Source: LANGSTON UNIVERSITY submitted to NRP
PREVALENCE AND FACTORS INFLUENCING CHILDHOOD OBESITY IN AFRICAN AMERICANS AND NATIVE AMERICANS IN OKLAHOMA
Sponsoring Institution
National Institute of Food and Agriculture
Project Status
COMPLETE
Funding Source
Reporting Frequency
Annual
Accession No.
0193960
Grant No.
00-38814-9501
Cumulative Award Amt.
(N/A)
Proposal No.
2000-03754
Multistate No.
(N/A)
Project Start Date
Sep 15, 2000
Project End Date
May 31, 2004
Grant Year
2000
Program Code
[(N/A)]- (N/A)
Recipient Organization
LANGSTON UNIVERSITY
(N/A)
LANGSTON,OK 73050
Performing Department
AGRI RES & EXTENSION CENTER
Non Technical Summary
There is an increase in the prevalence of childhood obesity that parallels with adult obesity within the past decade. This is expectedly a problem with the African American and Native American populations. Studies on the prevalence and dietary factors contributing to childhood obesity among ethnic diverse groups are limited. The ethnic distribution of Oklahoma Native Americans 8.1%, which is the highest in the nation, African Americans 7.7%, Hispanics 3.1%, Asian Pacific Islanders 1.3% and 81% Caucasians. The African Americans and Native Americans have the highest rates of type II diabetes. Several studies consistently indicate that diabetes have increased significantly with the increased rates of overweight/obesity. To examine the prevalence overweight/obesity and other factors influencing childhood obesity among African Americans and Native Americans.
Animal Health Component
80%
Research Effort Categories
Basic
20%
Applied
80%
Developmental
(N/A)
Classification

Knowledge Area (KA)Subject of Investigation (SOI)Field of Science (FOS)Percent
7036010101050%
7036020101050%
Goals / Objectives
1. To determine both the prevalence and patterns of obesity within Native American and African American populations in Oklahoma. 2. To examine and compare: a) lifestyle, b) dietary intake, and c) biochemical profiles among family members to determine intrafamilial patterns that may influence the prevalence of overweight or obesity. 3. To determine the relationship between dietary intake, anthropometric measurements, intrafamilial patterns and ethnicity with blood levels of glucose, lipids, insulin, leptin, and growth hormones.
Project Methods
To achieve the above objectives, participants will be recruited from counties where Native Americans and African Americans comprise more than fifteen percent of the popualtion. Subjects will be recruited with the help of churches, community organizations and tribal leaders. Each family's medical history, health practices, physical activity, socioeconomic information, anthropometric measurements (height, weight, body fat measurements, and waist to hip ratio) will be collected using survey instruments. Nutrient intake will be assessed using three consecutive 24-hour recalls and analyzed with Food Processor II. Blood samples will be collected and analyzed for insulin, leptin, growth hormone, lipid and glucose levels. Statistical analysis will be performed using the Statistical Analysis System (SAS, Inc.).

Progress 09/15/00 to 05/31/04

Outputs
OUTPUTS: The goal of the study was to examine the prevalence and factors influencing the intrafamilial obesity among Native Americans and Goals and objectives of the project: African Americans of Oklahoma. The objectives of the study were: a) to identify the patterns across the generations that may influence the childhood obesity. b)to determine the factors that influence childhood obesity such as diet, physical activity and life style. c)to determine the relationship between nutritional status and ethnicity with insulin, leptin, growth hormone and blood lipid profile and glucose concentration within the cohorts in the study. The data collected and analyzed by Dr. Knight and Dr. Spicer during the study period from September 2001 to 2003 indicates that 90%of African American and 89% of Native American parents and grand parents had body mass index greater than 25.0. 42% of African American and 61% of Native Americans children had BMI greater than 85th percentile. Leptin, waist circumference and blood pressure among African American and Native American women of child bearing age shows that 99% of women were overweight, to obese with a mean BMI of 37 + or minus 7. 58% of Native American and 61% of African American women were obese. The African American women had greater plasma leptin concentration and greater upper arm adipose tissue than Native American women. The Native American women had higher blood glucose level and triglyceride concentrations. The Native American women in this study may have been more sensitive to insulin resistance and were at risk for metabolic syndrome. Further data analysis on life style and dietary factors indicate that all diets were inadequate in fruits, vegetables and milk and also high in total energy fat energy and servings of fats and sugar. The findings indicate that a community based culturally sensitive intervention programs are needed to reduce the incidence of childhood obesity in Oklahoma. PARTICIPANTS: 88 Families.

Impacts
This project resulted in One Publication, 2 masters, thesis and a creative component for Masters thesis. It also helped to establish a working relationship with Oklahoma State University. It helped Langston to establish a human nutrition research and expose the students different aspects of research.

Publications

  • POLLEY, D., SPICER, M., KNIGHT, A., AND HARTLEY, B. 2005. Intrafamilial correlates of overweight and obesity in African-American and Native-American grandparents, parents, and children in rural Oklahoma. Journal of the American Dietetic Association, Volume 105, Issue 2, Pages 262-265.


Progress 01/01/03 to 12/31/03

Outputs
The objective of this study is to examine the prevalence of overweight and obesity among Native and African American children, parents, and grandparents. Also, to examine obesity-related factors, including: diet, physical activity, sedentary behaviors and biochemical values. To date, all data has been collected and partially analyzed. One manuscript is under review and two more manuscripts are in the final stages of development before submission to appropriate journals.

Impacts
Currently there is a lack of population data regarding familial as it relates to overweight/obesity, diet, physical activity and sedentary behaviors. This information can be used to develop effective culturally appropriate interventions to improve diet and physical activity levels and reduce overweight and television viewing in these ethnic groups, particularly for children.

Publications

  • No publications reported this period


Progress 01/01/02 to 12/31/02

Outputs
The objective of this study is to examine the prevalance of obesity among Native American and African American children, a parent and a grandparent. The study also examines obesity-related factors, including: diet, physical activity, sedentary behaviors and education levels. To date, all data has been collected, entered into a computer database and data is currently being thoroughly checked. Statistical analysis began in February 2003 and is ongoing. Two abstracts from the research project have been developed and submitted. The investigators are currently working on a total of 6 articles to be submitted for publication sometime in the summer of 2003. A follow-up grant proposal has been written by the project manager and will be finalized and submitted to USDA in fall of 2003.

Impacts
Currently there is a crucial need for data that support a variety of culturally appropriate nutrition education interventions to address obesity prevention and innovative methods to improve the overall dietary consumption and physical activity patterns among Native Americans and African Americans.

Publications

  • Correlates of Obesity in a Cohort of Native American and African American Women from Oklahoma. Presented at 17th National Conference on Chronic Disease Prevention and Control, February 2003.
  • African and Native American Mothers'Body Mass Index and Television Time Influences that of their Children. Submitted for presentation at American Dietitic Association Convention, October 2003.