Back to Basics: Addressing Childhood Obesity Through Traditional Foods in Alaska

回归基础：通过阿拉斯加的传统食品解决儿童肥胖问题

基本信息

批准号：
9752666
负责人：
Timothy K Thomas
金额：
$ 49.22万
依托单位：
ALASKA NATIVE TRIBAL HEALTH CONSORTIUM
依托单位国家：
美国
项目类别：
财政年份：
2017
资助国家：
美国
起止时间：
2017-09-25 至 2022-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9752666
关键词：
5 year old Address Adolescent Development Adolescent obesity Adult Age Alaska Alaska Native Alaskan American Indians Back Berry Body Weight decreased Body mass index Calories Child Childhood Communities Community Actions Consumption Control Groups Data Development Diabetes Mellitus Diet Education Educational Curriculum Enrollment Ethnic Origin Family Food Foundations Glucose Intolerance Harvest Head Start Program Health Height Hip region structure Hispanics Home environment Home visitation Hypertension Individual Intervention Intervention Studies Intervention Trial Knowledge Life Malignant Neoplasms Mammals Meat Methods Minerals Native-Born Nomads Nutrient Nutritional Obesity Oils Overweight Parents Population Population Study Preparation Prevalence Proteins Public Health Race Research Research Design Risk Risk Factors Rivers Rural Salmon Sea Services Site Taste preferences Vitamins Weight Woman adult obesity base comparison group cost density design early childhood effective intervention experience food consumption group intervention improved interest intervention program nutrition nutrition education obesity in children prevent programs rural Alaska seal sedentary lifestyle sex sugar sweetened beverage teacher trial design tribal health

项目摘要

Back to Basics is a mixed-methods intervention trial to reduce the prevalence of obese Alaska Native children by increasing the proportion of nutrient-dense traditional and non-traditional foods consumed, and decreasing consumption of sugar sweetened beverages (SSBs). This 5-year intervention trial targeting 0-5 year olds is conducted in partnership with Rural Action Community Action Program, Inc. (RC) Head Start, Early Head Start, and Parents as Teachers programs in 12 rural Alaskan communities, where each site is assigned to either a 9-month nutritional education and meal program intervention or a standard education and meal program repeating annually. Once a nomadic population that lived entirely off the land, river, and sea, Alaska Native people have experienced an abrupt nutritional shift towards greater consumption of store-bought manufactured foods and a more sedentary lifestyle. A recent study of dietary adequacy among Alaska Native women in western Alaska found that traditional foods accounted for only 17% of calories, but provided 34% of protein, as well as disproportionately large amounts of essential vitamins and minerals. SSBs were consumed more than any other dietary item and accounted for 8% of calories. Over the past three decades, childhood obesity has emerged as a serious public health problem, increasing three-fold across all races and ethnicities. Obesity is highest among Hispanic and Alaska Native/American Indian (AN/AI) children and adults, with 41% of Alaska Native children 2-5 years of age overweight or obese in 2009. Substantial evidence suggests that obesity in early childhood, ages 0-5 years, is a critical factor in the development of adolescent and adult obesity. Obesity, in childhood and adulthood, is a major risk factor for serious immediate and long-term life-threatening health conditions, such as glucose intolerance, hypertension, diabetes, and cancer. Back to Basics has an unprecedented opportunity to incorporate the lessons learned through past research (Store Outside Your Door) and build on previous study designs and interventions (Hip-Hop to Health, Jr.) in implementing an effective intervention to improve dietary quality through promotion and reincorporation of traditional foods in at-risk young children and their families. A home-based nutrition education curriculum and Head Start center-based meal service focused on traditional foods, will serve as the foundation of the intervention. If effective, this strategy can be adapted and implemented by other Head Start programs across the state to further improve diet quality of all Alaska Native children.

Back to Basics 是一项混合方法干预试验，旨在降低阿拉斯加原住民肥胖的患病率通过增加营养丰富的传统和非传统食品的消费比例来保护儿童，以及减少含糖饮料（SSB）的消费。这项为期 5 年的干预试验针对 0-5 岁儿童活动是与 Rural Action Community Action Program, Inc. (RC) Head Start 合作开展的，阿拉斯加 12 个乡村社区的早期启蒙计划和家长当教师计划，每个地点都分配接受为期 9 个月的营养教育和膳食计划干预或标准教育和膳食计划每年重复一次。阿拉斯加原住民曾经是完全靠陆地、河流和海洋为生的游牧民族经历了营养的突然转变，转向更多地消费商店购买的加工食品，并且久坐的生活方式。最近一项关于阿拉斯加西部阿拉斯加原住民妇女膳食充足性的研究研究发现，传统食物仅占热量的 17%，但却提供了 34% 的蛋白质，以及不成比例地大量的必需维生素和矿物质。 SSB 的消耗量超过任何其他饮食项目占卡路里的8%。过去三十年来，儿童肥胖已成为一个严重的公共卫生问题，所有种族和民族的人数增加了三倍。西班牙裔和阿拉斯加裔肥胖率最高原住民/美洲印第安人 (AN/AI) 儿童和成人，其中 41% 的阿拉斯加原住民儿童为 2-5 岁 2009 年超重或肥胖。大量证据表明，0-5 岁幼儿期的肥胖是青少年和成人肥胖发展的一个关键因素。肥胖在儿童期和成年期都是一种严重的直接和长期危及生命的健康状况的主要危险因素，例如血糖不耐受、高血压、糖尿病和癌症。回归基础有一个前所未有的机会来整合过去的经验教训研究（门外商店）并建立在以前的研究设计和干预措施（嘻哈到健康， Jr.）通过推广和重新整合实施有效的干预措施来改善饮食质量高危幼儿及其家人的传统食品。家庭营养教育课程以及以传统食品为主的 Head Start 中心膳食服务将作为干涉。如果有效，该策略可以通过其他启蒙计划进行调整和实施该州进一步改善所有阿拉斯加原住民儿童的饮食质量。