"Food Resource Equity and Sustainability for Health" or "FRESH"

“食品资源公平和健康可持续性”或“FRESH”

• 批准号: 9066468
• 负责人: Valarie Blue Bird Jernigan
• 金额: $ 71.72万
• 依托单位: UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-05-12 至 2020-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9066468
• 关键词: Address; Adult; Agriculture; American Indians; Birds; Blood Pressure; Child; Clinical; Communities; Control Groups; Diabetes Mellitus; Eating; Educational Curriculum; Educational workshop; Effectiveness; Event; Family; Farming environment; Film; Food; Food Preferences; Future; Goals; Government; Health; Health Food; Healthy Eating; Household; Hypertension; Indian reservation; Indigenous; Individual; Intake; Intervention; Intervention Studies; Interview; Life; Location; Malignant Neoplasms; Manuals; Maps; Measures; Methods; Movement; Multimedia; Obesity; Oklahoma; Online Systems; Outcome Measure; Parents; Participant; Perception; Physical activity; Policies; Population; Production; Publishing; Quality of life; Randomized; Randomized Controlled Trials; Readiness; Registries; Reporting; Research; Research Personnel; Reservations; Resources; Sampling; Schools; Seasons; Surveys; Time; Treatment Efficacy; Tribes; Validation; Vision; Waiting Lists; Youth; community based participatory research; community intervention; cooking; cost; design; environmental intervention; fighting; food environment; food resource; food security; fruits and vegetables; improved; innovation; obesity prevention; obesity risk; post intervention; preference; primary outcome; public health relevance; reduced food intake; secondary outcome; social; success; tool; tribal community; tribal health; tribal member; web site

 DESCRIPTION (provided by applicant): Background: Food insecurity increases the risk of obesity, diabetes, hypertension, and cancer. American Indians (AIs) in Oklahoma are three times as likely as Whites to be food-insecure (21% vs. 7%) and have burdens of obesity (42%), hypertension (38%), and diabetes (15%) that exceed those of the general US population. While individual-level obesity prevention efforts have been implemented with AIs, few environmental interventions to reduce food insecurity and improve fruit and vegetable intake have been conducted with tribal communities. Community gardening interventions have been shown to increase vegetable and fruit intake, reduce food insecurity, and lower BMI among children and adults; however, to date, no such interventions have been evaluated with AI families. The proposed study, entitled "Food Equity Resource and Sustainability for Health (FRESH)," will assess the impact of a tribally-initiated community gardening intervention on vegetable and fruit intake, food insecurity, BMI, and blood pressure in families living on the Osage Nation reservation in Oklahoma. The intervention will take place in the inaugural year of Osage Nation's Bird Creek Farm and Community Gardens, where 120 garden plots will be allocated to participating reservation families. The study is guided by the principles of community-based participatory research (CBPR) and the Indigenous food sovereignty movement, which seeks to revitalize seasonal growing and gathering practices and reverse the tide of unhealthy eating caused by the historical loss of tribal lands. Aims and Methods: Led by an AI (Choctaw) Investigator, the study will: Aim #1: Characterize the Osage Nation reservation's food environment by using both objective and perceived measures, and then examine the relationships between these measures and intake of vegetables and fruits, food insecurity, BMI, hypertension, and diabetes. Aim #2: Develop a culturally relevant community gardening intervention and conduct a randomized controlled trial (RCT) to evaluate its efficacy in increasing vegetable and fruit intake and reducing food insecurity, BMI, and blood pressure among Osage families. Aim #3: Create and disseminate a Web- based multimedia manual and documentary film, and evaluate their effectiveness in increasing tribal readiness and capacity to improve local food environments. Innovation: The proposed study will be the first RCT ever conducted of a community gardening intervention, as well as the first community gardening intervention with AI families. The study will also be one of the first environmental interventions o simultaneously address healthy food production, access, preference, and intake among AIs. Significance and Impact: The community gardening intervention will be developed as part of a larger Osage Nation initiative on food security and food sovereignty and as such, is likely to be sustainable if it proves effective. Research findings and products will be disseminated to AI/AN communities nationwide and will help to identify environmental strategies that will improve tribal food environments and the health and quality of life of AI families.

 描述（由申请人提供）： 背景：粮食不安全会增加肥胖、糖尿病、高血压和癌症的风险。俄克拉荷马州的美洲印第安人 (AI) 面临粮食不安全的可能性是白人的三倍（21% 对 7%），并且肥胖 (42%)、高血压 (38%) 和糖尿病 (15%) 的负担超过美国普通人口。虽然个人层面的肥胖预防工作已经通过人工智能实施，但在部落社区中很少进行减少粮食不安全和提高水果和蔬菜摄入量的环境干预措施。社区园艺干预措施已被证明可以增加蔬菜和水果的摄入量，减少粮食不安全，并降低儿童和成人的体重指数；然而，迄今为止，尚未对人工智能家庭进行此类干预措施的评估。拟议的研究题为“食品公平资源和健康可持续性（FRESH）”，将评估部落发起的社区园艺干预措施对居住在俄克拉荷马州奥塞奇国家保留地的家庭的蔬菜和水果摄入量、食品不安全、体重指数和血压的影响。干预措施将在 Osage Nation 的 Bird Creek 农场和社区花园的第一年进行，其中 120 个花园地块将分配给参与的保留家庭。该研究以社区参与性研究（CBPR）和土著粮食主权运动的原则为指导，旨在振兴季节性种植和采集做法，并扭转因历史上部落土地丧失而造成的不健康饮食潮流。目标和方法：由 AI (Choctaw) 调查员领导，该研究将： 目标 1：通过使用客观和感知测量来描述奥塞奇族保留地的食物环境，然后检查这些测量与蔬菜和水果摄入量、食物不安全、体重指数、高血压和糖尿病之间的关系。目标#2：制定与文化相关的社区园艺干预措施，并进行随机对照试验 (RCT)，以评估其在增加蔬菜和水果摄入量以及减少奥塞奇家庭食物不安全、体重指数和血压方面的功效。目标#3：创建并传播基于网络的多媒体手册和纪录片，并评估其在提高部落准备度和改善当地粮食环境的能力方面的有效性。创新：拟议的研究将是有史以来第一个针对社区园艺干预的随机对照试验，也是第一个针对人工智能家庭的社区园艺干预。该研究也将是首批环境干预措施之一，同时解决人工智能的健康食品生产、获取、偏好和摄入问题。意义和影响：社区园艺干预措施将作为更大的奥塞奇国家粮食安全和粮食主权倡议的一部分而制定，因此，如果证明有效，则可能是可持续的。研究结果和产品将传播到全国的 AI/AN 社区，并将有助于确定改善部落食物环境以及 AI 家庭的健康和生活质量的环境策略。