Puerto Rican Obesity Intervention for Men

波多黎各男性肥胖干预

• 批准号: 10660433
• 负责人: LISA SANCHEZ-JOHNSEN
• 金额: $ 32.42万
• 依托单位: MEDICAL COLLEGE OF WISCONSIN
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-01 至 2026-05-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10660433
• 关键词: Accelerometer; Acculturation; Address; Adherence; Adolescent; Affect; Behavior; Behavior Therapy; Belief; Body Weight decreased; Body mass index; Calories; Categories; Chicago; Clinical; Clinical Trials; Community Health; Data; Diet; Dietary intake; Disease; Eating; Energy Intake; Equipment; Ethnic Origin; Exercise; Food; Foundations; Frequencies; Funding; Future; Health; Health behavior; Healthy Eating; High Prevalence; Hispanic; Hispanic Community Health Study/Study of Latinos; Hour; Individual; Intake; International; Intervention; Latino; Latino Population; Maintenance; Measures; Metabolic; Mexican; Mission; Modality; National Institute of Diabetes and Digestive and Kidney Diseases; Non-Insulin-Dependent Diabetes Mellitus; Obesity; Outcome; Overweight; Physical activity; Population; Prevalence; Process Measure; Public Health; Publishing; Puerto Rican; Questionnaires; Randomized; Recommendation; Rural Community; Self Efficacy; Social support; Specialist; Subgroup; Technology; United States National Institutes of Health; Universities; Weight; acceptability and feasibility; behavioral health; cardiovascular disorder risk; clinically significant; ethnic minority; expectation; feasibility testing; fruits and vegetables; health equity; high risk; hypercholesterolemia; lifestyle factors; lifestyle intervention; low socioeconomic status; men; moderate-to-vigorous physical activity; obesity risk; obesity treatment; physical inactivity; promoter; recruit; response; satisfaction; saturated fat; sedentary lifestyle; social cognitive theory; telehealth; translational medicine; trend; tv watching; weight loss intervention

Abstract Overweight and obesity are among the most prevalent and pressing health issues affecting Latino men, with rates of overweight and obesity among Latino men being 42% and 37%, respectively22. Within this group, Puerto Rican (PR) men are at especially high risk. In the Hispanic Community Health Study/ Study of Latinos, the highest rates of obesity were observed among PR men (40.9%)22, and PR men had a high prevalence of type 2 diabetes (16.2%) and hypercholesterolemia (48.2%)22. Thus, there is an urgent need to address obesity-related behaviors- such as diet and physical inactivity- in Puerto Rican men. Moreover, developing culturally tailored obesity interventions that target diet, physical activity and sedentary behavior in Puerto Ricans has the potential to address a critical public health need and provides a foundation for tailoring and disseminating future interventions to other cultures. This study has the active support of the Hispanic/Latino Health Community Advisory Board, the Puerto Rican Cultural Center, The Puerto Rican Agenda, additional Puerto Rican-centered and Latino organizations and individuals, the RUSH-BMO Institute for Health Equity, and the NIH-funded University of Chicago- Rush Institute for Translational Medicine. Although telehealth has been used to increase reach in weight loss interventions with hard-to-reach populations26, 27, few have focused on men or ethnic minorities8. Moreover, there are no published telehealth weight loss interventions focusing on healthy eating, physical activity, and sedentary behaviors, specifically targeting Puerto Rican men who are at high risk for obesity. We therefore propose a proof-of-concept study to determine if a telehealth intervention, tailored to target Puerto Rican men of varying levels of acculturation, is feasible and acceptable, and if it can achieve clinically meaningful weight loss. The “TeleSalud Healthy Eating, Physical Activity, and Sedentary Behavior Intervention” (TeleSalud HE-PA/SB) will consist of 4 months of twice-weekly classes on increasing healthy eating and physical activity and decreasing sedentary behavior, followed by a 4-month maintenance healthy eating, physical activity, and sedentary behavior intervention. This intervention will be compared to the “TeleSalud General Health” intervention, consisting of 4 months of twice weekly telehealth classes on general health issues, followed by a 4-month general health intervention. We will examine feasibility, acceptability, and intermediate process measures for diet (energy intake, percent calories from saturated fat, fruit & vegetable intake via the Block Food Frequency Questionnaire); physical activity/ sedentary behavior (metabolic equivalent of task (MET)-minutes/week and minutes of moderate to vigorous physical activity [MVPA] via the International Physical Activity Questionnaire and accelerometer-assisted minutes of MVPA); and social cognitive theory concepts (self-efficacy, outcome expectations, social support for eating & exercise) which are guiding the intervention. The final aim is to examine trends based on differences in level of acculturation.

摘要 超重和肥胖是影响拉丁美洲男性的最普遍和最紧迫的健康问题之一， 拉丁裔男性的超重和肥胖率分别为42%和37%22。在这个群体中， 波多黎各人（PR）的风险尤其高。在西班牙裔社区健康研究/拉丁裔研究中， 肥胖率最高的是PR男性（40.9%）22，PR男性的肥胖率很高， 2型糖尿病（16.2%）和高胆固醇血症（48.2%）22.因此，迫切需要解决 肥胖相关的行为-如饮食和身体活动-在波多黎各男子。此外，发展 针对波多黎各饮食、体育活动和久坐行为的文化定制肥胖干预措施 波多黎各人有潜力满足关键的公共卫生需求，并为量身定制和 向其他文化传播未来的干预措施。这项研究得到了西班牙裔/拉丁裔的积极支持。 健康社区咨询委员会、波多黎各文化中心、波多黎各议程、其他 以波多黎各为中心的拉丁美洲组织和个人，RUSH-BMO健康公平研究所， 以及NIH资助的芝加哥大学拉什转化医学研究所。虽然远程医疗已经 已经被用来增加难以接触人群的减肥干预措施的覆盖范围26，27，很少有人关注 对男性或少数民族的歧视8.此外，还没有发表的远程保健减肥干预措施，重点是 健康饮食、体育活动和久坐行为，特别针对年龄在18岁的波多黎各男性 肥胖的高风险。因此，我们提出了一个概念验证研究，以确定是否远程医疗干预， 针对不同文化适应程度的波多黎各男性，是可行的和可以接受的，如果它可以 达到临床上有意义的体重减轻。“TeleSalud健康饮食，体育活动和久坐不动 行为干预”（TeleSalud HE-PA/SB）将包括4个月的每周两次的课程， 健康饮食和体育活动，减少久坐不动的行为，随后进行4个月的维持 健康饮食、体育活动和久坐行为干预。这一干预措施将与 “远程保健一般健康”干预措施，包括为期4个月的一般健康远程保健课程，每周两次， 健康问题，然后是4个月的一般健康干预。我们将研究可行性、可接受性和 饮食的中间过程测量（能量摄入，饱和脂肪、水果和蔬菜的卡路里百分比 通过块状食物频率问卷调查摄入）;体力活动/久坐行为（代谢 任务当量（MET）-每周分钟数和中等至剧烈体力活动分钟数[MVPA]，通过 国际体力活动问卷和加速度计辅助MVPA分钟）;和社会 认知理论概念（自我效能，结果期望，饮食和运动的社会支持）， 指导干预。最后的目的是根据文化适应程度的差异来审查趋势。