拉斯加西部阿拉斯加土著妇女饮食充足性的研究 研究发现，传统食物只占卡路里的17%，但提供了34%的蛋白质， 不成比例的大量必需维生素和矿物质。SSB的消耗量超过了 其他饮食项目，占卡路里的8%。 在过去的三十年里，儿童肥胖已经成为一个严重的公共卫生问题， 在所有种族和民族中，肥胖率增加了三倍。1西班牙裔和阿拉斯加州的肥胖率最高。 原住民/美洲印第安人（AN/AI）儿童和成人，其中41%的阿拉斯加原住民儿童为2-5岁 4大量证据表明，0-5岁儿童早期肥胖， 肥胖是青少年和成年人肥胖发展的关键因素。2儿童和成年期的肥胖是 严重的直接和长期危及生命的健康状况的主要风险因素，如葡萄糖 不耐受、高血压、糖尿病和癌症。 回到基础有一个前所未有的机会，以纳入过去的经验教训， 研究（商店在门外），并建立在以前的研究设计和干预措施（嘻哈健康， Jr.）在实施有效的干预措施，通过促进和重新纳入改善饮食质量， 17，38家庭营养教育课程 和以传统食品为重点的中心膳食服务，将作为 干预如果有效，这一战略可以适应和实施的其他头启动计划， 该州将进一步改善所有阿拉斯加土著儿童的饮食质量。 PHS 398/2590（Rev.06/09）

Program Director/Principal Investigator (Last, First, Middle): Thomas, Timothy K. Abstract Back to Basics is a mixed-methods intervention trial to reduce the prevalence of obese Alaska Native children by increasing the proportion of nutrient-dense traditional and non-traditional foods consumed, and decreasing consumption of sugar sweetened beverages (SSBs). This 5-year intervention trial targeting 0-5 year olds is conducted in partnership with Rural Action Community Action Program, Inc. (RC) Head Start, Early Head Start, and Parents as Teachers programs in 12 rural Alaskan communities, where each site is assigned to either a 9-month nutritional education and meal program intervention or a standard education and meal program repeating annually. Once a nomadic population that lived entirely off the land, river, and sea, Alaska Native people have experienced an abrupt nutritional shift towards greater consumption of store-bought manufactured foods and a more sedentary lifestyle. A recent study of dietary adequacy among Alaska Native women in western Alaska found that traditional foods accounted for only 17% of calories, but provided 34% of protein, as well as disproportionately large amounts of essential vitamins and minerals. SSBs were consumed more than any other dietary item and accounted for 8% of calories.45 Over the past three decades, childhood obesity has emerged as a serious public health problem, increasing three-fold across all races and ethnicities.1 Obesity is highest among Hispanic and Alaska Native/American Indian (AN/AI) children and adults, with 41% of Alaska Native children 2-5 years of age overweight or obese in 2009.4 Substantial evidence suggests that obesity in early childhood, ages 0-5 years, is a critical factor in the development of adolescent and adult obesity.2 Obesity, in childhood and adulthood, is a major risk factor for serious immediate and long-term life-threatening health conditions, such as glucose intolerance, hypertension, diabetes, and cancer. Back to Basics has an unprecedented opportunity to incorporate the lessons learned through past research (Store Outside Your Door) and build on previous study designs and interventions (Hip-Hop to Health, Jr.) in implementing an effective intervention to improve dietary quality through promotion and reincorporation of traditional foods in at-risk young children and their families.17,38 A home-based nutrition education curriculum and Head Start center-based meal service focused on traditional foods, will serve as the foundation of the intervention. If effective, this strategy can be adapted and implemented by other Head Start programs across the state to further improve diet quality of all Alaska Native children. PHS 398/2590 (Rev. 06/09) Page Continuation Format Page