Diet & Type 2 Diabetes among American Indians: The Strong Family Heart Study Mandy Fretts, PhD MPH Nutritional Sciences Program Faculty Research Forum.

Slides:

Advertisements

Similar presentations

New Insights about Beef and Heart Health February 2012.

Advertisements

THE PREVALENCE OF OVERWEIGHT, OBESITY, DIAGNOSED DIABETES MELLITUS AND HYPERTENSION IN THE SWAHILI COMMUNITY OF OLD TOWN AND KISAUNI DISTRICTS IN MOMBASA.

SUPERSIZED NATION By Jennifer Ericksen August 24, 2007.

UNIVERSITY OF CAMBRIDGE

Burden of Cardiovascular Disease in Mississippi. Top Ten Leading Causes of Death in Mississippi, 2007 Source: Mississippi Vital Statistics, 2007.

Sugar-Sweetened Beverage Consumption and Incident Cardiovascular Risk Factors: The Multi-Ethnic Study of Atherosclerosis (MESA) Christina Shay PhD MA 1.

Preventing Diabetes Cecilia Sauter MS, RD, CDE Diabetes Self-Management Education Program University of Michigan.

Effectiveness of interactive web-based lifestyle program on prevention of cardiovascular diseases risk factors in patient with metabolic syndrome: a randomized.

Nutrition and Chronic Illness Kathaleen Briggs Early, PhD, RD, CDE Assistant Professor of Biochemistry and Nutrition

LIFESTYLE MODIFICATIONS FOR PREVENTING HEART DISEASE [e.g. HEART ATTACKS] [ primary prevention of coronary artery disease ] DR S. SAHAI MD [Med.], DM [Card]

Jose Batista, Kyle Pizzichili, Melanie Dotts. Nutrition & Weight Status Diet and body weight are related to health status. Good nutrition is important.

The Burden of Diabetes 1. Prevalence of Diabetes and Prediabetes in the United States 2 1. CDC. National diabetes fact sheet, 2008.

Benefits of Nutrition.

Journal Club Meena Meka MD. Topic Association of Coffee Drinking with Total and Cause-Specific Mortality.

Clinical Nutrition Assessment

Chapter 10: Special Topics in Adults & Chronic Diseases: Nutrition and Public Health Judith Sharlin, PhD, RD.

Your Health Matters: Fitness for Life Energy Balance

More Palatable Nutrition Guidelines Ron Krauss, MD Senior Scientist, Head of Molecular Medicine Lawrence Berkeley National Laboratory University of California.

Aging and Obesity Claire Zizza Tenth Annual Diabetes and Obesity Conference April 19, 2011.

Health Disparities of Minority Women and Diabetes Kathleen M. Rayman, Ph.D., RN Appalachian Center for Translational Research in Disparities Faculty Development.

Chiu et al., CMAJ 2010 Do ethnic groups living in Ontario differ in their cardiovascular risk profiles? Maria Chiu, MSc, PhD Candidate Inst. of Medical.

1 Guidelines for Healthy Eating Department of Applied Science King Saud University/ Community College By: Murad Sawalha.

Epidemiology of CVD in the Elderly Karen P. Alexander MD Duke University Medical Center Duke Clinical Research Institute Disclosures: (1) Minor Research:

Metabolic Syndrome Yusra Mir, MD Zunairah Syed, MD Harjagjit Maan, MD.

Relationship Between Reported Carbohydrate Intake and Fasting Blood Glucose Lacey Holzer, Richard Tafalla, University of Wisconsin-Stout Abstract Background:

1. Relation between dietary macronutrient and fiber intake with metabolic syndrome in Tehranian adults: Tehran Lipid and Glucose Study Hosseinpour S,

HS499 Bachelor’s Capstone Week 6 Seminar Research Analysis on Community Health.

Leveraging Weight Loss in the Treatment of Type 2 Diabetes Part 1 of 4.

DIABETES 6 Ways to Lower Your Risk Employee Wellness Program 2310 N. First Street, Suite 103 San Jose, CA (408)

Module 2 LIVING FIT: OBESITY & WEIGHT CONTROL. 2 Session I: Obesity Workshop Objectives and Aims To become familiar with issues and causes of obesity.

Chapter 15 Adolescent Nutrition: Conditions and Interventions

Background  Obesity is an extremely common problem ~ 1/3 of adult Americans are obese  Patients commonly ask physicians for advice on weight loss, yet.

Moving Toward a Healthy Weight Lesson 2. Obesity is defined as having too much body fat.

Taipei Medical University. Adolescents with Higher Althernate Healthy Eating Index For Taiwan (AHEI-T) Scores Have Lower Blood Lipid Level De-Zhi Weng,

Research CDC Standards

Diabetes and Nutrition By Joshua Sandolo.  What is diabetes?  The different types of diabetes  Blood sugar levels  Nutrition and Diabetes interactions.

Utilization Of Lipid-lowering Therapy In Hypertensive Patients In The United States Simon S.K. Tang, MPH* Sean Candrilli, MS** Lizheng Shi, PhD* *Department.

EPIC-Germany FFQ Jakob Linseisen Nutritional Epidemiology Division of Cancer Epidemiology German Cancer Research Centre, Heidelberg (food frequency questionnaire)

Cardiovascular Disease Healthy Kansans 2010 Steering Committee Meeting April 22, 2005.

Low Fitness as a Predictor of Morbidity and Mortality

InSite User Group Call January 10, Presented by: Toni Toone, CPC, CPMA Focus on: Obesity & Metabolic Syndrome.

TWU Institute for Women’s Health Denton, Texas TWU Institute for Women’s Health TWU Institute for Women’s Health TWU Institute for Women’s Health IS THERE.

ASNNA 2014 Jerold R. Mande, MPH Senior Advisor Food, Nutrition, and Consumer Services.

Plan For Change By Group 5. Identified problem: Obesity Ineffective Health Maintenance The people of Grand Traverse County have a lack of familiarity.

WeArePublicHealth.org twitter.com/Maricopahealth facebook.com/MCDPH CHIP Tracker Update Jackie Ward, Office of Epidemiology October 13, 2015.

Prevention Of Diabetes. Type 2 Diabetes: Hyperglycemia Insulin Resistance Relative Impairment of Insulin Secretion Pathogenesis: Poorly Understood Genetic.

Community Health Status Indicators M. C. Rice PhD APN BC, M.N. Wicks PhD RN, and and S.I. White-Means PhD.

 2013 Cengage-Wadsworth A National Nutrition Agenda for the Public’s Health.

Dietary Guidelines for Americans. Terms to know  Dietary Reference Intakes  Estimated Average Requirement  Recommended Dietary Allowance  Adequate.

Diet and Health Chapter 15. Nutrition and Chronic Disease Healthy People 2020 Disease prevention/health promotion objectives Increase the quality and.

Claire Springer, Patricia de Castro, Nhu Vu, Daniel Bristow.

CVD &Dietary management. :Learning objectives Good To know the risk factors of CHD, HAVE to know: general principles of nutritional therapy, Guidelines.

West Virginia WISEWOMAN Health education interventions for cardiovascular risk reduction in women age Irene Tessaro Robin Seabury Sheila Rye Lindsey.

Methodology Study design: Cross-sectional study Subjects: 97 subjects, convenient sampling method Setting: At supermarkets around Klang Valley Exclusion.

+ Take Charge of Your Health Health for Hearts United Leadership Institute Cyneetha Strong, MD May 31, 2014.

Presented by Slyter Nutrition Consulting Services.

Dietary patterns in a group of medical students

Cardiometabolic Health for Adult Diabetics Living in Beijing China

KLARA ZOLOTNITSKAYA Nutrition and Dietetics Major

Prevalence Of Metabolic Syndrome And Assessment Of Nutritional And Biochemical Parameters Of Overweight And Obese Working Women 1Upasana, 2Chakravarty.

Healthy Eating Predicts Lower Risks of Cardiometabolic Diseases in Chinese A report from the Shanghai Women’s and Men’s Health Studies Danxia Yu1, Xiao-Ou.

Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults Risks and Assessment NHLBI Obesity Education.

Impact of Lifestyle Intervention on the American Heart Association’s New Definition of Ideal Cardiovascular Health Bethany Barone Gibbs, PhD University.

Amphitheater Public Schools

Dietary Guideline #4 Food Groups to Encourage

Comparison of Dietary Intake of Overweight Postpartum

Diet Nutrition and Health

Serum Vitamin C (mg/dl) by Salad Intake

DIETARY GUIDELINES & RECOMMENDATIONS

Trichopoulou A, et al. BMJ 2009;338:b2337

Presentation transcript:

Diet & Type 2 Diabetes among American Indians: The Strong Family Heart Study Mandy Fretts, PhD MPH Nutritional Sciences Program Faculty Research Forum January 9, 2015

Background Type 2 diabetes is a chronic disease marked by high levels of sugar in the blood The burden of diabetes in the US is increasing

Background Diabetes is a leading cause of morbidity & mortality among American Indians (AIs) American Indians 2.5 times more likely to have diagnosed diabetes than non-Hispanic whites High burden of diabetes in American Indian communities may be attributable to lifestyle (e.g., diet, physical activity)

The Strong Heart Family Study A study of cardiovascular disease among American Indians supported by the National Heart, Lung, and Blood Institute and the Indian Health Service

Methods 13 communities in AZ, OK, ND, SD N=3665 (96 families) Baseline exam ( ) Follow-up exam ( ) Detailed data on socio-demographic factors, health behaviors, biomarkers, & genetics

Available Measures Demographics Social factors DNABiomarkersECG Cardiac/carotid ultrasound Physical activity (pedometers) Diet

Dietary Assessment Interview-administered past-year 119-item Block FFQ, including American Indians food supplement (Indian taco, fry bread, spam, menudo, guysava, tortillas) Ascertained frequency & portion size for each food item Block database (Block Dietary Systems, Berkeley, CA) used to calculate average macronutrient intakes

Baseline Characteristics of Study Participants Female, %59 Age, yrs, median (IQR) 34 (23, 44) BMI, kg/m 2, median (IQR) 32 (26, 36) Obesity, %57 Education, yrs, median (IQR) 12 (11, 13) Steps/Day, median (IQR) 5410 (3500, 8000) Current smoking, %36

Achievement of Life’s Simple 7 Dietary Guidelines *NHANES data from Roget VL et al. Heart Disease & Stroke Statistics—2011 Update. A Report From the American Heart Association. Circulation, : e

Diabetes in the SHFS Diabetes=Treated with insulin or diabetic medication or fasting plasma glucose ≥ 126 mg/dl

Conclusions & Opportunities The burden of diabetes among Americans is high Reported diets are high in fat & processed foods, and low in whole grains, fruits & vegetables Rich data set Many opportunities for student projects My