Racial Disparities in Obesity: Role of Culture and Enviornment

肥胖的种族差异：文化和环境的作用

• 批准号: 7898762
• 负责人: TIFFANY L GARY-WEBB
• 金额: $ 13.01万
• 依托单位: COLUMBIA UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-08-15 至 2013-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7898762
• 关键词: Adult; African American; Amputation; Attitude; Behavior; Belief; Blindness; Blood Glucose; Body Image; Body Weight; Body Weight decreased; Caring; Child; Chronic; Communities; Cross-Sectional Studies; Diabetes Mellitus; Disease Management; Educational workshop; Environment; Etiology; Faculty; Family; Family Study; Family history of; Female; Food; Food Preferences; Funding; Generations; Goals; Health; Healthcare; Healthy People 2010; Heart Diseases; Incidence; Income; Institute of Medicine (U.S.); Institution; Kidney Failure; Lipids; Measures; Mentors; Mentorship; Methods; Mothers; Names; Non-Insulin-Dependent Diabetes Mellitus; Obesity; Observational Study; Outcome; Overweight; Participant; Physical environment; Prevalence; Principal Investigator; Prospective Studies; Psychosocial Factor; Quality of Care; Randomized Controlled Trials; Recruitment Activity; Reporting; Research; Research Activity; Research Design; Research Personnel; Research Training; Risk Factors; Role; Socioeconomic Status; Strategic Planning; Stroke; Surveys; Testing; Training; United States National Institutes of Health; Weight; Weight maintenance regimen; Woman; Work; abstracting; aged; blood glucose regulation; burden of illness; cardiovascular risk factor; disorder control; ethnic minority population; experience; food preparation; health disparity; improved; interest; meetings; multidisciplinary; novel; nutrition; programs; racial and ethnic disparities; response; social; socioeconomics; statistics; sugar; weight loss intervention

DESCRIPTION (provided by applicant): African Americans experience high rates of type 2 diabetes and its associated complications compared to their white counterparts. Reasons for these disparities include differences in family history, socio-economic status (SES), disease control, and quality of diabetes care just to name a few. One of the strongest risk factors for type 2 diabetes is obesity, and a substantial disparity exists between African Americans and whites, particularly among women. In fact, over 75% of African-American women aged 20 and above are overweight or obese. Given the alarming statistics, the serious health implications of this disease burden, and the federal mandate to eliminate health disparities, there is a need to identify novel explanatory factors underlying these disparities. Therefore, the candidate proposes two observational studies to evaluate novel risk factors: 1) A cross-sectional family study of three generations of African Americans to evaluate conserved cultural factors related to nutrition and body weight; and 2) A prospective study, nested within a randomized, controlled trial, to evaluate environmental influences (i.e. aggregate-level SES, food availability, consumer purchases) on body weight and response to a weight-loss intervention. The candidate is building on a strong research background and has developed a comprehensive plan for further training and research mentorship. The plan includes formal training through coursework, participation in workshops and seminars, collaborative research activities with groups at other institutions, and regular meetings with a multidisciplinary team of faculty mentors and advisors. With this additional training, the candidate should achieve her goal of becoming an independent investigator focused on the etiology and reduction of racial/ ethnic disparities in diabetes and obesity, particularly in relation to African Americans. (End of Abstract)

描述（由申请人提供）： 与白人同行相比，非裔美国人经历了高2型糖尿病及其相关并发症的率。这些差异的原因包括家族史，社会经济地位（SES），疾病控制和糖尿病质量的差异，仅举几例。 2型糖尿病的最强危险因素之一是肥胖，非裔美国人和白人，尤其是女性之间存在很大的差异。实际上，超过75％的20岁及以上的非裔美国妇女超重或肥胖。鉴于令人震惊的统计数据，这种疾病负担的严重健康影响以及联邦消除健康差异的任务，有必要确定这些差异的新颖解释因素。因此，候选人提出了两项​​观察性研究，以评估新的风险因素：1）对三代非裔美国人的横断面家庭研究，以评估与营养和体重有关的保守文化因素； 2）一项嵌套在一项随机，对照试验中的前瞻性研究，以评估环境影响（即骨料级别的SES，食品可用性，消费者购买）对体重和对减肥干预的反应。候选人正在以强大的研究背景为基础，并制定了一项全面的计划，以进一步培训和研究指导。该计划包括通过课程的正式培训，参加研讨会和研讨会，与其他机构的团体进行的合作研究活动以及与多学科的教师导师和顾问团队的定期会议。通过这项额外的培训，候选人应实现她成为专注于糖尿病和肥胖症种族/种族差异的独立研究者的目标，尤其是在非裔美国人方面。 （抽象的结尾）

项目成果

Adolescent obesity, change in weight status, and hypertension: racial/ethnic variations.

• DOI: 10.1161/hypertensionaha.111.00214
• 发表时间: 2013-02
• 期刊: Hypertension (Dallas, Tex. : 1979)
• 作者: Suglia SF;Clark CJ;Gary-Webb TL
• 通讯作者: Gary-Webb TL

Healthy food availability and the association with BMI in Baltimore, Maryland.

• DOI: 10.1017/s1368980010003812
• 发表时间: 2011-06
• 期刊: Public health nutrition
• 影响因子: 3.2
• 作者: Casagrande SS;Franco M;Gittelsohn J;Zonderman AB;Evans MK;Fanelli Kuczmarski M;Gary-Webb TL
• 通讯作者: Gary-Webb TL

Social epidemiology of diabetes and associated conditions.

• DOI: 10.1007/s11892-013-0427-3
• 发表时间: 2013-12
• 期刊: CURRENT DIABETES REPORTS
• 影响因子: 4.2
• 作者: Gary-Webb, Tiffany L.;Suglia, Shakira F.;Tehranifar, Parisa
• 通讯作者: Tehranifar, Parisa