Native Healthy Lifestyle: A Return to Balance

本土健康生活方式：回归平衡

• 批准号: 7489681
• 负责人: ELISA TAN LEE
• 金额: $ 2.65万
• 依托单位: UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-09-30 至 2011-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7489681
• 关键词: Adult; Albumins; American Indians; Behavior Therapy; Behavioral; Blood Pressure; Cardiovascular Diseases; Cardiovascular system; Cause of Death; Communities; Community Healthcare; Consumption; Control Groups; Creatinine; Diet; Effectiveness; Elements; Emotional; Energy Intake; Equilibrium; Fasting; General Population; Glucose; Glycosylated hemoglobin A; Habits; Health; High Density Lipoprotein Cholesterol; Intake; Intervention; LDL Cholesterol Lipoproteins; Lead; Life Style; Lipids; Measurement; Measures; Outcome; Outcome Measure; Participant; Physical activity; Plasma; Population; Probability; Psyche structure; Questionnaires; Randomized; Rate; Research Project Grants; Risk; Risk Factors; Sodium; Today; Tribes; Triglycerides; Upper arm; Weight; Woman; aged; cardiovascular disorder risk; cardiovascular risk factor; care systems; design; fruits and vegetables; improved; innovation; intervention program; lifestyle intervention; member; men; programs; research study; success; tribal health; urinary

Only decades ago cardiovascular disease (CVD) was rare in American Indians, but today it has become the leading cause of death for this population, exceeding rates in the general population. To reduce cardiovascular risk, we propose a holistic behavioral and lifestyle intervention program that is community- responsive and culturally appropriate. This intervention program will primarily focus on behavioral modification in diet and physical activity, which will lead to improvement of CVD risk factors and consequently reduction of CVD. The specific aims are: 1. To design and implement a culturally appropriate behavioral intervention program for American Indian adults (aged 30-59 years), who have high risk of developing CVD, to form healthy habits in diet and physical activity. 2. To evaluate the effectiveness of the proposed behavioral intervention program using a two-arm randimized controlled design. Two hundred eligible American Indian men and women will be randomized into two groups: (1) "intervention" groups, which receives the proposed intervention program, and (2) "control" group, which receives conventional cardiovascular health information and advice only. Two sets of outcome measures will be used to compare the two groups. The primary outcome measures will be behavioral modification outcomes, including caloric intake, sodium intake and fruit and vegetable consumption for diet and pedometer measurements for physical activity. The secondary outcome measures are CVD risk factor measures, including weight (or BMI), total triglyceride, HDL-cholesterol, LDL-cholesterol, HbA1c, fasting glucose, blood pressure and urinary albumin/creatinine ratio. 3. If successful, disseminate the intervention program to other American Indian tribes and communities for implementation. We hypothesize that participants in the intervention group will improve their caloric and sodium intake and increase fruit and vegetable consumption and physical activity when compared to the control group. The proposed intervention emphasizes achieving spiritual, mental, emotional and physical balance, which are elements of traditional American Indian wellness and vitality. The proposed intervention program is developed with much input from the Indian community and can be incorporated into tribal health programs. We believe it has a high probability of success and is highly sustainable in the community after the termination of this research study.

仅几十年前，心血管疾病（CVD）在美洲印第安人中很少见，但今天已经成为 该人群的主要死亡原因超过了普通人群的率。减少 心血管风险，我们提出了一个整体的行为和生活方式干预计划，该计划是社区的 响应敏感和文化适当。该干预计划将主要关注行为 饮食和体育锻炼的改变，这将改善CVD风险因素和 因此减少了CVD。具体目的是： 1。为美国设计和实施适当的文化行为干预计划 印度成年人（30-59岁），患有CVD的高风险，在饮食和 体育锻炼。 2。使用两臂评估提议的行为干预计划的有效性 兰德的控制设计。将有200名合格的美洲印第安人和女人被随机分配 分为两组：（1）“干预”组，该组接受了拟议的干预计划，以及（2） “控制”小组，该小组仅收到常规的心血管健康信息和建议。两套 结果指标将用于比较两组。主要结果措施将是 行为修改结果，包括热量摄入，钠摄入量和水果和蔬菜 用于体育锻炼的饮食和计量计测量。次要结果措施 是CVD风险因素度量，包括体重（或BMI），总甘油三酸酯，HDL-胆固醇，LDL-胆固醇， HBA1C，禁食葡萄糖，血压和尿白蛋白/肌酐比率。 3。如果成功，将干预计划传播给其他美洲印第安人部落和社区 用于实施。 我们假设干预组的参与者将改善其热量和钠的摄入量 与对照组相比，增加水果和蔬菜消耗以及体育锻炼。这 拟议的干预措施强调实现精神，心理，情感和身体平衡，这是 传统的美洲印第安人健康和活力的要素。拟议的干预计划是 以印度社区的大量意见开发，可以纳入部落健康计划。 我们认为，它具有很高的成功可能性，并且在社区中具有很高的可持续性 终止这项研究。