Puerto Rican Obesity Intervention for Men

波多黎各男性肥胖干预

• 批准号: 10660433
• 负责人: LISA SANCHEZ-JOHNSEN
• 金额: $ 32.42万
• 依托单位: MEDICAL COLLEGE OF WISCONSIN
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-01 至 2026-05-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10660433
• 关键词: Accelerometer; Acculturation; Address; Adherence; Adolescent; Affect; Behavior; Behavior Therapy; Belief; Body Weight decreased; Body mass index; Calories; Categories; Chicago; Clinical; Clinical Trials; Community Health; Data; Diet; Dietary intake; Disease; Eating; Energy Intake; Equipment; Ethnic Origin; Exercise; Food; Foundations; Frequencies; Funding; Future; Health; Health behavior; Healthy Eating; High Prevalence; Hispanic; Hispanic Community Health Study/Study of Latinos; Hour; Individual; Intake; International; Intervention; Latino; Latino Population; Maintenance; Measures; Metabolic; Mexican; Mission; Modality; National Institute of Diabetes and Digestive and Kidney Diseases; Non-Insulin-Dependent Diabetes Mellitus; Obesity; Outcome; Overweight; Physical activity; Population; Prevalence; Process Measure; Public Health; Publishing; Puerto Rican; Questionnaires; Randomized; Recommendation; Rural Community; Self Efficacy; Social support; Specialist; Subgroup; Technology; United States National Institutes of Health; Universities; Weight; acceptability and feasibility; behavioral health; cardiovascular disorder risk; clinically significant; ethnic minority; expectation; feasibility testing; fruits and vegetables; health equity; high risk; hypercholesterolemia; lifestyle factors; lifestyle intervention; low socioeconomic status; men; moderate-to-vigorous physical activity; obesity risk; obesity treatment; physical inactivity; promoter; recruit; response; satisfaction; saturated fat; sedentary lifestyle; social cognitive theory; telehealth; translational medicine; trend; tv watching; weight loss intervention

Abstract Overweight and obesity are among the most prevalent and pressing health issues affecting Latino men, with rates of overweight and obesity among Latino men being 42% and 37%, respectively22. Within this group, Puerto Rican (PR) men are at especially high risk. In the Hispanic Community Health Study/ Study of Latinos, the highest rates of obesity were observed among PR men (40.9%)22, and PR men had a high prevalence of type 2 diabetes (16.2%) and hypercholesterolemia (48.2%)22. Thus, there is an urgent need to address obesity-related behaviors- such as diet and physical inactivity- in Puerto Rican men. Moreover, developing culturally tailored obesity interventions that target diet, physical activity and sedentary behavior in Puerto Ricans has the potential to address a critical public health need and provides a foundation for tailoring and disseminating future interventions to other cultures. This study has the active support of the Hispanic/Latino Health Community Advisory Board, the Puerto Rican Cultural Center, The Puerto Rican Agenda, additional Puerto Rican-centered and Latino organizations and individuals, the RUSH-BMO Institute for Health Equity, and the NIH-funded University of Chicago- Rush Institute for Translational Medicine. Although telehealth has been used to increase reach in weight loss interventions with hard-to-reach populations26, 27, few have focused on men or ethnic minorities8. Moreover, there are no published telehealth weight loss interventions focusing on healthy eating, physical activity, and sedentary behaviors, specifically targeting Puerto Rican men who are at high risk for obesity. We therefore propose a proof-of-concept study to determine if a telehealth intervention, tailored to target Puerto Rican men of varying levels of acculturation, is feasible and acceptable, and if it can achieve clinically meaningful weight loss. The “TeleSalud Healthy Eating, Physical Activity, and Sedentary Behavior Intervention” (TeleSalud HE-PA/SB) will consist of 4 months of twice-weekly classes on increasing healthy eating and physical activity and decreasing sedentary behavior, followed by a 4-month maintenance healthy eating, physical activity, and sedentary behavior intervention. This intervention will be compared to the “TeleSalud General Health” intervention, consisting of 4 months of twice weekly telehealth classes on general health issues, followed by a 4-month general health intervention. We will examine feasibility, acceptability, and intermediate process measures for diet (energy intake, percent calories from saturated fat, fruit & vegetable intake via the Block Food Frequency Questionnaire); physical activity/ sedentary behavior (metabolic equivalent of task (MET)-minutes/week and minutes of moderate to vigorous physical activity [MVPA] via the International Physical Activity Questionnaire and accelerometer-assisted minutes of MVPA); and social cognitive theory concepts (self-efficacy, outcome expectations, social support for eating & exercise) which are guiding the intervention. The final aim is to examine trends based on differences in level of acculturation.

抽象的 超重和肥胖是影响拉丁裔男性的最普遍，紧迫的健康问题， 拉丁裔男性的超重和肥胖率分别为42％和37％。22。在这个组中， 波多黎各人（PR）男性尤其高风险。在拉丁美洲的西班牙裔社区健康研究/研究中 PR男性（40.9％）22中观察到肥胖率最高，PR男性的患病率很高 2型糖尿病（16.2％）和高胆固醇血症（48.2％）22。那迫切需要解决 波多黎各人的肥胖相关行为，例如饮食和身体不活动。而且，发展 针对波多黎各的饮食，体育锻炼和久坐行为的文化量身定制的肥胖干预措施 里奇人有潜力满足关键的公共卫生需求，并为裁缝和 将未来的干预措施传播给其他文化。这项研究得到了西班牙裔/拉丁裔的积极支持 健康社区顾问委员会，波多黎各文化中心，波多黎各议程，其他 波多黎各人以中心和拉丁裔组织和个人，Rush-BMO健康公平研究所， 以及由NIH资助的芝加哥大学翻译医学研究所。虽然远程医疗有 被用来增加与难以到达的人群的减肥干预措施26、27，很少有人专注于 关于男子或少数民族8。此外，没有关注的远程医疗减肥干预措施 健康的饮食，体育锻炼和久坐行为，特别针对的是波多黎各人 肥胖的高风险。因此，我们建议一项概念验证研究，以确定远程医疗干预是否 针对目标波多黎各人量身定制，具有不同水平的培养水平，是可行且可接受的，如果可以的话 实现临床上有意义的体重减轻。 “远程沙龙健康饮食，体育锻炼和久坐的饮食 行为干预”（Telesalud He-PA/SB）将包括4个月的每周两次班级 健康的饮食和体育锻炼以及久坐的行为减少，然后进行4个月的维护 健康饮食，体育锻炼和久坐的行为干预。将这种干预措施与 “ Telesalud General Health”干预措施，包括4个月的每周两次远程医疗课程 健康问题，然后是4个月的一般健康干预措施。我们将检查可行性，可接受性和 饮食的中间过程测量（能量摄入，饱和脂肪，水果和蔬菜的卡路里百分比 通过块食品频率问卷的摄入量）；身体活动/久坐行为（代谢 等效于任务（MET） - 每周和中度至剧烈的体育锻炼[MVPA] 国际体育锻炼问卷和加速度计的MVPA分钟；和社交 认知理论概念（自我效能感，结果期望，对饮食的社会支持） 指导干预。最终目的是根据适应水平的差异来检查趋势。