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

回归基础：通过阿拉斯加的传统食品解决儿童肥胖问题

• 批准号: 10242899
• 负责人: Timothy K Thomas
• 金额: $ 45.6万
• 依托单位: ALASKA NATIVE TRIBAL HEALTH CONSORTIUM
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-09-25 至 2023-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10242899
• 关键词: 5 year old; Address; Adolescent Development; Adolescent obesity; Adult; Age; Alaska; Alaska Native; Alaskan; American Indians; Back; Berry; Body Weight decreased; Body mass index; Calories; Child; Childhood; Communities; Community Actions; Consumption; Control Groups; Data; Development; Diabetes Mellitus; Diet; Education; Educational Curriculum; Enrollment; Ethnic Origin; Family; Food; Foundations; Glucose Intolerance; Harvest; Head Start Program; Health; Height; Hip region structure; Hispanics; Home; Home visitation; Hypertension; Individual; Intervention; Intervention Studies; Intervention Trial; Knowledge; Life; Malignant Neoplasms; Mammals; Meat; Methods; Minerals; Native-Born; Nomads; Nutrient; Nutritional; Obesity; Oils; Overweight; Parents; Population; Population Study; Preparation; Prevalence; Proteins; Public Health; Race; Research; Research Design; Risk; Risk Factors; Rivers; Rural; Salmon; Sea; Services; Site; Taste preferences; Vitamins; Weight; Woman; adult obesity; base; community engagement; comparison group; cost; density; design; dietary; early childhood; effective intervention; experience; food consumption; group intervention; improved; interest; intervention program; nutrition; nutrition education; obesity in children; obesity prevention; programs; rural Alaska; seal; sedentary lifestyle; sex; sugar; sweetened beverage; teacher; trial design; tribal health

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. Over the past three decades, childhood obesity has emerged as a serious public health problem, increasing three-fold across all races and ethnicities. 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. Substantial evidence suggests that obesity in early childhood, ages 0-5 years, is a critical factor in the development of adolescent and adult obesity. 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. 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.

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 岁奥尔兹是与农村行动社区行动计划公司合作开展的。(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8%的热量。 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增加了三倍。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 2009年超重或肥胖。大量证据表明，0-5岁儿童早期的肥胖是一个长期的问题。 是青少年和成人肥胖症发展的关键因素。肥胖，在儿童和成年期，是一个 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， 传统食品的风险幼儿及其家庭。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。

项目成果

Storekeeper perspectives on improving dietary intake in 12 rural remote western Alaska communities: the "Got Neqpiaq?" project.

在12个农村偏远的阿拉斯加社区中，店主改善饮食摄入量的观点：“ neqpiaq？”项目。

• DOI: 10.1080/22423982.2021.1961393
• 发表时间: 2021-01-01
• 期刊: International journal of circumpolar health
• 影响因子: 1.3
• 作者: Koller KR;Flanagan CA;Nu J;Lee FR;Desnoyers C;Walch A;Alexie L;Bersamin A;Thomas TK
• 通讯作者: Thomas TK

Alaska Native Elders' perspectives on dietary patterns in rural, remote communities.

• DOI: 10.1186/s12889-021-11598-8
• 发表时间: 2021-09-09
• 期刊: BMC public health
• 影响因子: 4.5
• 作者: Walch AK;Ohle KA;Koller KR;Alexie L;Sapp F;Thomas TK;Bersamin A
• 通讯作者: Bersamin A

Impact of Assistance Programs on Indigenous Ways of Life in 12 Rural Remote Western Alaska Native Communities: Elder Perspectives Shared in Formative Work for the "Got Neqpiaq?" Project.

• DOI: 10.1080/22423982.2021.2024679
• 发表时间: 2022-12
• 期刊: International journal of circumpolar health
• 影响因子: 1.3
• 作者: Walch AK;Ohle KA;Koller KR;Alexie L;Lee F;Palmer L;Nu J;Thomas TK;Bersamin A
• 通讯作者: Bersamin A

Obesity Prevalence and Dietary Factors Among Preschool-Aged Head Start Children in Remote Alaska Native Communities: Baseline Data from the "Got Neqpiaq?" Study.

阿拉斯加偏远原住民社区学龄前启蒙儿童的肥胖患病率和饮食因素：来自“Got Neqpiaq?”的基线数据

• DOI: 10.1089/chi.2022.0143
• 发表时间: 2023
• 期刊: Childhood obesity (Print)
• 作者: Hill,CourtneyM;Paschall,MallieJ;Koller,KathrynR;Day,GretchenM;Lee,FloraR;O'Brien,DianeM;King,DianeK;Palmer,Lea;Thomas,TimothyK;Bersamin,Andrea
• 通讯作者: Bersamin,Andrea