Native Healthy Lifestyle: A Return to Balance

本土健康生活方式：回归平衡

基本信息

批准号：
7631330
负责人：
ELISA TAN LEE
金额：
$ 38.72万
依托单位：
UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR
依托单位国家：
美国
项目类别：
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/7631330
关键词：
Adult Age 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 General Population Glucose Glycosylated hemoglobin A Habits Health Healthcare Systems High Density Lipoprotein Cholesterol Intake Intervention LDL Cholesterol Lipoproteins Lead Life Style Lipids Measurement Measures Outcome Outcome Measure Participant Physical activity Population Probability Psyche structure Questionnaires Randomized Research Project Grants Risk Factors Sodium Tribes Triglycerides Upper arm Weight Woman cardiovascular disorder risk cardiovascular risk factor design fasting glucose fasting plasma glucose fruits and vegetables group intervention high risk improved innovation intervention program lifestyle intervention member men primary outcome programs research study secondary outcome success tribal health urinary

Adult Age 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 General Population Glucose Glycosylated hemoglobin A Habits Health Healthcare Systems High Density Lipoprotein Cholesterol Intake Intervention LDL Cholesterol Lipoproteins Lead Life Style Lipids Measurement Measures Outcome Outcome Measure Participant Physical activity Population Probability Psyche structure Questionnaires Randomized Research Project Grants Risk Factors Sodium Tribes Triglycerides Upper arm Weight Woman cardiovascular disorder risk cardiovascular risk factor design fasting glucose fasting plasma glucose fruits and vegetables group intervention high risk improved innovation intervention program lifestyle intervention member men primary outcome programs research study secondary outcome success tribal health urinary

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项目摘要

DESCRIPTION (provided by applicant): 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 randomized 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.

描述（由申请人提供）：仅几十年前，心血管疾病（CVD）在美洲印第安人中很少见，但如今，它已成为该人群的主要死亡原因，超过了普通人群的率。为了降低心血管风险，我们提出了一个整体的行为和生活方式干预计划，该计划具有社区响应且在文化上适当的。该干预计划将主要关注饮食和体育锻炼的行为修改，这将导致CVD危险因素的改善，并因此减少CVD。具体目的是： 1。为美洲印度成年人（30-59岁）设计和实施适当的文化行为干预计划，他们患CVD的风险很高，以在饮食和体育锻炼中养成健康的习惯。 2。使用两臂随机对照设计评估提出的行为干预计划的有效性。 200名合格的美洲印第安人男女将被随机分为两组：（1）“干预”组，该小组接受了拟议的干预计划，以及（2）“控制”组，该组仅接受常规心血管健康信息和建议。将使用两组结果度量来比较两组。主要结果指标将是行为修改结果，包括热量摄入，钠摄入量，果实和蔬菜消耗，以进行饮食和计步器测量，以进行体育锻炼。次要结果度量是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进行实施。我们假设干预组的参与者将改善其热量和钠摄入量，并与对照组相比，增加果实，蔬菜消耗以及体育锻炼。拟议的干预措施强调实现精神，心理，情感和身体平衡，这是美国印第安人传统的健康和活力的要素。拟议的干预计划是由印度社区的大量投入制定的，可以纳入部落健康计划。我们认为，这项研究终止后，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。