Reclaiming Indigenous Food and Health
关键词
抽象
描述
The overall purpose of this proposed action-research project is to measure the feasibility of consuming and the impact of indigenous plants and foods on health outcomes among Native American participants on the Wind River Indian Reservation (WRIR) in Wyoming.
Participants from the WRIR will be recruited to pilot a randomized control trial (RCT) with a delayed intervention to measure the impacts of consuming a diet that is 50% indigenous foods (based on participant total energy needs and recommended dietary pattern). Specific objectives of the pilot RCT will be to: (1) evaluate the feasibility of access, collection, and consumption of indigenous plants/animals, (2) define precisely what constitutes a "50% indigenous food diet" that will be supplied as the intervention in this trial, (3) quantify the time commitment and logistical challenges to access and collect indigenous foods, (4) evaluate the consumption of indigenous foods on health outcomes including waist circumference, body mass index, blood pressure, blood glucose control, and blood lipid levels, and (5) evaluate the impact of consuming indigenous foods on cultural identity.
The pilot RCT will primarily address objectives 4 and 5. In order to meet these specific objectives, the investigators will pilot a RCT with delayed intervention to provisionally assess health impacts of consuming a diet that is 50% indigenous foods for four weeks. Health outcomes assessed will include biometric measures of waist circumference, body mass index, blood pressure, hemoglobin A1C, total cholesterol with triglycerides; and survey measures of quality of life, cultural identification, and food security.
日期
| 最后验证: | 08/31/2018 |
| 首次提交: | 09/03/2018 |
| 提交的预估入学人数: | 09/05/2018 |
| 首次发布: | 09/06/2018 |
| 上次提交的更新: | 09/05/2018 |
| 最近更新发布: | 09/09/2018 |
| 实际学习开始日期: | 08/31/2019 |
| 预计主要完成日期: | 11/30/2019 |
| 预计完成日期: | 03/31/2020 |
状况或疾病
干预/治疗
Other: Diet intervention
相
手臂组
| 臂 | 干预/治疗 |
|---|---|
| Experimental: Diet intervention | Other: Diet intervention We will pilot a RCT with delayed intervention to provisionally assess health impacts of consuming a diet that is 50% indigenous foods for four weeks. |
| No Intervention: Control |
资格标准
| 有资格学习的年龄 | 18 Years 至 18 Years |
| 有资格学习的性别 | All |
| 接受健康志愿者 | 是 |
| 标准 | Inclusion Criteria: - self-identify as living within the boundaries of WRIR (including the city of Riverton) - self-identify as an enrolled member of the Eastern Shoshone or Shoshone Bannock tribe - be interested in following a 50% traditional diet for 4 weeks - 18 years of age or older Exclusion Criteria: - Diagnosed with any disorder that causes a compromised immune system (e.g. cancer such as leukemia, HIV/AIDS) |
结果
主要结果指标
1. Body mass index [Change in baseline over 5 weeks]
2. Blood pressure [Change in baseline over 5 weeks]
3. Waist circumference [Change in baseline over 5 weeks]
4. Hemoglobin A1C [Change in baseline over 5 weeks]
5. Lipid panel [Change in baseline over 5 weeks]
次要成果指标
1. Mental health change [Change in baseline over 5 weeks]
2. Physical health change [Change in baseline over 5 weeks]
3. Food security change [Change in baseline over 5 weeks]
4. Cultural identity change [Change in baseline over 5 weeks]
