Building capacity in food bank organizations for obesity prevention programs

描述（由申请人提供）：肥胖在美国是一个严重的公共卫生问题，增加了患癌症和其他慢性疾病的风险。与高加索人和来自高收入家庭的个体相比，贫穷、低收入、西班牙裔和非裔美国人的肥胖和癌症发病率较高。减少肥胖可以在减少癌症和慢性病发病率的差异方面发挥重要作用。需要创新的干预策略来缩小低收入、得不到充分服务的人群和高收入群体之间肥胖患病率的差距。许多低收入家庭每月依靠食品银行提供食物。因此，食物银行是向肥胖症和肥胖症相关疾病风险较高的低收入个人提供健康教育信息的潜在现有渠道。然而，很少有人探索这一机会。HFB在其400个社区机构（教堂、食品储藏室和社区厨房）的帮助下，每年向大约50万低收入者提供粮食援助（占德克萨斯州服务人数的24%）。HFB的一个目标是影响与体重有关的客户健康行为。然而，实现这一目标的有效和可接受的方法和策略是未知的，HFB非常感兴趣。我们提出的研究代表了一个模式倡议，其中HFB，其机构和贝勒医学院儿童营养研究中心（CNRC）合作和协调努力，以建立HFB系统内的能力，提供预防肥胖的营养教育以及癌症和其他慢性病风险降低。这一创新和高度重要的R21应用将调查粮食银行的潜力，将营养教育纳入其日常业务使用基于社区的参与性研究（CBPR）的原则。这项创新研究将提供数据，使我们能够建立效应量，样本量以及成功的预防肥胖干预措施，并减少癌症和其他慢性疾病的风险，使用未来R 01的食物银行设置，其中将包括干预措施的大规模随机对照试验。 公共卫生相关性：美国的HFB和其他食品银行提供了一个尚未开发的渠道，可以接触到大量低收入、得不到充分服务的高危人群，并改善他们与癌症预防相关的饮食行为。拟议的合作研究和培训活动旨在制定预防/减少肥胖的干预措施，以减少低收入粮食不安全者因能量失衡/肥胖而使用这一尚未开发的渠道患癌症的风险。

DESCRIPTION (provided by applicant): Obesity is a serious public health problem in the United States and increases risk for cancer and other chronic diseases. Obesity as well as cancer rates are high for poor, low-income, Hispanic, and African- American populations, compared with Caucasians and individuals from higher-income families. Reducing obesity can play an important role in reducing these disparities in cancer and chronic disease rates. Innovative intervention strategies are needed to reduce this gap in obesity prevalence between the low-income underserved population and higher-income groups. Many low income families depend on food banks to supply foods each month. Food banks, therefore, are potential existing channels to reach low-income individuals, who are at higher risk for obesity and obesity-related diseases, with health education messages. However, very little has been done to explore this opportunity. The HFB provides food assistance to approximately 500,000 low-income individuals annually (24 percent of individuals served in TX) with the help of its 400 community based agencies (churches, food pantries, and community kitchens). A goal of the HFB is to impact client health behaviors related to weight. However, effective and acceptable methods and strategies to accomplish this goal are unknown, and are of great interest to the HFB. Our proposed study represents a model initiative in which the HFB, its agencies, and the Children's Nutrition Research Center (CNRC) at Baylor College of Medicine (BCM) collaborate and coordinate efforts to build the capacity within the HFB system, to provide nutrition education for obesity prevention as well as cancer and other chronic disease risk reduction. This innovative and highly significant R21 application will investigate the potential of food banks to integrate nutrition education into their usual operations using community-based participatory research (CBPR) principles. This innovative study will provide data that will enable us to establish effect sizes, sample size, as well as a successful intervention for obesity prevention, and reduction of cancer and other chronic disease risks, using a food bank setting for a future R01, that will include large scale randomized control trial of the intervention(s). PUBLIC HEALTH RELEVANCE: The HFB and other food banks in the United States provide an untapped channel to reach a large number of low-income underserved at-risk populations, and improve their dietary behaviors associated with cancer prevention. The proposed collaborative research and training activities seek to develop an intervention in obesity prevention/reduction in order to reduce cancer risks due to energy imbalance/obesity among low- income food insecure individuals using this untapped channel.