Building capacity in food bank organizations for obesity prevention programs

描述(申请人提供)：在美国，肥胖是一个严重的公共卫生问题，会增加患癌症和其他慢性病的风险。与高加索人和来自高收入家庭的个人相比，贫穷、低收入、西班牙裔和非裔美国人的肥胖率和癌症发生率都很高。减少肥胖在减少癌症和慢性病发病率方面的差异方面可以发挥重要作用。需要创新的干预战略，以缩小低收入、服务不足人口和高收入群体之间肥胖率的差距。许多低收入家庭每月依靠食物银行供应食物。因此，食品银行是潜在的现有渠道，向低收入个人传递健康教育信息，这些人患肥胖症和肥胖相关疾病的风险更高。然而，在探索这个机会方面所做的工作很少。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500,000名低收入个人(占德克萨斯州服务个人的24%)提供食品援助。HFB的一个目标是影响客户与体重相关的健康行为。然而，实现这一目标的有效和可接受的方法和战略尚不清楚，并且对HFB非常感兴趣。我们建议的研究是一项示范倡议，在该倡议中，HFB、其机构和贝勒医学院(BCM)的儿童营养研究中心(CNRC)合作并协调努力，在HFB系统内建设能力，为肥胖预防以及癌症和其他慢性病风险降低提供营养教育。这一具有创新意义的R21应用程序将调查食品银行利用基于社区的参与性研究(CBPR)原则将营养教育纳入其日常业务的潜力。这项创新的研究将提供数据，使我们能够利用未来R01的食品库设置，建立有效规模、样本量以及成功的肥胖预防和降低癌症和其他慢性病风险的干预措施，其中将包括干预措施的大规模随机对照试验(S)。 公共卫生相关性：HFB和美国的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、服务不足的高危人群，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，以减少使用这一未开发渠道的低收入粮食不安全个人因能量不平衡/肥胖而导致的癌症风险。

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.