1 00:00:06,490 --> 00:00:08,659 HELLO, EVERYONE. 2 00:00:08,659 --> 00:00:10,894 GOOD MORNING, GOOD AFTERNOON, 3 00:00:10,894 --> 00:00:14,832 GOOD EVENING WHEREVER YOU ARE 4 00:00:14,832 --> 00:00:17,167 AND WELCOME ADVANCING HEALTH 5 00:00:17,167 --> 00:00:19,770 EQUITY THROUGH CULTURE-CENTERED 6 00:00:19,770 --> 00:00:24,341 DIETARY INTERVENTIONS TO ADDRESS 7 00:00:24,341 --> 00:00:26,310 CHRONIC DISEASES BY THE NATIONAL 8 00:00:26,310 --> 00:00:27,211 INSTITUTES OF HEALTH. 9 00:00:27,211 --> 00:00:28,879 TODAY IS DAY TWO AND WE'LL HAVE 10 00:00:28,879 --> 00:00:29,780 HOUSEKEEPING INFORMATION BEFORE 11 00:00:29,780 --> 00:00:30,814 WE START. 12 00:00:30,814 --> 00:00:35,419 >> GOOD AFTERNOON, I'M BRITTANY 13 00:00:35,419 --> 00:00:37,087 VIAFONA JUNIOR SUPPORTER WITH 14 00:00:37,087 --> 00:00:38,822 THE WORKSHOP SUPPORT PROGRAM. 15 00:00:38,822 --> 00:00:39,823 THANK YOU FOR JOINING US 16 00:00:39,823 --> 00:00:45,395 VIRTUALLY FOR THE FINAL DAY OF 17 00:00:45,395 --> 00:00:46,830 ADVANCING HEALTH EQUITY TO 18 00:00:46,830 --> 00:00:49,766 ADDRESS CHRONIC DISEASES VIRTUAL 19 00:00:49,766 --> 00:00:50,167 WORKSHOP. 20 00:00:50,167 --> 00:00:52,202 BEFORE WE BEGIN, NOTE THE 21 00:00:52,202 --> 00:00:52,469 REMINDERS. 22 00:00:52,469 --> 00:00:53,370 THE PRESENTATION IS BEING 23 00:00:53,370 --> 00:00:57,140 RECORDED FOR INTERNAL USE OME. 24 00:00:57,140 --> 00:00:58,342 PLEASE MAINTAIN RESEARCH 25 00:00:58,342 --> 00:00:59,276 INTEGRITY AND CONFIDENTIALITY. 26 00:00:59,276 --> 00:01:02,212 SEND QUESTIONS AND COMMENTS 27 00:01:02,212 --> 00:01:04,681 THROUGH NIH VIDEOCAST LIVE 28 00:01:04,681 --> 00:01:06,350 FEEDBACK BY USING THE SEND LIVE 29 00:01:06,350 --> 00:01:10,821 FEEDBACK BUTTON AT THE TOP RIGHT 30 00:01:10,821 --> 00:01:11,889 OF THE VIDEO DESCRIPTION. 31 00:01:11,889 --> 00:01:14,024 IF POSSIBLE STATE WHICH PANELIST 32 00:01:14,024 --> 00:01:16,393 YOU'RE DIRECTING YOUR QUESTIONS 33 00:01:16,393 --> 00:01:16,760 TO. 34 00:01:16,760 --> 00:01:18,228 QUESTIONS WILL BE CAPTURED BY 35 00:01:18,228 --> 00:01:19,596 WORKSHOP SPONSORS AND LIVE 36 00:01:19,596 --> 00:01:21,064 CAPTIONS ARE LOCATED ON THE 37 00:01:21,064 --> 00:01:22,566 TOOLBAR AT THE BOTTOM RIGHT OF 38 00:01:22,566 --> 00:01:26,603 YOUR VIDEO PLAYER. 39 00:01:26,603 --> 00:01:28,071 SO CLICK ENGLISH TO ENABLE THEM. 40 00:01:28,071 --> 00:01:30,140 AGAIN, WE'RE EXCITED TO JOIN US 41 00:01:30,140 --> 00:01:33,810 FOR DAY TWO AND YOU'LL NOW HEAR 42 00:01:33,810 --> 00:01:39,316 FROM DR. DAVID GOFF FOR THE DAY 43 00:01:39,316 --> 00:01:39,983 TWO WELCOME. 44 00:01:39,983 --> 00:01:42,386 >> GOOD AFTERNOON OR GOOD 45 00:01:42,386 --> 00:01:43,520 MORNING OR GOOD EVENING 46 00:01:43,520 --> 00:01:44,321 DEPENDING ON WHERE YOU ARE. 47 00:01:44,321 --> 00:01:48,492 IT'S MY PLEASURE TO WELCOME YOU 48 00:01:48,492 --> 00:01:50,661 FOR THE SECOND DAY OF THIS 49 00:01:50,661 --> 00:01:52,596 REALLY IMPORTANT WORKSHOP. 50 00:01:52,596 --> 00:01:55,432 WE REALLY APPRECIATE THE TIME 51 00:01:55,432 --> 00:01:57,267 THAT YOU ARE TAKING TO HELP US 52 00:01:57,267 --> 00:01:59,536 WITH THESE ISSUES AND GIVE US 53 00:01:59,536 --> 00:02:00,671 YOUR INPUT. 54 00:02:00,671 --> 00:02:02,005 WE KNOW YOUR TIME IS VERY 55 00:02:02,005 --> 00:02:03,240 APPRECIATION AND THERE ARE MANY 56 00:02:03,240 --> 00:02:04,775 WAYS YOU COULD BE SPENDING YOUR 57 00:02:04,775 --> 00:02:05,375 TIME TODAY. 58 00:02:05,375 --> 00:02:08,278 WE'RE GRATEFUL THAT YOU'RE 59 00:02:08,278 --> 00:02:10,847 SPENDING IT WITH US GIVING US 60 00:02:10,847 --> 00:02:13,850 INPUT ON THESE IMPORTANT ISSUES. 61 00:02:13,850 --> 00:02:17,421 AS WAS MENTIONED I LEAD THE 62 00:02:17,421 --> 00:02:18,088 DIVISION OF CARDIOVASCULAR 63 00:02:18,088 --> 00:02:21,291 SCIENCES AT NHLBI AND WHILE 64 00:02:21,291 --> 00:02:23,760 THESE ISSUES ARE OF IMPORTANCE 65 00:02:23,760 --> 00:02:24,461 WELL BEYOND THE DIVISION OF 66 00:02:24,461 --> 00:02:25,696 CARDIOVASCULAR SCIENCES, I DID 67 00:02:25,696 --> 00:02:29,099 WANT TO LET YOU KNOW ABOUT HOW 68 00:02:29,099 --> 00:02:31,368 IMPORTANT THIS IS SPECIFICALLY 69 00:02:31,368 --> 00:02:33,570 TO US AND OUR WORK FOR ADVANCING 70 00:02:33,570 --> 00:02:37,074 CARDIOVASCULAR HEALTH FOR ALL. 71 00:02:37,074 --> 00:02:39,676 WE HAVE PUBLISHED A STRATEGIC 72 00:02:39,676 --> 00:02:43,847 VISION IMPLEMENTATION PLAN IN 73 00:02:43,847 --> 00:02:46,617 WHICH WE'VE IDENTIFIED SIX 74 00:02:46,617 --> 00:02:49,286 PILLARS OF FOCUS AND THE TOPICS 75 00:02:49,286 --> 00:02:51,788 YOU'RE ADDRESSING ARE REALLY 76 00:02:51,788 --> 00:02:52,756 IMPORTANT TO OUR STRATEGIC 77 00:02:52,756 --> 00:02:54,658 VISION IMPLEMENTATION PLAN. 78 00:02:54,658 --> 00:02:57,794 THE FIRST PILLAR IS ADDRESSING 79 00:02:57,794 --> 00:02:59,830 SOCIAL DETERMINATES OF 80 00:02:59,830 --> 00:03:02,466 CARDIOVASCULAR HEALTH AND HEALTH 81 00:03:02,466 --> 00:03:02,766 INEQUITIES. 82 00:03:02,766 --> 00:03:04,234 FIRST BECAUSE IT'S JUST THE MOST 83 00:03:04,234 --> 00:03:06,570 IMPORTANT THING WE CAN BE 84 00:03:06,570 --> 00:03:08,639 FOCUSSING ON AS AN ORGANIZATION 85 00:03:08,639 --> 00:03:14,645 AND THAT FIRST WORD WAS CHOSEN 86 00:03:14,645 --> 00:03:14,978 PURPOSEFULLY. 87 00:03:14,978 --> 00:03:19,216 IT'S ADDRESSING SOCIAL 88 00:03:19,216 --> 00:03:21,418 DETERMINATES OF HEALTH AND IT'S 89 00:03:21,418 --> 00:03:23,220 NOT DESCRIBING OR EXPLAINING 90 00:03:23,220 --> 00:03:23,920 IT'S ADDRESSING. 91 00:03:23,920 --> 00:03:26,089 IT'S TIME FOR US TO REALLY MAKE 92 00:03:26,089 --> 00:03:29,526 PROGRESS ON TESTING APPROACHES 93 00:03:29,526 --> 00:03:30,894 TO ADDRESS SOCIAL DETERMINATES 94 00:03:30,894 --> 00:03:35,899 OF CARDIOVASCULAR AND HEALTH 95 00:03:35,899 --> 00:03:39,302 INEQUITIES AND THE INPUT WILL BE 96 00:03:39,302 --> 00:03:41,938 CRITICAL TO OUR SUCCESSION IN 97 00:03:41,938 --> 00:03:43,440 MOVING FORWARD IN THE STRATEGIC 98 00:03:43,440 --> 00:03:44,307 IMPLEMENTATION PILLAR. 99 00:03:44,307 --> 00:03:46,643 THE OTHERS ARE ENHANCING 100 00:03:46,643 --> 00:03:47,577 RESILIENCE, PROMOTING 101 00:03:47,577 --> 00:03:50,213 CARDIOVASCULAR HEALTH AND 102 00:03:50,213 --> 00:03:50,781 PREVENTING CARDIOVASCULAR 103 00:03:50,781 --> 00:03:53,750 DISEASE ACROSS THE LIFE SPAN. 104 00:03:53,750 --> 00:03:55,085 ELIMINATING HYPERTENSION RELATED 105 00:03:55,085 --> 00:03:56,687 CARDIOVASCULAR DISEASE, REDUCING 106 00:03:56,687 --> 00:03:59,856 THE BURDEN OF HEART FAILURE AND 107 00:03:59,856 --> 00:04:01,858 PREVENTING VASCULAR DEMENTIA. 108 00:04:01,858 --> 00:04:03,927 THE INPUT YOU'RE GOING TO BE 109 00:04:03,927 --> 00:04:05,362 GIVING US IS GOING TO BE VERY 110 00:04:05,362 --> 00:04:06,897 IMPORTANT TO ALL OF THOSE 111 00:04:06,897 --> 00:04:07,364 PILLARS. 112 00:04:07,364 --> 00:04:09,633 I DID WANT TO FOCUS SPECIFICALLY 113 00:04:09,633 --> 00:04:11,435 ON THE FIRST ONE. 114 00:04:11,435 --> 00:04:13,570 I'LL PUT IN THE CHAT THE 115 00:04:13,570 --> 00:04:19,009 REFERENCES TO THE PUBLICATION OF 116 00:04:19,009 --> 00:04:21,912 THIS PLAN FROM A COUPLE YEARS 117 00:04:21,912 --> 00:04:24,715 AGO AND UPDATE OR PROGRESS 118 00:04:24,715 --> 00:04:27,084 REPORT WITH HOW WE'RE DOING IN 119 00:04:27,084 --> 00:04:28,251 IMPLEMENTING OUR PLAN. 120 00:04:28,251 --> 00:04:30,754 I WANT TO TOUCH BRIEFLY ON 121 00:04:30,754 --> 00:04:32,489 LETTING YOU KNOW HOW WE'LL USE 122 00:04:32,489 --> 00:04:33,724 YOUR INPUT OVER THE MONTHS AND 123 00:04:33,724 --> 00:04:35,425 YEARS TO COME. 124 00:04:35,425 --> 00:04:39,563 THE FIRST THING IS WE ANTICIPATE 125 00:04:39,563 --> 00:04:40,897 THERE WILL BE A WORKSHOP REPORT 126 00:04:40,897 --> 00:04:43,033 LINKED WITH OTHER PARTICIPATING 127 00:04:43,033 --> 00:04:43,667 INSTITUTES. 128 00:04:43,667 --> 00:04:46,002 WE'D LIKE YOU TO GET THAT 129 00:04:46,002 --> 00:04:47,437 WORKSHOP REPORT EXECUTIVE 130 00:04:47,437 --> 00:04:48,939 SUMMARY COMPLETED WITHIN A MONTH 131 00:04:48,939 --> 00:04:52,743 OR SO SO THE INFORMATION CAN BE 132 00:04:52,743 --> 00:04:54,778 SHARED WITH THE BROADER RESEARCH 133 00:04:54,778 --> 00:04:56,780 COMMUNITY WHILE IT'S STILL 134 00:04:56,780 --> 00:04:57,047 TIMELY. 135 00:04:57,047 --> 00:04:59,649 YOU MAY WANT TO DEVELOP A 136 00:04:59,649 --> 00:05:02,786 PUBLICATION TO A PEER REVIEWED 137 00:05:02,786 --> 00:05:04,121 JOURNAL THAT WE'LL BE GLAD TO 138 00:05:04,121 --> 00:05:05,555 SUPPORT THAT WITH STAFF SUPPORT 139 00:05:05,555 --> 00:05:07,057 AND OTHER SUPPORT. 140 00:05:07,057 --> 00:05:09,493 AND WE WOULD ASK THAT YOU GET 141 00:05:09,493 --> 00:05:10,927 THAT COMPLETED WITHIN THE COMING 142 00:05:10,927 --> 00:05:12,796 MONTHS SO IT CAN BE SUBMITTED IN 143 00:05:12,796 --> 00:05:16,133 A TIMELY BASIS WHILE THE INPUT 144 00:05:16,133 --> 00:05:17,801 IS STILL TIMELY. 145 00:05:17,801 --> 00:05:21,838 WE'LL ALSO EXPECT THAT WHEN YOU 146 00:05:21,838 --> 00:05:25,142 GO HOME YOU'LL BE ENCOURAGED AND 147 00:05:25,142 --> 00:05:27,344 INSPIRED TO SUBMIT OUTSTANDING 148 00:05:27,344 --> 00:05:28,378 IMPLICATIONS TO OUR INSTITUTE 149 00:05:28,378 --> 00:05:29,179 AND OTHER INSTITUTES TO ADVANCE 150 00:05:29,179 --> 00:05:33,850 THE SCIENCE. 151 00:05:33,850 --> 00:05:35,051 CERTAINLY AT NHLBI AND ACROSS 152 00:05:35,051 --> 00:05:37,888 NIH THE VAST MAJORITY OF 153 00:05:37,888 --> 00:05:40,157 RESOURCES THAT WE COMMIT ON AN 154 00:05:40,157 --> 00:05:42,392 ANNUAL BASIS GO TO 155 00:05:42,392 --> 00:05:43,126 INVESTIGATOR-INITIATED 156 00:05:43,126 --> 00:05:44,094 PEER-REVIEW APPLICATIONS. 157 00:05:44,094 --> 00:05:46,763 I'D LIKE TO SAY IT'S PRETTY 158 00:05:46,763 --> 00:05:49,633 SIMPLE TO GET MONEY FROM NHLBI, 159 00:05:49,633 --> 00:05:50,934 WRITE A GREAT APPLICATION AND 160 00:05:50,934 --> 00:05:54,604 GET A GREAT SCORE AND WE LOVE 161 00:05:54,604 --> 00:05:57,541 GIVING MONEY AWAY. 162 00:05:57,541 --> 00:06:01,378 NOTE I SAID SIMPLE NOT EASY. 163 00:06:01,378 --> 00:06:03,747 WE MAY ALSO PUT OUT A FUNDING 164 00:06:03,747 --> 00:06:05,615 OPPORTUNITY EITHER FROM NHLBI OR 165 00:06:05,615 --> 00:06:07,050 IN COLLABORATION WITH OTHER 166 00:06:07,050 --> 00:06:07,617 INSTITUTES. 167 00:06:07,617 --> 00:06:09,553 WE DON'T DO THAT FOR EVERY 168 00:06:09,553 --> 00:06:11,955 WORKSHOP BECAUSE WE HAVE MORE 169 00:06:11,955 --> 00:06:14,391 WORKSHOPS EACH YEAR THAN WE CAN 170 00:06:14,391 --> 00:06:16,827 PUT OUT STRATEGIC INITIATIVES. 171 00:06:16,827 --> 00:06:19,663 HOWEVER WE ALSO TAKE YOUR INPUT 172 00:06:19,663 --> 00:06:21,097 INTO CONSIDERATION WHEN WE 173 00:06:21,097 --> 00:06:23,466 IMPLEMENT A PROCESS WE CALL OUR 174 00:06:23,466 --> 00:06:24,234 SELECT PAY PROCESS. 175 00:06:24,234 --> 00:06:29,439 WHILE WE FUND MOST OF OUR RO1 176 00:06:29,439 --> 00:06:32,209 APPLICATIONS BY PAY LINE, WE DO 177 00:06:32,209 --> 00:06:35,245 RESERVE A SMALL POT OF FUNDS TO 178 00:06:35,245 --> 00:06:36,246 PICK UP HIGHLY STRATEGIC 179 00:06:36,246 --> 00:06:37,781 REALIGNED APPLICATIONS THAT MAY 180 00:06:37,781 --> 00:06:40,016 LIE JUST OUTSIDE THE PAY LINE 181 00:06:40,016 --> 00:06:42,452 BUT ARE STRATEGICALLY ALIGNED. 182 00:06:42,452 --> 00:06:44,788 SO WE'LL ALSO USE YOUR INPUT 183 00:06:44,788 --> 00:06:46,122 WHEN WE MAKE THOSE DECISIONS ON 184 00:06:46,122 --> 00:06:49,893 A REGULAR BASIS. 185 00:06:49,893 --> 00:06:52,229 JUST WANTED TO GIVE YOU AN IDEA 186 00:06:52,229 --> 00:06:54,030 HOW WE'LL USE YOUR INPUT, HOW 187 00:06:54,030 --> 00:06:55,866 IMPORTANT IT IS FOR US, HOW 188 00:06:55,866 --> 00:06:57,934 ALIGNED THIS WORKSHOP IS AND 189 00:06:57,934 --> 00:07:00,971 REALLY FOUNDATIONAL TO 190 00:07:00,971 --> 00:07:02,339 IMPLEMENTATION OF OUR STRATEGIC 191 00:07:02,339 --> 00:07:04,241 VISION AND TO THANK FOR THE TIME 192 00:07:04,241 --> 00:07:06,509 THAT YOU'RE COMMITTING TO THIS 193 00:07:06,509 --> 00:07:09,446 EFFORT BECAUSE WE KNOW THERE'S 194 00:07:09,446 --> 00:07:10,814 MANY WAYS YOU COULD BE SPENDING 195 00:07:10,814 --> 00:07:12,082 YOUR TIME AND GRATEFUL YOU'RE 196 00:07:12,082 --> 00:07:13,250 SPENDING THIS TIME WITH US. 197 00:07:13,250 --> 00:07:15,852 WITH THAT I'LL PASS THE BATON 198 00:07:15,852 --> 00:07:17,153 BACK TO JOSIE. 199 00:07:17,153 --> 00:07:18,822 I APPRECIATE THE CO-CHAIRS TOO 200 00:07:18,822 --> 00:07:20,657 AND THEIR COMMITMENT OF EFFORT 201 00:07:20,657 --> 00:07:21,124 WHICH IS SUBSTANTIAL. 202 00:07:21,124 --> 00:07:24,828 THANKS SO MUCH. 203 00:07:24,828 --> 00:07:25,462 >> THANK YOU VERY MUCH, 204 00:07:25,462 --> 00:07:29,199 DR. GOFF. 205 00:07:29,199 --> 00:07:35,338 SO I'M HERE WITH MY CO-CHAIR 206 00:07:35,338 --> 00:07:43,413 DR. TURNER-McGRIEVY WE WANT TO 207 00:07:43,413 --> 00:07:47,550 GIVE YOU OUR SUMMARY OF WHAT WE 208 00:07:47,550 --> 00:07:48,618 LEARNED ABOUT THE DIFFERENT 209 00:07:48,618 --> 00:07:54,925 TOPICS AND PANELS. 210 00:07:54,925 --> 00:07:57,394 WE'LL GIVE A SUMMARY. 211 00:07:57,394 --> 00:08:01,898 WOULD I LIKE TO START? 212 00:08:01,898 --> 00:08:03,566 >> WE STARTED WITH A REAL 213 00:08:03,566 --> 00:08:04,601 OVERVIEW OF WHAT FOOD AND 214 00:08:04,601 --> 00:08:11,274 CULTURE IS, DEFINITIONS OF THAT 215 00:08:11,274 --> 00:08:11,675 AND 216 00:08:11,675 --> 00:08:13,710 AND JOSIE GAVE A GREAT EXAMPLE 217 00:08:13,710 --> 00:08:16,913 HOW TO TAILOR DIETARY 218 00:08:16,913 --> 00:08:18,181 INTERVENTIONS FOR DIFFERENT 219 00:08:18,181 --> 00:08:18,448 CULTURES. 220 00:08:18,448 --> 00:08:20,016 THEN WE WENT INTO OUR FOUR 221 00:08:20,016 --> 00:08:20,417 PANELS. 222 00:08:20,417 --> 00:08:23,987 SO OUR FIRST PANEL WAS LOOKING 223 00:08:23,987 --> 00:08:25,255 AT NATIVE AMERICAN COMMUNITIES 224 00:08:25,255 --> 00:08:26,456 AND INTERVENTIONS AND PROGRAMS 225 00:08:26,456 --> 00:08:29,225 BEING CONDUCTED AMONG THOSE 226 00:08:29,225 --> 00:08:29,526 POPULATIONS. 227 00:08:29,526 --> 00:08:31,795 WE THEN HAD DIETARY 228 00:08:31,795 --> 00:08:33,797 INTERVENTIONS TAILORED TO BLACKS 229 00:08:33,797 --> 00:08:36,299 OF DIVERSE SOCIO CULTURAL 230 00:08:36,299 --> 00:08:37,734 EXPERIENCES IN THE U.S. AND THEN 231 00:08:37,734 --> 00:08:38,902 JOSIE -- I DON'T KNOW IF YOU 232 00:08:38,902 --> 00:08:40,103 WANT TO TOUCH ON PANEL THERE'S 233 00:08:40,103 --> 00:08:40,704 AND FOUR. 234 00:08:40,704 --> 00:08:42,806 >> I WOULD LIKE TO MENTION THAT 235 00:08:42,806 --> 00:08:46,376 WE HAD A THIRD PANEL TALKING 236 00:08:46,376 --> 00:08:48,111 ABOUT THE LATINO COMMUNITY AND 237 00:08:48,111 --> 00:08:50,814 WE HEARD SEVERAL TOPICS ON THE 238 00:08:50,814 --> 00:08:53,850 IMPORTANCE OF LOOKING AT CAN 239 00:08:53,850 --> 00:08:55,151 CULTURE FROM DIFFERENT 240 00:08:55,151 --> 00:09:00,056 PERSPECTIVES THAT NOT ONLY 241 00:09:00,056 --> 00:09:01,624 ACCOUNT FOR SOCIAL DETERMINATES 242 00:09:01,624 --> 00:09:04,227 OF HEALTH AND HISTORICAL CONTEXT 243 00:09:04,227 --> 00:09:05,662 OF HOW COMMUNITIES CAME HERE AND 244 00:09:05,662 --> 00:09:07,764 IN TERMS OF ACCULTURATION AND 245 00:09:07,764 --> 00:09:13,036 ALSO THE IMPORTANCE OF SOCIAL 246 00:09:13,036 --> 00:09:13,436 SUPPORT. 247 00:09:13,436 --> 00:09:17,941 OUR PANEL FOUR WAS ON DIVERSE 248 00:09:17,941 --> 00:09:24,247 PACIFIC ISLANDER COMMUNITIES 249 00:09:24,247 --> 00:09:26,616 INCLUDING POPULATIONS INCLUDING 250 00:09:26,616 --> 00:09:27,283 CHINESE AMERICANS IN NEW YORK 251 00:09:27,283 --> 00:09:28,418 AND WE HEARD ABOUT THE 252 00:09:28,418 --> 00:09:31,087 IMPORTANCE OF FAMILY AND ALSO 253 00:09:31,087 --> 00:09:33,623 THE IMPORTANCE OF PAYING 254 00:09:33,623 --> 00:09:35,291 ATTENTION TO THE DIFFERENT 255 00:09:35,291 --> 00:09:37,227 CULTURES WITHIN EACH OF THE 256 00:09:37,227 --> 00:09:41,164 SPECIFIC ETHNICITIES. 257 00:09:41,164 --> 00:09:42,465 REMEMBER IN THE FOOD IS ALSO 258 00:09:42,465 --> 00:09:43,633 IMPORTANT FOR NUTRITION AND 259 00:09:43,633 --> 00:09:46,336 HAVING FUN WHEN YOU'RE EATING. 260 00:09:46,336 --> 00:09:56,846 THAT SETS THE STAGE FOR TODAY. 261 00:09:58,848 --> 00:10:01,418 TODAY WE'RE GOING TO CONTINUE 262 00:10:01,418 --> 00:10:04,421 WITH MEETING OUR OBJECTIVES OF 263 00:10:04,421 --> 00:10:06,022 REVIEWING THE SOCIAL CULTURAL 264 00:10:06,022 --> 00:10:07,123 FACTORS AND HOW TO LEVERAGE THAT 265 00:10:07,123 --> 00:10:08,625 INTO INTERVENTIONS AND WE'RE 266 00:10:08,625 --> 00:10:10,326 GOING IT HEAR ABOUT THAT IN A 267 00:10:10,326 --> 00:10:14,030 COUPLE NEXT PANELS. 268 00:10:14,030 --> 00:10:14,964 IDENTIFYING THE OPPORTUNITIES 269 00:10:14,964 --> 00:10:19,402 FOR CULTURAL TAILORING 270 00:10:19,402 --> 00:10:21,671 ADAPTATION AND WE ARE GOING TO 271 00:10:21,671 --> 00:10:24,107 BE HEARING ABOUT THAT IN THE 272 00:10:24,107 --> 00:10:26,509 NEXT PANEL AND EXAMINING THE 273 00:10:26,509 --> 00:10:29,079 INFLUENCES OF CULTURALLY RELATED 274 00:10:29,079 --> 00:10:34,350 FACTORS AND MECHANISMS IN OUR 275 00:10:34,350 --> 00:10:34,884 PANEL SIX. 276 00:10:34,884 --> 00:10:38,955 SO THOSE ARE THE GOALS OF DAY 277 00:10:38,955 --> 00:10:44,761 TWO. 278 00:10:44,761 --> 00:10:51,334 AND WITH THAT I'D LIKE TO 279 00:10:51,334 --> 00:10:55,371 COMPLETE THE NEXT FEW. 280 00:10:55,371 --> 00:10:57,774 >> AS MENTIONED YESTERDAY THE 281 00:10:57,774 --> 00:10:59,142 U.S. IS EXTREMELY DIVERSE AND 282 00:10:59,142 --> 00:11:01,010 THAT REALLY CONTRIBUTED TO THE 283 00:11:01,010 --> 00:11:03,480 WIDE VARIETY OF DIETARY PATTERNS 284 00:11:03,480 --> 00:11:05,515 THAT WE SEE IN THE U.S. 285 00:11:05,515 --> 00:11:08,017 SO THINGS LIKE GEOGRAPHY, RACIAL 286 00:11:08,017 --> 00:11:10,487 ETHNIC GROUPS, IMMIGRATION, ALL 287 00:11:10,487 --> 00:11:12,222 THESE CONTRIBUTE TO THE DIVERSE 288 00:11:12,222 --> 00:11:22,232 PATTERNS IN THE U.S. 289 00:11:22,232 --> 00:11:23,900 AS WE MENTIONED WE COVERED DAY 290 00:11:23,900 --> 00:11:28,404 ONE WHERE WE WENT OVER THE FOUR 291 00:11:28,404 --> 00:11:30,273 PANELS AND NOW WANT TO HIGHLIGHT 292 00:11:30,273 --> 00:11:31,407 WHAT WE'LL COVER TODAY. 293 00:11:31,407 --> 00:11:38,281 WE'RE EXCITED ABOUT IT. 294 00:11:38,281 --> 00:11:41,317 >> WE'RE READY TO START IN PANEL 295 00:11:41,317 --> 00:11:43,620 5 WE'LL LISTEN ABOUT THE 296 00:11:43,620 --> 00:11:46,823 CHALLENGES AND OPPORTUNITY FOR 297 00:11:46,823 --> 00:11:47,624 DEVELOPING EVIDENCE-BASED 298 00:11:47,624 --> 00:11:49,259 DIETARY GUIDANCE FOR DIVERSE 299 00:11:49,259 --> 00:11:51,127 POPULATIONS AND WHERE WE STAND 300 00:11:51,127 --> 00:11:53,630 WITH THE EVIDENCE. 301 00:11:53,630 --> 00:11:55,465 PANEL 6 ABOUT THE MECHANISMS WE 302 00:11:55,465 --> 00:11:56,766 HEARD ABOUT YESTERDAY. 303 00:11:56,766 --> 00:11:58,902 WE'LL EXPAND ON THAT THE 304 00:11:58,902 --> 00:12:01,204 MICROBIOME AND METABOLOMICS AND 305 00:12:01,204 --> 00:12:03,840 PANEL 7 TRANSLATING RESEARCH 306 00:12:03,840 --> 00:12:05,241 INTO THE COMMUNITY AND BRIDGING 307 00:12:05,241 --> 00:12:06,543 THE EVIDENCE INTO PRACTICE. 308 00:12:06,543 --> 00:12:07,877 WE'RE GOING TO HAVE SEVERAL 309 00:12:07,877 --> 00:12:13,249 COMMUNITY PARTNERS COMING IN TO 310 00:12:13,249 --> 00:12:17,220 TALK ABOUT THAT. 311 00:12:17,220 --> 00:12:18,655 WE'RE ALSO GOING TO HAVE FLASH 312 00:12:18,655 --> 00:12:20,323 TALKS THROUGHOUT THE DAY FROM 313 00:12:20,323 --> 00:12:26,563 OUR CENTERS. 314 00:12:26,563 --> 00:12:29,199 AND WITH THAT WE ARE READY TO 315 00:12:29,199 --> 00:12:35,171 START OUR PANEL 5 IF I MAY 316 00:12:35,171 --> 00:12:37,473 INVITE DR. FUNG THE MODERATOR 317 00:12:37,473 --> 00:12:38,074 FOR OUR PANEL. 318 00:12:38,074 --> 00:12:39,175 >> GOOD AFTERNOON AND WELCOME TO 319 00:12:39,175 --> 00:12:40,910 THE FIRST PANEL OF THE DAY. 320 00:12:40,910 --> 00:12:42,412 I'M VERY EXCITED TO BE THE 321 00:12:42,412 --> 00:12:44,581 MODERATOR OF THIS PANEL BECAUSE 322 00:12:44,581 --> 00:12:50,153 WE HAVE AN EXCELLENT GROUP OF 323 00:12:50,153 --> 00:12:54,824 SPEAKERS WHO SPENT YEARS IN THE 324 00:12:54,824 --> 00:12:55,658 TRENCHES. 325 00:12:55,658 --> 00:12:59,395 I'M LIN ADJUNCT PROFESSOR IN THE 326 00:12:59,395 --> 00:13:02,265 CHANG SCHOOL OF PUBLIC HEALTH. 327 00:13:02,265 --> 00:13:03,833 I SPENT MY PROFESSIONAL LIFE 328 00:13:03,833 --> 00:13:07,503 LOOKING AT DIETARY QUALITY AND 329 00:13:07,503 --> 00:13:09,172 CHRONIC DISEASES AND I'M ALSO AN 330 00:13:09,172 --> 00:13:10,707 SOCIETY EDITOR FOR THE JOURNAL 331 00:13:10,707 --> 00:13:11,541 FOR NUTRITION. 332 00:13:11,541 --> 00:13:14,744 AMONG OUR FIVE SPEAKERS WE HAVE 333 00:13:14,744 --> 00:13:20,183 A RESEARCHER, SCIENTIST, WE HAVE 334 00:13:20,183 --> 00:13:25,388 PROFESSIONALS AND HOPE THIS 335 00:13:25,388 --> 00:13:26,823 GIVES INFORMATION AND FOOD FOR 336 00:13:26,823 --> 00:13:29,092 THOUGHT IN THIS. 337 00:13:29,092 --> 00:13:37,433 IN THIS AREA. 338 00:13:37,433 --> 00:13:39,302 PLEASE USE THE Q&A DISCUSSION 339 00:13:39,302 --> 00:13:41,738 AND THE NIH VIDEOCAST FEEDBACK 340 00:13:41,738 --> 00:13:42,472 BUTTON TO SUBMIT YOUR QUESTIONS 341 00:13:42,472 --> 00:13:45,174 AND COMMENTS. 342 00:13:45,174 --> 00:13:47,443 SO WITHOUT FURTHER ADO WE'RE 343 00:13:47,443 --> 00:13:48,778 GOING TO START WITH OUR FIRST 344 00:13:48,778 --> 00:13:58,955 PRESENTER. 345 00:14:01,958 --> 00:14:04,694 JANET IS AN ADVISER IN THE HHS 346 00:14:04,694 --> 00:14:06,195 OFFICE OF DECEMBER AND 347 00:14:06,195 --> 00:14:07,563 PREVENTION AND PROMOTION. 348 00:14:07,563 --> 00:14:15,972 SHE'S THE HHS LEAD AND IN 2020 349 00:14:15,972 --> 00:14:17,740 AND A FEDERAL OFFICER FOR THIS 350 00:14:17,740 --> 00:14:20,243 ROUND AS WELL. 351 00:14:20,243 --> 00:14:21,778 SHE HAS DONE ALSO OTHER 352 00:14:21,778 --> 00:14:23,880 CROSS-CUTTING NUTRITION 353 00:14:23,880 --> 00:14:24,547 ACTIVITIES ACROSS DIFFERENT 354 00:14:24,547 --> 00:14:26,115 FEDERAL OFFICES. 355 00:14:26,115 --> 00:14:27,150 JANET, WE'RE EXCITED TO HAVE YOU 356 00:14:27,150 --> 00:14:32,021 AND WELCOME. 357 00:14:32,021 --> 00:14:34,791 >> THANK YOU, DR. FUNG. 358 00:14:34,791 --> 00:14:35,792 DELIGHTED TO BE HERE TO DISCUSS 359 00:14:35,792 --> 00:14:38,428 EVIDENCE REVIEW APPROACHES AND 360 00:14:38,428 --> 00:14:39,095 EQUITY CONSIDERATIONS INFORMING 361 00:14:39,095 --> 00:14:40,063 THE DEVELOPMENT OF THE DIETARY 362 00:14:40,063 --> 00:14:47,704 GUIDELINES. 363 00:14:47,704 --> 00:14:52,041 SO TODAY I'LL COVER A BRIEF 364 00:14:52,041 --> 00:14:54,377 BACKGROUND ON THE DIETARY 365 00:14:54,377 --> 00:14:55,211 GUIDELINES AND INFORMATION 366 00:14:55,211 --> 00:14:56,179 SPECIFIC TO THE CURRENT EDITION 367 00:14:56,179 --> 00:14:59,515 WE'RE PROMOTING AND IMPLEMENTING 368 00:14:59,515 --> 00:15:05,788 AND SHARE HOW THE 2025 DIETARY 369 00:15:05,788 --> 00:15:08,725 GUIDELINES IS CONSIDERING EQUITY 370 00:15:08,725 --> 00:15:12,261 IN THE NEXT REVISION REVIEW. 371 00:15:12,261 --> 00:15:13,262 JUST A LITTLE BIT OF BACKGROUND 372 00:15:13,262 --> 00:15:15,398 ON THE DIETARY GUIDELINES. 373 00:15:15,398 --> 00:15:18,034 IT PROVIDES SCIENCE-BASED ADVICE 374 00:15:18,034 --> 00:15:20,336 ON NUTRITION INTAKE TO PROMOTE 375 00:15:20,336 --> 00:15:21,471 HEALTH. 376 00:15:21,471 --> 00:15:23,673 HELP REDUCE RISK OF CHRONIC 377 00:15:23,673 --> 00:15:27,710 DISEASE AND MEET NUTRIENT NEEDS 378 00:15:27,710 --> 00:15:29,946 IT SERVES AS THE CORNERSTONE OF 379 00:15:29,946 --> 00:15:31,647 NUTRITION POLICIES AND MANDATED 380 00:15:31,647 --> 00:15:33,616 TO REFLECT THE BEST AVAILABLE 381 00:15:33,616 --> 00:15:34,984 EVIDENCE AND IT MUST BE 382 00:15:34,984 --> 00:15:39,055 PUBLISHED AND UPDATED EVERY FIVE 383 00:15:39,055 --> 00:15:40,656 YEARS BY HHS AND USDA. 384 00:15:40,656 --> 00:15:43,426 IT PROVIDED GUIDELINES FOR THE 385 00:15:43,426 --> 00:15:46,095 GENERAL PUBLIC BUT IS WRITTEN 386 00:15:46,095 --> 00:15:48,798 FOR A PROFESSIONAL AUDIENCE SUCH 387 00:15:48,798 --> 00:15:51,567 AS POLICY MAKERS, HEALTH CARE 388 00:15:51,567 --> 00:15:53,536 PROVIDERS AND NUTRITION 389 00:15:53,536 --> 00:15:56,606 EDUCATORS AND PROGRAM OPERATORS. 390 00:15:56,606 --> 00:15:58,374 MY OFFICE, OF DISEASE PREVENTION 391 00:15:58,374 --> 00:16:00,576 AND HEALTH PROMOTION AND CENTER 392 00:16:00,576 --> 00:16:02,178 FOR NUTRITION POLICY AND 393 00:16:02,178 --> 00:16:04,680 PROMOTION AT USDA AND HHS ARE 394 00:16:04,680 --> 00:16:05,848 CO-LEADS OF THE DEVELOPMENT OF 395 00:16:05,848 --> 00:16:13,089 THE DIETARY GUIDELINES. 396 00:16:13,089 --> 00:16:15,024 SO THE DIETARY GUIDELINES INFORM 397 00:16:15,024 --> 00:16:16,993 FEDERAL NUTRITION POLICIES AND 398 00:16:16,993 --> 00:16:18,628 PROGRAMS AND YOU CAN SEE MANY OF 399 00:16:18,628 --> 00:16:22,565 THE EXAMPLES ON THE SLIDE HERE 400 00:16:22,565 --> 00:16:24,700 SUCH AS WIC, CHILD NUTRITION 401 00:16:24,700 --> 00:16:27,937 PROGRAMS, USDA, FOOD PLANS, MY 402 00:16:27,937 --> 00:16:31,040 PLATE, FOOD SERVICE GUIDELINES 403 00:16:31,040 --> 00:16:32,642 FOR FEDERAL FACILITIES, THE 404 00:16:32,642 --> 00:16:34,610 OLDER AMERICANS ACT NUTRITION 405 00:16:34,610 --> 00:16:37,146 PROGRAM SUCH AS CONGREGATE AND 406 00:16:37,146 --> 00:16:38,748 HOME-DELIVERED NUTRITION 407 00:16:38,748 --> 00:16:42,084 PROGRAMS IN ADDITION TO PUBLIC 408 00:16:42,084 --> 00:16:43,085 HEALTH PROGRAMS INCLUDING 409 00:16:43,085 --> 00:16:47,490 DISEASE PREVENTION ACROSS THE. 410 00:16:47,490 --> 00:16:51,527 -- ACROSS THE GOVERNMENT. 411 00:16:51,527 --> 00:16:54,063 SO A HEALTHY DIETARY PATTERN CAN 412 00:16:54,063 --> 00:16:55,431 BENEFIT ALL INDIVIDUALS 413 00:16:55,431 --> 00:16:58,701 REGARDLESS OF AGE, RACE, 414 00:16:58,701 --> 00:17:00,403 ETHNICITY OR CURRENT HEALTH 415 00:17:00,403 --> 00:17:00,870 STATUS. 416 00:17:00,870 --> 00:17:06,042 SO THE SCIENCE REVIEW TO INFORM 417 00:17:06,042 --> 00:17:08,544 CURRENT EDITION OF THE CURRENT 418 00:17:08,544 --> 00:17:10,346 EDITIONS RECOMMENDS DIVERSITY OF 419 00:17:10,346 --> 00:17:11,814 ALL AMERICANS INCLUDING AGES, 420 00:17:11,814 --> 00:17:13,616 LIFE STAGES, DIFFERENT RACIAL 421 00:17:13,616 --> 00:17:16,285 AND ETHNIC BACKGROUNDS AND A 422 00:17:16,285 --> 00:17:18,621 RANGE OF SOCIO ECONOMIC 423 00:17:18,621 --> 00:17:18,888 STATUSES. 424 00:17:18,888 --> 00:17:20,456 AS A RESULT THE DIETARY 425 00:17:20,456 --> 00:17:22,158 GUIDELINES PROVIDE A FRAMEWORK 426 00:17:22,158 --> 00:17:24,627 FOR ACHIEVING A HEALTHY DIETARY 427 00:17:24,627 --> 00:17:25,394 PATTERN DESIGN TO MEET PEOPLE 428 00:17:25,394 --> 00:17:34,604 WHERE THEY ARE. 429 00:17:34,604 --> 00:17:38,808 SO ON THIS SLIDE WE HIGHLIGHT 430 00:17:38,808 --> 00:17:42,044 GUIDELINE 2 WHERE WE ADVISE THE 431 00:17:42,044 --> 00:17:44,046 DIETARY PATTERNS BE CUSTOMIZED. 432 00:17:44,046 --> 00:17:47,083 SO EVERYONE CAN ENJOY 433 00:17:47,083 --> 00:17:49,385 NUTRIENT-DENSE FOOD AND BEVERAGE 434 00:17:49,385 --> 00:17:51,187 CHOICES TO REFLECT PERSONAL 435 00:17:51,187 --> 00:17:52,755 PREFERENCES, CULTURAL TRADITIONS 436 00:17:52,755 --> 00:17:55,558 AND BUDGETARY CONSIDERATIONS. 437 00:17:55,558 --> 00:17:57,727 SO INSTEAD OF BEING 438 00:17:57,727 --> 00:18:00,997 PRESCRIPTIVE, WE'D LIKE TO HAVE 439 00:18:00,997 --> 00:18:02,865 PEOPLE AND THOSE WHO WORK WITH 440 00:18:02,865 --> 00:18:04,433 COMMUNITY MEMBERS HELP 441 00:18:04,433 --> 00:18:06,469 INDIVIDUALS MAKE THEIR DIETARY 442 00:18:06,469 --> 00:18:08,271 PATTERN THEIR OWN BY SELECTING 443 00:18:08,271 --> 00:18:12,308 HEALTHY FOODS, BEVERAGES, MEALS 444 00:18:12,308 --> 00:18:13,409 AND SNACKS SPECIFIC TO THEIR 445 00:18:13,409 --> 00:18:13,709 PREFERENCES. 446 00:18:13,709 --> 00:18:16,145 A KEY STARTING POINT FOR 447 00:18:16,145 --> 00:18:16,979 ESTABLISHING AND MAINTAINING 448 00:18:16,979 --> 00:18:19,815 HEALTHY DIETARY PATTERN IS TO 449 00:18:19,815 --> 00:18:21,784 ENSURE INDIVIDUALS AND FAMILY 450 00:18:21,784 --> 00:18:23,953 PREFERENCES IN NUTRIENT-DENSE 451 00:18:23,953 --> 00:18:25,154 FORMS ARE BUILT IN DAY TO DAY 452 00:18:25,154 --> 00:18:27,156 CHOICES. 453 00:18:27,156 --> 00:18:30,026 WE DO HAVE A FRAMEWORK WHICH 454 00:18:30,026 --> 00:18:32,295 I'LL SHARE THAT CAN BE USED TO 455 00:18:32,295 --> 00:18:34,063 REFLECT SPECIFIC CULTURAL 456 00:18:34,063 --> 00:18:36,299 TRADITIONS AND IT'S AN IMPORTANT 457 00:18:36,299 --> 00:18:36,966 STRATEGY WORKING THROUGH 458 00:18:36,966 --> 00:18:38,467 COMMUNITIES ACROSS OUR COUNTRY 459 00:18:38,467 --> 00:18:40,069 TO ENJOY A HEALTHY DIETARY 460 00:18:40,069 --> 00:18:43,239 PATTERN. 461 00:18:43,239 --> 00:18:45,741 ONE EXAMPLE WE HEARD ABOUT 462 00:18:45,741 --> 00:18:47,209 YESTERDAY IS UTILIZING SPICES 463 00:18:47,209 --> 00:18:48,978 AND HERBS. 464 00:18:48,978 --> 00:18:51,614 USING THAT FROM OUR VARIOUS 465 00:18:51,614 --> 00:18:55,151 CULTURES TO HELP FLAVOR FOODS 466 00:18:55,151 --> 00:18:57,486 AND REDUCING SATURATED FAT, 467 00:18:57,486 --> 00:18:59,455 ADDED SUGARS OR SODIUM. 468 00:18:59,455 --> 00:19:01,057 THAT CAN ALSO HELP INCREASE THE 469 00:19:01,057 --> 00:19:06,829 ENJOYMENT OF OUR FOOD. 470 00:19:06,829 --> 00:19:13,169 AND FINALLY IT CAN BE AFFORDABLE 471 00:19:13,169 --> 00:19:16,205 WHEN PLANNED FOR AND WE HAVE 472 00:19:16,205 --> 00:19:16,772 RESOURCES FOR THAT AS WELL. 473 00:19:16,772 --> 00:19:21,177 THIS IS THE FRAME WORK I JUST 474 00:19:21,177 --> 00:19:21,444 MENTIONED. 475 00:19:21,444 --> 00:19:22,912 THE DIETARY GUIDELINE AND IT'S 476 00:19:22,912 --> 00:19:25,881 NOT PRESCRIPTIVE BUT WE HOPE IT 477 00:19:25,881 --> 00:19:28,851 WILL HELP THOSE WHO WORK WITH 478 00:19:28,851 --> 00:19:29,485 INDIVIDUALS ACROSS AMERICA MEET 479 00:19:29,485 --> 00:19:33,255 PEOPLE WHERE THEY ARE. 480 00:19:33,255 --> 00:19:35,091 YOU CAN FIND THIS FRAMEWORK ON 481 00:19:35,091 --> 00:19:37,893 DIETARY GUIDELINES.gov AND WE 482 00:19:37,893 --> 00:19:39,795 HAVE A QR CODE AVAILABLE IN 483 00:19:39,795 --> 00:19:41,530 ENGLISH AND SPANISH AND WOULD 484 00:19:41,530 --> 00:19:44,300 LIKE TO EMPHASIZE THESE ARE 485 00:19:44,300 --> 00:19:47,269 EXAMPLES OF NUTRIENT-DENSE 486 00:19:47,269 --> 00:19:47,570 FOODS. 487 00:19:47,570 --> 00:19:49,071 THERE'S FOODS AND FOOD GROUPS 488 00:19:49,071 --> 00:19:50,473 BUT NOT SPECIFIC FOODS BECAUSE 489 00:19:50,473 --> 00:19:52,441 WE WOULD LIKE PEOPLE TO BE ABLE 490 00:19:52,441 --> 00:19:54,210 TO INDIVIDUALIZE WHAT THEY EAT. 491 00:19:54,210 --> 00:19:58,948 IN ADECIS ZIDECIS ZIDECISION -- 492 00:19:58,948 --> 00:20:00,516 HAVE A LARGE AMOUNT OF RESOURCES 493 00:20:00,516 --> 00:20:03,452 FOR IMPLEMENTING THE CURRENT 494 00:20:03,452 --> 00:20:10,993 DIETARY GUIDELINES ON DIETARY 495 00:20:10,993 --> 00:20:13,796 GUIDELINES.gov AVAILABLE IN 496 00:20:13,796 --> 00:20:16,532 ENGLISH AND SPANISH AND A HEALTH 497 00:20:16,532 --> 00:20:19,035 CARE PROVIDER TOOL KIT A SET OF 498 00:20:19,035 --> 00:20:20,736 10 FACT SHEETS IN ENGLISH AND 499 00:20:20,736 --> 00:20:20,970 SPANISH. 500 00:20:20,970 --> 00:20:24,206 IN ADDITION TO MY PLATE, WHICH 501 00:20:24,206 --> 00:20:26,742 THERE'S A LOT OF RESOURCES FOR 502 00:20:26,742 --> 00:20:28,144 IMPLEMENTATION SO PLEASE IF YOU 503 00:20:28,144 --> 00:20:29,912 HAVEN'T VISITED DIETARY 504 00:20:29,912 --> 00:20:31,147 GUIDELINES.gov, I ENCOURAGE YOU 505 00:20:31,147 --> 00:20:37,753 TO DO SO. 506 00:20:37,753 --> 00:20:39,922 SO DEVELOPING THE DIETARY 507 00:20:39,922 --> 00:20:42,124 GUIDELINES FOR AMERICANS IS A 508 00:20:42,124 --> 00:20:43,492 FIVE-STEP PROCESS. 509 00:20:43,492 --> 00:20:46,162 SO YOU CAN SEE HERE WE ARE ON 510 00:20:46,162 --> 00:20:47,496 THE THIRD STEP CURRENTLY. 511 00:20:47,496 --> 00:20:51,100 WE START OFF WITH IDENTIFYING 512 00:20:51,100 --> 00:20:53,269 SCIENTIFIC QUESTIONS, APPOINT 513 00:20:53,269 --> 00:20:53,869 THE ADVISORY COMMITTEE WHICH 514 00:20:53,869 --> 00:20:58,607 WERE APIPOINTED IN JANUARY OF 515 00:20:58,607 --> 00:20:59,108 THIS YEAR. 516 00:20:59,108 --> 00:21:04,146 OUR ADVISORY COMMITTEE IS 517 00:21:04,146 --> 00:21:05,881 REVIEWING THE EVIDENCE. 518 00:21:05,881 --> 00:21:08,651 FOLLOWING THE RECEIPT OF THE 519 00:21:08,651 --> 00:21:09,485 ADVISORY COMMITTEE SCIENTIFIC 520 00:21:09,485 --> 00:21:11,253 REPORT IS WHERE WE DEVELOP THE 521 00:21:11,253 --> 00:21:12,888 GUIDELINES AND STEP FIVE IS 522 00:21:12,888 --> 00:21:14,590 IMPLEMENTATION OF THE GUIDELINES 523 00:21:14,590 --> 00:21:17,960 WHICH IS CRITICALLY IMPORTANT. 524 00:21:17,960 --> 00:21:19,628 I THINK A LOT OF WHAT WAS 525 00:21:19,628 --> 00:21:25,401 DISCUSSED ON DAY ONE, WHICH WAS 526 00:21:25,401 --> 00:21:26,469 FABULOUS BAEY THE WAY, IS THINKG 527 00:21:26,469 --> 00:21:27,870 ABOUT IMPLEMENTATION AND HOW CAN 528 00:21:27,870 --> 00:21:29,972 WE HELP OUR COMMUNITIES IMPROVE 529 00:21:29,972 --> 00:21:31,040 THEIR NUTRIENT INTAKE THAT 530 00:21:31,040 --> 00:21:34,844 BETTER ALIGNS WITH THE DIETARY 531 00:21:34,844 --> 00:21:35,211 GUIDELINES. 532 00:21:35,211 --> 00:21:38,147 SO IN STEP 5 WE'RE GRATEFUL FOR 533 00:21:38,147 --> 00:21:41,183 OUR FEDERAL PARTNERS, HEALTH 534 00:21:41,183 --> 00:21:43,319 CARE PROVIDERS AND THE WORKSHOP 535 00:21:43,319 --> 00:21:46,689 FOR HELPING US IMPLEMENT OUR 536 00:21:46,689 --> 00:21:47,223 GUIDELINES IN DIVERSE 537 00:21:47,223 --> 00:21:55,664 POPULATIONS ACROSS THE COUNTRY. 538 00:21:55,664 --> 00:21:58,768 SO NOW I'D LIKE TO HIGHLIGHT OUR 539 00:21:58,768 --> 00:22:00,836 WONDERFUL 2025 DIETARY 540 00:22:00,836 --> 00:22:01,303 GUIDELINES COMMITTEE. 541 00:22:01,303 --> 00:22:03,339 I'LL BE SHOWCASING SOME OF THEIR 542 00:22:03,339 --> 00:22:06,542 WORK TODAY. 543 00:22:06,542 --> 00:22:08,611 YOU HEARD FROM FROM SOME 544 00:22:08,611 --> 00:22:12,748 YESTERDAY AND DR. FUNG IS 545 00:22:12,748 --> 00:22:15,284 MODERATING THIS SESSION. 546 00:22:15,284 --> 00:22:17,186 SARA BOOTH AND OUR COMMITTEE 547 00:22:17,186 --> 00:22:20,489 CHAIR AND VICE CHAIR AND WE HAVE 548 00:22:20,489 --> 00:22:23,659 OUR HEALTH EQUITY WORKING GROUP 549 00:22:23,659 --> 00:22:24,360 CHAIR. 550 00:22:24,360 --> 00:22:27,196 I WANT TO HIGHLIGHT DR 551 00:22:27,196 --> 00:22:31,033 DR. TALEGAWKAR AND THEY'RE 552 00:22:31,033 --> 00:22:33,536 LEADERS IN THE FIELD OF 553 00:22:33,536 --> 00:22:35,604 NUTRITION AND PUBLIC HEALTH. 554 00:22:35,604 --> 00:22:37,606 THEY BRING IMPORTANT EXPERTISE 555 00:22:37,606 --> 00:22:40,075 ON NUTRITION AND HEALTH OUTCOMES 556 00:22:40,075 --> 00:22:42,011 ACROSS THE LIFE SPAN FROM 557 00:22:42,011 --> 00:22:43,779 INFANTS TO OLDER AMERICANS AND 558 00:22:43,779 --> 00:22:46,248 IMPORTANT ESPECIALLY FOR THIS 559 00:22:46,248 --> 00:22:48,083 WORKSHOP THEY POSSESS A WEALTH 560 00:22:48,083 --> 00:22:49,585 OF KNOWLEDGE IN HEALTH EQUITY 561 00:22:49,585 --> 00:22:50,152 AND DIVERSE POPULATIONS IN 562 00:22:50,152 --> 00:22:53,322 AMERICA. 563 00:22:53,322 --> 00:22:56,225 IT'S BEEN AN HONOR SUPPORTING 564 00:22:56,225 --> 00:22:57,893 THEIR WORK AND I'M HAPPY TO 565 00:22:57,893 --> 00:22:58,828 SHOWCASE SOME OF THEIR WORK 566 00:22:58,828 --> 00:23:04,033 TODAY. 567 00:23:04,033 --> 00:23:07,670 THE ADVISORY COMMITTEE IS 568 00:23:07,670 --> 00:23:09,338 DIVIDED INTO SUBCOMMITTEES YOU 569 00:23:09,338 --> 00:23:11,273 SEE HERE AND THERE'S FOUR IN 570 00:23:11,273 --> 00:23:12,208 DIFFERENT TOPICS. 571 00:23:12,208 --> 00:23:15,711 YOU CAN SEE IN YELLOW WE HAVE A 572 00:23:15,711 --> 00:23:16,412 CROSS-CUTTING HEALTH EQUITY 573 00:23:16,412 --> 00:23:17,313 WORKING GROUP. 574 00:23:17,313 --> 00:23:19,215 THIS WORKING GROUP WORKS ACROSS 575 00:23:19,215 --> 00:23:21,917 ALL OF THE SUBCOMMITTEES TO 576 00:23:21,917 --> 00:23:23,485 INCORPORATE HEALTH EQUITY 577 00:23:23,485 --> 00:23:24,119 PRINCIPLES THROUGHOUT THE 578 00:23:24,119 --> 00:23:27,122 COMMITTEES EVIDENCE REVIEW. 579 00:23:27,122 --> 00:23:29,058 AND I WILL SHARE NEXT THE THREE 580 00:23:29,058 --> 00:23:31,393 METHODS OF THEIR EVIDENCE REVIEW 581 00:23:31,393 --> 00:23:34,697 AND HOW THEY'RE MERGING IN 582 00:23:34,697 --> 00:23:36,432 CONSIDERATIONS OF HEALTH EQUITY 583 00:23:36,432 --> 00:23:39,869 THROUGHOUT THEIR WORK. 584 00:23:39,869 --> 00:23:45,040 THESE ARE THE THREE APPROACH THE 585 00:23:45,040 --> 00:23:46,442 COMMITTEE IS USING TO EXAMINE 586 00:23:46,442 --> 00:23:48,811 THE EVIDENCE STARTING WITH DATA 587 00:23:48,811 --> 00:23:50,312 ANALYSIS A COLLECTION OF 588 00:23:50,312 --> 00:23:52,548 NATIONAL DATA SETS TO DESCRIBE 589 00:23:52,548 --> 00:23:54,250 CURRENT HEALTH AND DIETARY 590 00:23:54,250 --> 00:23:55,751 INTAKE OF AMERICANS. 591 00:23:55,751 --> 00:23:58,220 AND THIS WILL HELP US WHEN WE 592 00:23:58,220 --> 00:24:00,089 DEVELOP THE GUIDELINES PRACTICAL 593 00:24:00,089 --> 00:24:00,856 AND MAKE THEM RELEVANT AND 594 00:24:00,856 --> 00:24:03,592 ACHIEVABLE. 595 00:24:03,592 --> 00:24:05,661 FOOD PATTERN MODELLING IS A WAY 596 00:24:05,661 --> 00:24:10,666 TO EVALUATE SPECIFIC CHANGES IN 597 00:24:10,666 --> 00:24:12,701 THE TYPES OF FOODS AND BEVERAGES 598 00:24:12,701 --> 00:24:14,603 LOOKING AT ENERGY AND NUTRIENT 599 00:24:14,603 --> 00:24:16,505 NEEDS WHILE REFLECTING HEALTH 600 00:24:16,505 --> 00:24:18,440 PROMOTING PATTERNS THAT ARE 601 00:24:18,440 --> 00:24:18,974 IDENTIFIED IN SYSTEMATIC 602 00:24:18,974 --> 00:24:21,443 REVIEWS. 603 00:24:21,443 --> 00:24:24,647 SO THIS HELPS INFORM THE 604 00:24:24,647 --> 00:24:26,148 DEVELOPMENT OF RELEVANT DIETARY 605 00:24:26,148 --> 00:24:27,316 PATTERNS FOR THE AMERICAN 606 00:24:27,316 --> 00:24:27,616 POPULATION. 607 00:24:27,616 --> 00:24:29,485 AND FINALLY SYSTEMATIC REVIEWS 608 00:24:29,485 --> 00:24:34,456 WHICH IS A GOLD STANDARD 609 00:24:34,456 --> 00:24:35,491 EVIDENCE-SYNTHESIS STANDARD THAT 610 00:24:35,491 --> 00:24:37,927 ANSWERS QUESTIONS PUBLIC HEALTH. 611 00:24:37,927 --> 00:24:40,562 TO NOTE EACH OF THESE THREE 612 00:24:40,562 --> 00:24:42,765 APPROACH HAS A RIGOROUS 613 00:24:42,765 --> 00:24:44,700 PROTOCOL-DRIVEN METHODOLOGY AND 614 00:24:44,700 --> 00:24:46,535 PLAYS A UNIQUE COMPLIMENTARY 615 00:24:46,535 --> 00:24:47,436 ROLE IN THE REVIEW OF EXAMINING 616 00:24:47,436 --> 00:24:49,238 THE SCIENCE. 617 00:24:49,238 --> 00:24:51,774 SO ON THE NEXT THREE SLIDES I 618 00:24:51,774 --> 00:24:55,110 WILL DESCRIBE HOW THE DIETARY 619 00:24:55,110 --> 00:24:58,047 GUIDELINES ADVISORY COMMITTEE IS 620 00:24:58,047 --> 00:24:58,781 INCLUDING HEALTH EQUITY THROUGH 621 00:24:58,781 --> 00:25:00,182 THEIR EVIDENCE REVIEW. 622 00:25:00,182 --> 00:25:01,750 I'M SCRATCHING THE SURFACE ON 623 00:25:01,750 --> 00:25:03,252 THE WONDERFUL WORK OUR COMMITTEE 624 00:25:03,252 --> 00:25:03,953 IS DOING. 625 00:25:03,953 --> 00:25:05,688 BUT I ENCOURAGE YOU IF YOU 626 00:25:05,688 --> 00:25:09,091 HAVEN'T BEEN FOLLOWING ALONG YOU 627 00:25:09,091 --> 00:25:11,393 CAN SEE THEIR MEETINGS WHICH 628 00:25:11,393 --> 00:25:15,297 THERE'S A LINK TO ON DIETARY 629 00:25:15,297 --> 00:25:16,966 GUIDELINES.com. 630 00:25:16,966 --> 00:25:27,509 YOU CAN HEAR MORE ON THEIR WORK. 631 00:25:28,744 --> 00:25:31,013 THE FIRST METHOD IS HEALTH 632 00:25:31,013 --> 00:25:32,381 EQUITY CONSIDERATIONS AN DATA 633 00:25:32,381 --> 00:25:32,648 ANALYSIS. 634 00:25:32,648 --> 00:25:38,153 IT'S A VERY BUSY SLIDE BUT THESE 635 00:25:38,153 --> 00:25:40,255 ARE THE STEPS IN THE WORK AND 636 00:25:40,255 --> 00:25:42,324 HEALTH EQUITY IS INCORPORATED 637 00:25:42,324 --> 00:25:43,959 THROUGHOUT THE PROCESS INCLUDING 638 00:25:43,959 --> 00:25:46,295 IDENTIFICATION OF DATA NEEDS, 639 00:25:46,295 --> 00:25:48,330 DEVELOPMENT OF THE PLAN, 640 00:25:48,330 --> 00:25:52,334 DETERMINATION OF THE ANALYSIS 641 00:25:52,334 --> 00:25:54,136 AND SUB POPULATION VARIABLES 642 00:25:54,136 --> 00:25:55,304 THAT WE REQUEST FROM OUR FEDERAL 643 00:25:55,304 --> 00:25:56,972 DATA ANALYSTS. 644 00:25:56,972 --> 00:25:58,841 SO THE COMMITTEE WILL BE LOOKING 645 00:25:58,841 --> 00:26:01,744 AT TRENDS, SIMILARITIES AND 646 00:26:01,744 --> 00:26:04,980 DIFFERENCES BETWEEN SUB 647 00:26:04,980 --> 00:26:07,082 POPULATIONS, DIETARY INTAKES AND 648 00:26:07,082 --> 00:26:08,183 PATTERNS IN THEIR HEALTH 649 00:26:08,183 --> 00:26:10,953 CONDITION PREVALENCE AND ALL 650 00:26:10,953 --> 00:26:13,422 INCORPORATED INTO THE 651 00:26:13,422 --> 00:26:15,057 COMMITTEE'S REPORT. 652 00:26:15,057 --> 00:26:17,426 AN EXAMPLE OF NEW DEMOGRAPHICS 653 00:26:17,426 --> 00:26:19,495 THE COMMITTEE HAS REQUESTED THIS 654 00:26:19,495 --> 00:26:24,066 ROUND OF THE REVIEW. 655 00:26:24,066 --> 00:26:27,803 THEY'RE LOOKING AT THROUGH 656 00:26:27,803 --> 00:26:29,138 NHANES FURTHER EXPLORATION OF 657 00:26:29,138 --> 00:26:30,839 FOOD SECURITY CATEGORY IN A 658 00:26:30,839 --> 00:26:31,140 HOUSEHOLD. 659 00:26:31,140 --> 00:26:33,642 HOUSEHOLD BENEFITS SUCH AS SNAP 660 00:26:33,642 --> 00:26:34,243 AND WIC. 661 00:26:34,243 --> 00:26:36,445 SO THOSE ARE GOING TO BE SOME 662 00:26:36,445 --> 00:26:41,850 REALLY INTERESTING ANALYSES. 663 00:26:41,850 --> 00:26:42,985 SO MOVING ON TO FOOD PATTERN 664 00:26:42,985 --> 00:26:45,921 MODELLING. 665 00:26:45,921 --> 00:26:48,090 OUR 2025 COMMITTEE IS USING FOOD 666 00:26:48,090 --> 00:26:51,360 PATTERN MODELLING TO ANSWER THE 667 00:26:51,360 --> 00:26:54,096 OVERARCHING SCIENTIFIC QUESTION 668 00:26:54,096 --> 00:26:55,697 LOOKING AT LIFE STAGES AND 669 00:26:55,697 --> 00:26:57,132 INFORMATION THAT WE HAVE SHOULD 670 00:26:57,132 --> 00:26:59,568 CHANGES BE MADE TO THE CURRENT 671 00:26:59,568 --> 00:27:02,438 DIETARY PATTERN THAT ARE IN THE 672 00:27:02,438 --> 00:27:06,075 GUIDELINES? 673 00:27:06,075 --> 00:27:10,579 AND SHOULD ADDITIONAL DIETARY 674 00:27:10,579 --> 00:27:13,382 PATTERNS BE DEVELOPED OR 675 00:27:13,382 --> 00:27:16,718 PROPOSED. 676 00:27:16,718 --> 00:27:21,423 SO THERE'S SOME VERY INTERESTING 677 00:27:21,423 --> 00:27:23,325 PATTERNS AND THEY'RE LOOKING AT 678 00:27:23,325 --> 00:27:25,461 DIETS AND BRINGING IN MORE 679 00:27:25,461 --> 00:27:26,829 DIVERSE DATA FROM MORE 680 00:27:26,829 --> 00:27:34,403 REPRESENTATIVE POPULATIONS. 681 00:27:34,403 --> 00:27:37,005 SYSTEM REVIEWS IS THE THIRD 682 00:27:37,005 --> 00:27:38,674 SCIENTIFIC APPROACH THE 683 00:27:38,674 --> 00:27:41,343 COMMITTEE IS UTILIZING SO HEALTH 684 00:27:41,343 --> 00:27:43,846 EQUITY IS BEING CONSIDERED 685 00:27:43,846 --> 00:27:45,314 THROUGHOUT THE SYSTEMATIC REVIEW 686 00:27:45,314 --> 00:27:47,182 BOTH IN HOW REVIEWS ARE 687 00:27:47,182 --> 00:27:49,785 CONNECTED AND REPORTED. 688 00:27:49,785 --> 00:27:51,019 SO FOR EXAMPLE THESE 689 00:27:51,019 --> 00:27:52,087 CONSIDERATIONS ARE BEING BUILT 690 00:27:52,087 --> 00:27:56,425 INTO THE SYSTEMIC REVIEW PROCESS 691 00:27:56,425 --> 00:28:05,501 AND IT'S ALIGNED WITH OTHER 692 00:28:05,501 --> 00:28:09,471 ORGANIZATIONS USE THEM IN 693 00:28:09,471 --> 00:28:09,938 REVIEWS. 694 00:28:09,938 --> 00:28:11,540 SOME EXAMPLES, DURING THE 695 00:28:11,540 --> 00:28:12,608 PROTOCOL DEVELOPMENT THEY'RE 696 00:28:12,608 --> 00:28:18,046 LOOKING AT KEY CONFOUNDERS SUCH 697 00:28:18,046 --> 00:28:22,284 AS SOCIO ECONOMIC POSITION USING 698 00:28:22,284 --> 00:28:23,418 MORE INCLUSIVE TERMINOLOGY 699 00:28:23,418 --> 00:28:29,558 THROUGHOUT THEIR PROTOCOLS. 700 00:28:29,558 --> 00:28:32,794 THE COMMITTEE IS ALSO DOING AN 701 00:28:32,794 --> 00:28:34,530 EVIDENCE SCAN ON CULTURALLY 702 00:28:34,530 --> 00:28:35,898 TAILORED DIETARY INTERVENTIONS. 703 00:28:35,898 --> 00:28:38,800 THIS IS COMPLETELY RELEVANT TO 704 00:28:38,800 --> 00:28:39,535 THE WORKSHOP. 705 00:28:39,535 --> 00:28:41,770 SO THEY'RE DOING A SCAN TO 706 00:28:41,770 --> 00:28:43,405 ASSESS THE EVIDENCE ON 707 00:28:43,405 --> 00:28:48,710 CULTURALLY TAILORED INTERVENTION 708 00:28:48,710 --> 00:28:50,145 STUDIES IN FOOD ENVIRONMENT IN 709 00:28:50,145 --> 00:28:51,847 DIFFERENT POPULATIONS LOOKING AT 710 00:28:51,847 --> 00:28:54,583 THE IMPACT ON DIETARY INTAKE AND 711 00:28:54,583 --> 00:28:54,816 HEALTH. 712 00:28:54,816 --> 00:28:56,885 SO I KNOW A LOT OF THE COMMITTEE 713 00:28:56,885 --> 00:28:59,421 MEMBERS ARE TUNED INTO THIS 714 00:28:59,421 --> 00:29:01,023 WORKSHOP TO SEE ALL THE 715 00:29:01,023 --> 00:29:02,090 WONDERFUL WORK THAT YOU'RE 716 00:29:02,090 --> 00:29:02,424 DOING. 717 00:29:02,424 --> 00:29:05,360 THIS IS REALLY IMPORTANT TO HELP 718 00:29:05,360 --> 00:29:07,729 US UNDERSTAND IMPLEMENTATION 719 00:29:07,729 --> 00:29:10,199 STRATEGIES THAT ARE ALIGNED WITH 720 00:29:10,199 --> 00:29:12,100 THE CURRENT DIETARY GUIDELINES 721 00:29:12,100 --> 00:29:13,969 AND HOW WE CAN CONTINUOUSLY 722 00:29:13,969 --> 00:29:18,740 IMPROVE OUR GUIDANCE. 723 00:29:18,740 --> 00:29:22,177 SO THE GOALS FOR THE NEXT 724 00:29:22,177 --> 00:29:23,779 DIETARY GUIDELINES, WE'RE HOPING 725 00:29:23,779 --> 00:29:27,849 TO HAVE DIETARY PATTERNS THAT 726 00:29:27,849 --> 00:29:29,751 ARE REPRESENTATIVE OF THE 727 00:29:29,751 --> 00:29:30,552 DIVERSE EATING PATTERNS THE 728 00:29:30,552 --> 00:29:30,919 UNITED STATES. 729 00:29:30,919 --> 00:29:35,524 AS WE HEARD IN DAY ONE, THIS IS 730 00:29:35,524 --> 00:29:37,125 NO SMALL CHALLENGE BUT WE'RE 731 00:29:37,125 --> 00:29:40,395 REALLY EXCITED WITH THE WORK THE 732 00:29:40,395 --> 00:29:41,096 COMMITTEE'S DOING. 733 00:29:41,096 --> 00:29:42,497 WE'D ALSO LIKE TO HAVE 734 00:29:42,497 --> 00:29:43,465 ADDITIONAL INFORMATION ON 735 00:29:43,465 --> 00:29:45,267 STRATEGIES THAT CAN HELP 736 00:29:45,267 --> 00:29:49,471 COMMUNITIES MOVE CLOSER TO A 737 00:29:49,471 --> 00:29:52,941 HEALTHIER EATING PATTERNS AND 738 00:29:52,941 --> 00:29:53,809 INCLUDING DIVERSE NEEDS AND 739 00:29:53,809 --> 00:29:54,409 PREFERENCES FOR THOSE IN THE 740 00:29:54,409 --> 00:29:59,348 UNITED STATES. 741 00:29:59,348 --> 00:30:01,883 AND FINALLY, ACKNOWLEDGEMENTS. 742 00:30:01,883 --> 00:30:03,552 I JUST WANT TO GIVE A BIG THANKS 743 00:30:03,552 --> 00:30:09,057 TO OUR TEAM AT ODPHP AND 744 00:30:09,057 --> 00:30:14,496 COLLEAGUES AT USDA AND THE 2025 745 00:30:14,496 --> 00:30:18,367 DIETARY GUIDELINES ADVISORY 746 00:30:18,367 --> 00:30:19,568 COMMITTEE WHO PUT SO MUCH 747 00:30:19,568 --> 00:30:20,402 THOUGHTFUL EFFORT INTO THEIR 748 00:30:20,402 --> 00:30:21,236 EVIDENCE REVIEW. 749 00:30:21,236 --> 00:30:28,977 THANK YOU SO MUCH. 750 00:30:28,977 --> 00:30:29,111 751 00:30:29,111 --> 00:30:30,078 >> THANK YOU FOR THE 752 00:30:30,078 --> 00:30:30,412 PRESENTATION. 753 00:30:30,412 --> 00:30:39,621 THE NEXT SPEAKER IS ALANNA 754 00:30:39,621 --> 00:30:43,859 MOSHFEGH FROM THE FOOD SURVEYS 755 00:30:43,859 --> 00:30:48,030 RESEARCH GROUP AND LEADS A 756 00:30:48,030 --> 00:30:51,600 NATIONAL PROGRAM MONITORING FOOD 757 00:30:51,600 --> 00:30:58,206 CONSUMPTION BEHAVIOR. 758 00:30:58,206 --> 00:30:59,408 >> THANK YOU FOR THE NICE 759 00:30:59,408 --> 00:31:00,242 INTRODUCTION. 760 00:31:00,242 --> 00:31:03,545 GOOD AFTERNOON, EVERYONE OR GOOD 761 00:31:03,545 --> 00:31:05,113 MORNING, GOOD EVENING, DEPENDING 762 00:31:05,113 --> 00:31:08,784 ON YOUR TIME ZONE AND WELCOME ON 763 00:31:08,784 --> 00:31:11,119 A FRIDAY FOR CONTINUING TO 764 00:31:11,119 --> 00:31:13,488 PARTICIPATE IN THIS REALLY 765 00:31:13,488 --> 00:31:14,756 IMPORTANT WORKSHOP. 766 00:31:14,756 --> 00:31:17,626 I WANT TO THANK THE COMMITTEE 767 00:31:17,626 --> 00:31:21,663 FOR INVITING ME TO TALK ABOUT 768 00:31:21,663 --> 00:31:23,765 FOOD DATABASES AND DIVERSITY OF 769 00:31:23,765 --> 00:31:23,965 FOODS. 770 00:31:23,965 --> 00:31:29,204 WE HEARD A LOT ABOUT DIVERSITY 771 00:31:29,204 --> 00:31:34,176 OF OUR POPULATION AND WONDERFUL 772 00:31:34,176 --> 00:31:35,310 EXAMPLES YESTERDAY OF THE 773 00:31:35,310 --> 00:31:38,680 RESEARCH STUDIES BEING DONE 774 00:31:38,680 --> 00:31:43,552 TARGETING DIFFERS POPULATIONS. 775 00:31:43,552 --> 00:31:47,155 SO I'M GOING TO FOCUS A BIT 776 00:31:47,155 --> 00:31:50,392 DIFFERENTLY AND LOOK AT FOOD 777 00:31:50,392 --> 00:31:52,761 DATA AND DATABASES TO ASSESS 778 00:31:52,761 --> 00:31:56,064 NUTRIENT INTAKES OF FOODS. 779 00:31:56,064 --> 00:31:57,165 I'M GOING USE THE DATABASE 780 00:31:57,165 --> 00:31:58,934 THAT'S USED TO DETERMINE THE 781 00:31:58,934 --> 00:32:01,737 NUTRIENT PROFILES. 782 00:32:01,737 --> 00:32:05,273 OUR COUNTRY'S NATIONAL HEALTH 783 00:32:05,273 --> 00:32:08,009 AND NUTRITION EXAMINATION 784 00:32:08,009 --> 00:32:11,413 SURVEY, NHANES THAT'S THE FOOD 785 00:32:11,413 --> 00:32:12,481 DATABASE FOR STUDIES. 786 00:32:12,481 --> 00:32:16,885 THAT'S DONE BY THE DEPARTMENT OF 787 00:32:16,885 --> 00:32:17,185 AGRICULTURE. 788 00:32:17,185 --> 00:32:22,290 WE ALSO PROVIDE THE DIETARY 789 00:32:22,290 --> 00:32:26,728 INTAKE METHOD THAT IS USED 790 00:32:26,728 --> 00:32:30,832 WITHIN NHANES THE AUTOMATED 791 00:32:30,832 --> 00:32:32,167 MULTIPLE PASS METHOD. 792 00:32:32,167 --> 00:32:40,375 I HAVE NO FINANCIAL DISCLOSURES. 793 00:32:40,375 --> 00:32:42,177 I PICKED USING THIS DATABASE 794 00:32:42,177 --> 00:32:48,283 BECAUSE IT REFLECTS WHAT OUR 795 00:32:48,283 --> 00:32:49,885 POPULATION REPORTS IN OUR 796 00:32:49,885 --> 00:32:50,819 NATIONAL HEALTH SERVICE. 797 00:32:50,819 --> 00:32:53,388 SO I THINK IT HAS A LOT OF VALUE 798 00:32:53,388 --> 00:32:58,860 FOR THIS TYPE OF RESEARCH. 799 00:32:58,860 --> 00:33:01,129 THEN I'LL GIVE AN OVERVIEW OF 800 00:33:01,129 --> 00:33:03,198 THE FOOD AND NUTRIENT DATABASE 801 00:33:03,198 --> 00:33:04,266 FOR STUDIES. 802 00:33:04,266 --> 00:33:09,337 FOCUS IN ON THE ETHNIC CULTURAL 803 00:33:09,337 --> 00:33:11,072 FOODS AND BEVERAGES REPRESENTED 804 00:33:11,072 --> 00:33:14,676 IN FNDDS BASED ON WHAT IS 805 00:33:14,676 --> 00:33:20,315 REPORTED BY THE RESPONDENTS 806 00:33:20,315 --> 00:33:28,857 ACROSS NHANES AND ACCESS THIS IN 807 00:33:28,857 --> 00:33:30,392 DBS BECAUSE IT'S PUBLICLY 808 00:33:30,392 --> 00:33:31,259 AVAILABLE. 809 00:33:31,259 --> 00:33:34,429 IT'S DATA USED TO DETERMINE 810 00:33:34,429 --> 00:33:39,034 NUTRIENT INTAKES OF THE 811 00:33:39,034 --> 00:33:39,601 24-RECALLS COLLECTED WITHIN 812 00:33:39,601 --> 00:33:47,943 NHANES. 813 00:33:47,943 --> 00:33:50,445 BECAUSE OF THAT IT HAS 65 VALUES 814 00:33:50,445 --> 00:33:53,715 FOR THE NUTRIENTS REPORTED OUT. 815 00:33:53,715 --> 00:34:00,322 IT CONTAINS FOODS AND BEVERAGES 816 00:34:00,322 --> 00:34:03,692 BEFINED BY A CODE DETAILED 817 00:34:03,692 --> 00:34:04,526 DESCRIPTIONS AS CONSUMED NOT RAW 818 00:34:04,526 --> 00:34:08,263 PRODUCT. 819 00:34:08,263 --> 00:34:13,869 THERE'S A PLETHORA OF PORTIONS 820 00:34:13,869 --> 00:34:17,372 AND WEIGHTS AND THE NUTRIENT 821 00:34:17,372 --> 00:34:18,540 PROFILES FOR EVERY FOOD AND 822 00:34:18,540 --> 00:34:18,940 BEVERAGE. 823 00:34:18,940 --> 00:34:21,076 NOW, IF YOU'VE BEEN A USER OF 824 00:34:21,076 --> 00:34:23,278 THE DIETARY DATA OF NHANES 825 00:34:23,278 --> 00:34:24,880 YOU'VE PROBABLY NOT FOUND IT 826 00:34:24,880 --> 00:34:28,483 NECESSARY TO GO BACK AND LOOK AT 827 00:34:28,483 --> 00:34:29,384 THE FOOD AND NUTRIENT DATABASE 828 00:34:29,384 --> 00:34:31,419 FOR THE STUDIES. 829 00:34:31,419 --> 00:34:34,322 AND THE NATIONAL DIETARY INTAKE 830 00:34:34,322 --> 00:34:38,360 DATA FROM NHANES IS RELIEVED. 831 00:34:38,360 --> 00:34:40,929 THE NUTRIENT DATA FOR THE 832 00:34:40,929 --> 00:34:42,430 REPORTED FOODS AND BEVERAGES PER 833 00:34:42,430 --> 00:34:43,398 INDIVIDUAL IN THE SURVEY ARE 834 00:34:43,398 --> 00:34:53,875 ATTACHED RIGHT TO THAT DATA. 835 00:34:57,012 --> 00:34:58,713 BUT MY DISCUSSION WILL GIVE YOU 836 00:34:58,713 --> 00:35:00,081 MORE DETAILS ABOUT EACH OF THOSE 837 00:35:00,081 --> 00:35:02,717 FOODS AND BEVERAGES. 838 00:35:02,717 --> 00:35:11,593 THE FNDDS GIVES A GATEWAY TO 839 00:35:11,593 --> 00:35:14,829 UNDERSTANDING MORE DETAILS ABOUT 840 00:35:14,829 --> 00:35:20,235 MORE DETAILS WITHIN NHANES. 841 00:35:20,235 --> 00:35:25,407 IT'S USED IN THE ONLINE DIETARY 842 00:35:25,407 --> 00:35:27,475 RECALL METHODS DEVELOPED BY THE 843 00:35:27,475 --> 00:35:28,076 NATIONAL CANCER INSTITUTE AS 844 00:35:28,076 --> 00:35:30,211 WELL. 845 00:35:30,211 --> 00:35:36,451 FOR FNDDS THERE'S A NEW VERSION 846 00:35:36,451 --> 00:35:38,486 DEVELOPED AND RELEASED WITH EACH 847 00:35:38,486 --> 00:35:40,922 TWO YEAR CYCLE OF NHANES. 848 00:35:40,922 --> 00:35:43,391 AND THE UPDATES IN EACH OF THE 849 00:35:43,391 --> 00:35:47,062 NEW VERSIONS IS IS BASED ON THE 850 00:35:47,062 --> 00:35:49,631 CHANGES WE MAKE AND THE DIETARY 851 00:35:49,631 --> 00:35:50,532 COLLECTION INSTRUMENT THAT'S 852 00:35:50,532 --> 00:35:58,006 USED IN NHANES AS WELL AS NEW 853 00:35:58,006 --> 00:36:01,610 FOODS REPORTED AND THE CHANGES 854 00:36:01,610 --> 00:36:08,650 FOR THE NUTRIENT VALUES IN FNDDS 855 00:36:08,650 --> 00:36:14,723 AND THAT'S THE FOOD DATA. 856 00:36:14,723 --> 00:36:16,324 SO I'VE TALKED ABOUT FNDDS A BIT 857 00:36:16,324 --> 00:36:17,359 AND ALSO ABOUT THE DIETARY 858 00:36:17,359 --> 00:36:21,162 RECALL INSTRUMENT. 859 00:36:21,162 --> 00:36:22,797 AND THESE ARE THE TWO PILLARS 860 00:36:22,797 --> 00:36:27,802 FOR THE DIETARY INTAKE THAT 861 00:36:27,802 --> 00:36:37,345 COMES NHANES YOU CAN LOOK AT THE 862 00:36:37,345 --> 00:36:39,948 DETAILS OF THE FNDDS AND AMPM 863 00:36:39,948 --> 00:36:42,150 AND OTHER SPORTING SYSTEMS THAT 864 00:36:42,150 --> 00:36:43,385 GIVES US THE NHANES DIETARY 865 00:36:43,385 --> 00:36:53,361 DATA. 866 00:36:53,361 --> 00:36:55,263 FNDDS IS UPDATED EVERY THREE 867 00:36:55,263 --> 00:36:55,864 YEARS. 868 00:36:55,864 --> 00:36:57,565 I PUT THE LAST THREE PUBLICLY 869 00:36:57,565 --> 00:37:03,304 AVAILABLE VERSIONS HERE ON THE 870 00:37:03,304 --> 00:37:12,280 SLIDE, 15-16, 17-18, 19 -20. 871 00:37:12,280 --> 00:37:15,950 SO FNDDS SPANS 20 YEARS TIME 872 00:37:15,950 --> 00:37:19,387 FRAME OF FOODS AND BEVERAGES 873 00:37:19,387 --> 00:37:21,890 REPORTED AND UPDATES TO THOSE 874 00:37:21,890 --> 00:37:22,757 NUTRIENT VALUES. 875 00:37:22,757 --> 00:37:26,594 CAN SEE OVER TIME WE ADDED NEW 876 00:37:26,594 --> 00:37:28,730 CODES, WE DISCONTINUED CODES AND 877 00:37:28,730 --> 00:37:30,198 I'M GOING TO TALK A LITTLE LATER 878 00:37:30,198 --> 00:37:34,135 ABOUT THE RESOURCE THAT SHOWS 879 00:37:34,135 --> 00:37:37,806 YOU WHAT WE DISCONTINUED, CODES, 880 00:37:37,806 --> 00:37:39,674 FOODS AND BEVERAGES WE DROPPED 881 00:37:39,674 --> 00:37:44,713 O 882 00:37:44,713 --> 00:37:47,248 OUT. 883 00:37:47,248 --> 00:37:49,851 MAINLY THE DROP OUTS IS 884 00:37:49,851 --> 00:37:51,219 REFLECTING WHAT THE POPULATION 885 00:37:51,219 --> 00:37:51,986 IS MORE USED TO IN THE FOOD 886 00:37:51,986 --> 00:37:58,660 SUPPLY. 887 00:37:58,660 --> 00:38:01,229 I WANTED TO MENTION A BIT ABOUT 888 00:38:01,229 --> 00:38:03,064 WHERE WE GET THE NUTRIENT VALUES 889 00:38:03,064 --> 00:38:06,000 TO POPULATE THESE FOODS IN 890 00:38:06,000 --> 00:38:07,168 FNDDS? 891 00:38:07,168 --> 00:38:10,238 AND THAT'S THROUGH USDA'S FOOD 892 00:38:10,238 --> 00:38:11,005 DATA CENTRAL. 893 00:38:11,005 --> 00:38:13,508 I HAVE GIVEN THE WEBSITE ADDRESS 894 00:38:13,508 --> 00:38:14,876 FOR THAT. 895 00:38:14,876 --> 00:38:21,716 THIS IS THE BASIC DATA, 896 00:38:21,716 --> 00:38:26,755 ANALYTICAL DATA OF BASIC FOODS 897 00:38:26,755 --> 00:38:29,724 GIVEN SO THE NUTRIENT VALUES. 898 00:38:29,724 --> 00:38:31,693 WE USE DATA FROM FOOD DATA 899 00:38:31,693 --> 00:38:34,329 CENTRAL TO POPULATE THE DATA IN 900 00:38:34,329 --> 00:38:38,666 FNDDS. 901 00:38:38,666 --> 00:38:41,302 WE DO THAT THROUGH WHAT WE CALL 902 00:38:41,302 --> 00:38:43,471 A RECIPE CALCULATION PROCESS. 903 00:38:43,471 --> 00:38:47,675 A THIRD OF THE FNDDS CODES ARE 904 00:38:47,675 --> 00:38:50,845 MATCHED TO JUST ONE FDC CODE. 905 00:38:50,845 --> 00:38:53,281 THE REMAINING TWO-THIRDS ARE 906 00:38:53,281 --> 00:38:54,582 MATCHED TO TWO OR MORE CODES 907 00:38:54,582 --> 00:38:56,251 THROUGH THE RECIPE CALCULATION 908 00:38:56,251 --> 00:39:02,457 PROCESS. 909 00:39:02,457 --> 00:39:04,292 SO THE PROCESS INCLUDES REALLY 910 00:39:04,292 --> 00:39:07,295 THREE GENERAL STEPS. 911 00:39:07,295 --> 00:39:08,696 SELECTING THE INGREDIENT FOR A 912 00:39:08,696 --> 00:39:11,399 FOOD AND THEIR AMOUNTS. 913 00:39:11,399 --> 00:39:13,034 APPLYING FACTORS REGARDING 914 00:39:13,034 --> 00:39:16,204 NUTRIENT LOSS AND MOISTURE 915 00:39:16,204 --> 00:39:20,241 ADJUSTMENT IF APPROPRIATE AND 916 00:39:20,241 --> 00:39:22,744 SUMMING THE NUTRIENT VALUES AND 917 00:39:22,744 --> 00:39:25,246 I HAVE A COUPLE MORE BULLETS 918 00:39:25,246 --> 00:39:25,947 REGARDING THE RECIPE CALCULATION 919 00:39:25,947 --> 00:39:34,122 PROCESS. 920 00:39:34,122 --> 00:39:36,157 AS I SAID, FNDDS HAS 65 921 00:39:36,157 --> 00:39:37,725 NUTRIENTS, ENERGY AND THE OTHER 922 00:39:37,725 --> 00:39:39,961 COMPONENTS IN IT. 923 00:39:39,961 --> 00:39:41,496 I DON'T EXPECT YOU TO BE ABLE TO 924 00:39:41,496 --> 00:39:44,299 READ ALL THE NUTRIENTS BUT I 925 00:39:44,299 --> 00:39:48,570 WANTED TO GIVE YOU A LOOK AT THE 926 00:39:48,570 --> 00:39:50,939 EXTENSIVE DEPTH OF NUTRIENTS 927 00:39:50,939 --> 00:39:56,878 THAT ARE ON EACH OF THESE 5,624 928 00:39:56,878 --> 00:39:57,078 FOODS. 929 00:39:57,078 --> 00:40:00,715 IN ADDITION, FOR EACH FOOD AND 930 00:40:00,715 --> 00:40:04,352 BEVERAGE IN FNDDS, THERE'S A 931 00:40:04,352 --> 00:40:10,692 NUMBER OF PORTION SIZES THAT ARE 932 00:40:10,692 --> 00:40:19,868 USED IN THE SURVEY FROM CUP TO 933 00:40:19,868 --> 00:40:22,270 MEDIUM SIZE AND NUTRIENT 934 00:40:22,270 --> 00:40:22,537 PROFILES. 935 00:40:22,537 --> 00:40:24,906 SO THERE'S A LOT OF DETAILED 936 00:40:24,906 --> 00:40:29,344 INFORMATION TO HELP USERS NOT 937 00:40:29,344 --> 00:40:32,747 ONLY WITHIN N HANES DATA BUT 938 00:40:32,747 --> 00:40:34,749 OTHER USERS AS WELL FOR OTHER 939 00:40:34,749 --> 00:40:35,516 STUDIES OR MEETING NUTRIENT 940 00:40:35,516 --> 00:40:42,190 VALUES FOR FOODS. 941 00:40:42,190 --> 00:40:47,095 SO PARTICULARLY FOR THIS 942 00:40:47,095 --> 00:40:47,362 WORKSHOP. 943 00:40:47,362 --> 00:40:48,930 HOW CAN I CHARACTERIZE IN THE 944 00:40:48,930 --> 00:40:52,433 TIME I'VE GOT A BIT OF THE 945 00:40:52,433 --> 00:40:57,872 ETHNIC CULTURAL FOODS THAT SIT 946 00:40:57,872 --> 00:40:58,740 WITHIN FNDDS. 947 00:40:58,740 --> 00:41:01,809 SO I AND A COUPLE OTHER STAFF AT 948 00:41:01,809 --> 00:41:05,346 USDA IN THE FOOD SURVEYS 949 00:41:05,346 --> 00:41:06,447 RESEARCH GROUP TOOK AN 950 00:41:06,447 --> 00:41:08,783 ASSESSMENT AND DESIGNATED WHAT 951 00:41:08,783 --> 00:41:12,120 WE THOUGHT WERE CULTURAL ETHNIC 952 00:41:12,120 --> 00:41:13,321 FOODS. 953 00:41:13,321 --> 00:41:15,089 AND OF COURSE, YESTERDAY 954 00:41:15,089 --> 00:41:17,892 AFTERNOON WE LEARNED ABOUT THE 955 00:41:17,892 --> 00:41:21,095 DEPTH OF HOW PEOPLE LOOK AT 956 00:41:21,095 --> 00:41:21,429 DIVERSITY. 957 00:41:21,429 --> 00:41:23,464 HOW PEOPLE LOOK AT THE CULTURE. 958 00:41:23,464 --> 00:41:28,436 SO WE TOOK A FAIRLY BROAD VIEW 959 00:41:28,436 --> 00:41:31,706 AND IN THAT LOOK WE CAME UP WITH 960 00:41:31,706 --> 00:41:35,576 ABOUT WHAT WE'D SAY WERE FAIRLY 961 00:41:35,576 --> 00:41:37,512 BROAD DESIGNATIONS OF CULTURAL 962 00:41:37,512 --> 00:41:39,981 OR ETHNIC FOODS. 963 00:41:39,981 --> 00:41:41,316 ABOUT 15%. 964 00:41:41,316 --> 00:41:45,687 900 OR SO OF THE 5,000 PLUS 965 00:41:45,687 --> 00:41:50,391 FOODS THAT SIT IN FNDDS. 966 00:41:50,391 --> 00:41:53,494 THIS INCLUDED TRADITIONAL JEWISH 967 00:41:53,494 --> 00:41:56,464 FOODS, NATIVE AMERICAN, PUERTO 968 00:41:56,464 --> 00:41:59,000 RICAN, ASIAN, MEXICAN, ETCETERA. 969 00:41:59,000 --> 00:42:02,503 WE DIDN'T INCLUDE MOST, QUOTE, 970 00:42:02,503 --> 00:42:06,607 ITALIAN TYPE FOODS LIKE PIZZAS 971 00:42:06,607 --> 00:42:08,543 AND PASTAS. 972 00:42:08,543 --> 00:42:11,679 THEY'RE SO ENGRAINED ACROSS OUR 973 00:42:11,679 --> 00:42:14,082 FOOD SUPPLY THAT PERHAPS THEY'RE 974 00:42:14,082 --> 00:42:17,819 NOT CULTURAL OR ETHNIC FOODS. 975 00:42:17,819 --> 00:42:20,488 AND ANOTHER MAY BE ITALIAN 976 00:42:20,488 --> 00:42:21,556 HERITAGE PEOPLE IN THE AUDIENCE 977 00:42:21,556 --> 00:42:22,590 THAT MAY HAVE A DIFFERENT 978 00:42:22,590 --> 00:42:25,193 FEELING BUT THIS WAS JUST AN 979 00:42:25,193 --> 00:42:26,561 INFORMAL LOOK. 980 00:42:26,561 --> 00:42:29,130 SO WE MADE THOSE DESIGNATIONS 981 00:42:29,130 --> 00:42:30,164 USING BOTH WHAT'S CALLED OUR 982 00:42:30,164 --> 00:42:32,900 MAIN DESCRIPTION OF A FOOD AND 983 00:42:32,900 --> 00:42:35,770 ADDITIONAL DESCRIPTIONS. 984 00:42:35,770 --> 00:42:37,705 SO EVERY ITEM IN FNDDS HAS A 985 00:42:37,705 --> 00:42:41,542 MAIN FOOD DESCRIPTION AND 986 00:42:41,542 --> 00:42:42,543 PRIMARY DESCRIPTION OF AN ITEM 987 00:42:42,543 --> 00:42:48,216 AS WELL A SISTER, BROTHER, 988 00:42:48,216 --> 00:42:49,050 ADDITIONAL FOOD DESCRIPTION 989 00:42:49,050 --> 00:42:52,153 THAT'S ITEMS ASSOCIATED WITH THE 990 00:42:52,153 --> 00:42:53,321 SPECIFIC NAME FOOD DESCRIPTION 991 00:42:53,321 --> 00:42:55,323 THAT SHARE THE SAME NUTRIENT 992 00:42:55,323 --> 00:42:56,958 VALUES AND PORTION WEIGHTS AS 993 00:42:56,958 --> 00:43:04,399 THE MAIN FOOD DESCRIPTION. 994 00:43:04,399 --> 00:43:07,101 SO THE NEXT SLIDES WILL SHOW 995 00:43:07,101 --> 00:43:09,537 SELECTIONS FROM THE BROAD VIEW 996 00:43:09,537 --> 00:43:12,740 OF CULTURAL ETHNIC FOODS. 997 00:43:12,740 --> 00:43:14,842 THIS SHOWS ABOUT 15 ITEMS I 998 00:43:14,842 --> 00:43:18,246 SELECTED OUT JUST TO GIVE YOU AN 999 00:43:18,246 --> 00:43:18,446 IDEA. 1000 00:43:18,446 --> 00:43:20,982 I'VE LISTED THE FOOD CODE WHICH 1001 00:43:20,982 --> 00:43:22,083 PROBABLY ISN'T IMPORTANT FOR 1002 00:43:22,083 --> 00:43:26,654 THIS PRESENTATION BUT THE MAIN 1003 00:43:26,654 --> 00:43:27,255 DESCRIPTION AS WELL AS THE 1004 00:43:27,255 --> 00:43:27,822 ADDITIONAL DESCRIPTION. 1005 00:43:27,822 --> 00:43:33,661 AS YOU LOOK AT HOW THESE FOODS 1006 00:43:33,661 --> 00:43:38,966 ARE DESCRIBED, YOU CAN SEE 1007 00:43:38,966 --> 00:43:40,701 THEY'RE BASED ON THE HEALTH OF 1008 00:43:40,701 --> 00:43:45,940 INTERVIEWERS AND CODERS TO 1009 00:43:45,940 --> 00:43:49,710 ATTACH THINGS TOO. 1010 00:43:49,710 --> 00:43:55,016 YOU CAN SEE RESPONDENTS MAY GIVE 1011 00:43:55,016 --> 00:44:00,588 ANOTHER NAME FOR A RAW PIECE 1012 00:44:00,588 --> 00:44:00,822 JICAMA. 1013 00:44:00,822 --> 00:44:08,262 I GREW UP IN THE MID WEST AND 1014 00:44:08,262 --> 00:44:13,167 I'M NORWEGIAN AND LAFFSA WAS AN 1015 00:44:13,167 --> 00:44:15,103 IMPORTANT PART OF WHAT I 1016 00:44:15,103 --> 00:44:15,369 CONSUMED. 1017 00:44:15,369 --> 00:44:16,804 I GUESS I THINK OF THAT AS 1018 00:44:16,804 --> 00:44:18,372 CULTURAL BUT I'M SO USED TO 1019 00:44:18,372 --> 00:44:22,477 EATING IT I THINK OF IT AS A 1020 00:44:22,477 --> 00:44:23,478 TYPICAL FOOD I HAVE. 1021 00:44:23,478 --> 00:44:28,149 I MARIED A MAN WHO IS PERSIAN 1022 00:44:28,149 --> 00:44:31,819 AND HIS FAMILY LOVES IT AND 1023 00:44:31,819 --> 00:44:34,522 THINK IT'S JUST A DIFFERENT TYPE 1024 00:44:34,522 --> 00:44:38,025 OF FLOUR AND THE NEXT SLIDE ARE 1025 00:44:38,025 --> 00:44:45,766 OTHER EXAMPLES AS WELL. 1026 00:44:45,766 --> 00:44:54,342 AND I PICKED UP PAN DOLCE AND 1027 00:44:54,342 --> 00:44:59,680 WHAT DOES THAT MEAN? 1028 00:44:59,680 --> 00:45:02,450 FAY RESPONDENT SAID PAN DOLCE 1029 00:45:02,450 --> 00:45:07,421 AND WE ASKED FOR MORE 1030 00:45:07,421 --> 00:45:08,055 INFORMATION THEY MAY SAY IT'S 1031 00:45:08,055 --> 00:45:08,156 PAN 1032 00:45:13,895 --> 00:45:15,029 SOMETHING I HAD AT SOMEONE'S 1033 00:45:15,029 --> 00:45:19,367 HOME AND YOU CAN SEE THE OTHER 1034 00:45:19,367 --> 00:45:22,737 CHARACTERIZATIONS OF PAN DOLCE 1035 00:45:22,737 --> 00:45:23,337 AND THE OTHER SELECTIONS OF 1036 00:45:23,337 --> 00:45:32,280 THOSE. 1037 00:45:32,280 --> 00:45:34,815 SO FNDDS IS A LARGE DATABASE AND 1038 00:45:34,815 --> 00:45:38,252 85 VARIABLES FOR THE 1920 1039 00:45:38,252 --> 00:45:48,396 VERSION. 1040 00:45:53,034 --> 00:45:55,169 HOW CAN I GET AT THIS. 1041 00:45:55,169 --> 00:45:59,006 IF YOU GO HERE CLICK ON 1042 00:45:59,006 --> 00:45:59,774 DOCUMENTATION DATABASE IN THE 1043 00:45:59,774 --> 00:46:02,243 BLUE BAR AND YOU'LL SEE THIS 1044 00:46:02,243 --> 00:46:04,111 PAGE COME UP. 1045 00:46:04,111 --> 00:46:09,550 NOW, THE BLUE ARROWS ON YOUR 1046 00:46:09,550 --> 00:46:14,055 LEFT SHOW YOU DOCUMENTATION, 1047 00:46:14,055 --> 00:46:16,924 LENGTHY DOCUMENTATION OF HOW WE 1048 00:46:16,924 --> 00:46:18,559 PUT IT TOGETHER AND RESOURCES WE 1049 00:46:18,559 --> 00:46:21,495 USE FOR PUTTING IT TOGETHER AND 1050 00:46:21,495 --> 00:46:24,165 DETAILS ABOUT FOODS THAT WE 1051 00:46:24,165 --> 00:46:26,467 DISCONTINUE AND WHY WE DID AND 1052 00:46:26,467 --> 00:46:27,101 IF WE MERGE THEM WITH ANOTHER 1053 00:46:27,101 --> 00:46:32,006 CODE OR NOT. 1054 00:46:32,006 --> 00:46:35,643 ON THE RIGHT, THE RED COLORED 1055 00:46:35,643 --> 00:46:38,613 ARROWS SHOW YOU HOW TO DOWNLOAD 1056 00:46:38,613 --> 00:46:38,980 COMPONENTS. 1057 00:46:38,980 --> 00:46:42,984 YOU CAN GET THE FULL DATABASE 1058 00:46:42,984 --> 00:46:46,287 THROUGH ACCESS SAS OR EXCEL. 1059 00:46:46,287 --> 00:46:49,190 WE ALSO BROKE UP COMPONENTS OF 1060 00:46:49,190 --> 00:46:51,125 THE DATABASE BY FIVE EXCEL 1061 00:46:51,125 --> 00:46:51,325 FILES. 1062 00:46:51,325 --> 00:46:53,995 YOU CAN SEE THOSE LISTED WHICH 1063 00:46:53,995 --> 00:46:57,265 ARE MORE MANAGEABLE FOR THOSE OF 1064 00:46:57,265 --> 00:46:59,967 US THAT AREN'T NECESSARILY DATA 1065 00:46:59,967 --> 00:47:03,671 SCIENTISTS TO LOOK AT COMPONENTS 1066 00:47:03,671 --> 00:47:06,774 WITHIN FNDDS AND THE BOTTOM GOLD 1067 00:47:06,774 --> 00:47:11,178 FRAMED IN RED IS THE WEBSITE 1068 00:47:11,178 --> 00:47:18,085 ADDRESS FOR THE FSRG SITE. 1069 00:47:18,085 --> 00:47:21,122 SO FNDDS SUPPORTS OUR NATIONAL 1070 00:47:21,122 --> 00:47:21,822 DIETARY SURVEILLANCE IN THE 1071 00:47:21,822 --> 00:47:22,790 UNITED STATES. 1072 00:47:22,790 --> 00:47:25,559 IT'S PUBLICLY AVAILABLE JUST 1073 00:47:25,559 --> 00:47:28,162 DOWNLOAD AND USE IT AS IS THE 1074 00:47:28,162 --> 00:47:31,365 DATA FROM FOOD DATA CENTRAL. 1075 00:47:31,365 --> 00:47:33,901 AND FNDDS IS BASED ON CURRENT 1076 00:47:33,901 --> 00:47:37,738 AND QUALITY FOOD DATA CENTRAL 1077 00:47:37,738 --> 00:47:39,373 ANALYTICAL COMPOSITION VALUES 1078 00:47:39,373 --> 00:47:43,944 WHICH ARE UPDATED AND ADDED TO 1079 00:47:43,944 --> 00:47:47,448 TWICE A YEAR SINCE ITS LAUNCH IN 1080 00:47:47,448 --> 00:47:47,648 2018. 1081 00:47:47,648 --> 00:47:53,187 AND REPRESENTS THE REPORTING OF 1082 00:47:53,187 --> 00:47:55,056 CULTURAL AND ETHNIC FOOD AND 1083 00:47:55,056 --> 00:47:56,490 BEVERAGES IN NHANES. 1084 00:47:56,490 --> 00:47:58,826 THANK YOU FOR THE OPPORTUNITY TO 1085 00:47:58,826 --> 00:48:03,230 TALK WITH YOU ABOUT FNDDS. 1086 00:48:03,230 --> 00:48:04,932 YOU CAN SEE MY E-MAIL. 1087 00:48:04,932 --> 00:48:07,068 PLEASE E-MAIL ME WITH QUESTIONS 1088 00:48:07,068 --> 00:48:08,502 IF WE DON'T GET TO THEM TODAY 1089 00:48:08,502 --> 00:48:13,374 AND I WANT TO ACKNOWLEDGE THE 1090 00:48:13,374 --> 00:48:14,875 FSRG STAFF THAT HELPED ME COUPLE 1091 00:48:14,875 --> 00:48:17,445 WITH THE BROAD VIEW OF CULTURAL 1092 00:48:17,445 --> 00:48:24,018 AND ETHNIC FOODS LISTED. 1093 00:48:24,018 --> 00:48:24,485 THANK YOU VERY MUCH. 1094 00:48:24,485 --> 00:48:25,619 NEXT SLIDE WILL BE FOR THE NEXT 1095 00:48:25,619 --> 00:48:35,796 PRESENTER. 1096 00:48:46,574 --> 00:48:47,375 >> THANK YOU. 1097 00:48:47,375 --> 00:48:52,113 OUR NEXT SPEAKER IS KATHERINE 1098 00:48:52,113 --> 00:48:55,082 TUCKER AND THE DIRECTOR FOR 1099 00:48:55,082 --> 00:48:56,784 POPULATION HEALTH AT U-MASS 1100 00:48:56,784 --> 00:49:00,388 LOWELL AND FOCUSES ON THE 1101 00:49:00,388 --> 00:49:02,022 DIETARY INTAKE AND CHRONIC 1102 00:49:02,022 --> 00:49:02,890 DISEASE INCLUDING HEART DISEASE 1103 00:49:02,890 --> 00:49:05,326 AND METABOLIC SYNDROME AS WELL 1104 00:49:05,326 --> 00:49:09,397 AS OSTEOPOROSIS. 1105 00:49:09,397 --> 00:49:11,298 AND SPECIAL EMPHASIS ON HEALTH 1106 00:49:11,298 --> 00:49:11,565 DISPARITY. 1107 00:49:11,565 --> 00:49:21,909 WELCOME DR. TUCKER. 1108 00:49:25,346 --> 00:49:26,380 THANK YOU, SO MUCH. 1109 00:49:26,380 --> 00:49:28,749 I'M EXCITED TO BE PART OF THIS 1110 00:49:28,749 --> 00:49:35,356 EXCITING WORKSHOP. 1111 00:49:35,356 --> 00:49:40,494 >> FIRST I WANT TO ACKNOWLEDGE 1112 00:49:40,494 --> 00:49:41,629 ALANNA'S WONDERFUL WORK WITH THE 1113 00:49:41,629 --> 00:49:42,663 NUTRIENT DATABASE. 1114 00:49:42,663 --> 00:49:47,735 IT'S THE BEST DATABASE IN THE 1115 00:49:47,735 --> 00:49:51,138 WORLD FOR FOOD COMPOSITION AND 1116 00:49:51,138 --> 00:49:52,173 KNOW THEY'VE BEEN ADDING DIVERSE 1117 00:49:52,173 --> 00:50:00,848 FOODS THAT ARE SO HELPFUL. 1118 00:50:00,848 --> 00:50:02,817 I'M GOING TO TALK ABOUT THE 1119 00:50:02,817 --> 00:50:05,352 CHALLENGES THOUGH WE HAVE 1120 00:50:05,352 --> 00:50:09,323 WONDERFUL DATABASES THERE'S 1121 00:50:09,323 --> 00:50:10,324 CHALLENGES OF INTAKE IN 1122 00:50:10,324 --> 00:50:10,891 POPULATIONS. 1123 00:50:10,891 --> 00:50:12,760 WE NEED VALID AND RELIABLE 1124 00:50:12,760 --> 00:50:14,795 NUTRIENT INTAKE TO UNDERSTAND 1125 00:50:14,795 --> 00:50:20,167 WHAT EACH GROUP IS EATING. 1126 00:50:20,167 --> 00:50:22,136 WE NEED USUAL INTAKE OVER TIME 1127 00:50:22,136 --> 00:50:25,372 IF WE'RE TRYING TO RELATE THAT 1128 00:50:25,372 --> 00:50:27,374 INTAKE TO LONG TERM CHRONIC 1129 00:50:27,374 --> 00:50:28,075 DISEASE RISK LIKE DIABETES AND 1130 00:50:28,075 --> 00:50:36,150 HYPERTENSION. 1131 00:50:36,150 --> 00:50:39,186 DIET PATTERNS DIFFER BY ONLY 1132 00:50:39,186 --> 00:50:43,157 NIFT -- ETHNICITY AND EXCITED 1133 00:50:43,157 --> 00:50:44,425 WE'RE GETTING A LARGE COALITION 1134 00:50:44,425 --> 00:50:45,926 OF PEOPLE INTERESTED IN THAT NOW 1135 00:50:45,926 --> 00:50:51,198 BECAUSE IT'S BEEN OVERLOOKED FOR 1136 00:50:51,198 --> 00:50:53,167 A LONG TIME. 1137 00:50:53,167 --> 00:50:54,335 IT ISN'T SIMPLE. 1138 00:50:54,335 --> 00:50:55,503 HERE'S THE TRADITIONAL METHODS 1139 00:50:55,503 --> 00:51:01,008 I'M SURE YOU'RE ALL FAMILIAR 1140 00:51:01,008 --> 00:51:11,118 WITH. 1141 00:51:21,295 --> 00:51:24,064 THERE'S DETAIL NEEDED TO 1142 00:51:24,064 --> 00:51:25,165 UNDERSTAND RECIPES AND THE 1143 00:51:25,165 --> 00:51:26,500 DIFFERENT SPECIFIC FOODS 1144 00:51:26,500 --> 00:51:27,668 CONSUMED THAT MAY BE 1145 00:51:27,668 --> 00:51:37,244 MISCLASSIFIED OTHER WISE. 1146 00:51:37,244 --> 00:51:39,680 IN LARGE STUDIES EVEN NHANES 1147 00:51:39,680 --> 00:51:41,215 DOESN'T CAPTURE THE INTAKE NOR 1148 00:51:41,215 --> 00:51:42,383 INDIVIDUAL WELL. 1149 00:51:42,383 --> 00:51:44,118 SO INDIVIDUALS CAN BE 1150 00:51:44,118 --> 00:51:45,052 MISCLASSIFIED AND WHEN YOU TRY 1151 00:51:45,052 --> 00:51:50,624 TO RELATE THEIR INTAKE TO 1152 00:51:50,624 --> 00:51:54,695 OUTCOMES LIKE HYPERTENSION OR 1153 00:51:54,695 --> 00:51:57,264 EVEN CHANGES IN AN INTERVENTION 1154 00:51:57,264 --> 00:51:57,932 IT TENDS TO ATTENUATE THE 1155 00:51:57,932 --> 00:52:05,839 MEASURES. 1156 00:52:05,839 --> 00:52:07,074 FOOD FREQUENCY QUESTIONNAIRES 1157 00:52:07,074 --> 00:52:08,208 ARE USED BECAUSE IT'S SOMETHING 1158 00:52:08,208 --> 00:52:14,481 YOU CAN ADMINISTER ONCE AND GET 1159 00:52:14,481 --> 00:52:17,851 A GOOD LONG-TERM ESTIMATE. 1160 00:52:17,851 --> 00:52:19,954 HERE'S AN EXAMPLE OF THE DAY TO 1161 00:52:19,954 --> 00:52:23,991 DAY VARIATION THAT CAN OCCUR OF 1162 00:52:23,991 --> 00:52:28,395 THREE WOMEN THAT WERE AT THE 10, 1163 00:52:28,395 --> 00:52:34,234 50th AND 90th PERCENTILE AND AT 1164 00:52:34,234 --> 00:52:38,439 ANY ONE POINT THEY COULD BE AT A 1165 00:52:38,439 --> 00:52:41,742 DIFFERENT TERTILE. 1166 00:52:41,742 --> 00:52:46,380 AND THE PROBLEM WITH THE 24-HOUR 1167 00:52:46,380 --> 00:52:49,416 RECALLS IT OVER ESTIMATES THE 1168 00:52:49,416 --> 00:52:52,953 RANGE AND OVER ESTIMATES HOW 1169 00:52:52,953 --> 00:52:54,421 MANY PEOPLE MAY BE LOW OR HIGH 1170 00:52:54,421 --> 00:52:55,889 IN A SPECIFIC NUTRIENT. 1171 00:52:55,889 --> 00:53:00,361 AND ATTENUATES REGRESSION 1172 00:53:00,361 --> 00:53:00,694 COEFFICIENTS. 1173 00:53:00,694 --> 00:53:01,462 IT'S A MAJOR ISSUE IN THESE 1174 00:53:01,462 --> 00:53:08,569 KINDS OF STUDIES. 1175 00:53:08,569 --> 00:53:11,005 SO AGAIN THERE'S MANY DAYS 1176 00:53:11,005 --> 00:53:12,506 ESTIMATED TO CAPTURE CERTAIN 1177 00:53:12,506 --> 00:53:14,141 NUTRIENTS PARTICULARLY THINGS 1178 00:53:14,141 --> 00:53:18,879 LIKE VITAMIN A IN SPECIFIC FOODS 1179 00:53:18,879 --> 00:53:22,850 AND THINGS LIKE PERHAPS CALCIUM 1180 00:53:22,850 --> 00:53:26,487 IN FEWER FOODS. 1181 00:53:26,487 --> 00:53:30,357 THE NCI APPROACH HELPS WITH 1182 00:53:30,357 --> 00:53:32,526 FIXING THE DISTRIBUTION BUT IT'S 1183 00:53:32,526 --> 00:53:34,595 STILL IMPORTANT FOR PEOPLE TO 1184 00:53:34,595 --> 00:53:36,163 REALIZE IT STILL DOES NOT 1185 00:53:36,163 --> 00:53:37,364 ACCURATELY CLASSIFY INDIVIDUALS 1186 00:53:37,364 --> 00:53:38,032 WHEN YOU'RE TRYING TO RELATE TO 1187 00:53:38,032 --> 00:53:42,536 OUTCOMES. 1188 00:53:42,536 --> 00:53:44,338 SO THE ADVANTAGES OF THE FOOD 1189 00:53:44,338 --> 00:53:45,839 FREQUENCY ARE THE SINGLE 1190 00:53:45,839 --> 00:53:49,209 ADMISSION AND IT USES PATTERN 1191 00:53:49,209 --> 00:53:50,144 MEMORY. 1192 00:53:50,144 --> 00:53:52,012 DISADVANTAGED AND THESE ARE A 1193 00:53:52,012 --> 00:53:53,747 BIG ONE FOR THE PURPOSE WE'RE 1194 00:53:53,747 --> 00:53:56,650 DISCUSSING HERE IS DEFINED FOOD 1195 00:53:56,650 --> 00:53:57,418 LIST. 1196 00:53:57,418 --> 00:53:59,453 WE CAN'T HAVE EVERY FOOD THERE 1197 00:53:59,453 --> 00:54:01,055 BECAUSE PEOPLE WILL GET FATIGUED 1198 00:54:01,055 --> 00:54:03,557 AND SO WE HAVE TO MAKE 1199 00:54:03,557 --> 00:54:05,793 SELECTIONS ON THAT FOODS LIST. 1200 00:54:05,793 --> 00:54:07,327 THE OTHER THING THAT'S VERY MUCH 1201 00:54:07,327 --> 00:54:10,698 UNDER APPRECIATED IS THE 1202 00:54:10,698 --> 00:54:11,098 RECIPES. 1203 00:54:11,098 --> 00:54:13,534 ASSUMPTIONS FOR RECIPES LIKE A 1204 00:54:13,534 --> 00:54:16,303 BEEF STEW OR A CHICKEN SOUP MAY 1205 00:54:16,303 --> 00:54:18,338 BE VERY DIFFERENT FOR DIFFERENT 1206 00:54:18,338 --> 00:54:20,040 ETHNIC GROUPS AND THAT WOULD NOT 1207 00:54:20,040 --> 00:54:24,411 BE CAPTURED. 1208 00:54:24,411 --> 00:54:26,346 SO IMPORTANTLY IF YOU'RE LOOKING 1209 00:54:26,346 --> 00:54:28,082 A DIVERSE GROUP AND DON'T HAVE 1210 00:54:28,082 --> 00:54:30,017 SOME OF THE FOODS ALANNA 1211 00:54:30,017 --> 00:54:31,819 HIGHLIGHTED THAT MAY BE WHAT 1212 00:54:31,819 --> 00:54:36,957 THEY EAT A LOT OF SUCH AS 1213 00:54:36,957 --> 00:54:38,826 PLANTAINS IN THE CARIBBEAN 1214 00:54:38,826 --> 00:54:40,194 GROUPS YOU WILL UNDERESTIMATE 1215 00:54:40,194 --> 00:54:41,495 INTAKE FOR THOSE GROUPS. 1216 00:54:41,495 --> 00:54:43,797 YOU'LL BE MISSING FOODS AND THAT 1217 00:54:43,797 --> 00:54:45,032 IS SYSTEMATIC. 1218 00:54:45,032 --> 00:54:46,967 ANY COMPARISONS BETWEEN THOSE 1219 00:54:46,967 --> 00:54:51,205 SUBGROUPS WILL NO LONGER BE 1220 00:54:51,205 --> 00:54:51,472 VALID. 1221 00:54:51,472 --> 00:54:53,574 THIS IS THE BIGGEST CHALLENGE WE 1222 00:54:53,574 --> 00:55:00,914 HAVE. 1223 00:55:00,914 --> 00:55:04,985 SO IN THIS CASE THIS CAN LEAD TO 1224 00:55:04,985 --> 00:55:05,953 SERIOUS BIAS IN MULTI-CULTURAL 1225 00:55:05,953 --> 00:55:14,428 STUDIES. 1226 00:55:14,428 --> 00:55:16,563 SO THIS COMPROMISES GROUPING OF 1227 00:55:16,563 --> 00:55:17,531 FOODS AS WELL. 1228 00:55:17,531 --> 00:55:20,234 FOR EXAMPLE WHEN WE HAVE OTHER 1229 00:55:20,234 --> 00:55:21,602 FOODS ON THE FOOD FREQUENCY 1230 00:55:21,602 --> 00:55:23,504 QUESTIONNAIRE THE DATA BEHIND 1231 00:55:23,504 --> 00:55:31,378 THE LIST IS GRAPES, PLUMS, 1232 00:55:31,378 --> 00:55:33,747 PEACHES, PINEAPPLE BUT MAY NOT 1233 00:55:33,747 --> 00:55:36,617 HAVE FOOD CONSUMED BY OTHER 1234 00:55:36,617 --> 00:55:36,817 GROUP. 1235 00:55:36,817 --> 00:55:37,618 THIS IS IMPORTANT VARIATION AND 1236 00:55:37,618 --> 00:55:41,822 WILL LEAD TO CONFOUNDING. 1237 00:55:41,822 --> 00:55:43,590 THE STANDARD PORTIONS ARE 1238 00:55:43,590 --> 00:55:44,691 ANOTHER PROBLEM. 1239 00:55:44,691 --> 00:55:49,496 EVEN SMALL, MEDIUM AND LARGE CAN 1240 00:55:49,496 --> 00:55:52,166 VARY WITH MANY GROUPS HAVING 1241 00:55:52,166 --> 00:55:55,102 LARGE PLATES OF RICE WHERE THE 1242 00:55:55,102 --> 00:55:56,637 STANDARD FOOD FREQUENCY MIGHT 1243 00:55:56,637 --> 00:55:59,673 EXPECT IT TO BE TWO-THIRDS OF A 1244 00:55:59,673 --> 00:56:02,843 CUP AND UNDERESTIMATE A HUGE 1245 00:56:02,843 --> 00:56:07,648 AMOUNT OF CALORIES. 1246 00:56:07,648 --> 00:56:09,049 THIS IS SHOWN IN SEVERAL THINGS 1247 00:56:09,049 --> 00:56:14,021 I'LL GO THROUGH QUICKLY. 1248 00:56:14,021 --> 00:56:17,457 WHEN COEFFICIENTS FOR THE 1249 00:56:17,457 --> 00:56:18,492 QUESTIONNAIRE WERE EXAMINED WHAT 1250 00:56:18,492 --> 00:56:24,698 YOU CAN SEE IS THEY ARE MUCH 1251 00:56:24,698 --> 00:56:26,867 LOWER FOR PARTICULARLY HISPANIC 1252 00:56:26,867 --> 00:56:31,271 GROUPS AND AFRICAN AMERICANS. 1253 00:56:31,271 --> 00:56:37,177 SOMETIMES AS LOW AS ZERO FOR VIT 1254 00:56:37,177 --> 00:56:38,579 MIN A FOR AFRICAN AMERICANS AND 1255 00:56:38,579 --> 00:56:42,316 IT'S LOW IN THE HISPANICS. 1256 00:56:42,316 --> 00:56:42,716 THIS SAY PROBLEM. 1257 00:56:42,716 --> 00:56:46,286 -- THIS IS A PROBLEM. 1258 00:56:46,286 --> 00:56:50,824 AND AGAIN THIS IS THE INSULIN 1259 00:56:50,824 --> 00:56:52,226 RESISTANCE ATHEROSCLEROSIS 1260 00:56:52,226 --> 00:56:52,426 STUDY. 1261 00:56:52,426 --> 00:56:55,395 MANY NUTRIENTS WERE MUCH LOWER 1262 00:56:55,395 --> 00:57:00,067 IN THEIR VALIDITY FOR RURAL 1263 00:57:00,067 --> 00:57:05,539 AFRICAN AMERICAN OR HISPANICS. 1264 00:57:05,539 --> 00:57:08,976 THIS IS LOOKING AT NOT ONLY 1265 00:57:08,976 --> 00:57:10,911 AGAINST RECALLS BUT CORRELATING 1266 00:57:10,911 --> 00:57:12,346 DIETARY INTAKES WITH PLASMA AND 1267 00:57:12,346 --> 00:57:17,484 IN THIS CASE WHAT YOU CAN ALSO 1268 00:57:17,484 --> 00:57:18,752 SEE FOR AFRICAN AMERICANS THE 1269 00:57:18,752 --> 00:57:26,460 VALIDITY IS MUCH LOWER. 1270 00:57:26,460 --> 00:57:29,096 WE FACED THIS WHEN WE WERE 1271 00:57:29,096 --> 00:57:30,597 DEVELOPING THE FOOD FREQUENCY 1272 00:57:30,597 --> 00:57:31,765 FOR PUERTO RICOS. 1273 00:57:31,765 --> 00:57:33,901 AND WE FOUND THERE WERE SEVERAL 1274 00:57:33,901 --> 00:57:36,904 FOODS THAT WERE MISSING OWN ANY 1275 00:57:36,904 --> 00:57:38,038 EXISTING FOOD FREQUENCIES THAT 1276 00:57:38,038 --> 00:57:41,842 NEEDED TO BE ADDED. 1277 00:57:41,842 --> 00:57:43,343 AND THE PROPORTION SIZES WE 1278 00:57:43,343 --> 00:57:45,078 CHECK FOR EACH FOOD AND THE 1279 00:57:45,078 --> 00:57:47,915 PORTION SIZES WERE RADICALLY 1280 00:57:47,915 --> 00:57:50,050 DIFFERENT FOR MANY FOODS AND 1281 00:57:50,050 --> 00:57:54,388 THAT NEEDED ADJUSTMENT. 1282 00:57:54,388 --> 00:57:56,957 AND HOW DO YOU DEVELOP A NEW 1283 00:57:56,957 --> 00:57:57,891 FOOD FREQUENCY QUESTIONNAIRE. 1284 00:57:57,891 --> 00:57:59,693 YOU REALLY NEED TO START WITH 24 1285 00:57:59,693 --> 00:58:06,833 HOUR RECALLS TO GET THE DETAILS, 1286 00:58:06,833 --> 00:58:07,367 RECIP 1287 00:58:07,367 --> 00:58:10,237 RECIPES AND SPECIFIC FOODS WITH 1288 00:58:10,237 --> 00:58:15,309 THEIR PORTION SIZES. 1289 00:58:15,309 --> 00:58:25,852 AND WE DID THIS WE STARTED WITH 1290 00:58:26,586 --> 00:58:29,589 THE BLOCK AND PUERTO RICAN FOODS 1291 00:58:29,589 --> 00:58:31,191 AND JUST BECAUSE SOMEONE ISN'T 1292 00:58:31,191 --> 00:58:35,062 IDENTIFIED AS PUERTO RICAN 1293 00:58:35,062 --> 00:58:37,564 DOESN'T MEAN THEY DON'T EAT THAT 1294 00:58:37,564 --> 00:58:37,731 WAY. 1295 00:58:37,731 --> 00:58:44,805 IT NEEDED TO BE COMBINED WITH 1296 00:58:44,805 --> 00:58:45,973 THE GENERAL BLOCK FOOD FREQUENCY 1297 00:58:45,973 --> 00:58:46,640 QUESTIONNAIRE. 1298 00:58:46,640 --> 00:58:49,409 IF WE TOOK THE ORIGINAL BLOCK 1299 00:58:49,409 --> 00:58:51,144 AND COMPARED IT TO 24-HOUR 1300 00:58:51,144 --> 00:58:53,947 RECALLS WE WERE SIGNIFICANTLY 1301 00:58:53,947 --> 00:58:54,314 UNDERESTIMATING. 1302 00:58:54,314 --> 00:58:59,353 YOU CAN SEE THE INTAKE OF THE 1303 00:58:59,353 --> 00:59:01,054 POPULATION BUT ONCE WE REVISED 1304 00:59:01,054 --> 00:59:03,090 THE FOOD FREQUENCY QUESTIONNAIRE 1305 00:59:03,090 --> 00:59:05,759 AND FIXED THE PORTION SIZES WE 1306 00:59:05,759 --> 00:59:07,027 WERE ABLE TO GET BACK TO THE 1307 00:59:07,027 --> 00:59:12,933 TRUE INTAKES. 1308 00:59:12,933 --> 00:59:14,935 THIS DEMONSTRATES FOR ENERGY 1309 00:59:14,935 --> 00:59:15,168 INTAKES. 1310 00:59:15,168 --> 00:59:18,672 IT WOULD HAVE BEEN MISCLASSIFIED 1311 00:59:18,672 --> 00:59:20,807 AND WOULD HAVE SAID THE HISPANIC 1312 00:59:20,807 --> 00:59:22,576 GROUP HAD SIGNIFICANTLY LOWER 1313 00:59:22,576 --> 00:59:24,277 ENERGY INTAKE THAN THE 1314 00:59:24,277 --> 00:59:25,212 NON-HISPANIC WHITES BECAUSE THEY 1315 00:59:25,212 --> 00:59:25,612 WERE MISSING FOOD. 1316 00:59:25,612 --> 00:59:31,952 THAT WAS NOT TRUE. 1317 00:59:31,952 --> 00:59:39,526 AND FOLATE, SAME THING. 1318 00:59:39,526 --> 00:59:40,660 HERE IT IS WITHOUT SPECIFICALLY 1319 00:59:40,660 --> 00:59:41,428 NOTING THE RECIPES. 1320 00:59:41,428 --> 00:59:46,366 THIS IS ONE THING I WANT TO 1321 00:59:46,366 --> 00:59:48,335 EMPHASIZE, HISPANICS RICE, BEANS 1322 00:59:48,335 --> 00:59:50,037 AND MIXED DISHES ARE PREPARED 1323 00:59:50,037 --> 00:59:52,105 VERY DIFFERENTLY THAN RICE FOR 1324 00:59:52,105 --> 00:59:55,642 EXAMPLE ON THE STANDARD 1325 00:59:55,642 --> 00:59:56,009 QUESTIONNAIRES. 1326 00:59:56,009 --> 00:59:57,978 THE PUERTO RICANS ALMOST ALWAYS 1327 00:59:57,978 --> 00:59:59,546 ADD OIL SO YOU'RE MISSING A LOT 1328 00:59:59,546 --> 00:59:59,913 OF FAT. 1329 00:59:59,913 --> 01:00:03,050 THE BEANS ALMOST ALWAYS HAVE 1330 01:00:03,050 --> 01:00:08,989 TOMATO SAUCE SO YOU'RE MISSING 1331 01:00:08,989 --> 01:00:10,524 LYCOPENE. 1332 01:00:10,524 --> 01:00:14,294 THIS IS WHAT WE FOUND WITH THE 1333 01:00:14,294 --> 01:00:15,962 LYCOPENE ONCE WE FIXED THE 1334 01:00:15,962 --> 01:00:25,405 RECIPES WE USED THE BIOMARKER. 1335 01:00:25,405 --> 01:00:28,475 WE ALSO CREATED A FOOD FREQUENCY 1336 01:00:28,475 --> 01:00:34,848 FOR THE SOUTHERN REGION IN THE 1337 01:00:34,848 --> 01:00:41,388 DELTA REGION. 1338 01:00:41,388 --> 01:00:43,457 YOU SEE THIS LONG LIST OF FOODS 1339 01:00:43,457 --> 01:00:44,891 MISSING AND EVEN LOOKING AT THE 1340 01:00:44,891 --> 01:00:47,094 REGIONS OF OUR COUNTRY SOME WILL 1341 01:00:47,094 --> 01:00:52,299 BE MISSING BISCUITS, CRACK 1342 01:00:52,299 --> 01:00:57,137 LINGS, CHICKEN AND DUMPLINGS AND 1343 01:00:57,137 --> 01:00:57,971 MUSTARD GREENS. 1344 01:00:57,971 --> 01:00:59,339 THE JACKSON HEART STUDY ASKED US 1345 01:00:59,339 --> 01:01:04,144 TO MODIFY THAT FOR THEIR USE 1346 01:01:04,144 --> 01:01:06,980 BECAUSE THEY NOTED AS WELL THE 1347 01:01:06,980 --> 01:01:09,783 STUDY WAS LESS VALID IN JACKSON 1348 01:01:09,783 --> 01:01:10,383 IN THE AFRICAN AMERICAN GROUP 1349 01:01:10,383 --> 01:01:18,024 THAN OTHER SITES. 1350 01:01:18,024 --> 01:01:19,192 HERE'S OUR VALIDATION STUDY IS 1351 01:01:19,192 --> 01:01:20,994 THAT SHOWED WE WERE ABLE TO DO 1352 01:01:20,994 --> 01:01:21,194 THAT. 1353 01:01:21,194 --> 01:01:23,096 THE ONE THING I WANT TO SAY 1354 01:01:23,096 --> 01:01:25,866 BEFORE THE CONCLUSION ABOUT 1355 01:01:25,866 --> 01:01:26,867 JACKSON THAT IS A GOOD EXAMPLE 1356 01:01:26,867 --> 01:01:30,437 IS IT'S THE ONLY STUDY WHERE 1357 01:01:30,437 --> 01:01:32,639 WE'VE SEEN FISH TO CORRELATE 1358 01:01:32,639 --> 01:01:38,512 NEGATIVELY WITH HEALTH. 1359 01:01:38,512 --> 01:01:40,747 WE LOOKED AT BIOMARKERS AND 1360 01:01:40,747 --> 01:01:44,484 OMEGA 3 FATTY ACIDS FOUND OUT 1361 01:01:44,484 --> 01:01:47,654 THE FISH MAINLY CONSUMED IS 1362 01:01:47,654 --> 01:01:49,523 FRIED CATFISH USUALLY PURCHASED 1363 01:01:49,523 --> 01:01:51,858 BATTERED AND FROZEN AND THE GOOD 1364 01:01:51,858 --> 01:01:55,862 FATS GO OUT IN THE DEEP FRYING 1365 01:01:55,862 --> 01:01:56,363 OIL. 1366 01:01:56,363 --> 01:01:58,331 IT GOES TO THE POINT IS IT'S NOT 1367 01:01:58,331 --> 01:02:01,334 AS SIMPLE AS MAKING 1368 01:02:01,334 --> 01:02:02,636 RECOMMENDATIONS EAT MORE FISH. 1369 01:02:02,636 --> 01:02:05,772 TO WORK WITH CERTAIN POPULATIONS 1370 01:02:05,772 --> 01:02:07,007 YOU NEED TO UNDERSTAND THE 1371 01:02:07,007 --> 01:02:08,441 SPECIFIC DIETARY PATTERNS AND 1372 01:02:08,441 --> 01:02:13,847 SPECIFIC SOURCES WITHIN THE FOOD 1373 01:02:13,847 --> 01:02:15,549 GROUPS AND THE QUALITY OF FOODS 1374 01:02:15,549 --> 01:02:20,287 WITHIN THE FOOD GROUPS. 1375 01:02:20,287 --> 01:02:22,822 WITH THAT I'D LIKE TO THANK YOU 1376 01:02:22,822 --> 01:02:26,259 FOR YOUR ATTENTION. 1377 01:02:26,259 --> 01:02:27,761 >> THANK YOU, DR. TUCKER. 1378 01:02:27,761 --> 01:02:32,065 OUR NEXT PRESENTATION IS BY 1379 01:02:32,065 --> 01:02:35,735 DR. STELA YI ON CHALLENGES AN 1380 01:02:35,735 --> 01:02:37,404 SOLUTIONS TOWARD MORE INCLUSIVE 1381 01:02:37,404 --> 01:02:39,739 DIETARY GUIDANCE AND RESEARCH 1382 01:02:39,739 --> 01:02:41,007 SPACE. 1383 01:02:41,007 --> 01:02:47,347 SHE'S A PROFESSOR AT THE 1384 01:02:47,347 --> 01:02:48,148 GROSSMAN SCHOOL. 1385 01:02:48,148 --> 01:02:50,650 SHE'S A RESEARCHER COMMITTED TO 1386 01:02:50,650 --> 01:02:51,418 ADVANCING HEALTH EQUITY AND 1387 01:02:51,418 --> 01:02:53,687 SOCIAL JUSTICE FOR ASIAN 1388 01:02:53,687 --> 01:02:56,256 AMERICANS AND OTHER IMMIGRANT 1389 01:02:56,256 --> 01:02:56,890 COMMUNITIES. 1390 01:02:56,890 --> 01:02:59,392 WELCOME, DR. YI. 1391 01:02:59,392 --> 01:03:01,027 >> HI, EVERYONE. 1392 01:03:01,027 --> 01:03:02,495 THANK YOU TO THE WORKSHOP 1393 01:03:02,495 --> 01:03:03,697 PLANNING COMMITTEE FOR THE 1394 01:03:03,697 --> 01:03:04,731 INVITATION TO PRESENT TODAY. 1395 01:03:04,731 --> 01:03:06,800 I'LL BE SPEAKING AS DR. FUNG 1396 01:03:06,800 --> 01:03:08,568 SAID ABOUT CHALLENGES AND 1397 01:03:08,568 --> 01:03:10,003 SOLUTIONS TOWARDS MORE INCLUSIVE 1398 01:03:10,003 --> 01:03:10,604 DIETARY GUIDANCE AND RESEARCH 1399 01:03:10,604 --> 01:03:16,142 SPACE. 1400 01:03:16,142 --> 01:03:18,945 MY TALK IS FRAMED AROUND THREE 1401 01:03:18,945 --> 01:03:20,714 KEY QUESTIONS. 1402 01:03:20,714 --> 01:03:22,082 HOW DO PEOPLE EAT. 1403 01:03:22,082 --> 01:03:24,651 WHO IS REPRESENTED OR NOT 1404 01:03:24,651 --> 01:03:26,786 REPRESENTED IN OUR NEW TRIGS 1405 01:03:26,786 --> 01:03:27,520 RECOMMENDATIONS AND RESEARCH? 1406 01:03:27,520 --> 01:03:30,557 HOW CAN WE APPROACH NUTRITION 1407 01:03:30,557 --> 01:03:31,725 RECOMMENDATIONS AND RESEARCH FOR 1408 01:03:31,725 --> 01:03:33,526 BROAD YET SPECIFIC AUDIENCES? 1409 01:03:33,526 --> 01:03:34,561 AND I WILL CLOSE WITH 1410 01:03:34,561 --> 01:03:35,161 RECOMMENDATIONS AND RESEARCH 1411 01:03:35,161 --> 01:03:39,466 GAPS. 1412 01:03:39,466 --> 01:03:41,368 TO PROVIDE A MORE IN DEPTH 1413 01:03:41,368 --> 01:03:42,402 ILLUSTRATION OF HOW 1414 01:03:42,402 --> 01:03:43,236 UNDERSTANDING THE ANSWERS CAN 1415 01:03:43,236 --> 01:03:46,106 LEAD TO MORE INCLUSIVE DIETARY 1416 01:03:46,106 --> 01:03:47,540 GUIDANCE AND SPACES I'LL DRAW 1417 01:03:47,540 --> 01:03:53,079 FROM ONE OF OUR CURRENTLY NIMHD 1418 01:03:53,079 --> 01:03:55,982 FUNDED PROJECTS OUR BASIS 1419 01:03:55,982 --> 01:03:57,751 PROGRAM ACROSS NINE FARM AND 1420 01:03:57,751 --> 01:04:00,420 COMMUNITY-BASED PARTNERS AND ONE 1421 01:04:00,420 --> 01:04:01,454 ELEMENTARY SCHOOL AND 1422 01:04:01,454 --> 01:04:03,256 CONSULTANTS SPECIALIZING IN 1423 01:04:03,256 --> 01:04:05,825 LANGUAGE JUSTICE AND SOCIAL 1424 01:04:05,825 --> 01:04:07,794 MARKETING AND IT IMPROVE DIET 1425 01:04:07,794 --> 01:04:10,030 FOR IMMIGRANT COMMUNITIES IN 1426 01:04:10,030 --> 01:04:11,564 SUNSET PARK BROOKLYN AND THE 1427 01:04:11,564 --> 01:04:16,703 PROGRAM IS DESIGN FOR ENGLISH, 1428 01:04:16,703 --> 01:04:19,105 MANDARIN CHINESE AND OTHER 1429 01:04:19,105 --> 01:04:19,372 SPEAKERS. 1430 01:04:19,372 --> 01:04:21,007 THE FIRST SPACE I'D LIKE TO 1431 01:04:21,007 --> 01:04:23,243 TOUCH ON IS UNDERSTANDING HOW DO 1432 01:04:23,243 --> 01:04:24,778 PEOPLE ACTUALLY EAT? 1433 01:04:24,778 --> 01:04:26,946 WE ARE GOOD AT ENUMERATING WHAT 1434 01:04:26,946 --> 01:04:30,583 PEOPLE EAT, HOW THE CONSUMPTION 1435 01:04:30,583 --> 01:04:31,618 PATTERNS MAY DIFFER FOR 1436 01:04:31,618 --> 01:04:33,720 DEMOGRAPHIC GROUPS AND HOW THE 1437 01:04:33,720 --> 01:04:35,288 PATTERNS ARE ASSOCIATED WITH 1438 01:04:35,288 --> 01:04:36,256 HEALTH OUTCOME. 1439 01:04:36,256 --> 01:04:37,691 WHAT WE HAVE LESS UNDERSTANDING 1440 01:04:37,691 --> 01:04:40,126 OF IS WHY PEOPLE EAT WHAT THEY 1441 01:04:40,126 --> 01:04:40,360 DO? 1442 01:04:40,360 --> 01:04:42,829 WHAT DRIVES THEIR FOOD CHOICES? 1443 01:04:42,829 --> 01:04:44,464 WHO DO THEY EAT WITH? 1444 01:04:44,464 --> 01:04:45,865 HOW IS THE FOOD PRESENTS AND 1445 01:04:45,865 --> 01:04:47,300 PREPARED AND WHAT ARE BARRIERS 1446 01:04:47,300 --> 01:04:49,002 AND ASSETS THAT CONTRIBUTE TO 1447 01:04:49,002 --> 01:04:50,370 HEALTH EATING HABITS? 1448 01:04:50,370 --> 01:04:52,472 THEY'RE ALL CAPTURED IN THE 1449 01:04:52,472 --> 01:04:53,673 NUTRITION HEALTH DISPARITIES 1450 01:04:53,673 --> 01:04:55,275 RESEARCH FRAMEWORK WE HEARD 1451 01:04:55,275 --> 01:04:56,176 ABOUT YESTERDAY IN SEVERAL 1452 01:04:56,176 --> 01:04:57,444 PRESENTATIONS AND THE FRAMEWORK 1453 01:04:57,444 --> 01:04:59,813 INCLUDES MULTIPLE DOMAINS AND 1454 01:04:59,813 --> 01:05:03,249 LEVELS OF INFLUENCE THAT COULD 1455 01:05:03,249 --> 01:05:06,786 GUIDE OUR IN QUERY TO 1456 01:05:06,786 --> 01:05:08,421 UNDERSTANDING HOW PEOPLE EAT AND 1457 01:05:08,421 --> 01:05:09,923 GAINING AN UNDERSTANDING INTO 1458 01:05:09,923 --> 01:05:12,292 HOW FOOD CHOICES ARE MADE COULD 1459 01:05:12,292 --> 01:05:15,328 GIVE US INSIGHT INTO HOW BEST TO 1460 01:05:15,328 --> 01:05:16,696 STRUCTURE NUTRITION 1461 01:05:16,696 --> 01:05:18,331 RECOMMENDATIONS AND 1462 01:05:18,331 --> 01:05:19,332 TRANSLATIONAL RESEARCH EFFORTS 1463 01:05:19,332 --> 01:05:21,301 TO BE MORE FEASIBLE, SUSTAINABLE 1464 01:05:21,301 --> 01:05:26,406 AND UNIVERSALLY APPEALING. 1465 01:05:26,406 --> 01:05:28,208 WE HEARD SO RICH EXAMPLES AND TO 1466 01:05:28,208 --> 01:05:33,480 ILLUSTRATE THE CONCEPTS A BIT 1467 01:05:33,480 --> 01:05:37,183 MORE I'M SHARING THEE 1468 01:05:37,183 --> 01:05:39,352 COMMENTARIES AND I'LL BRIEFLY 1469 01:05:39,352 --> 01:05:42,889 TOUCH ON KEY FINDINGS FROM EACH 1470 01:05:42,889 --> 01:05:43,089 WORK. 1471 01:05:43,089 --> 01:05:44,657 THERE WAS A COMMON DIETARY 1472 01:05:44,657 --> 01:05:46,192 RECOMMENDATIONS AND TO WHAT 1473 01:05:46,192 --> 01:05:47,627 EXTENT THE RECOMMENDATIONS ARE 1474 01:05:47,627 --> 01:05:48,762 POTENTIALLY CULTURALLY ADAPTABLE 1475 01:05:48,762 --> 01:05:52,532 AND WHAT WE FOUND IS THAT THE 1476 01:05:52,532 --> 01:05:54,334 DIFFERENT DIETARY 1477 01:05:54,334 --> 01:05:55,702 RECOMMENDATIONS DIFFER IN 1478 01:05:55,702 --> 01:05:59,439 ORIENTATION AND TEND TO HAVE A 1479 01:05:59,439 --> 01:06:00,340 REDUCTIONIST EMPHASIS ON 1480 01:06:00,340 --> 01:06:02,876 PHYSICAL HEALTH AND SET ASIDE 1481 01:06:02,876 --> 01:06:04,244 AVAILABLE RESOURCES AND HOW FOOD 1482 01:06:04,244 --> 01:06:05,945 IS PROCURED AND PREPARED OR 1483 01:06:05,945 --> 01:06:08,581 POTENTIALLY NOT HONOR EXISTING 1484 01:06:08,581 --> 01:06:09,983 PLANT-BASED OR OTHER SOCIAL AND 1485 01:06:09,983 --> 01:06:14,020 CULTURAL PRACTICES. 1486 01:06:14,020 --> 01:06:14,821 IN THE SECOND PIECE HOW 1487 01:06:14,821 --> 01:06:17,424 TRANSPORTATION IS A CENTRAL 1488 01:06:17,424 --> 01:06:19,692 DETERMINATE OF FOOD INSECURITY 1489 01:06:19,692 --> 01:06:21,294 AMONGST IMMIGRANT COMMUNITIES AS 1490 01:06:21,294 --> 01:06:26,299 IS IN ACCESS TO IN-LANGUAGE 1491 01:06:26,299 --> 01:06:27,600 RESOURCES AND LAST WEEK THERE 1492 01:06:27,600 --> 01:06:29,302 WERE AREAS IN WHICH WE MAY 1493 01:06:29,302 --> 01:06:31,404 CONSIDER MODIFYING METHODS TO 1494 01:06:31,404 --> 01:06:34,407 PROMOTE GREATER INCLUSIVITY OF 1495 01:06:34,407 --> 01:06:36,910 THE DIETARY EXPERIENCES OF 1496 01:06:36,910 --> 01:06:38,778 IMMIGRANT IN RESEARCH AND 1497 01:06:38,778 --> 01:06:40,914 IMMIGRANTS PRIORITIZE ETHNIC 1498 01:06:40,914 --> 01:06:43,483 FOOD OUTLETS, DIETARY BEHAVIOR 1499 01:06:43,483 --> 01:06:44,517 DIFFERENCES WITHIN FAMILIES OR 1500 01:06:44,517 --> 01:06:49,956 MEAL STYLES AND PATTERNS NOT 1501 01:06:49,956 --> 01:06:50,790 CURRENTLY RECOGNIZED IN 1502 01:06:50,790 --> 01:06:51,424 MAINSTREAM AREAS. 1503 01:06:51,424 --> 01:06:53,359 AND THE SECOND PACE I WANT TO 1504 01:06:53,359 --> 01:06:54,961 SPEAK ON IS REPRESENTATION. 1505 01:06:54,961 --> 01:06:56,596 WHO IS REPRESENTED OR NOT 1506 01:06:56,596 --> 01:06:59,098 REPRESENTED IN OUR NUTRITION 1507 01:06:59,098 --> 01:07:00,099 RECOMMENDATIONS OF RESEARCH. 1508 01:07:00,099 --> 01:07:02,235 NOW, WE DON'T HAVE A DEFINITIVE 1509 01:07:02,235 --> 01:07:05,371 SOURCE TO ANSWER THE SIGNIFICANT 1510 01:07:05,371 --> 01:07:07,140 RESEARCH GAP YET BUT HAVE AN 1511 01:07:07,140 --> 01:07:09,976 IDEA WHO THE FOLKS MAY BE. 1512 01:07:09,976 --> 01:07:12,912 THIS IS A NON-EXHAUSTIVE LIST OF 1513 01:07:12,912 --> 01:07:15,782 NUTRITION SOURCES AND START WITH 1514 01:07:15,782 --> 01:07:17,484 NHANES A MAJOR SOURCE OF 1515 01:07:17,484 --> 01:07:18,718 INFORMATION OF DIETARY 1516 01:07:18,718 --> 01:07:20,687 CONSUMPTION PATTERNS. 1517 01:07:20,687 --> 01:07:24,791 IT'S MADE GREAT STRIDES ADDING A 1518 01:07:24,791 --> 01:07:26,826 SAMPLE OF ASIAN AMERICANS AND 1519 01:07:26,826 --> 01:07:29,829 INITIATING OFFERING IN CHINESE, 1520 01:07:29,829 --> 01:07:31,231 KOREAN AND VIETNAMESE IN 1521 01:07:31,231 --> 01:07:37,570 ADDITION TO ENGLISH AND SPANISH. 1522 01:07:37,570 --> 01:07:45,945 ON CLOSER EXAMINATION THERE WERE 1523 01:07:45,945 --> 01:07:47,547 NON-ENGLISH SPEAKERS. 1524 01:07:47,547 --> 01:07:50,383 THIS IS PROBLEMATIC BECAUSE 1525 01:07:50,383 --> 01:07:52,952 NON-ENGLISH SPEAKING COMMUNITIES 1526 01:07:52,952 --> 01:07:54,888 TEND TO HAVE LESS FAVORABLE DIET 1527 01:07:54,888 --> 01:07:56,923 AND HEALTH OUTCOMES. 1528 01:07:56,923 --> 01:08:00,226 WE MAY BE UNDERESTIMATING 1529 01:08:00,226 --> 01:08:01,761 DISPARITIES IN THE MOST 1530 01:08:01,761 --> 01:08:03,029 VULNERABLE GROUPS BY UNDER 1531 01:08:03,029 --> 01:08:04,831 REPRESENTING THESE COMMUNITIES. 1532 01:08:04,831 --> 01:08:06,766 WITHIN NIH-FUNDED CARDIOVASCULAR 1533 01:08:06,766 --> 01:08:12,338 COHORT STUDIES WE HAVE LIMITED 1534 01:08:12,338 --> 01:08:14,841 REPRESENTATION OF MIDDLE EASTERN 1535 01:08:14,841 --> 01:08:20,246 AND ASIAN AMERICANS ESPECIALLY 1536 01:08:20,246 --> 01:08:22,615 FILIPINO AND VIETNAMESE 1537 01:08:22,615 --> 01:08:22,916 COMMUNITIES. 1538 01:08:22,916 --> 01:08:25,285 NIH FUNDED A NEW COORDINATING 1539 01:08:25,285 --> 01:08:26,786 CENTER TO ESTABLISH A 1540 01:08:26,786 --> 01:08:30,023 LONGITUDINAL COHORT OF ASIAN 1541 01:08:30,023 --> 01:08:31,324 AMERICAN, NATIVE HAWAIIAN AND 1542 01:08:31,324 --> 01:08:32,992 PACIFIC ISLANDERS DEMONSTRATING 1543 01:08:32,992 --> 01:08:37,497 THE COMMITMENT TO ADDRESS THIS 1544 01:08:37,497 --> 01:08:39,465 DEFINITE IN KNOWLEDGE. 1545 01:08:39,465 --> 01:08:42,035 WHO ELSE MIGHT BE UNDER 1546 01:08:42,035 --> 01:08:42,335 REPRESENTED. 1547 01:08:42,335 --> 01:08:48,107 A WORKSHOP DESCRIBES NIH-FUNDED 1548 01:08:48,107 --> 01:08:52,211 RESEARCH DISPARITIES AND FUTURE 1549 01:08:52,211 --> 01:08:54,547 EFFORTS CAN FOCUS ON ASIAN 1550 01:08:54,547 --> 01:08:55,014 AMERICAN AND MATERNAL 1551 01:08:55,014 --> 01:08:56,816 POPULATION. 1552 01:08:56,816 --> 01:09:00,119 AND LASTLY IN A REVIEW WE 1553 01:09:00,119 --> 01:09:02,021 CONDUCTED OF OVER 480 1554 01:09:02,021 --> 01:09:03,489 PEER-REVIEW ARTICLES UNDER 1555 01:09:03,489 --> 01:09:04,524 REPRESENTED COMMUNITIES INCLUDED 1556 01:09:04,524 --> 01:09:09,162 OLDER ADULTS AND AMERICAN 1557 01:09:09,162 --> 01:09:11,297 INDIANS AND ASIAN HAWAIIANS AND 1558 01:09:11,297 --> 01:09:12,966 AMERICAN ISLANDERS AND 1559 01:09:12,966 --> 01:09:14,300 REPRESENTING RESEARCH IN THE 1560 01:09:14,300 --> 01:09:16,035 LONGER TERM WILL BETTER REFLECT 1561 01:09:16,035 --> 01:09:19,839 WHAT DIVERSE COMMUNITIES EAT AND 1562 01:09:19,839 --> 01:09:21,641 THEREFORE SUBSEQUENT NUTRITION 1563 01:09:21,641 --> 01:09:21,975 GUIDANCE. 1564 01:09:21,975 --> 01:09:26,613 FOR THE THIRD SPACE I'D LIKE TO 1565 01:09:26,613 --> 01:09:27,947 DRAW BACK ON THE BASIS PROGRAM I 1566 01:09:27,947 --> 01:09:29,549 SHARED EARLIER AND THIS IS A 1567 01:09:29,549 --> 01:09:31,017 TABLE PART OF OUR PROCESS TO 1568 01:09:31,017 --> 01:09:33,419 HIGHLIGHT THE SIMILARITIES 1569 01:09:33,419 --> 01:09:35,088 ACROSS MEXICAN AND CHINESE 1570 01:09:35,088 --> 01:09:36,856 AMERICAN IMMIGRANT FAMILIES 1571 01:09:36,856 --> 01:09:37,857 PERTINENT TO IMPROVED DIET SUCH 1572 01:09:37,857 --> 01:09:39,325 AS THE IMPORTANCE OF FAMILY, 1573 01:09:39,325 --> 01:09:41,561 PARENTING STYLE OR THE ROLE OF 1574 01:09:41,561 --> 01:09:43,496 GRANDPARENTS AS PRIMARY 1575 01:09:43,496 --> 01:09:43,796 CAREGIVERS. 1576 01:09:43,796 --> 01:09:46,899 SUCH AN APPROACH THAT LEVERAGES 1577 01:09:46,899 --> 01:09:47,800 COMMONALITIES ACROSS GROUPS 1578 01:09:47,800 --> 01:09:49,802 WOULD PROVIDE EFFICIENCY IN 1579 01:09:49,802 --> 01:09:50,803 SCALE, IMPROVE GENERALIZABILITY 1580 01:09:50,803 --> 01:09:52,905 OF FINDINGS TO OTHER COMMUNITIES 1581 01:09:52,905 --> 01:09:54,340 AND PROMOTE CROSS-RACIAL 1582 01:09:54,340 --> 01:09:57,410 LEARNING. 1583 01:09:57,410 --> 01:10:01,714 OR WITH ANOTHER EXAMPLE, OUR 1584 01:10:01,714 --> 01:10:03,182 COMMUNITY PROGRAM WORKING IN 1585 01:10:03,182 --> 01:10:04,250 COLLABORATION WITH OUR COMMUNITY 1586 01:10:04,250 --> 01:10:05,618 PARTNERS WE CREATED THIS NAME 1587 01:10:05,618 --> 01:10:08,955 AND TAGLINE, KEEPING IN MIND 1588 01:10:08,955 --> 01:10:10,423 THEY WOULD NEED TO BE IN THE 1589 01:10:10,423 --> 01:10:12,392 FOUR LANGUAGES SPOKEN AMONG OUR 1590 01:10:12,392 --> 01:10:14,761 COMMUNITY MEMBERS AND THOUGH 1591 01:10:14,761 --> 01:10:16,396 THERE'S A BIT OF DISCREPANCY 1592 01:10:16,396 --> 01:10:19,432 ACROSS THE NAMES ALL VERSIONS 1593 01:10:19,432 --> 01:10:20,366 CONVERGE THE SAME BROAD 1594 01:10:20,366 --> 01:10:22,201 MESSAGING AND SPECIFIC ENOUGH TO 1595 01:10:22,201 --> 01:10:23,970 ALLOW FOR COMMUNITY MEMBERS TO 1596 01:10:23,970 --> 01:10:25,905 FEEL SEEN AND CONNECTED TO THIS 1597 01:10:25,905 --> 01:10:30,243 PROGRAM. 1598 01:10:30,243 --> 01:10:31,911 TO RECAP FIRST IN TERMS OF HOW 1599 01:10:31,911 --> 01:10:34,447 DO PEOPLE EAT, WHAT WE TEND TO 1600 01:10:34,447 --> 01:10:37,483 KNOW IS WHAT PEOPLE EAT AND 1601 01:10:37,483 --> 01:10:38,117 WITHIN DIFFERENT DEMOGRAPHIC 1602 01:10:38,117 --> 01:10:38,551 GROUPS. 1603 01:10:38,551 --> 01:10:40,019 WHAT WE DON'T KNOW IS WHAT 1604 01:10:40,019 --> 01:10:43,823 DRIVES THEIR FOOD CHOICES. 1605 01:10:43,823 --> 01:10:46,492 A RECOMMENDATION WOULD BE TO 1606 01:10:46,492 --> 01:10:47,960 CONDUCT NEW RESEARCH BY THE 1607 01:10:47,960 --> 01:10:49,095 DISPARITIES FRAME WORK TO GET A 1608 01:10:49,095 --> 01:10:50,363 MORE CLEAR SENSE OF THE 1609 01:10:50,363 --> 01:10:50,630 CONCEPTS. 1610 01:10:50,630 --> 01:10:51,764 WHO IS REPRESENTED? 1611 01:10:51,764 --> 01:10:54,267 WHAT WE KNOW IS LIMITED TO THOSE 1612 01:10:54,267 --> 01:10:56,269 THAT HAVE BEEN CAPTURED BY 1613 01:10:56,269 --> 01:10:57,804 EXISTING RESEARCH STUDIES AND 1614 01:10:57,804 --> 01:11:02,308 WHAT WE DON'T KNOW IS ABOUT 1615 01:11:02,308 --> 01:11:04,777 THOSE THAT ARE NOT REPRESENTED 1616 01:11:04,777 --> 01:11:06,179 IN THE CURRENT LITERATURE BASE. 1617 01:11:06,179 --> 01:11:10,516 SO TO THIS END I URGE FOR 1618 01:11:10,516 --> 01:11:12,351 CONTINUED PRIORITIZATION AND 1619 01:11:12,351 --> 01:11:14,587 INVESTMENT IN LONGITUDINAL 1620 01:11:14,587 --> 01:11:19,392 COHORT STUDIES AMONG LIMITED 1621 01:11:19,392 --> 01:11:20,727 ENGLISH PROFICIENT COMMUNITIES 1622 01:11:20,727 --> 01:11:22,662 AND ONE SIZE DOES NOT FIT ALL 1623 01:11:22,662 --> 01:11:25,131 BUT IS THERE UNIVERSAL MESSAGING 1624 01:11:25,131 --> 01:11:28,434 THAT WOULD ALLOW US TO BE BROAD 1625 01:11:28,434 --> 01:11:29,102 AND SPECIFIC. 1626 01:11:29,102 --> 01:11:31,237 THIS END WE SHOULD BE 1627 01:11:31,237 --> 01:11:33,272 IMPLEMENTING SCIENCE PRINCIPLES 1628 01:11:33,272 --> 01:11:35,441 AND FUND EFFORTS THAT EMPHASIZE 1629 01:11:35,441 --> 01:11:37,343 ACROSS RACIAL EFFORTS AND ACROSS 1630 01:11:37,343 --> 01:11:40,279 ALL THREE BUCKETS WHO SHOULD BE 1631 01:11:40,279 --> 01:11:41,047 CONSTRUCTING DIVERSE TEAMS 1632 01:11:41,047 --> 01:11:44,183 ACROSS THE FULL SPECTRUM OF 1633 01:11:44,183 --> 01:11:46,152 INVESTIGATOR, STAFF, STUDENTS, 1634 01:11:46,152 --> 01:11:47,620 PARTNERS, PRACTITIONERS AND 1635 01:11:47,620 --> 01:11:48,788 COMMUNITY MEMBERS TO BRING THEIR 1636 01:11:48,788 --> 01:11:55,595 LIVED EXPERIENCES TO THE TABLE. 1637 01:11:55,595 --> 01:11:57,697 TO CLOSE, RESEARCH GAPS INCLUDE 1638 01:11:57,697 --> 01:11:59,232 CHARACTERIZING WHO IS UNDER 1639 01:11:59,232 --> 01:12:00,566 REPRESENTED ALONG THE CONTINUUM 1640 01:12:00,566 --> 01:12:02,368 OF NUTRITION KNOWLEDGE AND 1641 01:12:02,368 --> 01:12:03,169 TRANSLATION. 1642 01:12:03,169 --> 01:12:06,172 WE ALSO NEED TO ELUCIDATE THE 1643 01:12:06,172 --> 01:12:08,574 DETERMINATES THAT DRIVE FOOD 1644 01:12:08,574 --> 01:12:10,510 CHOICES THROUGH A SYSTEMATIC 1645 01:12:10,510 --> 01:12:13,780 REVIEW OF RESEARCH IN TANDEM 1646 01:12:13,780 --> 01:12:16,182 WITH THE HEALTH OUTCOME REVIEWS 1647 01:12:16,182 --> 01:12:17,283 CURRENTLY CONDUCTED TO INFORM 1648 01:12:17,283 --> 01:12:18,484 THE DIETARY GUIDELINE AND ONCE 1649 01:12:18,484 --> 01:12:20,419 WE IDENTIFY THE PEOPLE WHO ARE 1650 01:12:20,419 --> 01:12:23,890 UNDER REPRESENTED IN NUTRITION 1651 01:12:23,890 --> 01:12:25,958 RESEARCH, A COORDINATED NATIONAL 1652 01:12:25,958 --> 01:12:27,593 QUALITATIVE EFFORT UTILIZING A 1653 01:12:27,593 --> 01:12:29,495 COMMON TOPIC GUIDE LEVERAGING 1654 01:12:29,495 --> 01:12:30,830 SOME OF THE RICH ACADEMIC 1655 01:12:30,830 --> 01:12:31,964 COMMUNITY PARTNERSHIP AND 1656 01:12:31,964 --> 01:12:33,566 TRUSTED NETWORKS THAT ALREADY 1657 01:12:33,566 --> 01:12:34,200 EXIST. 1658 01:12:34,200 --> 01:12:36,035 NEXT, WE SHOULD BE EXPLORING 1659 01:12:36,035 --> 01:12:38,037 WAYS WE CAN ADDRESS THE 1660 01:12:38,037 --> 01:12:39,872 REPRESENTATION OF OUR EXISTING 1661 01:12:39,872 --> 01:12:42,341 ROBUST NATIONAL SURVEY CAPTURE 1662 01:12:42,341 --> 01:12:44,710 DIETARY DATA LIKE APPLYING 1663 01:12:44,710 --> 01:12:46,245 INNOVATIVE TECHNIQUES. 1664 01:12:46,245 --> 01:12:48,648 AND LASTLY, WE SHOULD BE WORKING 1665 01:12:48,648 --> 01:12:50,650 NOT ONLY ACROSS MULTIPLE SECTORS 1666 01:12:50,650 --> 01:12:55,221 AS IS INCREASINGLY THE NORM BUT 1667 01:12:55,221 --> 01:12:55,888 CROSS-RACIALLY AND LEARNING FROM 1668 01:12:55,888 --> 01:12:57,790 EACH OTHER AND DOCUMENTING THE 1669 01:12:57,790 --> 01:13:00,459 BEST PRACTICES FOR EFFECTIVE 1670 01:13:00,459 --> 01:13:00,827 COLLABORATION. 1671 01:13:00,827 --> 01:13:01,861 I BELIEVE GAINING A BETTER 1672 01:13:01,861 --> 01:13:03,629 UNDERSTANDING OF THE EXISTING 1673 01:13:03,629 --> 01:13:05,364 GAPS WILL BE A STEP TOWARDS 1674 01:13:05,364 --> 01:13:08,134 CREATING A MORE EQUITABLE 1675 01:13:08,134 --> 01:13:09,135 DIETARY RESEARCH AND 1676 01:13:09,135 --> 01:13:10,469 PRACTICE-BASE AND LEAD TO 1677 01:13:10,469 --> 01:13:11,737 IMPROVEMENTS IN 1678 01:13:11,737 --> 01:13:12,271 NUTRITION-RELATED HEALTH 1679 01:13:12,271 --> 01:13:16,442 OUTCOMES. 1680 01:13:16,442 --> 01:13:18,244 THESE ARE MY ACKNOWLEDGEMENT AND 1681 01:13:18,244 --> 01:13:19,078 THANK YOU AND I LOOK FORWARD TO 1682 01:13:19,078 --> 01:13:29,222 THE Q&A. 1683 01:13:32,124 --> 01:13:39,565 >> THANK YOU, DR. YI. 1684 01:13:39,565 --> 01:13:41,334 I HOPE EVERYONE CAN HEAR ME I 1685 01:13:41,334 --> 01:13:42,535 HAD PROBLEMS WITH MY AUDIO AND 1686 01:13:42,535 --> 01:13:47,440 I'LL READ SOME QUESTIONS AND 1687 01:13:47,440 --> 01:13:48,374 THEY'RE COMBINED AND IN THE 1688 01:13:48,374 --> 01:13:52,345 MEANTIME IF YOU STILL HAVE 1689 01:13:52,345 --> 01:13:57,650 QUESTIONS PLEASE USE THE LIVE 1690 01:13:57,650 --> 01:13:58,818 FEEDBACK OPTION IN THE NIH 1691 01:13:58,818 --> 01:14:00,253 VIDEOCAST TO SUBMIT QUESTIONS. 1692 01:14:00,253 --> 01:14:05,391 SO LET'S GET STARTED. 1693 01:14:05,391 --> 01:14:09,195 THERE'S A FEW QUESTIONS ON 1694 01:14:09,195 --> 01:14:09,862 DATABASE AS WELL AS POLICY AS 1695 01:14:09,862 --> 01:14:12,265 WELL AS OBTAINING DIETARY 1696 01:14:12,265 --> 01:14:12,498 INTAKE. 1697 01:14:12,498 --> 01:14:15,534 I'M ACTUALLY GOING WITH THE 1698 01:14:15,534 --> 01:14:21,307 QUESTIONS THAT WAS FOR DIETARY 1699 01:14:21,307 --> 01:14:31,450 INTAKE. 1700 01:14:35,087 --> 01:14:40,493 AND IN SOME CULTURES THE EATING 1701 01:14:40,493 --> 01:14:42,128 HABIT IS YOU TAKE A PIECE AND 1702 01:14:42,128 --> 01:14:46,666 THEN ANOTHER AND YOU KEEP GOING. 1703 01:14:46,666 --> 01:14:52,438 IN THOSE CASES, IT MAY NOT WORK 1704 01:14:52,438 --> 01:14:58,010 WELL 1705 01:14:58,010 --> 01:15:07,053 OUR TOOLS ACROSS FREQUENCY, WE 1706 01:15:07,053 --> 01:15:08,587 SOMEHOW ADAPT TO TECHNOLOGY THAT 1707 01:15:08,587 --> 01:15:15,061 HELP US TO CAPTURE FOOD INTAKE 1708 01:15:15,061 --> 01:15:16,295 MORE ACCURATELY IN POPULATIONS 1709 01:15:16,295 --> 01:15:18,597 THAT WE ALL EAT DIFFERENTLY, HOW 1710 01:15:18,597 --> 01:15:23,869 WE EAT IS DIFFERENTLY. 1711 01:15:23,869 --> 01:15:25,171 ANY COMMENTS ABOUT THAT? 1712 01:15:25,171 --> 01:15:27,139 >> YES, THAT IS AN IMPORTANT 1713 01:15:27,139 --> 01:15:29,942 QUESTION. 1714 01:15:29,942 --> 01:15:33,279 I THINK IT'S BEEN UNDERSTUDIED. 1715 01:15:33,279 --> 01:15:35,648 HOWEVER, WHAT WE'VE DONE IN THE 1716 01:15:35,648 --> 01:15:38,851 PAST WE SEE RECIPE FOR THE FULL 1717 01:15:38,851 --> 01:15:39,852 PORTION THAT'S SERVED ON THE 1718 01:15:39,852 --> 01:15:43,055 TABLE AND THEN WE ASK PEOPLE TO 1719 01:15:43,055 --> 01:15:44,523 ESTIMATE WHAT PROPORTION OF THAT 1720 01:15:44,523 --> 01:15:45,925 DID YOU EAT RATHER THAN SAYING 1721 01:15:45,925 --> 01:15:48,361 HOW BIG WAS IT, YOU SAY DID YOU 1722 01:15:48,361 --> 01:15:54,400 EAT HALF, A QUARTER OF IT, A 1723 01:15:54,400 --> 01:15:54,934 SIXTH? 1724 01:15:54,934 --> 01:15:56,002 THAT WORKS WELL. 1725 01:15:56,002 --> 01:16:02,708 IN THE ASIAN POPULATION ANDEAST 1726 01:16:02,708 --> 01:16:05,144 ASIAN POPULATION, THESE ARE 1727 01:16:05,144 --> 01:16:05,745 REALLY IMPORTANT QUESTIONS. 1728 01:16:05,745 --> 01:16:08,047 >> ONE THING THAT CAME UP, WE 1729 01:16:08,047 --> 01:16:09,849 DON'T DO A FULL FOOD FREQUENCY 1730 01:16:09,849 --> 01:16:10,850 QUESTIONNAIRE WITH SOME ISSUES 1731 01:16:10,850 --> 01:16:13,619 THAT HAVE COME UP IN OUR PROGRAM 1732 01:16:13,619 --> 01:16:16,589 I MENTIONED IN MEASURING 1733 01:16:16,589 --> 01:16:17,590 VEGETABLE CONSUMPTION. 1734 01:16:17,590 --> 01:16:22,194 WHAT WE FOUND IS SIMILAR TO WHAT 1735 01:16:22,194 --> 01:16:24,497 YOU WERE ALLUDING TO, TERESA, 1736 01:16:24,497 --> 01:16:30,836 AND WHAT DR. YE WAS SAYING 1737 01:16:30,836 --> 01:16:33,739 YESTERDAY, THE AMERICAN CULTURE, 1738 01:16:33,739 --> 01:16:34,774 OTHERS TOO, VEGETABLES COOKED IN 1739 01:16:34,774 --> 01:16:36,308 MIXED DISHES, HARD TO ESTIMATE 1740 01:16:36,308 --> 01:16:41,614 HOW MUCH VERY -- VEGETABLE 1741 01:16:41,614 --> 01:16:44,483 YOU'RE EATING IF IT'S A MIXED 1742 01:16:44,483 --> 01:16:47,586 DISH WITH THREE VEGETABLES IN 1743 01:16:47,586 --> 01:16:48,487 IT. 1744 01:16:48,487 --> 01:16:49,755 THERE'S A GREAT PUBLICATION THAT 1745 01:16:49,755 --> 01:16:53,292 TALKS ABOUT THIS, THEY LOOKED AT 1746 01:16:53,292 --> 01:16:55,428 NHANES DATA AND FOUND MIXED 1747 01:16:55,428 --> 01:16:57,930 DISHES MADE UP VEGETABLE 1748 01:16:57,930 --> 01:16:59,065 CONSUMPTION OF ASIAN AMERICAN 1749 01:16:59,065 --> 01:17:01,100 GROUP AND HISPANIC GROUP MORE SO 1750 01:17:01,100 --> 01:17:03,135 THAN BLACK AND WHITE 1751 01:17:03,135 --> 01:17:03,436 COMMUNITIES. 1752 01:17:03,436 --> 01:17:10,943 AND SO THERE'S SOME EVIDENCE FOR 1753 01:17:10,943 --> 01:17:11,243 THAT. 1754 01:17:11,243 --> 01:17:13,479 I'M NOT AN EXPERT IN DIETARY 1755 01:17:13,479 --> 01:17:14,246 ANALYSIS OR DATA COLLECTION BUT 1756 01:17:14,246 --> 01:17:17,416 SOME OF THE WAYS WE COULD 1757 01:17:17,416 --> 01:17:21,320 IMPROVE IS THINK ABOUT WAYS 1758 01:17:21,320 --> 01:17:22,888 OTHER CULTURES AND COMMUNITIES, 1759 01:17:22,888 --> 01:17:24,824 OTHER COUNTRIES MEASURE DIETARY 1760 01:17:24,824 --> 01:17:25,724 INTAKE, RIGHT? 1761 01:17:25,724 --> 01:17:27,159 OR MAYBE ONE OF THE THINGS THAT 1762 01:17:27,159 --> 01:17:30,396 OUR GROUP HAD TALKED ABOUT WAS 1763 01:17:30,396 --> 01:17:31,630 POTENTIALLY ASKING THEM ABOUT 1764 01:17:31,630 --> 01:17:32,665 WHAT THEY PREPARED FOR DINNER 1765 01:17:32,665 --> 01:17:34,633 THAT NIGHT AND WHAT WAS ON THE 1766 01:17:34,633 --> 01:17:36,135 TABLE, RATHER THAN -- THAT 1767 01:17:36,135 --> 01:17:38,237 DOESN'T HELP YOU TO GET AT 1768 01:17:38,237 --> 01:17:39,638 INDIVIDUAL LEVEL CONSUMPTION BUT 1769 01:17:39,638 --> 01:17:41,373 AT LEAST THAT'S SORT OF GIVING 1770 01:17:41,373 --> 01:17:43,342 YOU ANOTHER DATA POINT TO 1771 01:17:43,342 --> 01:17:45,945 COMPARE AGAINST WHAT THEY ARE 1772 01:17:45,945 --> 01:17:48,047 TRYING TO ESTIMATE FROM THAT 1773 01:17:48,047 --> 01:17:48,247 WHOLE. 1774 01:17:48,247 --> 01:17:49,148 THOSE ARE SOME IDEAS. 1775 01:17:49,148 --> 01:17:50,749 WE COULD BE LEARNING FROM OTHER 1776 01:17:50,749 --> 01:17:57,123 COUNTRIES AND SHOULD BE TALKING 1777 01:17:57,123 --> 01:17:57,723 TO PEOPLE. 1778 01:17:57,723 --> 01:18:03,762 >> DOES ANYBODY HAVE ANY OPINION 1779 01:18:03,762 --> 01:18:06,132 ON USING PHOTOGRAPHS AND HOW 1780 01:18:06,132 --> 01:18:10,402 FEEDING BACK TO THE INVESTIGATOR 1781 01:18:10,402 --> 01:18:16,208 USING THAT TO ASSIST IN ACCURACY 1782 01:18:16,208 --> 01:18:18,310 OF RECALL? 1783 01:18:18,310 --> 01:18:20,946 IT'S NOT SO EASY BUT WHAT IS 1784 01:18:20,946 --> 01:18:21,881 YOUR OPINION ON THAT? 1785 01:18:21,881 --> 01:18:23,415 >> I'LL SAY SOMETHING ABOUT 1786 01:18:23,415 --> 01:18:23,649 THAT. 1787 01:18:23,649 --> 01:18:27,920 SEVERAL PEOPLE HAVE BEEN WORKING 1788 01:18:27,920 --> 01:18:29,622 ON THAT, AND ONE, FOR EXAMPLE, 1789 01:18:29,622 --> 01:18:34,260 HAD A CAMERA AROUND THEIR NECK 1790 01:18:34,260 --> 01:18:35,828 TO BE NON-CONSPICUOUS, TAKING 1791 01:18:35,828 --> 01:18:38,998 EVERY FEW MINUTES TAKING A 1792 01:18:38,998 --> 01:18:39,999 PICTURE. 1793 01:18:39,999 --> 01:18:41,600 OTHERS HAD PLACE MATS TO 1794 01:18:41,600 --> 01:18:44,470 STANDARDIZE THE SIZE OF THE 1795 01:18:44,470 --> 01:18:47,673 PLATE AND GET THE PORTION SIZE 1796 01:18:47,673 --> 01:18:49,675 ESTIMATED FROM THAT, WITH NEW 1797 01:18:49,675 --> 01:18:50,676 TECHNOLOGY THOSE THINGS ARE 1798 01:18:50,676 --> 01:18:52,511 GETTING BETTER. 1799 01:18:52,511 --> 01:18:55,648 THE TRUTH IS, YES, THEY CAN HELP 1800 01:18:55,648 --> 01:18:56,448 YOU WITH PORTION SIZE BUT THEY 1801 01:18:56,448 --> 01:18:58,250 ARE NEVER GOING TO GET THE WHOLE 1802 01:18:58,250 --> 01:18:58,751 THING. 1803 01:18:58,751 --> 01:19:01,420 FOR EXAMPLE, IF YOU SEE A GLASS 1804 01:19:01,420 --> 01:19:04,823 OF SODA, YOU DON'T KNOW IF IT'S 1805 01:19:04,823 --> 01:19:07,459 DIET SODA OR FULL SUGAR SODA. 1806 01:19:07,459 --> 01:19:10,129 I THINK PHOTOGRAPHS CAN BE 1807 01:19:10,129 --> 01:19:12,031 HELPFUL FOR PORTION SIZES. 1808 01:19:12,031 --> 01:19:13,766 BUT THAT'S THE EXTENT OF IT. 1809 01:19:13,766 --> 01:19:15,701 AND I WOULD SAY THE OTHER THING 1810 01:19:15,701 --> 01:19:17,770 IS THEY TAKE A LOT OF WORK. 1811 01:19:17,770 --> 01:19:19,638 IT'S NOT SIMPLIFYING THINGS. 1812 01:19:19,638 --> 01:19:21,207 ONCE YOU HAVE ALL THOSE 1813 01:19:21,207 --> 01:19:23,275 PICTURES, SOMETHING HAS TO GO 1814 01:19:23,275 --> 01:19:24,109 THROUGH THEM. 1815 01:19:24,109 --> 01:19:25,844 I KNOW THEY ARE WORKING MORE 1816 01:19:25,844 --> 01:19:30,015 WITH A.I. TO DO THAT. 1817 01:19:30,015 --> 01:19:32,351 BUT IT STILL TAKES A REAL PERSON 1818 01:19:32,351 --> 01:19:35,688 TO MAKE THE FINAL DECISION. 1819 01:19:35,688 --> 01:19:37,323 >> ONE QUICK QUESTION FOR DR. 1820 01:19:37,323 --> 01:19:38,224 TUCKER. 1821 01:19:38,224 --> 01:19:40,526 ONE OF OUR ATTENDEES WAS ASKING 1822 01:19:40,526 --> 01:19:44,063 ABOUT THE PUERTO RICAN 1823 01:19:44,063 --> 01:19:44,396 QUESTIONNAIRE. 1824 01:19:44,396 --> 01:19:47,333 FOR WHAT AGE GROUP WAS IT 1825 01:19:47,333 --> 01:19:47,666 DESIGNED? 1826 01:19:47,666 --> 01:19:48,801 >> YES, ABSOLUTELY. 1827 01:19:48,801 --> 01:19:51,537 IT'S AVAILABLE IN SPANISH AND 1828 01:19:51,537 --> 01:19:51,770 ENGLISH. 1829 01:19:51,770 --> 01:19:54,573 AND IT IS BEING USED BY SEVERAL 1830 01:19:54,573 --> 01:19:55,140 GROUPS. 1831 01:19:55,140 --> 01:19:59,345 AND IT WAS DESIGNED FOR ADULTS. 1832 01:19:59,345 --> 01:20:00,646 >> OKAY, GREAT. 1833 01:20:00,646 --> 01:20:00,913 THANK YOU. 1834 01:20:00,913 --> 01:20:08,520 THERE ARE A FEW QUESTIONS ABOUT 1835 01:20:08,520 --> 01:20:12,524 DATABASE IN TERMS OF UPDATING, 1836 01:20:12,524 --> 01:20:16,161 ADDING MORE CULTURE FOODS AND 1837 01:20:16,161 --> 01:20:20,599 EXPANDING AS WELL AS HOW THE 1838 01:20:20,599 --> 01:20:22,201 SCIENTIFIC COMMUNITY CAN HELP 1839 01:20:22,201 --> 01:20:24,603 YOU WITH EXPANDING THE DATABASE. 1840 01:20:24,603 --> 01:20:27,439 >> THANK YOU FOR THAT QUESTION. 1841 01:20:27,439 --> 01:20:28,974 IT'S SO IMPORTANT, PARTICULARLY 1842 01:20:28,974 --> 01:20:30,643 FOR THIS WORKSHOP. 1843 01:20:30,643 --> 01:20:32,745 LET ME FIRST ADDRESS HOW WE MAKE 1844 01:20:32,745 --> 01:20:34,947 DECISIONS OF WHAT TO ADD TO THE 1845 01:20:34,947 --> 01:20:38,083 FOOD AND NUTRIENT DATABASE FOR 1846 01:20:38,083 --> 01:20:40,953 DIETARY STUDIES. 1847 01:20:40,953 --> 01:20:42,655 FUNDAMENTALLY IT'S BASED ON NEW 1848 01:20:42,655 --> 01:20:47,293 FOODS THAT GET REPORTED IN THE 1849 01:20:47,293 --> 01:20:47,593 SURVEY. 1850 01:20:47,593 --> 01:20:49,561 AND IF REPORTED A NUMBER OF 1851 01:20:49,561 --> 01:20:53,532 TIMES, AS WELL AS IN COMBINATION 1852 01:20:53,532 --> 01:20:58,871 WITH THAT, DO WE HAVE THE 1853 01:20:58,871 --> 01:21:00,673 ANALYTICAL COMPOSITION DATA TO 1854 01:21:00,673 --> 01:21:01,473 CHARACTERIZE THE FOOD, BECAUSE 1855 01:21:01,473 --> 01:21:08,180 WE WANT TO BE SURE WE HAVE GOOD 1856 01:21:08,180 --> 01:21:13,285 NUTRIENT VALUES FOR FOODS 1857 01:21:13,285 --> 01:21:15,521 REREPORT IN NATURAL SURVEY WITH 1858 01:21:15,521 --> 01:21:19,692 SUCH IMPORTANT USES. 1859 01:21:19,692 --> 01:21:20,693 SO THAT'S BASICALLY HOW WE 1860 01:21:20,693 --> 01:21:26,832 DECIDE TO ADD NEW FOODS. 1861 01:21:26,832 --> 01:21:30,102 WE ALSO USE THE LOOKED AT THE 1862 01:21:30,102 --> 01:21:31,070 MARKETPLACE, VERY DIFFICULT TO 1863 01:21:31,070 --> 01:21:34,673 DO, BUT THAT IS HIGHLY TRENDING 1864 01:21:34,673 --> 01:21:37,710 IN THE MARKETPLACE. 1865 01:21:37,710 --> 01:21:39,378 NON-DAIRY BEVERAGE CHOICES ARE 1866 01:21:39,378 --> 01:21:42,114 AN AREA THAT'S JUST GROWN 1867 01:21:42,114 --> 01:21:42,548 TREMENDOUSLY. 1868 01:21:42,548 --> 01:21:45,718 AND WE'RE WORKING TO GET THOSE 1869 01:21:45,718 --> 01:21:49,154 TYPES OF BEVERAGES PUT INTO THE 1870 01:21:49,154 --> 01:21:49,888 DATABASE. 1871 01:21:49,888 --> 01:21:51,190 THE RECOMMENDATIONS THAT COME 1872 01:21:51,190 --> 01:21:53,058 FROM THE DIETARY GUIDELINES TO 1873 01:21:53,058 --> 01:21:58,330 MOVE MORE TO A PLANT-BASED DIET 1874 01:21:58,330 --> 01:21:59,164 VERSUS ANIMAL-BASED DIET 1875 01:21:59,164 --> 01:22:03,802 INFLUENCE US IN TERMS OF WHAT 1876 01:22:03,802 --> 01:22:09,174 SHOULD BE IN FNDDS. 1877 01:22:09,174 --> 01:22:15,280 NOW, HOW TO GET MORE ETHNIC 1878 01:22:15,280 --> 01:22:17,683 CULTURAL FOODS IN USDA 1879 01:22:17,683 --> 01:22:20,652 DATABASES, AND FOOD DATA CENTRAL 1880 01:22:20,652 --> 01:22:23,188 WHICH IS OUR BASIS FOR 1881 01:22:23,188 --> 01:22:25,057 COMPOSITION DATA, THERE'S A 1882 01:22:25,057 --> 01:22:28,560 PLACE WHERE YOU CAN SUBMIT 1883 01:22:28,560 --> 01:22:31,196 QUESTIONS ON THAT WEBSITE. 1884 01:22:31,196 --> 01:22:34,366 I WOULD ENCOURAGE YOU TO PUT IN 1885 01:22:34,366 --> 01:22:36,869 THE FOODS OR BEVERAGES YOU WOULD 1886 01:22:36,869 --> 01:22:40,139 LIKE TO SEE ANALYZED, AS WELL AS 1887 01:22:40,139 --> 01:22:42,975 UNDERSTANDING THE BASIS FOR OUR 1888 01:22:42,975 --> 01:22:48,280 FOUNDATION FOODS IN THAT 1889 01:22:48,280 --> 01:22:48,547 DATABASE. 1890 01:22:48,547 --> 01:22:52,751 DOING THE LABORATORY ANALYSIS OF 1891 01:22:52,751 --> 01:22:59,258 WHAT'S IN FOODS IS NOT AN 1892 01:22:59,258 --> 01:22:59,992 INEXPENSIVE ENDEAVOR. 1893 01:22:59,992 --> 01:23:01,460 WE ALWAYS HAVE TO SET 1894 01:23:01,460 --> 01:23:01,994 PRIORITIES. 1895 01:23:01,994 --> 01:23:07,299 BUT PUTTING YOUR IDEAS IN FDC AS 1896 01:23:07,299 --> 01:23:08,534 WELL AS E-MAILING ME, IF YOU'VE 1897 01:23:08,534 --> 01:23:12,538 GOT THINGS YOU WOULD LIKE TO SEE 1898 01:23:12,538 --> 01:23:13,739 MORE ANALYTICAL DATA ON, AND 1899 01:23:13,739 --> 01:23:16,909 WANT TO GET A REAL PERSON, I CAN 1900 01:23:16,909 --> 01:23:19,645 ARRANGE TO HAVE YOU MEET WITH 1901 01:23:19,645 --> 01:23:22,281 THE PEOPLE THAT WORK ON FDC AND 1902 01:23:22,281 --> 01:23:25,584 I WORK WITH IT AS WELL. 1903 01:23:25,584 --> 01:23:29,388 THERE'S A GREAT INTEREST IN OUR 1904 01:23:29,388 --> 01:23:31,356 CENTER FOR INCLUDING MORE 1905 01:23:31,356 --> 01:23:34,560 INDIGENOUS FOODS INTO FOOD DATA 1906 01:23:34,560 --> 01:23:34,827 CENTRAL. 1907 01:23:34,827 --> 01:23:37,930 SO, STAY TUNED OVER THE NEXT FEW 1908 01:23:37,930 --> 01:23:38,163 YEARS. 1909 01:23:38,163 --> 01:23:39,832 >> GREAT, THANK YOU. 1910 01:23:39,832 --> 01:23:41,700 WE'RE GETTING INTO OUR BREAK 1911 01:23:41,700 --> 01:23:46,505 TIME BUT I HAVE A QUESTION. 1912 01:23:46,505 --> 01:23:49,107 WHEN IT COMES TO HEALTH EQUITY 1913 01:23:49,107 --> 01:23:55,347 LENS OF THINGS, HOW WAS THE 1914 01:23:55,347 --> 01:23:57,049 ORDER OF YOUNG ADULTS FITTING 1915 01:23:57,049 --> 01:23:57,483 INTO THAT? 1916 01:23:57,483 --> 01:23:58,951 >> IT'S A GREAT QUESTION. 1917 01:23:58,951 --> 01:24:00,719 THE ADVISORY COMMITTEE IS 1918 01:24:00,719 --> 01:24:01,787 LOOKING ACROSS ALL AGES. 1919 01:24:01,787 --> 01:24:03,722 FROM INFANTS ALL THE WAY TO 1920 01:24:03,722 --> 01:24:04,356 OLDER ADULTS. 1921 01:24:04,356 --> 01:24:06,325 I THINK THE PERSON WHO ASKED THE 1922 01:24:06,325 --> 01:24:07,426 QUESTION IS LOOKING AT THE 1923 01:24:07,426 --> 01:24:09,828 SUBCOMMITTEES, WE HAVE ONE 1924 01:24:09,828 --> 01:24:11,597 COMMITTEE THAT'S LOOKING AT 1925 01:24:11,597 --> 01:24:13,265 PREGNANCY AND CHILDREN, 1926 01:24:13,265 --> 01:24:13,732 ADOLESCENTS. 1927 01:24:13,732 --> 01:24:15,534 BUT THE OTHER SUBCOMMITTEES ARE 1928 01:24:15,534 --> 01:24:17,169 LOOKING ACROSS THE LIFESPAN 1929 01:24:17,169 --> 01:24:18,403 INCLUDING ADULTS. 1930 01:24:18,403 --> 01:24:18,971 SO THANK YOU. 1931 01:24:18,971 --> 01:24:19,938 >> GREAT. 1932 01:24:19,938 --> 01:24:21,039 THANK YOU. 1933 01:24:21,039 --> 01:24:23,942 WE'RE GETTING INTO OUR BREAK 1934 01:24:23,942 --> 01:24:24,576 TIME. 1935 01:24:24,576 --> 01:24:28,146 WE DO HAVE MANY MORE PANELISTS 1936 01:24:28,146 --> 01:24:31,083 COMING UP, I WANT TO MOVE TO THE 1937 01:24:31,083 --> 01:24:33,385 BREAK NOW. 1938 01:24:33,385 --> 01:24:34,653 I'M SORRY I DIDN'T ADDRESS ALL 1939 01:24:34,653 --> 01:24:36,154 THE QUESTIONS. 1940 01:24:36,154 --> 01:24:37,923 CONTACT THE PANELIST SO WE CAN 1941 01:24:37,923 --> 01:24:38,690 GET YOUR QUESTIONS ADDRESSED. 1942 01:24:38,690 --> 01:24:41,126 THANK YOU SO MUCH FOR JOINING US 1943 01:24:41,126 --> 01:24:45,330 TODAY AND THANK YOU TO ESTEEMED 1944 01:24:45,330 --> 01:24:45,998 PANELISTS. 1945 01:24:45,998 --> 01:24:50,074 LET'S RECONVENE AT 1:30. 1946 01:24:50,074 --> 01:24:52,676 I'M PROGRAM DIRECTOR AT NCI 1947 01:24:52,676 --> 01:24:53,511 AND COMMITTEE MEMBER. 1948 01:24:53,511 --> 01:24:59,116 IT'S GREAT TO BE 1949 01:24:59,116 --> 01:25:01,218 HERE TODAY, I'M EXCITED TO SERVE 1950 01:25:01,218 --> 01:25:02,820 AS MODERATOR FOR THE FLASH TALK. 1951 01:25:02,820 --> 01:25:04,889 WE'LL HIGHLIGHT WORK OF TRAINEES 1952 01:25:04,889 --> 01:25:07,525 AND EARLY STAGE RESEARCHERS 1953 01:25:07,525 --> 01:25:09,293 DOING WORK AROUND 1954 01:25:09,293 --> 01:25:10,027 CULTURE-CENTERED DIETARY 1955 01:25:10,027 --> 01:25:10,928 INTERVENTION RESEARCH. 1956 01:25:10,928 --> 01:25:12,530 EACH SPEAKER WILL SPEAK FOR FIVE 1957 01:25:12,530 --> 01:25:14,098 MINUTES, FOLLOWED BY VERY BRIEF 1958 01:25:14,098 --> 01:25:14,832 TWO-MINUTE Q&A. 1959 01:25:14,832 --> 01:25:17,735 QUESTIONS WILL BE ASKED RIGHT 1960 01:25:17,735 --> 01:25:19,670 AFTER EACH TALK. 1961 01:25:19,670 --> 01:25:20,905 REMINDER, PLEASE SUBMIT 1962 01:25:20,905 --> 01:25:22,773 QUESTIONS DIRECTLY BY USING THE 1963 01:25:22,773 --> 01:25:26,944 SUBMIT LIVE FEEDBACK BUTTON IN 1964 01:25:26,944 --> 01:25:28,445 THE NIH VIDEOCAST DESCRIPTION. 1965 01:25:28,445 --> 01:25:29,847 VIA THE LINK. 1966 01:25:29,847 --> 01:25:35,119 WITH THAT LET'S GET STARTED. 1967 01:25:35,119 --> 01:25:37,888 FIRST PRESENTATION IS PERCEIVED 1968 01:25:37,888 --> 01:25:38,689 ACCEPTABILITY, BARRIERS, 1969 01:25:38,689 --> 01:25:39,723 FACILITATORS AND CULTURAL 1970 01:25:39,723 --> 01:25:42,126 RELEVANCE OF THREE DIETARY 1971 01:25:42,126 --> 01:25:44,194 PATTERNS IN THE 2020-2025 UNITED 1972 01:25:44,194 --> 01:25:46,964 STATES DIETARY GUIDELINES AMONG 1973 01:25:46,964 --> 01:25:48,132 AFRICAN AMERICAN ADULTS. 1974 01:25:48,132 --> 01:25:50,534 WELCOME AND THE FLOOR IS YOURS. 1975 01:25:50,534 --> 01:25:51,835 >> THANK YOU FOR THE 1976 01:25:51,835 --> 01:25:52,603 INTRODUCTION. 1977 01:25:52,603 --> 01:25:54,405 I'M HAPPY TO BE HERE. 1978 01:25:54,405 --> 01:25:55,773 SO MY PRESENTATION WILL BE 1979 01:25:55,773 --> 01:25:58,876 LOOKING AT A FOCUS GROUP STUDY 1980 01:25:58,876 --> 01:25:59,977 WITH AFRICAN AMERICAN ADULTS, 1981 01:25:59,977 --> 01:26:01,645 EXPLORING EXPERIENCES OF THE 1982 01:26:01,645 --> 01:26:06,317 U.S. DIETARY GUIDELINES. 1983 01:26:06,317 --> 01:26:09,353 NEXT SLIDE PLEASE. 1984 01:26:09,353 --> 01:26:11,188 THE GUIDELINES PROVIDE 1985 01:26:11,188 --> 01:26:13,057 INFORMATION AND ADVICE TO 1986 01:26:13,057 --> 01:26:19,229 AMERICANS ABOUT WHAT TO EAT TO 1987 01:26:19,229 --> 01:26:20,130 MEET NUTRIENT RECOMMENDATIONS 1988 01:26:20,130 --> 01:26:21,832 EMPHASIZING THREE DIETS. 1989 01:26:21,832 --> 01:26:23,500 ONE IS HEALTHY MEDITERRANEAN 1990 01:26:23,500 --> 01:26:25,069 STYLE PATTERN. 1991 01:26:25,069 --> 01:26:27,037 ONE IS HEALTHY VEGETARIAN STYLE 1992 01:26:27,037 --> 01:26:27,338 PATTERN. 1993 01:26:27,338 --> 01:26:30,507 AND ANOTHER IS HEALTHY 1994 01:26:30,507 --> 01:26:34,645 U.S.-STYLE EATING PATTERN. 1995 01:26:34,645 --> 01:26:35,579 NEXT SLIDE PLEASE. 1996 01:26:35,579 --> 01:26:37,147 WE KNOW THERE ARE RACIAL 1997 01:26:37,147 --> 01:26:38,415 DISPARITIES IN DIET QUALITY AND 1998 01:26:38,415 --> 01:26:40,150 AFRICAN AMERICAN ADULTS TEND TO 1999 01:26:40,150 --> 01:26:41,418 SCORE LOWER IN DIET QUALITY 2000 01:26:41,418 --> 01:26:43,420 COMPARED TO WHITE AMERICANS AND 2001 01:26:43,420 --> 01:26:48,459 OTHER MINORITY GROUPS. 2002 01:26:48,459 --> 01:26:51,395 WE KNOW THAT RESEARCH HAS BEEN 2003 01:26:51,395 --> 01:26:52,229 DRAWN FROM WHITE POPULATIONS 2004 01:26:52,229 --> 01:26:54,164 LARGELY, AND SO THERE'S BEEN 2005 01:26:54,164 --> 01:26:55,666 LIMITED RESEARCH WHETHER THESE 2006 01:26:55,666 --> 01:26:57,267 DIETS ARE ACCEPTABLE AND 2007 01:26:57,267 --> 01:26:59,303 CULTURALLY RELEVANT TO AFRICAN 2008 01:26:59,303 --> 01:27:02,306 AMERICAN POPULATIONS. 2009 01:27:02,306 --> 01:27:04,241 NEXT SLIDE PLEASE. 2010 01:27:04,241 --> 01:27:08,612 SO THE DIETARY GUIDELINES THREE 2011 01:27:08,612 --> 01:27:17,354 DIETS INTERVENTION WAS A 2012 01:27:17,354 --> 01:27:18,055 12-WEEK, PARTICIPANTS ASSIGNED 2013 01:27:18,055 --> 01:27:20,791 TO ONE OF THE THREE PATTERNS, 2014 01:27:20,791 --> 01:27:23,560 ALL MATERIALS IN THE 2015 01:27:23,560 --> 01:27:26,997 INTERVENTION USED MY PLATE AND 2016 01:27:26,997 --> 01:27:28,599 USDG MATERIALS WITH ZERO 2017 01:27:28,599 --> 01:27:31,935 CULTURAL TAILORING. 2018 01:27:31,935 --> 01:27:33,404 NEXT SLIDE PLEASE. 2019 01:27:33,404 --> 01:27:36,640 AND SO WE CONDUCTED FOCUS GROUPS 2020 01:27:36,640 --> 01:27:39,043 AFTER THE INTERVENTION, AND WE 2021 01:27:39,043 --> 01:27:40,110 WANTED TO UNDERSTAND BASICALLY 2022 01:27:40,110 --> 01:27:41,645 WHAT THEIR EXPERIENCES WERE WITH 2023 01:27:41,645 --> 01:27:44,048 THE THREE DIETS AND THE AIM WAS 2024 01:27:44,048 --> 01:27:46,550 TO USE FEEDBACK TO TAILOR A 2025 01:27:46,550 --> 01:27:48,018 YEAR-LONG INTERVENTION WITH THE 2026 01:27:48,018 --> 01:27:52,156 FEEDBACK WE GOT IN ORDER TO MAKE 2027 01:27:52,156 --> 01:27:53,090 IT CULTURALLY RELEVANT AND 2028 01:27:53,090 --> 01:27:54,258 ACCEPTABLE TO AFRICAN AMERICAN 2029 01:27:54,258 --> 01:28:00,497 ALSO PARTICIPATING IN THE STUDY. 2030 01:28:00,497 --> 01:28:01,999 THESE ARE SOME QUESTIONS WE 2031 01:28:01,999 --> 01:28:03,000 ASKED PARTICIPANTS. 2032 01:28:03,000 --> 01:28:04,902 SPECIFICALLY WE WANTED TO KNOW 2033 01:28:04,902 --> 01:28:06,470 WHAT WERE FACILITATORS AND 2034 01:28:06,470 --> 01:28:07,838 BARRIERS, WHAT WAS ACCEPTABILITY 2035 01:28:07,838 --> 01:28:09,707 OF THE DIETS, WHAT WAS THE 2036 01:28:09,707 --> 01:28:12,609 CULTURAL RELEVANCE OF THE DIETS, 2037 01:28:12,609 --> 01:28:15,045 AND TO KNOW ABOUT PARTICIPANTS' 2038 01:28:15,045 --> 01:28:19,016 RECOMMENDED CHANGES FOR USDG AND 2039 01:28:19,016 --> 01:28:20,584 NUTRITION INTERVENTION. 2040 01:28:20,584 --> 01:28:21,018 NEXT SLIDE. 2041 01:28:21,018 --> 01:28:26,356 SO WHEN IT CAME TO ACCEPTABILITY 2042 01:28:26,356 --> 01:28:31,795 OF THE USDG PARTICIPANTS 2043 01:28:31,795 --> 01:28:34,832 STRUGGLED WITH VEGETARIAN BUT 2044 01:28:34,832 --> 01:28:35,432 BETTER OUTLOOK WITH 2045 01:28:35,432 --> 01:28:36,633 MEDITERRANEAN, THE MOST EXCITING 2046 01:28:36,633 --> 01:28:37,701 FOR PARTICIPANTS. 2047 01:28:37,701 --> 01:28:39,970 HOWEVER THERE WAS SOME CONFUSION 2048 01:28:39,970 --> 01:28:42,306 ABOUT EXACTLY WHAT CONSTITUTED A 2049 01:28:42,306 --> 01:28:43,607 MEDITERRANEAN DIET. 2050 01:28:43,607 --> 01:28:47,211 AND WHEN IT CAME TO HEALTHY U.S. 2051 01:28:47,211 --> 01:28:49,446 DIET THIS HAD SOMEWHAT MORE 2052 01:28:49,446 --> 01:28:51,081 MIXED REVIEWS PRE AND POST 2053 01:28:51,081 --> 01:28:53,450 INTERVENTION, AND THIS STEMMED 2054 01:28:53,450 --> 01:28:57,054 FROM THE FACT SOMEWHERE IN THE 2055 01:28:57,054 --> 01:28:58,188 DIET ALREADY SIMILAR TO WHAT 2056 01:28:58,188 --> 01:28:59,223 THEY WERE EATING AND OTHERS 2057 01:28:59,223 --> 01:29:02,893 WANTED TO BRANCH OUT AND TRY 2058 01:29:02,893 --> 01:29:04,628 SOMETHING DIFFERENT. 2059 01:29:04,628 --> 01:29:05,162 NEXT SLIDE. 2060 01:29:05,162 --> 01:29:08,699 WHEN IT CAME TO BARRIERS TO 2061 01:29:08,699 --> 01:29:10,667 FOLLOWING ASSIGNED DIET, MEETING 2062 01:29:10,667 --> 01:29:12,903 DAIRY FOOD GROUP WAS DIFFICULT 2063 01:29:12,903 --> 01:29:14,171 FOR PARTICIPANTS. 2064 01:29:14,171 --> 01:29:16,106 A LOT REPORTED BEING LACTOSE 2065 01:29:16,106 --> 01:29:18,642 INTOLERANT WHICH CAN BE COMMON 2066 01:29:18,642 --> 01:29:20,310 AMONG AFRICAN AMERICANS, AND SO 2067 01:29:20,310 --> 01:29:24,314 MEETING THIS FOOD GROUP WAS 2068 01:29:24,314 --> 01:29:24,648 DIFFICULT. 2069 01:29:24,648 --> 01:29:25,749 UNDERCONSUMPTION CAN POSE HEALTH 2070 01:29:25,749 --> 01:29:29,353 RISKS DUE TO LACK OF CALCIUM AND 2071 01:29:29,353 --> 01:29:31,021 VITAMIN D. 2072 01:29:31,021 --> 01:29:32,322 FEED BACK WAS PARTICIPANTS 2073 01:29:32,322 --> 01:29:37,427 WANTED TO BE PROVIDED WITH 2074 01:29:37,427 --> 01:29:38,028 ALTERNATIVES. 2075 01:29:38,028 --> 01:29:40,230 >> ONE MINUTE REMAINING. 2076 01:29:40,230 --> 01:29:41,331 >> THANKS. 2077 01:29:41,331 --> 01:29:43,167 NEXT SLIDE PLEASE. 2078 01:29:43,167 --> 01:29:45,536 ANOTHER BARRIER MENTIONED BY 2079 01:29:45,536 --> 01:29:46,904 PARTICIPANTS RELATED TO THE 2080 01:29:46,904 --> 01:29:48,639 CHALLENGES POSED BY BEING THE 2081 01:29:48,639 --> 01:29:50,908 PRIMARY PREPARER OF THE 2082 01:29:50,908 --> 01:29:52,142 HOUSEHOLD, MOST PARTICIPANTS 2083 01:29:52,142 --> 01:29:54,778 WERE WOMEN AND IN CHARGE OF, YOU 2084 01:29:54,778 --> 01:29:58,515 KNOW, FOOD IN THE HOUSEHOLD. 2085 01:29:58,515 --> 01:30:00,784 AND SO THIS CAUSED A LOT OF 2086 01:30:00,784 --> 01:30:02,186 TENSION BETWEEN THEMSELVES WHO 2087 01:30:02,186 --> 01:30:04,388 WERE TRYING TO COOK AND EAT IN 2088 01:30:04,388 --> 01:30:05,656 LINE WITH DIETARY INTERVENTION 2089 01:30:05,656 --> 01:30:08,125 WHILE ALSO TRYING TO CATER TO 2090 01:30:08,125 --> 01:30:09,560 OTHER HOUSEHOLD MEMBERS THAT 2091 01:30:09,560 --> 01:30:11,261 MAYBE WEREN'T SO RECEPTIVE TO 2092 01:30:11,261 --> 01:30:13,330 THESE CHANGES, SO THIS WAS A BIG 2093 01:30:13,330 --> 01:30:17,134 BUSHED AS WELL FOR PARTICIPANTS. 2094 01:30:17,134 --> 01:30:17,835 NEXT SLIDE PLEASE. 2095 01:30:17,835 --> 01:30:20,470 AND ANOTHER PIECE OF FEEDBACK WE 2096 01:30:20,470 --> 01:30:24,208 GOT WAS A DESIRE TO SEE MORE 2097 01:30:24,208 --> 01:30:25,709 TRADITIONAL STAPLE ITEMS AND 2098 01:30:25,709 --> 01:30:28,011 RECIPES AS WELL AS FAMILIAR 2099 01:30:28,011 --> 01:30:29,379 SEASONINGS BUT THAT MODIFIED TO 2100 01:30:29,379 --> 01:30:32,616 BE HEALTHIER AND IN LINE WITH 2101 01:30:32,616 --> 01:30:33,951 DIETARY GUIDELINES. 2102 01:30:33,951 --> 01:30:35,219 NEXT SLIDE PLEASE. 2103 01:30:35,219 --> 01:30:37,621 AND SO THESE WERE SOME OF THE 2104 01:30:37,621 --> 01:30:39,990 MANY FINDINGS IN THE STUDY. 2105 01:30:39,990 --> 01:30:43,260 FULL STUDY IS UNDER REVIEW. 2106 01:30:43,260 --> 01:30:44,962 AND SO NEXT SLIDE PLEASE. 2107 01:30:44,962 --> 01:30:46,930 IF YOU HAVE ANY FURTHER 2108 01:30:46,930 --> 01:30:48,398 QUESTIONS FEEL FREE TO E-MAIL 2109 01:30:48,398 --> 01:30:48,799 ME. 2110 01:30:48,799 --> 01:30:50,601 THANK YOU SO MUCH. 2111 01:30:50,601 --> 01:30:53,070 AND A SHOUT OUT TO THE LAB AT 2112 01:30:53,070 --> 01:30:56,039 THE SCHOOL OF PUBLIC HEALTH. 2113 01:30:56,039 --> 01:30:58,876 >> THANK YOU FOR YOUR WONDERFUL 2114 01:30:58,876 --> 01:30:59,343 PRESENTATION. 2115 01:30:59,343 --> 01:31:00,744 GIVEN THE NATURE OF THE SESSION 2116 01:31:00,744 --> 01:31:03,847 WE'LL HAVE TIME FOR ONE OR TWO 2117 01:31:03,847 --> 01:31:04,181 QUESTIONS. 2118 01:31:04,181 --> 01:31:06,016 REMINDER TO ATTENDEES, SEND LIVE 2119 01:31:06,016 --> 01:31:07,484 FEEDBACK ON THE BOTTOM LEFT OF 2120 01:31:07,484 --> 01:31:08,318 THE SCREEN. 2121 01:31:08,318 --> 01:31:11,555 THANK YOU FOR THAT PRESENTATION. 2122 01:31:11,555 --> 01:31:11,922 >> THANK YOU. 2123 01:31:11,922 --> 01:31:12,656 >> LET'S SEE. 2124 01:31:12,656 --> 01:31:17,561 WE HAVE A COUPLE IN HERE. 2125 01:31:17,561 --> 01:31:20,364 HOW ARE PARTICIPANTS RECRUITED, 2126 01:31:20,364 --> 01:31:24,968 SOME FAMILY PREFERENCES, AGE 2127 01:31:24,968 --> 01:31:26,536 GROUPS, HOUSEHOLD TYPES? 2128 01:31:26,536 --> 01:31:31,708 >> YEAH, SO WE HAD TWO AMAZING 2129 01:31:31,708 --> 01:31:32,809 RECRUITERS WORKING FOR THE STUDY 2130 01:31:32,809 --> 01:31:35,245 WITH A LOT OF AVENUES TAKEN. 2131 01:31:35,245 --> 01:31:39,716 I KNOW A LOT OF THEM WENT TO 2132 01:31:39,716 --> 01:31:43,086 CERTAIN COMMUNITY EVENTS AND 2133 01:31:43,086 --> 01:31:45,622 SPECIFICALLY IN CHURCHES, 2134 01:31:45,622 --> 01:31:46,857 FESTIVALS, DIFFERENT EVENTS. 2135 01:31:46,857 --> 01:31:52,596 THERE WERE RADIO ADS 2136 01:31:52,596 --> 01:31:53,830 DISTRIBUTED, FLYERS, GENERAL 2137 01:31:53,830 --> 01:31:55,465 WORD OF MOUTH, A COMBINATION. 2138 01:31:55,465 --> 01:31:57,935 WE HAVE A GREAT RECRUITMENT TEAM 2139 01:31:57,935 --> 01:31:58,535 WORKING ON THAT. 2140 01:31:58,535 --> 01:32:03,240 >> THANK YOU FOR SHARING YOUR 2141 01:32:03,240 --> 01:32:03,540 INFORMATION. 2142 01:32:03,540 --> 01:32:05,342 PLEASE FEEL FREE TO REACH OUT 2143 01:32:05,342 --> 01:32:06,310 VIA HER CONTACT INFORMATION. 2144 01:32:06,310 --> 01:32:11,882 THANK YOU FOR THE WONDERFUL 2145 01:32:11,882 --> 01:32:12,616 PRESENTATION. 2146 01:32:12,616 --> 01:32:15,919 >> THANK YOU. 2147 01:32:15,919 --> 01:32:16,920 >> SECOND PRESENTATION, FOOD 2148 01:32:16,920 --> 01:32:19,589 COMES WITH A RICH BACKGROUND, 2149 01:32:19,589 --> 01:32:24,127 EXPLORING SOUTH ASIAN, EAST 2150 01:32:24,127 --> 01:32:26,063 ASIAN, SOUTHEAST ASIAN 2151 01:32:26,063 --> 01:32:26,630 PERCEPTIONS. 2152 01:32:26,630 --> 01:32:27,764 WELCOME. 2153 01:32:27,764 --> 01:32:28,565 THE FLOOR IS YOURS. 2154 01:32:28,565 --> 01:32:29,366 >> THANK YOU. 2155 01:32:29,366 --> 01:32:31,568 I'LL SHARE RESULTS FROM MY 2156 01:32:31,568 --> 01:32:32,302 QUALITATIVE STUDY WHERE I 2157 01:32:32,302 --> 01:32:34,438 EXPLORED SOUTH ASIAN, EAST 2158 01:32:34,438 --> 01:32:36,373 ASIAN, SOUTHEAST ASIAN PARENT 2159 01:32:36,373 --> 01:32:37,274 AND CAREGIVER PERCEPTIONS 2160 01:32:37,274 --> 01:32:39,643 REGARDING SCHOOL FOOD PROGRAMS 2161 01:32:39,643 --> 01:32:41,411 IN CANADA. 2162 01:32:41,411 --> 01:32:41,712 NEXT SLIDE. 2163 01:32:41,712 --> 01:32:43,413 I'D LIKE TO BEGIN WITH THIS 2164 01:32:43,413 --> 01:32:46,650 QUOTE FROM A MOTHER WHO HAD THE 2165 01:32:46,650 --> 01:32:48,218 OPPORTUNITY TO SPEAK WITH ME. 2166 01:32:48,218 --> 01:32:52,622 SHE SAID FOOD COMES WITH SUCH A 2167 01:32:52,622 --> 01:32:58,061 RICH BACKGROUND OF PEOPLE'S 2168 01:32:58,061 --> 01:32:59,062 HERITAGE AND CULTURE, I'D LIKE 2169 01:32:59,062 --> 01:33:01,698 FOR YOU TO THINK ABOUT THIS AS I 2170 01:33:01,698 --> 01:33:03,300 GO THROUGH MY PRESENTATION AND 2171 01:33:03,300 --> 01:33:06,203 DESCRIBE HOW PARENTS AND 2172 01:33:06,203 --> 01:33:07,637 CAREGIVERS ENVISION A 2173 01:33:07,637 --> 01:33:09,573 CULTURE-CENTERED SCHOOL FOOD 2174 01:33:09,573 --> 01:33:09,940 PROGRAM. 2175 01:33:09,940 --> 01:33:11,775 TO BEGIN, CANADA DOES NOT HAVE A 2176 01:33:11,775 --> 01:33:13,510 NATIONAL SCHOOL FOOD PROGRAM. 2177 01:33:13,510 --> 01:33:16,446 35% OF SCHOOLS OFFER SCHOOL FOOD 2178 01:33:16,446 --> 01:33:16,980 PROGRAM. 2179 01:33:16,980 --> 01:33:19,116 EXISTING PROGRAMS ONLY SERVE 22% 2180 01:33:19,116 --> 01:33:20,450 OF SCHOOL CHILDREN. 2181 01:33:20,450 --> 01:33:22,285 AS MIDDLE SCHOOL PROGRAMS HAVE A 2182 01:33:22,285 --> 01:33:29,059 WIDE RANGE OF BENEFITS, IT'S 2183 01:33:29,059 --> 01:33:30,494 IMPORTANT FOR SCHOOL FOOD 2184 01:33:30,494 --> 01:33:32,629 PROGRAMS TO BE CONNECTED AND 2185 01:33:32,629 --> 01:33:34,197 RESPECTFUL TO REFLECT DIVERSITY 2186 01:33:34,197 --> 01:33:36,633 IN FOOD CULTURES AND GEOGRAPHIES 2187 01:33:36,633 --> 01:33:38,101 ACROSS CANADA. 2188 01:33:38,101 --> 01:33:39,469 NEXT SLIDE. 2189 01:33:39,469 --> 01:33:40,604 SO TAKING THIS INTO 2190 01:33:40,604 --> 01:33:41,905 CONSIDERATION MY QUESTION WAS 2191 01:33:41,905 --> 01:33:43,507 WHAT ARE THE PERCEPTIONS AND 2192 01:33:43,507 --> 01:33:45,375 NEEDS OF SOUTH ASIAN, EAST 2193 01:33:45,375 --> 01:33:46,710 ASIAN, SOUTHEAST ASIAN PARENTS 2194 01:33:46,710 --> 01:33:49,813 AND CAREGIVERS IN THE GREATER 2195 01:33:49,813 --> 01:33:51,715 TORONTO AREA REGARDING CULTURAL 2196 01:33:51,715 --> 01:33:53,850 FEATURES OF SCHOOL FOOD 2197 01:33:53,850 --> 01:33:54,418 PROGRAMS. 2198 01:33:54,418 --> 01:33:57,754 I CONDUCTED A QUALITATIVE STUDY 2199 01:33:57,754 --> 01:33:59,689 WITH FOCUS GROUPS AND INTERVIEWS 2200 01:33:59,689 --> 01:34:01,358 IN THE GREATER TORONTO AREA. 2201 01:34:01,358 --> 01:34:04,561 SO I THOUGHT I WOULD SHARE FOUR 2202 01:34:04,561 --> 01:34:06,763 KEY TAKEAWAYS FROM CONVERSATIONS 2203 01:34:06,763 --> 01:34:07,864 ON WHAT A CULTURE-CENTERED 2204 01:34:07,864 --> 01:34:09,566 NATIONAL SCHOOL FOOD PROGRAM 2205 01:34:09,566 --> 01:34:10,867 COULD LOOK LIKE. 2206 01:34:10,867 --> 01:34:12,502 NEXT SLIDE. 2207 01:34:12,502 --> 01:34:17,274 THE FIRST KEY TAKEAWAY IS A 2208 01:34:17,274 --> 01:34:18,141 SENSE OF BELONGING, EMPHASIZING 2209 01:34:18,141 --> 01:34:19,576 HOW IMPORTANT IT IS FOR SCHOOL 2210 01:34:19,576 --> 01:34:21,378 FOOD PROGRAMS TO OFFER CULTURAL 2211 01:34:21,378 --> 01:34:22,846 FOOD TO MAKE STUDENTS FEEL 2212 01:34:22,846 --> 01:34:26,650 CONNECTED TO THE CULTURE THEY 2213 01:34:26,650 --> 01:34:27,417 BELONG TO AND IMPACT 2214 01:34:27,417 --> 01:34:28,985 RELATIONSHIP WAS THEIR OWN 2215 01:34:28,985 --> 01:34:32,022 CULTURAL FOOD AND CULTURE OF 2216 01:34:32,022 --> 01:34:32,789 OTHER STUDENTS. 2217 01:34:32,789 --> 01:34:34,458 PARTICIPANTS EMPHASIZE 2218 01:34:34,458 --> 01:34:35,425 APPRECIATION OF CULTURES TO 2219 01:34:35,425 --> 01:34:39,429 INCLUDE SCHOOL FOOD PROGRAM HOW 2220 01:34:39,429 --> 01:34:43,333 TO INTERCHANGE CULTURES THROUGH 2221 01:34:43,333 --> 01:34:43,800 FOOD. 2222 01:34:43,800 --> 01:34:44,367 BUILDING ON CONVERSATION 2223 01:34:44,367 --> 01:34:47,704 FOSTERING A SENSE OF BELONGING 2224 01:34:47,704 --> 01:34:49,106 AND CONNECTION, SURVEY FOUND 2225 01:34:49,106 --> 01:34:50,373 HALF OF THE PARTICIPANTS 2226 01:34:50,373 --> 01:34:55,212 DISAGREE OR STRONGLY DISAGREE 2227 01:34:55,212 --> 01:34:56,246 CHILDREN BROUGHT CULTURAL FOOD 2228 01:34:56,246 --> 01:34:57,647 TO SCHOOLS. 2229 01:34:57,647 --> 01:34:58,882 WE FOUND THAT MANY PARTICIPANTS 2230 01:34:58,882 --> 01:35:01,651 THOUGH WANTED KIDS TO BRING 2231 01:35:01,651 --> 01:35:02,719 CULTURAL FOOD TO SCHOOLS AND 2232 01:35:02,719 --> 01:35:05,622 THOUGHT IT WAS MORE NUTRIENT 2233 01:35:05,622 --> 01:35:07,224 DENSE COMPARED TO TYPICAL 2234 01:35:07,224 --> 01:35:08,925 CANADIAN FOODS THEY BOUGHT FOR 2235 01:35:08,925 --> 01:35:09,326 LUNCH. 2236 01:35:09,326 --> 01:35:10,961 WE SEE THIS REFLECTED IN THE 2237 01:35:10,961 --> 01:35:12,629 FIRST QUOTE HERE. 2238 01:35:12,629 --> 01:35:14,264 WE WITNESS THE CHALLENGE PARENTS 2239 01:35:14,264 --> 01:35:15,565 FACE WHEN TRYING TO INSPIRE 2240 01:35:15,565 --> 01:35:21,171 CHILDREN TO EMBRACE TRADITIONAL 2241 01:35:21,171 --> 01:35:21,438 CUISINE. 2242 01:35:21,438 --> 01:35:23,140 PARENTS HELD THE BELIEF 2243 01:35:23,140 --> 01:35:24,107 INTRODUCING DIVERSE FLAVORS IN 2244 01:35:24,107 --> 01:35:30,981 THE SCHOOL ENVIRONMENT COULD 2245 01:35:30,981 --> 01:35:32,949 POTENTIALLY AFFECT THEIR RANGE 2246 01:35:32,949 --> 01:35:33,884 FOR CULTURAL FOODS. 2247 01:35:33,884 --> 01:35:37,220 NEXT I'LL DISCUSS IMPORTANCE OF 2248 01:35:37,220 --> 01:35:37,754 MEANINGFULLY INCORPORATING 2249 01:35:37,754 --> 01:35:38,688 CULTURAL FOOD. 2250 01:35:38,688 --> 01:35:41,057 AND THIS IS EMPHASIZED BY A LOT 2251 01:35:41,057 --> 01:35:43,293 OF PARENTS, THEY WANTED TO SEE 2252 01:35:43,293 --> 01:35:45,562 DIVERSITY AND TO SEE ACTUAL 2253 01:35:45,562 --> 01:35:46,296 REPRESENTATION. 2254 01:35:46,296 --> 01:35:48,165 AS NOTED BY THIS PARTICIPANT, I 2255 01:35:48,165 --> 01:35:50,100 DON'T WANT TO SEE DIVERSITY THAT 2256 01:35:50,100 --> 01:35:54,371 IS REALLY APPROPRIATE, I WANT TO 2257 01:35:54,371 --> 01:35:56,006 SEE DIVERSITY WITH ACTUAL 2258 01:35:56,006 --> 01:35:59,843 REPRESENTATION, NOT CULTURAL 2259 01:35:59,843 --> 01:36:00,177 APPROPRIATION. 2260 01:36:00,177 --> 01:36:01,244 PARENTS AND CAREGIVERS WANT TO 2261 01:36:01,244 --> 01:36:03,647 SEE DIVERSITY BUT WITH ACTUAL 2262 01:36:03,647 --> 01:36:04,881 REPRESENTATION THROUGH FOSTERING 2263 01:36:04,881 --> 01:36:05,749 PARTNERSHIPS WITH LOCAL 2264 01:36:05,749 --> 01:36:06,816 BUSINESSES THAT PREPARE THESE 2265 01:36:06,816 --> 01:36:08,251 CULTURAL FOODS. 2266 01:36:08,251 --> 01:36:12,155 IN THIS EXAMPLE PARTICIPANT 2267 01:36:12,155 --> 01:36:14,057 TALKS ABOUT TIBETAN-OWNED 2268 01:36:14,057 --> 01:36:15,192 BUSINESS, INCORPORATING 2269 01:36:15,192 --> 01:36:17,060 TEACHINGS OF THE ORIGINS OF FOOD 2270 01:36:17,060 --> 01:36:18,762 AND TRADITIONS AND SPICES 2271 01:36:18,762 --> 01:36:21,398 INCORPORATED IN CULTURAL FOODS. 2272 01:36:21,398 --> 01:36:22,299 NEXT SLIDE. 2273 01:36:22,299 --> 01:36:28,838 SO THE LAST KEY TAKEAWAY IS THE 2274 01:36:28,838 --> 01:36:30,807 IMPORTANCE OF UNIVERSALITY TO 2275 01:36:30,807 --> 01:36:35,412 PROMOTE EQUITY, SO ALL STUDENTS 2276 01:36:35,412 --> 01:36:35,545 -- 2277 01:36:35,545 --> 01:36:36,379 >> ONE MINUTE REMAINING. 2278 01:36:36,379 --> 01:36:37,514 >> THANK YOU. 2279 01:36:37,514 --> 01:36:41,952 IN THIS LAST QUOTE WE SEE 2280 01:36:41,952 --> 01:36:43,486 PARTICIPANT OF UNIVERSAL ACCESS 2281 01:36:43,486 --> 01:36:45,322 BY SAYING FINANCIAL NEED AND 2282 01:36:45,322 --> 01:36:46,289 FINANCIAL POSITION MIGHT CHANGE 2283 01:36:46,289 --> 01:36:48,525 IN THE FAMILY BECAUSE SOME GET 2284 01:36:48,525 --> 01:36:50,293 JOBLESS, SOME GET INTO JOBS. 2285 01:36:50,293 --> 01:36:51,895 SOME ARE EARNING WELL, SOME ARE 2286 01:36:51,895 --> 01:36:54,998 NOT EARNING THAT MUCH. 2287 01:36:54,998 --> 01:36:56,600 SO HERE SHE EMPHASIZES 2288 01:36:56,600 --> 01:36:58,635 REGARDLESS OF HOW MUCH FAMILIES 2289 01:36:58,635 --> 01:37:00,570 ARE EARNING CHILDREN SHOULD HAVE 2290 01:37:00,570 --> 01:37:02,939 ACCESS TO NUTRITION HEALTHY FOOD 2291 01:37:02,939 --> 01:37:06,176 AT SCHOOL. 2292 01:37:06,176 --> 01:37:08,979 SO IN SUMMARY, PARTICIPANTS 2293 01:37:08,979 --> 01:37:10,380 EMPHASIZED IMPORTANCE OF 2294 01:37:10,380 --> 01:37:11,348 CULTURE-CENTERED FOOD SCHOOL 2295 01:37:11,348 --> 01:37:13,550 PROGRAM FOSTERING A SENSE OF 2296 01:37:13,550 --> 01:37:14,517 BELONGING, ENCOURAGING 2297 01:37:14,517 --> 01:37:16,286 CONSUMPTION OF TRADITIONAL 2298 01:37:16,286 --> 01:37:17,387 FOODS, INCORPORATION TRADITIONAL 2299 01:37:17,387 --> 01:37:19,389 CULTURAL FOODS MEANINGFULLY AND 2300 01:37:19,389 --> 01:37:20,757 PROMOTES EQUITY THROUGH 2301 01:37:20,757 --> 01:37:22,192 UNIVERSAL ACCESS. 2302 01:37:22,192 --> 01:37:22,592 NEXT SLIDE. 2303 01:37:22,592 --> 01:37:24,594 AND I'D LIKE TO THANK EVERYONE 2304 01:37:24,594 --> 01:37:26,129 WHO MADE THIS PROJECT POSSIBLE 2305 01:37:26,129 --> 01:37:29,532 AND I'M HAPPY TO TAKE QUESTIONS. 2306 01:37:29,532 --> 01:37:29,966 THANK YOU. 2307 01:37:29,966 --> 01:37:33,703 >> THANK YOU FOR YOUR WONDERFUL 2308 01:37:33,703 --> 01:37:34,037 PRESENTATION. 2309 01:37:34,037 --> 01:37:35,405 A QUICK QUESTION. 2310 01:37:35,405 --> 01:37:37,007 BRIEFLY WHAT ARE SOME NEXT STEPS 2311 01:37:37,007 --> 01:37:39,409 YOU FEEL CAN FURTHER MOVE THESE 2312 01:37:39,409 --> 01:37:40,176 IMPORTANT CONVERSATIONS YOU'VE 2313 01:37:40,176 --> 01:37:42,212 SHARED AND CHANGES THE SCHOOL 2314 01:37:42,212 --> 01:37:45,649 FOOD PROGRAM FORWARD? 2315 01:37:45,649 --> 01:37:49,386 HOPING -- 2316 01:37:49,386 --> 01:37:56,626 >> HOPING TO BUILD A FRAMEWORKS 2317 01:37:56,626 --> 01:38:00,163 IN CANADA, THAT'S BASED ON JUST 2318 01:38:00,163 --> 01:38:01,498 AVAILABLE LITERATURE, HOPING TO 2319 01:38:01,498 --> 01:38:04,434 BUILD ON THAT, USING 2320 01:38:04,434 --> 01:38:05,869 PERSPECTIVES OF PARTICIPANTS TO 2321 01:38:05,869 --> 01:38:06,703 CREATE THIS FOOD PROGRAM. 2322 01:38:06,703 --> 01:38:11,041 >> THANK YOU FOR SHARING. 2323 01:38:11,041 --> 01:38:11,775 >> THANK YOU. 2324 01:38:11,775 --> 01:38:16,680 >> WE'LL MOVE TO THE THIRD AND 2325 01:38:16,680 --> 01:38:19,783 FINAL SPEAKER, PRESENTING A 2326 01:38:19,783 --> 01:38:21,918 TALK, PLASMA LIPIDOMIC MARKERS 2327 01:38:21,918 --> 01:38:26,056 OF DIET QUALITY IN CORONARY 2328 01:38:26,056 --> 01:38:26,790 HEART DISEASE RISK IN AMERICAN 2329 01:38:26,790 --> 01:38:29,392 INDIANS, THE FLOOR IS YOURS. 2330 01:38:29,392 --> 01:38:31,361 >> THANK YOU FOR THE 2331 01:38:31,361 --> 01:38:31,695 INTRODUCTION. 2332 01:38:31,695 --> 01:38:34,431 THANK YOU FOR BEING HERE. 2333 01:38:34,431 --> 01:38:37,200 IT'S A HONOR TO BE PART OF THE 2334 01:38:37,200 --> 01:38:37,667 WORKSHOP, I'M FROM THE 2335 01:38:37,667 --> 01:38:38,501 UNIVERSITY OF FLORIDA. 2336 01:38:38,501 --> 01:38:42,405 TODAY I WILL SHARE THE FINDINGS 2337 01:38:42,405 --> 01:38:44,174 OF OUR STUDY PLASMA LIPIDOMIC 2338 01:38:44,174 --> 01:38:46,009 MARKERS OF DIET QUALITY AND 2339 01:38:46,009 --> 01:38:47,577 CORONARY HEART DISEASE RISK IN 2340 01:38:47,577 --> 01:38:48,678 AMERICAN INDIANS, STRONG HEART 2341 01:38:48,678 --> 01:38:50,980 FAMILY STUDY. 2342 01:38:50,980 --> 01:38:52,615 NEXT SLIDE PLEASE. 2343 01:38:52,615 --> 01:38:54,918 AMERICAN INDIANS HAVE A 2344 01:38:54,918 --> 01:38:55,752 DISPROPORTIONATELY HIGH BURDEN 2345 01:38:55,752 --> 01:38:56,419 OF CHD. 2346 01:38:56,419 --> 01:38:59,189 POOR DIET IS AN ESTABLISHED RISK 2347 01:38:59,189 --> 01:39:01,257 FACTOR, IT IS CRUCIAL TO 2348 01:39:01,257 --> 01:39:03,560 UNDERSTAND THAT AMERICAN INDIANS 2349 01:39:03,560 --> 01:39:05,195 HAVE UNIQUE FOOD CULTURE AND 2350 01:39:05,195 --> 01:39:08,431 HIGH RISK GROUP THAT REQUIRES A 2351 01:39:08,431 --> 01:39:11,201 SPECIAL CONSIDERATION. 2352 01:39:11,201 --> 01:39:14,704 NEXT SLIDE PLEASE. 2353 01:39:14,704 --> 01:39:19,209 IT IS THE STUDY OF LIPIDS IN THE 2354 01:39:19,209 --> 01:39:20,777 BIOLOGICAL SYSTEM IDENTIFYING 2355 01:39:20,777 --> 01:39:22,812 BIOMARKERS AND TO UNDERSTAND 2356 01:39:22,812 --> 01:39:24,614 DIET AND CHD RELATION. 2357 01:39:24,614 --> 01:39:26,082 SO THE QUESTIONS ARE WHAT ARE 2358 01:39:26,082 --> 01:39:28,151 THE GOOD BIOMARKERS OF DIET 2359 01:39:28,151 --> 01:39:30,019 QUALITY FOR AMERICAN INDIANS 2360 01:39:30,019 --> 01:39:36,292 USING A LIPIDOMICS APPROACH? 2361 01:39:36,292 --> 01:39:38,061 ALSO, CAN WE PREDICT CHD? 2362 01:39:38,061 --> 01:39:40,029 NEXT SLIDE PLEASE. 2363 01:39:40,029 --> 01:39:44,667 TO ANSWER THESE QUESTIONS WE USE 2364 01:39:44,667 --> 01:39:45,735 DATA FROM 1696 AMERICAN INDIAN 2365 01:39:45,735 --> 01:39:47,370 PARTICIPANTS FROM THE STRONG 2366 01:39:47,370 --> 01:39:49,439 HEART FAMILY STUDY, MEAN AGE 2367 01:39:49,439 --> 01:39:52,342 ABOUT 30 YEARS OLD, ABOUT 60% 2368 01:39:52,342 --> 01:39:53,042 WERE WOMEN. 2369 01:39:53,042 --> 01:39:55,678 ON THE RED SIDE IS TIMELINE OF 2370 01:39:55,678 --> 01:39:58,748 THE STUDY. 2371 01:39:58,748 --> 01:40:02,018 THE BASELINE BETWEEN 2001 AND 2372 01:40:02,018 --> 01:40:06,189 2003, WHEN THE LIPIDOMICS DATA 2373 01:40:06,189 --> 01:40:10,427 WAS COLLECTED, WE MEASURED OVER 2374 01:40:10,427 --> 01:40:13,630 1500 LIPIDS, AND DIET QUALITY 2375 01:40:13,630 --> 01:40:15,098 ASSESSED BY ALTERNATIVE HEALTHY 2376 01:40:15,098 --> 01:40:19,302 EATING INDEX, THE HIGHER THE 2377 01:40:19,302 --> 01:40:21,504 HEALTHIER. 2378 01:40:21,504 --> 01:40:27,377 FOLLOWING UP 18 YEARS, 147 2379 01:40:27,377 --> 01:40:31,080 PARTICIPANTS DEVELOPED INCIDENCE 2380 01:40:31,080 --> 01:40:31,481 CHD. 2381 01:40:31,481 --> 01:40:35,118 WE USED REGRESSION TO IDENTIFY 2382 01:40:35,118 --> 01:40:37,287 MARKERS OF AGI, COX MODEL TO 2383 01:40:37,287 --> 01:40:38,388 EXAMINE WHETHER IDENTIFIED 2384 01:40:38,388 --> 01:40:43,526 LIPIDS ARE ABLE TO PREDICT CHD. 2385 01:40:43,526 --> 01:40:47,864 NEXT SLIDE PLEASE. 2386 01:40:47,864 --> 01:40:52,936 AMONG THE OVER 1500 TESTED, 71 2387 01:40:52,936 --> 01:40:55,071 ASSOCIATED AFTER CORRECTION FOR 2388 01:40:55,071 --> 01:40:57,140 MULTIPLE TESTING, INCLUDING 23 2389 01:40:57,140 --> 01:40:58,775 KNOWN LIPIDS, NAMED LIPIDS SHOWN 2390 01:40:58,775 --> 01:40:59,709 IN FIGURE 2. 2391 01:40:59,709 --> 01:41:03,780 IN THE LEFT PANEL WE HAVE THE 2392 01:41:03,780 --> 01:41:05,081 REGRESSION COEFFICIENTS OF THE 2393 01:41:05,081 --> 01:41:08,985 23 KNOWN LIPIDS FOR AGI SCORE. 2394 01:41:08,985 --> 01:41:10,887 NEGATIVE COEFFICIENT MEANS THOSE 2395 01:41:10,887 --> 01:41:12,322 LIPIDS WERE NEGATIVELY 2396 01:41:12,322 --> 01:41:14,257 ASSOCIATED WITH DIET QUALITY AND 2397 01:41:14,257 --> 01:41:15,925 POSITIVE COEFFICIENT MEANS THAT 2398 01:41:15,925 --> 01:41:18,661 THOSE LIPIDS ARE POSITIVELY 2399 01:41:18,661 --> 01:41:20,330 ASSOCIATED WITH DIET QUALITY. 2400 01:41:20,330 --> 01:41:22,465 RED PANEL WE HAVE THE HAS OARED 2401 01:41:22,465 --> 01:41:25,368 RATIO OF 23 KNOWN LIPIDS FOR 2402 01:41:25,368 --> 01:41:26,769 INCIDENCE CHD. 2403 01:41:26,769 --> 01:41:30,540 FIVE BOLDED LIPIDS IN FIGURE 2 2404 01:41:30,540 --> 01:41:35,178 WERE SIGNIFICANTLY ASSOCIATED 2405 01:41:35,178 --> 01:41:36,813 WITH INCIDENCE CHD. 2406 01:41:36,813 --> 01:41:38,581 EACH STANDARD DEVIATION IN THE 2407 01:41:38,581 --> 01:41:41,885 LEVEL OF LIPIDS WAS ASSOCIATED 2408 01:41:41,885 --> 01:41:45,955 WITH 17 TO 23% INCREASED RISK OF 2409 01:41:45,955 --> 01:41:46,322 CHD. 2410 01:41:46,322 --> 01:41:48,491 NEXT SLIDE PLEASE. 2411 01:41:48,491 --> 01:41:50,760 FIGURE 3 SHOWS ASSOCIATION 2412 01:41:50,760 --> 01:41:51,861 BETWEEN IDENTIFIED LIPIDOMIC 2413 01:41:51,861 --> 01:41:58,401 MARKER OF AGI AND EACH OF THE 11 2414 01:41:58,401 --> 01:41:59,402 AHEI COMPONENTS. 2415 01:41:59,402 --> 01:42:02,772 THE MOVIE IDENTIFIED LIPIDS WERE 2416 01:42:02,772 --> 01:42:04,307 ASSOCIATED WITH CONSUMPTION OF 2417 01:42:04,307 --> 01:42:06,075 OMEGA-3 FATTY ACIDS, 2418 01:42:06,075 --> 01:42:07,143 UNDERSCORING THE IMPORTANCE OF 2419 01:42:07,143 --> 01:42:09,345 BENEFICIAL DIETARY FATS IN 2420 01:42:09,345 --> 01:42:12,382 MAINTAINING HEALTHY DIET. 2421 01:42:12,382 --> 01:42:17,353 NEXT SLIDE PLEASE. 2422 01:42:17,353 --> 01:42:25,995 THE MARKERS OF DIET QUALITY 2423 01:42:25,995 --> 01:42:27,297 INCLUDE ESTERS, PHOSPHOLIPID, 2424 01:42:27,297 --> 01:42:29,499 SOME OF THEM COME FROM 2425 01:42:29,499 --> 01:42:30,767 SUBSEQUENT RISK OF CHD. 2426 01:42:30,767 --> 01:42:33,736 UPON LOOKING TO THE LITERATURE 2427 01:42:33,736 --> 01:42:37,540 WE FOUND THAT MANY MARKERS WERE 2428 01:42:37,540 --> 01:42:38,841 PREVIOUSLY REPORTED -- 2429 01:42:38,841 --> 01:42:39,375 >> ONE MINUTE REMAINING. 2430 01:42:39,375 --> 01:42:40,076 >> THANK YOU. 2431 01:42:40,076 --> 01:42:42,445 SOME OF THE LIPIDS WERE 2432 01:42:42,445 --> 01:42:44,614 INVERSELY AND CONSISTENTLY 2433 01:42:44,614 --> 01:42:47,383 ASSOCIATED WITH DIET QUALITY. 2434 01:42:47,383 --> 01:42:52,188 FOR EXAMPLE AC 18:0, CE 18:0, 2435 01:42:52,188 --> 01:42:55,058 SOME ASSOCIATED WITH DIET 2436 01:42:55,058 --> 01:42:57,260 QUALITY, ALSO SOME LIPIDS THAT 2437 01:42:57,260 --> 01:42:58,394 SHOW DIFFERENT DIRECTION OF 2438 01:42:58,394 --> 01:43:01,230 ASSOCIATION IN OUR STUDY VERSUS 2439 01:43:01,230 --> 01:43:03,499 PREVIOUS REPORTS, POSSIBLY DUE 2440 01:43:03,499 --> 01:43:04,667 TO UNIQUENESS OF THE AMERICAN 2441 01:43:04,667 --> 01:43:05,935 INDIAN COMMUNITIES. 2442 01:43:05,935 --> 01:43:10,406 WE ALSO REPORTED SOME NOVEL 2443 01:43:10,406 --> 01:43:11,941 FINDINGS REGARDING SOME 2444 01:43:11,941 --> 01:43:13,576 PHOSPHOLIPIDS ASSOCIATED WITH 2445 01:43:13,576 --> 01:43:16,613 LOWER AHEI SCORE, INCREASED RISK 2446 01:43:16,613 --> 01:43:19,082 OF CHD. 2447 01:43:19,082 --> 01:43:20,149 NEXT SLIDE PLEASE. 2448 01:43:20,149 --> 01:43:22,318 WE WOULD LIKE TO THANK 2449 01:43:22,318 --> 01:43:24,621 PARTICIPANTS, INDIAN HEALTH 2450 01:43:24,621 --> 01:43:26,322 SERVICE AUTHORITIES, TRIBAL 2451 01:43:26,322 --> 01:43:28,491 COMMUNITIES FOR THEIR 2452 01:43:28,491 --> 01:43:28,825 CONTRIBUTION. 2453 01:43:28,825 --> 01:43:32,495 NEXT SLIDE PLEASE. 2454 01:43:32,495 --> 01:43:33,763 HERE ARE THE REFERENCES. 2455 01:43:33,763 --> 01:43:35,865 THANK YOU FOR YOUR ATTENTION AND 2456 01:43:35,865 --> 01:43:37,700 YOUR INTEREST IN OUR STUDY. 2457 01:43:37,700 --> 01:43:39,302 AND I'LL BE HAPPY TO TAKE ANY 2458 01:43:39,302 --> 01:43:41,137 COMMENTS OR QUESTIONS YOU MAY 2459 01:43:41,137 --> 01:43:41,604 HAVE. 2460 01:43:41,604 --> 01:43:43,673 >> THANK YOU FOR YOUR WONDERFUL 2461 01:43:43,673 --> 01:43:44,007 PRESENTATION. 2462 01:43:44,007 --> 01:43:47,877 WE HAVE TIME FOR ONE QUICK 2463 01:43:47,877 --> 01:43:48,177 QUESTION. 2464 01:43:48,177 --> 01:43:48,945 DIFFERENT DIRECTIONS AND 2465 01:43:48,945 --> 01:43:50,613 ASSOCIATIONS COMPARED TO OTHER 2466 01:43:50,613 --> 01:43:52,248 STUDIES AND NEW FINDINGS FOR 2467 01:43:52,248 --> 01:43:53,249 SOME MARKERS. 2468 01:43:53,249 --> 01:43:54,317 HOW WOULD YOU INTERPRET 2469 01:43:54,317 --> 01:43:55,918 DIFFERENCES AND WHAT DO YOU 2470 01:43:55,918 --> 01:43:56,486 THINK NEXT STEPS ARE? 2471 01:43:56,486 --> 01:44:00,657 >> I THINK IT MIGHT BE UNIQUE 2472 01:44:00,657 --> 01:44:02,325 FOR THE NATIVE AMERICAN 2473 01:44:02,325 --> 01:44:04,160 COMMUNITIES BECAUSE THEY HAVE 2474 01:44:04,160 --> 01:44:07,530 UNIQUE CULTURE AND HIGH RISK 2475 01:44:07,530 --> 01:44:10,066 GROUP, SO THIS NEEDS FURTHER 2476 01:44:10,066 --> 01:44:11,601 INVESTIGATION BUT AS FOR NOW 2477 01:44:11,601 --> 01:44:13,569 WE'RE GOING TO REPORT THESE 2478 01:44:13,569 --> 01:44:16,739 FINDINGS AND HOPEFULLY WILL HAVE 2479 01:44:16,739 --> 01:44:17,640 OTHER RESEARCHERS THAT FOCUS ON 2480 01:44:17,640 --> 01:44:18,508 THE NATIVE AMERICAN COMMUNITIES 2481 01:44:18,508 --> 01:44:21,377 SO WE CAN GET MORE FINDINGS OUT. 2482 01:44:21,377 --> 01:44:22,745 >> THANK YOU FOR SHARING THAT. 2483 01:44:22,745 --> 01:44:25,848 THANK YOU FOR YOUR GREAT 2484 01:44:25,848 --> 01:44:26,416 PRESENTATION. 2485 01:44:26,416 --> 01:44:31,120 THIS IS THE END OF THE SESSION. 2486 01:44:31,120 --> 01:44:33,156 THANK YOU FOR THE AUDIENCE AND 2487 01:44:33,156 --> 01:44:33,623 SPEAKERS. 2488 01:44:33,623 --> 01:44:35,124 WISHING YOU ALL THE BEST WITH 2489 01:44:35,124 --> 01:44:36,125 FURTHER TRAINING AND RESEARCH 2490 01:44:36,125 --> 01:44:37,760 AND WE'RE EXCITED TO FOLLOW YOUR 2491 01:44:37,760 --> 01:44:38,227 WORK. 2492 01:44:38,227 --> 01:44:40,396 NOW WE'LL MOVE TO PANEL 6, I'LL 2493 01:44:40,396 --> 01:44:50,773 TURN THE MIC TO DR. ROBERT 2494 01:44:50,773 --> 01:44:51,841 KAPLAN, THE MODERATOR. 2495 01:44:51,841 --> 01:44:54,911 >> I STUDY CARDIOVASCULAR 2496 01:44:54,911 --> 01:44:56,179 DISEASE, DIABETES, OTHER 2497 01:44:56,179 --> 01:44:59,382 METABOLIC CONDITIONS. 2498 01:44:59,382 --> 01:45:04,387 I'M A PROFESSOR AT ALBERT 2499 01:45:04,387 --> 01:45:05,988 EINSTEIN COLLEGE IN NEW YORK 2500 01:45:05,988 --> 01:45:11,260 CITY, EXCITED TO BE THE 2501 01:45:11,260 --> 01:45:12,495 MODERATOR FOR THIS SESSION. 2502 01:45:12,495 --> 01:45:13,863 LET'S GO TO THE NEXT SLIDE WHERE 2503 01:45:13,863 --> 01:45:16,532 WE CAN SEE OUR SPEAKERS. 2504 01:45:16,532 --> 01:45:17,767 IT'S BEEN A TERRIFIC TWO-DAY 2505 01:45:17,767 --> 01:45:20,436 MEETING WITH A LOOK IN THE 2506 01:45:20,436 --> 01:45:22,371 COMMUNITY AND CLINICAL SETTINGS 2507 01:45:22,371 --> 01:45:24,440 IN THE KITCHEN, IN THE WORKINGS 2508 01:45:24,440 --> 01:45:27,243 OF GOVERNMENT AGENCIES, AND NOW 2509 01:45:27,243 --> 01:45:31,147 LOOKING INTO THE LABORATORY TO 2510 01:45:31,147 --> 01:45:34,550 REALLY THINK ABOUT THE FUTURE OF 2511 01:45:34,550 --> 01:45:35,118 DIETARY INTERVENTIONS, AND I 2512 01:45:35,118 --> 01:45:37,420 THINK IN THE BACK OF EVERYONE'S 2513 01:45:37,420 --> 01:45:39,455 MIND AS THEY HEAR TALKS TODAY IN 2514 01:45:39,455 --> 01:45:42,091 THIS SESSION WILL BE HOW MIGHT 2515 01:45:42,091 --> 01:45:44,026 THIS INFORMATION AFFECT HOW WE 2516 01:45:44,026 --> 01:45:45,628 DO DIETARY INTERVENTIONS IN THE 2517 01:45:45,628 --> 01:45:45,962 FUTURE. 2518 01:45:45,962 --> 01:45:49,132 SO, JUST A FEW HOUSEKEEPING 2519 01:45:49,132 --> 01:45:50,500 ISSUES, FOR THE AUDIENCE 2520 01:45:50,500 --> 01:45:51,801 MEMBERS, SUBMIT ANY QUESTIONS 2521 01:45:51,801 --> 01:45:53,903 YOU HAVE USING THE SUBMIT LIVE 2522 01:45:53,903 --> 01:45:56,038 FEEDBACK BUTTON IN THE 2523 01:45:56,038 --> 01:45:56,305 VIDEOCAST. 2524 01:45:56,305 --> 01:45:58,307 IF POSSIBLE, CLARIFY FOR US IN 2525 01:45:58,307 --> 01:45:59,709 YOUR NOTE WHICH PANELIST YOU 2526 01:45:59,709 --> 01:46:02,278 WISH TO DIRECT YOUR QUESTION TO. 2527 01:46:02,278 --> 01:46:04,013 AND FOR THE SPEAKERS, I'M GOING 2528 01:46:04,013 --> 01:46:06,983 TO REMIND YOU THAT YOU'LL HAVE A 2529 01:46:06,983 --> 01:46:08,151 TWO-MINUTE WARNING AND YOU ARE 2530 01:46:08,151 --> 01:46:10,987 IN CONTROL OF YOUR CAMERA ON AND 2531 01:46:10,987 --> 01:46:11,454 OFF. 2532 01:46:11,454 --> 01:46:13,656 SO YOU CAN BE ON CAMERA WHEN 2533 01:46:13,656 --> 01:46:15,191 YOU'RE SPEAKING, OFF CAMERA WHEN 2534 01:46:15,191 --> 01:46:15,825 YOU'RE NOT. 2535 01:46:15,825 --> 01:46:19,629 SO LET'S MOVE TO THE FIRST 2536 01:46:19,629 --> 01:46:24,133 PRESENTATION, DR. ROBINSON. 2537 01:46:24,133 --> 01:46:25,368 IDENTIFYING MICROBIALLY DERIVED 2538 01:46:25,368 --> 01:46:27,303 METABOLITES THAT REGULATE HOST 2539 01:46:27,303 --> 01:46:28,137 INFLAMMATION. 2540 01:46:28,137 --> 01:46:30,540 A POSTDOCTORAL RESEARCH FELLOW 2541 01:46:30,540 --> 01:46:33,743 IN THE SONNENBERG LAB AT 2542 01:46:33,743 --> 01:46:34,410 STANFORD, BUILDING ON BACKGROUND 2543 01:46:34,410 --> 01:46:36,946 IN THE BIOLOGY OF HOST 2544 01:46:36,946 --> 01:46:37,747 INFLAMMATION SHE'S EXPLORING 2545 01:46:37,747 --> 01:46:43,519 REGULAR REGULATION OF HOST 2546 01:46:43,519 --> 01:46:45,354 IMMUNITY IN CONTEXT OF 2547 01:46:45,354 --> 01:46:45,655 MICROBIOME. 2548 01:46:45,655 --> 01:46:46,088 THANK YOU. 2549 01:46:46,088 --> 01:46:48,257 >> THANK YOU FOR THE 2550 01:46:48,257 --> 01:46:48,791 INTRODUCTION. 2551 01:46:48,791 --> 01:46:50,893 AND TO THE ORGANIZERS FOR 2552 01:46:50,893 --> 01:46:52,261 PUTTING TOGETHER A BEAUTIFUL 2553 01:46:52,261 --> 01:46:53,629 WORKSHOP. 2554 01:46:53,629 --> 01:47:03,339 I WILL BE TALKING ABOUT HOW I'VE 2555 01:47:03,339 --> 01:47:05,842 IDENTIFIED METABOLITES, MDM, 2556 01:47:05,842 --> 01:47:07,543 MICROBIALLY DERIVED METABOLITES 2557 01:47:07,543 --> 01:47:09,045 THAT REGULATE HOST INFLAMMATION. 2558 01:47:09,045 --> 01:47:10,379 THIS BEAUTIFUL IMAGE WAS TAKEN 2559 01:47:10,379 --> 01:47:13,883 BY MY LAB A FEW YEARS AGO, OF 2560 01:47:13,883 --> 01:47:16,886 THE COLON, WE'RE SEEING UPPER 2561 01:47:16,886 --> 01:47:18,154 LEFT-HAND CORNER GUT MICROBIOME, 2562 01:47:18,154 --> 01:47:20,489 SEPARATED FROM HOST CELLS IN THE 2563 01:47:20,489 --> 01:47:23,092 BOTTOM RIGHT-HAND CORNER BY A 2564 01:47:23,092 --> 01:47:23,426 MUCOUS LAYER. 2565 01:47:23,426 --> 01:47:27,163 IN THE LAST 20 YEARS THE FIELD 2566 01:47:27,163 --> 01:47:29,565 HAS NOT ONLY UNDERSTOOD THE FACT 2567 01:47:29,565 --> 01:47:33,502 GUT MICROBIOME IS IMPORTANT FOR 2568 01:47:33,502 --> 01:47:35,471 DIGESTION, BUT ALSO IMPACTS 2569 01:47:35,471 --> 01:47:38,107 PHYSIOLOGY, BE IT NERVOUS 2570 01:47:38,107 --> 01:47:39,976 SYSTEM, METABOLISM, 2571 01:47:39,976 --> 01:47:40,776 INFLAMMATION. 2572 01:47:40,776 --> 01:47:42,712 NEXT SLIDE PLEASE. 2573 01:47:42,712 --> 01:47:44,046 SO HERE IS AN OVERVIEW. 2574 01:47:44,046 --> 01:47:46,883 AS WE SAW IN PREVIOUS SLIDE GUT 2575 01:47:46,883 --> 01:47:47,950 MICROBIOME IS DENSE. 2576 01:47:47,950 --> 01:47:50,386 IT IS COMPOSING OF TRILLIONS OF 2577 01:47:50,386 --> 01:47:50,753 MICROBES. 2578 01:47:50,753 --> 01:47:53,322 IN THE LAST HUNDREDS OF YEARS, 2579 01:47:53,322 --> 01:47:58,127 THERE'S BEEN A DOWN TICK IN THE 2580 01:47:58,127 --> 01:47:59,295 DIVERSITY OF OUR GUT MICROBIOTA. 2581 01:47:59,295 --> 01:48:01,197 WHAT I'M SHOWING IS THE FACT 2582 01:48:01,197 --> 01:48:04,867 THAT AS WE HAVE CHANGE IN 2583 01:48:04,867 --> 01:48:06,002 AGRICULTURE, INTRODUCTION OF 2584 01:48:06,002 --> 01:48:08,537 INDUSTRIALIZED FOOD AND OVERLY 2585 01:48:08,537 --> 01:48:10,740 PROCESSED AND SANITIZED FOOD 2586 01:48:10,740 --> 01:48:14,443 IT'S LED TO DECREASE IN 2587 01:48:14,443 --> 01:48:16,746 MICROBIOTA DIVERSITY, LESS 2588 01:48:16,746 --> 01:48:18,381 DIETARY FIBERS WE EAT, CONFIRMED 2589 01:48:18,381 --> 01:48:19,882 BY A NUMBER OF MOUSE STUDIES 2590 01:48:19,882 --> 01:48:21,651 FROM OUR LAB AND OTHERS. 2591 01:48:21,651 --> 01:48:25,488 AS WE SEE A DOWN TICK IN 2592 01:48:25,488 --> 01:48:26,689 MICROBIOTA DIVERSITY IN THE 2593 01:48:26,689 --> 01:48:28,758 INDUSTRIALIZED WORLD WE SEE 2594 01:48:28,758 --> 01:48:30,626 UPTICK OF A NUMBER OF CHRONIC 2595 01:48:30,626 --> 01:48:31,827 IMMUNE DISEASES THAT I'M SHOWING 2596 01:48:31,827 --> 01:48:34,664 IN A GRAPH TO THE RIGHT. 2597 01:48:34,664 --> 01:48:35,564 NEXT SLIDE PLEASE. 2598 01:48:35,564 --> 01:48:40,236 AND ONE WAY WE CAN COMBATED THE 2599 01:48:40,236 --> 01:48:45,141 DECREASE IN OUR MICROBIOTA 2600 01:48:45,141 --> 01:48:47,910 DIVERSITY IS DIETARY 2601 01:48:47,910 --> 01:48:49,178 INTERVENTION OR INTEGRATION OF 2602 01:48:49,178 --> 01:48:49,979 SPECIFIC SPECIES. 2603 01:48:49,979 --> 01:48:51,881 AND ONE WAY THAT OUR LAB WAS 2604 01:48:51,881 --> 01:48:55,885 TRYING TO SEE IF WE COULD 2605 01:48:55,885 --> 01:48:57,019 MODULATE OUR MICROBIOME AND 2606 01:48:57,019 --> 01:48:58,254 INCREASE MICROBIOTA DIVERSITY 2607 01:48:58,254 --> 01:49:00,323 WAS DOING A VERY SPECIFIC 2608 01:49:00,323 --> 01:49:01,691 DIETARY INTERVENTION WHERE WE 2609 01:49:01,691 --> 01:49:04,126 HAD PEOPLE INCREASE THEIR 2610 01:49:04,126 --> 01:49:05,261 DIETARY FIBER. 2611 01:49:05,261 --> 01:49:08,230 THIS WAS A STUDY THAT WAS 2612 01:49:08,230 --> 01:49:09,198 PUBLISHED IN 2021. 2613 01:49:09,198 --> 01:49:12,335 AND WHAT WAS DONE WAS WE HAD A 2614 01:49:12,335 --> 01:49:13,936 SMALL NUMBER OF PARTICIPANTS, 2615 01:49:13,936 --> 01:49:16,172 18, THAT INCREASED FIBER INTAKE 2616 01:49:16,172 --> 01:49:18,841 OVER A SPAN OF TEN WEEKS. 2617 01:49:18,841 --> 01:49:21,477 WE HYPOTHESIZED THIS WAS GOING 2618 01:49:21,477 --> 01:49:22,678 TO INCREASE THEIR MICROBIOTA 2619 01:49:22,678 --> 01:49:23,980 DIVERSITY, BUT WHAT WE FOUND WAS 2620 01:49:23,980 --> 01:49:25,881 THAT IT DID NOT AFFECT THE 2621 01:49:25,881 --> 01:49:27,817 DIVERSITY BUT IT DID AFFECT THE 2622 01:49:27,817 --> 01:49:31,554 FUNCTION OF YOUR MICROBIOME SO 2623 01:49:31,554 --> 01:49:39,428 WE SAW INCREASE OF KAZYMES AND 2624 01:49:39,428 --> 01:49:42,598 SHORT CHAIN FATTY ACIDS. 2625 01:49:42,598 --> 01:49:43,399 MORE INTERESTINGLY OUR CITY WAS 2626 01:49:43,399 --> 01:49:48,070 ONE OF THE FEW THAT NOT ONLY DID 2627 01:49:48,070 --> 01:49:50,339 MEASUREMENT OF METABOLITES AND 2628 01:49:50,339 --> 01:49:51,374 LOOKING AT MICROBES IN GUT 2629 01:49:51,374 --> 01:49:53,576 MICROBIOTA BUT WE ALSO WERE 2630 01:49:53,576 --> 01:49:55,478 INTERESTED IN YOUR IMMUNE 2631 01:49:55,478 --> 01:49:56,012 PROFILE. 2632 01:49:56,012 --> 01:49:57,580 SO ALONG WITH THOSE MEASUREMENTS 2633 01:49:57,580 --> 01:49:59,615 WE HAD A NUMBER OF DIFFERENT 2634 01:49:59,615 --> 01:50:02,952 WAYS OF ASSESSING YOUR BASELINE 2635 01:50:02,952 --> 01:50:08,457 INFORMATION, AND WE FOUND THAT 2636 01:50:08,457 --> 01:50:09,825 PARTICIPANTS THAT HAD LOW 2637 01:50:09,825 --> 01:50:11,894 MICROBIOTA DIVERSITY HAD 2638 01:50:11,894 --> 01:50:13,229 INCREASE OF INFLAMMATION BY 2639 01:50:13,229 --> 01:50:15,531 EATING MORE FIBER. 2640 01:50:15,531 --> 01:50:16,365 THOSE THAT HAD HIGH MICROBIOTA 2641 01:50:16,365 --> 01:50:19,735 DIVERSITY AT THE START OF THE 2642 01:50:19,735 --> 01:50:21,670 STUDY HAD DECREASE OF 2643 01:50:21,670 --> 01:50:23,339 INFLAMMATION AT BASELINE. 2644 01:50:23,339 --> 01:50:25,041 WHERE I CAME INTO PLAY WAS 2645 01:50:25,041 --> 01:50:28,577 TRYING TO FIGURE OUT ARE THERE 2646 01:50:28,577 --> 01:50:30,179 PARTICULAR METABOLITES THAT ARE 2647 01:50:30,179 --> 01:50:32,882 LEADING TO THIS CHANGE IN OUR 2648 01:50:32,882 --> 01:50:33,349 INFLAMMATION? 2649 01:50:33,349 --> 01:50:35,618 AND IN THE HOST. 2650 01:50:35,618 --> 01:50:37,720 NEXT SLIDE PLEASE. 2651 01:50:37,720 --> 01:50:40,890 SO TO ASSESS THIS, I WENT BACK 2652 01:50:40,890 --> 01:50:42,958 AND LOOKED AT OR METABOLOMICS 2653 01:50:42,958 --> 01:50:44,493 DATA AND IMMUNE PROFILING DATA. 2654 01:50:44,493 --> 01:50:47,463 AND I HAD A VERY SPECIFIC SET OF 2655 01:50:47,463 --> 01:50:47,797 CRITERIA. 2656 01:50:47,797 --> 01:50:49,865 I WANTED TO MAKE SURE 2657 01:50:49,865 --> 01:50:51,000 METABOLITES WERE PRODUCED BY 2658 01:50:51,000 --> 01:50:59,475 MICROBES, OF COURSE FOUND IN 2659 01:50:59,475 --> 01:51:01,143 EITHER STOOL SAMPLES, ALTERED BY 2660 01:51:01,143 --> 01:51:03,145 FIBER DIET STUDY OR INTERVENTION 2661 01:51:03,145 --> 01:51:04,613 AND SIGNIFICANTLY DIFFERENT 2662 01:51:04,613 --> 01:51:08,551 BETWEEN THIS LOW, MID, AND HIGH 2663 01:51:08,551 --> 01:51:09,385 INFLAMMATORY GROUP. 2664 01:51:09,385 --> 01:51:12,488 IN THE CENTER OF MY SLIDE I'M 2665 01:51:12,488 --> 01:51:13,689 SHOWING RELATIVE EXPRESSION OF 2666 01:51:13,689 --> 01:51:15,624 MY 17 CANDIDATES THAT I CAME TO 2667 01:51:15,624 --> 01:51:18,194 AT THE END OF THIS CRITERIA. 2668 01:51:18,194 --> 01:51:22,131 AND WHAT I'M SHOWING BOXED IN 2669 01:51:22,131 --> 01:51:24,567 YELLOW OR GOLD ARE METABOLITES 2670 01:51:24,567 --> 01:51:27,903 THAT I'M HYPOTHESIZING TO BE 2671 01:51:27,903 --> 01:51:28,504 ANTI-INFLAMMATORY. 2672 01:51:28,504 --> 01:51:30,239 I HYPOTHESIZE THIS BECAUSE THESE 2673 01:51:30,239 --> 01:51:36,812 ARE 12 METABOLITES THAT ARE 2674 01:51:36,812 --> 01:51:41,117 SIGNIFICANTLY HIGHER AND LOW 2675 01:51:41,117 --> 01:51:43,052 INFLAMMATORY GROUPS, MAYBE 2676 01:51:43,052 --> 01:51:43,853 IMMUNOMODULATORY AND DECREASING 2677 01:51:43,853 --> 01:51:45,754 INFLAMMATION. 2678 01:51:45,754 --> 01:51:47,223 WHEN THEY ARE DEEPER INTO OTHER 2679 01:51:47,223 --> 01:51:49,625 IMMUNE DATA THAT WE HAD FROM THE 2680 01:51:49,625 --> 01:51:51,961 STUDY I LOOKED AT MONOCYTE 2681 01:51:51,961 --> 01:51:53,896 INFLAMMATORY ACTIVITY AND TRIED 2682 01:51:53,896 --> 01:51:55,564 TO CORRELATE THAT WITH 2683 01:51:55,564 --> 01:51:57,133 EXPRESSION OF MY METABOLITES, 2684 01:51:57,133 --> 01:52:00,269 AND I FOUND THAT THERE WERE A 2685 01:52:00,269 --> 01:52:06,842 NUMBER OF METABOLITES THAT 2686 01:52:06,842 --> 01:52:08,511 NEGATIVELY CORRELATED, IMPORTANT 2687 01:52:08,511 --> 01:52:10,446 BECAUSE MONOCYTES ARE A CRITICAL 2688 01:52:10,446 --> 01:52:12,748 CELL TYPE, MAKE IMMUNE CELLS, 2689 01:52:12,748 --> 01:52:14,250 AND THESE ARE ROTATED IN THE 2690 01:52:14,250 --> 01:52:16,285 BLOOD AND DIFFERENTIATE INTO A 2691 01:52:16,285 --> 01:52:17,953 KEY CELL TYPE, A MACROPHAGE. 2692 01:52:17,953 --> 01:52:21,657 I DECIDED TO THEN USE 2693 01:52:21,657 --> 01:52:23,626 MACROPHAGES AS MY KEY CELL TYPE, 2694 01:52:23,626 --> 01:52:26,262 FOR A MODEL WHEN TESTING WHETHER 2695 01:52:26,262 --> 01:52:27,963 THESE METABOLITES WERE ACTUALLY 2696 01:52:27,963 --> 01:52:30,266 ANTI-INFLAMMATORY OR NOT. 2697 01:52:30,266 --> 01:52:31,200 NEXT SLIDE PLEASE. 2698 01:52:31,200 --> 01:52:33,836 SO HERE ARE THE VERY -- TWO 2699 01:52:33,836 --> 01:52:35,437 STRATEGIES THAT I -- 2700 01:52:35,437 --> 01:52:36,071 >> TWO MINUTES REMAINING. 2701 01:52:36,071 --> 01:52:40,409 >> THANK YOU. 2702 01:52:40,409 --> 01:52:43,579 ONE WAS MEASURING TFN ALPHA, 2703 01:52:43,579 --> 01:52:48,617 ANOTHER NF-kappaB ACTIVATION. 2704 01:52:48,617 --> 01:52:53,222 AND I PRIMED WITH MA METABOLITE 2705 01:52:53,222 --> 01:53:03,432 AND STIMULATE WITH A PRO 2706 01:53:03,432 --> 01:53:03,766 INFLAMMATORY. 2707 01:53:03,766 --> 01:53:05,367 FIVE OF THE TWELVE NEGATIVE 2708 01:53:05,367 --> 01:53:06,769 IMPACTED TNF AL THAT 2709 01:53:06,769 --> 01:53:07,136 SIGNIFICANTLY. 2710 01:53:07,136 --> 01:53:09,004 WHEN LOOKING AT MOUSE AND HOW 2711 01:53:09,004 --> 01:53:12,408 MANY MACROPHAGES FOUND THERE 2712 01:53:12,408 --> 01:53:13,842 WERE THREE THAT OVERLAPPED, 2713 01:53:13,842 --> 01:53:20,249 CONSERVED IN NEGATIVE -- 2714 01:53:20,249 --> 01:53:20,916 ANTI-INFLAMMATORY ABILITY AND 2715 01:53:20,916 --> 01:53:27,656 NOW DETERMINE IF TRUE FOR 2716 01:53:27,656 --> 01:53:28,457 NF-kappaB. 2717 01:53:28,457 --> 01:53:30,793 THESE THREE METABOLITES ALSO 2718 01:53:30,793 --> 01:53:32,194 DOWNREGULATED ACTIVATION OF 2719 01:53:32,194 --> 01:53:36,365 NF-kappaB BY USING AN 2720 01:53:36,365 --> 01:53:38,467 NF-kappaB REPORTER LINE AS 2721 01:53:38,467 --> 01:53:40,970 PERCENT FOLD CHANGE, RECEIVED 2722 01:53:40,970 --> 01:53:42,805 SIGNIFICANT DECREASE GFP BY 2723 01:53:42,805 --> 01:53:46,508 ADDITION OF ALL THREE OF MY 2724 01:53:46,508 --> 01:53:47,009 METABOLITES. 2725 01:53:47,009 --> 01:53:48,377 NEXT SLIDE. 2726 01:53:48,377 --> 01:53:51,480 APOLOGIES FOR MOVING QUICK WILL 2727 01:53:51,480 --> 01:53:55,684 YOU BUT GETTING THROUGH ALL 2728 01:53:55,684 --> 01:53:56,285 DATA. 2729 01:53:56,285 --> 01:53:58,954 BY USING DIETARY INTERVENTION 2730 01:53:58,954 --> 01:54:01,724 STUDY NOT ONLY MEASURED GUT 2731 01:54:01,724 --> 01:54:02,625 MICROBIOME, METABOLITES, ALSO 2732 01:54:02,625 --> 01:54:04,326 INCLUDING A NUMBER OF IMMUNE 2733 01:54:04,326 --> 01:54:07,496 PARAMETERS, I WAS ABLE TO 2734 01:54:07,496 --> 01:54:15,738 IDENTIFY A NUMBER OF MICROBIALLY 2735 01:54:15,738 --> 01:54:17,573 PRODUCED METABOLITES AND USED A 2736 01:54:17,573 --> 01:54:20,209 SPECIFIC MACROPHAGE SYSTEM TO 2737 01:54:20,209 --> 01:54:20,476 VALIDATE. 2738 01:54:20,476 --> 01:54:21,110 NEXT SLIDE. 2739 01:54:21,110 --> 01:54:23,078 FOR THE FUTURE I WANT TO FIGURE 2740 01:54:23,078 --> 01:54:26,081 OUT LIKE HOW EXACTLY MY 2741 01:54:26,081 --> 01:54:27,216 METABOLITES ARE FUNCTIONING, 2742 01:54:27,216 --> 01:54:28,951 LIKE WHAT IS THE MECHANISM OF 2743 01:54:28,951 --> 01:54:31,854 ACTION IN THE HOST, AND WANT TO 2744 01:54:31,854 --> 01:54:34,490 DETERMINE WHAT STRAINS PRODUCE 2745 01:54:34,490 --> 01:54:39,194 THESE METABOLITES, AND SEE IF 2746 01:54:39,194 --> 01:54:40,095 STRAINS AND METABOLITES ARE 2747 01:54:40,095 --> 01:54:40,863 PROTECTIVE IN MOUSE MODELS. 2748 01:54:40,863 --> 01:54:45,234 IN THE FUTURE WHEN IT COMES TO 2749 01:54:45,234 --> 01:54:47,803 THE FIELD, I THINK THERE'S 2750 01:54:47,803 --> 01:54:49,171 OPPORTUNITY FOR PARTNERING WITH 2751 01:54:49,171 --> 01:54:50,706 CLINICIANS TO HAVE A BETTER 2752 01:54:50,706 --> 01:54:53,776 UNDERSTANDING OF WHAT THE 2753 01:54:53,776 --> 01:54:54,777 BASELINE METABOLITE EXPRESSION 2754 01:54:54,777 --> 01:54:56,545 IS AND IMMUNE PROFILING USED IN 2755 01:54:56,545 --> 01:54:58,814 PEOPLE AND HAVING MORE DIETARY 2756 01:54:58,814 --> 01:55:01,283 INTERVENTION STUDIES WITH LARGER 2757 01:55:01,283 --> 01:55:03,786 GROUPS TO SAY ANYTHING ABOUT 2758 01:55:03,786 --> 01:55:05,120 DEMOGRAPHICS OF PARTICIPANTS. 2759 01:55:05,120 --> 01:55:06,322 NEXT SLIDE PLEASE. 2760 01:55:06,322 --> 01:55:14,263 WITH THAT I'D LIKE TO START OFF 2761 01:55:14,263 --> 01:55:15,631 WITH ACKNOWLEDGING THE ANCESTRAL 2762 01:55:15,631 --> 01:55:20,035 LAND THAT WAS AND CONTINUES TO 2763 01:55:20,035 --> 01:55:23,505 BE A GREAT IMPORTANCE TO THE 2764 01:55:23,505 --> 01:55:25,941 PEOPLE AND THANK JUSTIN 2765 01:55:25,941 --> 01:55:27,009 SONNENBURG FOR HELPING ME 2766 01:55:27,009 --> 01:55:29,044 DEVELOP THIS PROJECT TO WHERE IT 2767 01:55:29,044 --> 01:55:30,312 IS TODAY. 2768 01:55:30,312 --> 01:55:31,747 THANK YOU FOR LISTENING. 2769 01:55:31,747 --> 01:55:33,816 AND I LOOK FORWARD TO ANSWERING 2770 01:55:33,816 --> 01:55:37,453 ANY QUESTIONS YOU MAY HAVE. 2771 01:55:37,453 --> 01:55:39,955 >> THANK YOU, DR. ROBINSON. 2772 01:55:39,955 --> 01:55:40,389 FANTASTIC. 2773 01:55:40,389 --> 01:55:46,595 WE'LL MOVE TO OUR NEXT 2774 01:55:46,595 --> 01:55:49,865 PRESENTER. 2775 01:55:49,865 --> 01:55:51,967 LIPIDOMICS AND METABOLOMICS IN 2776 01:55:51,967 --> 01:55:54,503 NATIVE AMERICANS, ENDOWED CHAIR 2777 01:55:54,503 --> 01:55:56,905 AT UNIVERSITY OF FLORIDA, 2778 01:55:56,905 --> 01:56:00,142 DIRECTS CENTER FOR GENETIC 2779 01:56:00,142 --> 01:56:00,776 EPIDEMIOLOGY AND BIOINFORMATICS 2780 01:56:00,776 --> 01:56:02,010 AT UNIVERSITY OF FLORIDA. 2781 01:56:02,010 --> 01:56:04,246 RESEARCH INTERESTS LIE IN BROAD 2782 01:56:04,246 --> 01:56:08,150 AREAS OF GENETIC EPI, 2783 01:56:08,150 --> 01:56:08,984 STATISTICAL GENETICS, OMIC 2784 01:56:08,984 --> 01:56:11,153 SCIENCE AND PRECISION HEALTH FOR 2785 01:56:11,153 --> 01:56:12,721 AGING AND AGE RELATED DISORDERS 2786 01:56:12,721 --> 01:56:16,291 WITH FOCUS ON CARDIOVASCULAR 2787 01:56:16,291 --> 01:56:18,360 DISEASE, TYPE 2 DIABETES, 2788 01:56:18,360 --> 01:56:20,262 ALZHEIMER'S DISEASE. 2789 01:56:20,262 --> 01:56:20,662 WELCOME, DR. ZHAO. 2790 01:56:20,662 --> 01:56:21,330 >> THANK YOU. 2791 01:56:21,330 --> 01:56:26,702 GLAD TO BE HERE TODAY. 2792 01:56:26,702 --> 01:56:28,871 THANK YOU FOR THE INVITATION. 2793 01:56:28,871 --> 01:56:32,508 ALLOW ME TO SHARE SOME OF OUR 2794 01:56:32,508 --> 01:56:35,043 RECENT FINDING REGARDING 2795 01:56:35,043 --> 01:56:35,878 METABOLOMICS, LIPIDOMICS, 2796 01:56:35,878 --> 01:56:37,880 CARDIOMETABOLIC DISEASE IN 2797 01:56:37,880 --> 01:56:40,783 AMERICAN INDIANS. 2798 01:56:40,783 --> 01:56:46,054 I JUST WANT TO SAY NATIVE 2799 01:56:46,054 --> 01:56:50,192 AMERICANS ACTUALLY AMERICAN 2800 01:56:50,192 --> 01:56:52,995 INDIANS STRONG HEART STUDY, I 2801 01:56:52,995 --> 01:56:53,162 USE. 2802 01:56:53,162 --> 01:56:56,432 THANK YOU. 2803 01:56:56,432 --> 01:57:01,937 NEXT SLIDE PLEASE. 2804 01:57:01,937 --> 01:57:06,775 WE KNOW CARDIOMETABOLIC DISEASE, 2805 01:57:06,775 --> 01:57:08,577 DISORDERS INCLUDING 2806 01:57:08,577 --> 01:57:09,945 CARDIOVASCULAR DISEASE, 2807 01:57:09,945 --> 01:57:11,613 HYPERTENSION, OBESITY, CKD A 2808 01:57:11,613 --> 01:57:12,114 LOT. 2809 01:57:12,114 --> 01:57:16,819 AMONG THESE CARDIOVASCULAR 2810 01:57:16,819 --> 01:57:20,589 DISEASES IS NUMBER ONE CAUSE OF 2811 01:57:20,589 --> 01:57:25,561 MORTALITY WORLDWIDE. 2812 01:57:25,561 --> 01:57:28,530 KNOWN FACTORS ARE DYSLIPIDEMIA, 2813 01:57:28,530 --> 01:57:29,898 A MAJOR CONTRIBUTOR TO 2814 01:57:29,898 --> 01:57:32,034 CARDIOMETABOLIC DISEASE. 2815 01:57:32,034 --> 01:57:35,671 NEXT SLIDE PLEASE. 2816 01:57:35,671 --> 01:57:39,575 AND AMERICAN INDIANS SUFFER THE 2817 01:57:39,575 --> 01:57:45,314 HIGH RISK OF CARDIOMETABOLIC 2818 01:57:45,314 --> 01:57:47,683 DISORDERS, FOR INSTANCE OBESITY 2819 01:57:47,683 --> 01:57:52,621 IS 1.6 TIMES HIGHER THAN 2820 01:57:52,621 --> 01:57:56,091 NON-HISPANIC WHITES AND 2 TO 3 2821 01:57:56,091 --> 01:57:58,527 TIMES HIGHER, HEART DISEASE 20% 2822 01:57:58,527 --> 01:58:03,832 HIGHER THAN ALL U.S. RACES. 2823 01:58:03,832 --> 01:58:05,400 NEXT SLIDE. 2824 01:58:05,400 --> 01:58:10,305 AND IN STRONG HEART STUDY, WHICH 2825 01:58:10,305 --> 01:58:15,711 WAS 30 YEARS AGO, 1989, IT WAS A 2826 01:58:15,711 --> 01:58:20,849 STUDY FOUNDED BY NHLBI DESIGNED 2827 01:58:20,849 --> 01:58:22,084 TO MEASURE RESEARCH 2828 01:58:22,084 --> 01:58:24,219 CARDIOMETABOLIC RISK FACTORS IN 2829 01:58:24,219 --> 01:58:26,588 INDIANS. 2830 01:58:26,588 --> 01:58:30,259 STRONG HEART STUDY INCLUDE 13 2831 01:58:30,259 --> 01:58:32,895 TRIBES FROM THREE REGIONS, FROM 2832 01:58:32,895 --> 01:58:36,398 ARIZONA, OKLAHOMA, AND DAKOTA. 2833 01:58:36,398 --> 01:58:38,367 AND PARTICIPANTS REEXAMINED 2834 01:58:38,367 --> 01:58:44,540 EVERY FIVE YEARS, AND NOW THEY 2835 01:58:44,540 --> 01:58:46,174 HAVE OVER 33 YEARS. 2836 01:58:46,174 --> 01:58:50,779 ONE COMPONENT IS STRONG HEART 2837 01:58:50,779 --> 01:58:55,450 FAMILY STUDY, INITIALLY 2001, 2838 01:58:55,450 --> 01:58:58,420 FAMILY STUDY INCLUDE 3600 2839 01:58:58,420 --> 01:59:02,190 INDIANS FROM 94 EXTENDED 2840 01:59:02,190 --> 01:59:03,325 PEDIGREES, NOW HAVE OVER 20 2841 01:59:03,325 --> 01:59:11,567 YEARS OF FOLLOW-UP. 2842 01:59:11,567 --> 01:59:12,634 NEXT SLIDE. 2843 01:59:12,634 --> 01:59:16,104 WHEN WE TALK ABOUT STRONG HEART 2844 01:59:16,104 --> 01:59:26,615 STUDY WE HAVE FAMILY STUDY, SO 2845 01:59:28,250 --> 01:59:30,085 NOWADAYS WE ARE 57 OF THE STRONG 2846 01:59:30,085 --> 01:59:32,554 HEART STUDY. 2847 01:59:32,554 --> 01:59:33,355 NEXT SLIDES. 2848 01:59:33,355 --> 01:59:40,462 STRONG HEART STUDY HAS VERY RICH 2849 01:59:40,462 --> 01:59:46,368 CLINICAL DATA, SO, DEMOCRATIC, 2850 01:59:46,368 --> 01:59:47,803 DEMOGRAPHIC, CLINICAL 2851 01:59:47,803 --> 01:59:49,304 PHENOTYPES, CARDIOMETABOLIC 2852 01:59:49,304 --> 01:59:55,243 DISEASE TO HAVE VERY RICH LAB 2853 01:59:55,243 --> 01:59:56,445 RESULTS, IMAGING AND ANCILLARY 2854 01:59:56,445 --> 01:59:59,848 STUDY OF STRONG HEART STUDY ALSO 2855 01:59:59,848 --> 02:00:02,484 GENERATED VERY RICH MOLECULAR 2856 02:00:02,484 --> 02:00:06,922 AND OTHER BIOMARKER DATA FOR 2857 02:00:06,922 --> 02:00:10,025 CARDIOMETABOLIC DISEASE. 2858 02:00:10,025 --> 02:00:10,425 NEXT SLIDE PLEASE. 2859 02:00:10,425 --> 02:00:12,294 AND SO THE RESULTS I'M 2860 02:00:12,294 --> 02:00:15,130 PRESENTING TODAY ACTUALLY IS ONE 2861 02:00:15,130 --> 02:00:16,999 OF THE ANCILLARY STUDIES TO THE 2862 02:00:16,999 --> 02:00:21,803 STRONG HEART STUDY FOUNDED BY 2863 02:00:21,803 --> 02:00:24,806 NIDDK, AND WITH THIS STUDY WE 2864 02:00:24,806 --> 02:00:27,109 WERE ABLE TO GENERATE 2865 02:00:27,109 --> 02:00:27,909 LONGITUDINAL METABOLOMIC AND 2866 02:00:27,909 --> 02:00:30,946 LIPPED OMIC DATA IN THE STRONG 2867 02:00:30,946 --> 02:00:35,951 HEART FAMILY STUDY AND ACTUALLY 2868 02:00:35,951 --> 02:00:42,090 TWO TIMES METABOLOMICS AND 2869 02:00:42,090 --> 02:00:51,266 LIPIDOMIC DAD USING FASTING AT 2870 02:00:51,266 --> 02:01:01,710 TWO TIME POINTS, PHASE 5. 2871 02:01:02,944 --> 02:01:13,321 IN THE MIDDLE THE TIME, PHASE 7, 2872 02:01:13,321 --> 02:01:19,995 WE ACTUALLY MEASURED TWO 2873 02:01:19,995 --> 02:01:23,932 PLATFORMS USING GC-MS, ANOTHER 2874 02:01:23,932 --> 02:01:25,567 IS LIPIDOMICS BY LC/MS. 2875 02:01:25,567 --> 02:01:31,073 I WILL FOCUS ON LIPIDOMIC STUDY 2876 02:01:31,073 --> 02:01:31,807 TODAY. 2877 02:01:31,807 --> 02:01:34,142 NEXT SLIDE. 2878 02:01:34,142 --> 02:01:36,378 OBJECTIVE OF ANCILLARY STUDY TO 2879 02:01:36,378 --> 02:01:40,849 IDENTIFY NOVEL MARKERS 2880 02:01:40,849 --> 02:01:43,351 ASSOCIATED WITH CARDIOMETABOLIC 2881 02:01:43,351 --> 02:01:44,352 DISEASE. 2882 02:01:44,352 --> 02:01:49,257 AND WE ARE INTERESTED IN 2883 02:01:49,257 --> 02:01:51,693 EXPANDING TEMPORAL RELATIONSHIP 2884 02:01:51,693 --> 02:01:54,996 WITH CHANGE IN CARDIOMETABOLIC 2885 02:01:54,996 --> 02:01:56,498 DISEASE OVER TIME 2886 02:01:56,498 --> 02:02:06,975 CHANGE IN BLOOD METABOLITES. 2887 02:02:07,743 --> 02:02:11,513 NEXT SLIDE PLEASE. 2888 02:02:11,513 --> 02:02:22,057 SO LIPIDOMIC STUDY IS A SUBFIELD 2889 02:02:23,291 --> 02:02:23,959 OF METABOLOMICS, QUANTIFYING 2890 02:02:23,959 --> 02:02:25,527 HUNDREDS OR EVEN THOUSANDS OF 2891 02:02:25,527 --> 02:02:29,131 INDIVIDUAL LIPIDS IN BLOOD AND 2892 02:02:29,131 --> 02:02:32,768 TISSUE SAMPLES. 2893 02:02:32,768 --> 02:02:35,670 WE MEASURE LIPIDOMIC DATA USING 2894 02:02:35,670 --> 02:02:43,678 LC/MS IN 4,000 SAMPLES FROM TWO 2895 02:02:43,678 --> 02:02:47,883 TIME POINTS, PHASE 4 AND PHASE 2896 02:02:47,883 --> 02:02:54,956 5, SO THEN WE OBTAIN Q.C., 1542 2897 02:02:54,956 --> 02:03:04,399 SPECIES IN 14 CLASSES. 2898 02:03:04,399 --> 02:03:06,001 NEXT SLIDE. 2899 02:03:06,001 --> 02:03:11,807 SO, WITH THIS DATA WE DID 2900 02:03:11,807 --> 02:03:13,108 LIPIDOMIC STUDY AND ALSO 2901 02:03:13,108 --> 02:03:14,543 CARDIOMETABOLIC DISEASE AND HAVE 2902 02:03:14,543 --> 02:03:19,481 DONE A LOT OF ANALYSIS AND WE 2903 02:03:19,481 --> 02:03:27,823 HAVE IDENTIFIED LIPIDOMIC MARKER 2904 02:03:27,823 --> 02:03:28,757 FOR DIABETES, CVD, HYPERTENSION, 2905 02:03:28,757 --> 02:03:31,393 A LOT OF STUDY ONGOING. 2906 02:03:31,393 --> 02:03:39,367 I SEE YOU LOOKING AT LIPIDOMIC 2907 02:03:39,367 --> 02:03:42,437 AND OBESITY, OTHER CLINICAL 2908 02:03:42,437 --> 02:03:46,308 PHENOTYPES, AND ALSO WE ARE 2909 02:03:46,308 --> 02:03:51,880 LOOKING AT DIETARY QUALITY OF 2910 02:03:51,880 --> 02:03:54,683 CARDIOVASCULAR -- DIET QUALITY 2911 02:03:54,683 --> 02:03:58,954 AND METABOLIC AND LIPIDOMIC 2912 02:03:58,954 --> 02:03:59,621 MARKERS. 2913 02:03:59,621 --> 02:04:06,061 AND WE ARE ALSO INTERESTED IN 2914 02:04:06,061 --> 02:04:13,835 LOOKING AT MICROBIOME AND 2915 02:04:13,835 --> 02:04:15,937 METABOLOMICS WITH CARDIAC 2916 02:04:15,937 --> 02:04:16,771 DISEASE. 2917 02:04:16,771 --> 02:04:19,574 THIS SLIDE, RESEARCH FINDINGS, 2918 02:04:19,574 --> 02:04:26,281 WE IDENTIFY AMERICAN INDIANS 2919 02:04:26,281 --> 02:04:27,983 ACTUALLY FOUND THAT BASELINE 2920 02:04:27,983 --> 02:04:32,187 LIPID ASSOCIATED WITH RISK OF 2921 02:04:32,187 --> 02:04:35,891 DIABETES, AND PREDIABETES, FIVE 2922 02:04:35,891 --> 02:04:37,225 YEAR FOLLOW-UP. 2923 02:04:37,225 --> 02:04:37,826 >> TWO MINUTES REMAINING. 2924 02:04:37,826 --> 02:04:40,862 >> THANK YOU. 2925 02:04:40,862 --> 02:04:43,131 NEXT ONE. 2926 02:04:43,131 --> 02:04:49,170 AND THIS SHOWS VERY SPECIFIC 2927 02:04:49,170 --> 02:04:50,872 INDIVIDUAL LIPIDS THAT CAN 2928 02:04:50,872 --> 02:04:51,740 DIFFERENTIATE RISK OF DIABETES. 2929 02:04:51,740 --> 02:04:56,544 NEXT ONE. 2930 02:04:56,544 --> 02:05:00,415 AND WE USE LIPIDS CONSISTENT HOW 2931 02:05:00,415 --> 02:05:03,585 FIVE KNOWN LIPIDS AND WE FOUND 2932 02:05:03,585 --> 02:05:07,889 LIPID SCORE CAN SIGNAL INCREASE, 2933 02:05:07,889 --> 02:05:10,525 PREDICTION OF DIABETES BEYOND 2934 02:05:10,525 --> 02:05:12,560 TRADITIONAL RISK FACTORS. 2935 02:05:12,560 --> 02:05:15,397 NEXT SLIDE PLEASE. 2936 02:05:15,397 --> 02:05:17,032 AND LOOK AT TEMPORAL 2937 02:05:17,032 --> 02:05:19,801 RELATIONSHIP BETWEEN CHANGING 2938 02:05:19,801 --> 02:05:22,103 LIPIDS AND CHANGE IN CARDIO 2939 02:05:22,103 --> 02:05:24,272 METABOLICS, THIS SHOWS WITH 2940 02:05:24,272 --> 02:05:33,682 CHANGING LIPIDS, CHANGING IN 2941 02:05:33,682 --> 02:05:35,450 DIABETES-RELATED RISK, GLUCOSE, 2942 02:05:35,450 --> 02:05:41,623 AND YOU CAN SEE THAT MULTIPLE 2943 02:05:41,623 --> 02:05:43,291 DATA SPECIES CAN TRACK CHANGE. 2944 02:05:43,291 --> 02:05:45,527 NEXT ONE PLEASE. 2945 02:05:45,527 --> 02:05:48,129 AND WE ALSO VIEWED -- IDENTIFY 2946 02:05:48,129 --> 02:05:52,367 MARKERS THAT CAN PREDICT RISK OF 2947 02:05:52,367 --> 02:05:59,207 CHD IN AMERICAN INDIANS, ABLE TO 2948 02:05:59,207 --> 02:06:02,577 REPLICATE IN EUROPEAN COHORT AND 2949 02:06:02,577 --> 02:06:09,617 ALSO IDENTIFIED CHANGES IN 2950 02:06:09,617 --> 02:06:10,685 LIPIDS ASSOCIATED WITH 2951 02:06:10,685 --> 02:06:11,052 CARDIOMETABOLIC. 2952 02:06:11,052 --> 02:06:14,823 NEXT SLIDE PLEASE. 2953 02:06:14,823 --> 02:06:18,893 NEXT ONE. 2954 02:06:18,893 --> 02:06:22,764 AND THIS SLIDE SHOWS CLINICAL 2955 02:06:22,764 --> 02:06:24,232 ATTRIBUTES, CAN PREDICT 2956 02:06:24,232 --> 02:06:28,203 PROGRESSION OF SUBCLINICAL 2957 02:06:28,203 --> 02:06:29,037 DISEASE IN AMERICAN ENDS. 2958 02:06:29,037 --> 02:06:32,240 >> IF YOU COULD SUM UP SO WE 2959 02:06:32,240 --> 02:06:34,609 HAVE TIME FOR THE THIRD 2960 02:06:34,609 --> 02:06:34,943 PRESENTATION. 2961 02:06:34,943 --> 02:06:37,278 >> YES. 2962 02:06:37,278 --> 02:06:39,781 NEXT ONE. 2963 02:06:39,781 --> 02:06:41,316 NEXT ONE PLEASE. 2964 02:06:41,316 --> 02:06:47,589 SO LAST ONE I WANT TO TELL YOU 2965 02:06:47,589 --> 02:06:51,826 ABOUT THE MICROBIOME, ANCILLARY 2966 02:06:51,826 --> 02:06:59,300 STUDY, WE'RE GOING TO LINK 2967 02:06:59,300 --> 02:07:00,201 CARDIOMETABOLIC, METABOLIC AND 2968 02:07:00,201 --> 02:07:02,370 DIETARY, SO TWO ANCILLARY 2969 02:07:02,370 --> 02:07:03,271 STUDIES. 2970 02:07:03,271 --> 02:07:05,407 NEXT ONE PLEASE. 2971 02:07:05,407 --> 02:07:08,710 FINALLY I WANT TO THANK THE 2972 02:07:08,710 --> 02:07:10,245 PARTICIPANTS, FUNDING, TEAM AND 2973 02:07:10,245 --> 02:07:10,578 COLLABORATORS. 2974 02:07:10,578 --> 02:07:11,446 THANK YOU. 2975 02:07:11,446 --> 02:07:16,384 I'M HAPPY TO TAKE QUESTIONS. 2976 02:07:16,384 --> 02:07:16,518 2977 02:07:16,518 --> 02:07:18,887 >> THANK YOU SO MUCH. 2978 02:07:18,887 --> 02:07:21,022 I'M SORRY TO HAVE TO MOVE THINGS 2979 02:07:21,022 --> 02:07:21,456 ALONG. 2980 02:07:21,456 --> 02:07:24,826 I WANT TO GIVE THE THIRD 2981 02:07:24,826 --> 02:07:26,628 PRESENTER TIME AND TIME FOR 2982 02:07:26,628 --> 02:07:27,862 QUESTIONS, WE HAVE QUESTIONS 2983 02:07:27,862 --> 02:07:29,330 FROM THE AUDIENCE AS WELL AS 2984 02:07:29,330 --> 02:07:29,564 OTHERS. 2985 02:07:29,564 --> 02:07:29,931 >> THANK YOU. 2986 02:07:29,931 --> 02:07:31,933 >> THANK YOU SO MUCH. 2987 02:07:31,933 --> 02:07:37,872 OUR THIRD AND FINAL PRESENTATION 2988 02:07:37,872 --> 02:07:39,541 IS GUT MICROBIOME AND DIETARY 2989 02:07:39,541 --> 02:07:43,711 FIBER IN THE U.S. HISPANIC 2990 02:07:43,711 --> 02:07:48,249 LATINO POPULATION, AN ASSISTANT 2991 02:07:48,249 --> 02:07:50,485 PROFESSOR OF HUMAN NUTRITION, 2992 02:07:50,485 --> 02:07:53,555 UNIVERSITY OF NEW HAMPSHIRE, 2993 02:07:53,555 --> 02:07:56,458 STUDYING DIET, GUT MICROBIOME 2994 02:07:56,458 --> 02:07:57,392 AND HUMAN CARDIOMETABOLIC 2995 02:07:57,392 --> 02:07:57,625 HEALTH. 2996 02:07:57,625 --> 02:08:01,362 WE HAVE TO CATCH UP ON THE 2997 02:08:01,362 --> 02:08:06,101 SLIDES TO MOVE THEM FORWARD. 2998 02:08:06,101 --> 02:08:08,403 THANK YOU. 2999 02:08:08,403 --> 02:08:09,671 WITHOUT FURTHER ADO LET ME TURN 3000 02:08:09,671 --> 02:08:12,607 IT OVER TO DR. DOW. 3001 02:08:12,607 --> 02:08:15,210 >> THANK YOU VERY MUCH, DR. 3002 02:08:15,210 --> 02:08:15,510 KAPLAN. 3003 02:08:15,510 --> 02:08:17,612 I'M HONORED TO BE PART OF THIS 3004 02:08:17,612 --> 02:08:18,413 PANEL AND WORKSHOP. 3005 02:08:18,413 --> 02:08:23,218 THANK YOU TO THE ORGANIZERS. 3006 02:08:23,218 --> 02:08:24,319 NEXT SLIDE. 3007 02:08:24,319 --> 02:08:26,154 SO, TO START OFF WITH A LITTLE 3008 02:08:26,154 --> 02:08:29,090 BIT OF BACKGROUND WE KNOW THAT 3009 02:08:29,090 --> 02:08:31,292 THE GUT MICROBIOME PLAYS AN 3010 02:08:31,292 --> 02:08:33,161 IMPORTANT ROLE IN HUMAN 3011 02:08:33,161 --> 02:08:35,864 METABOLIC HEALTH, AND AT THE 3012 02:08:35,864 --> 02:08:37,632 SAME TIME IT IS IMPACTED BY 3013 02:08:37,632 --> 02:08:38,867 FACTORS AND EXPOSURES THAT 3014 02:08:38,867 --> 02:08:42,170 HUMANS ARE SUBJECTED TO 3015 02:08:42,170 --> 02:08:43,872 THROUGHOUT THEIR LIFETIME, 3016 02:08:43,872 --> 02:08:46,174 INCLUDING MEDICATION USE, MODE 3017 02:08:46,174 --> 02:08:48,610 OF DELIVERY UPON BIRTH, 3018 02:08:48,610 --> 02:08:49,344 GENETICS, SOCIAL NETWORKS, EVEN 3019 02:08:49,344 --> 02:08:53,348 PETS WE HAVE IN OUR HOUSEHOLD. 3020 02:08:53,348 --> 02:08:54,749 AND ALSO OUR BUILT ENVIRONMENT. 3021 02:08:54,749 --> 02:08:56,918 ONE OF THE MOST IMPORTANT 3022 02:08:56,918 --> 02:08:59,420 EXPOSURES OF THE GUT MICROBIOME 3023 02:08:59,420 --> 02:09:02,557 IS DIET. 3024 02:09:02,557 --> 02:09:03,591 NEXT SLIDE. 3025 02:09:03,591 --> 02:09:05,727 AND MY PARTICULAR INTEREST IS 3026 02:09:05,727 --> 02:09:10,298 VERY WELL ALIGNED WITH THAT OF 3027 02:09:10,298 --> 02:09:12,066 DR. ROBINSON, DIETARY FIBER, 3028 02:09:12,066 --> 02:09:13,835 FIBER-RICH FOODS. 3029 02:09:13,835 --> 02:09:15,103 NEXT SLIDE. 3030 02:09:15,103 --> 02:09:17,872 AND THIS FOCUS IS GIVEN THE FACT 3031 02:09:17,872 --> 02:09:19,841 THAT HIGHER INTAKES OF DIETARY 3032 02:09:19,841 --> 02:09:22,443 FIBER HAVE BEEN LINKED TO 3033 02:09:22,443 --> 02:09:24,579 PROTECTION AGAINST CARDIO 3034 02:09:24,579 --> 02:09:27,482 METABOLICS RISKS AND DISEASES, 3035 02:09:27,482 --> 02:09:28,716 AND THERE'S ALSO THIS KNOWLEDGE 3036 02:09:28,716 --> 02:09:32,487 NOW THAT FIBER IS NOT ONLY NOW 3037 02:09:32,487 --> 02:09:35,156 ISSUING HUMAN BEINGS BUT ALSO AN 3038 02:09:35,156 --> 02:09:37,792 ENERGY SOURCE FOR BACTERIA IN 3039 02:09:37,792 --> 02:09:39,794 OUR GUT. 3040 02:09:39,794 --> 02:09:47,268 BACTERIA FERMENT 3041 02:09:47,268 --> 02:09:49,404 >> WHICH HAVE A WHOLE ARRAY OF 3042 02:09:49,404 --> 02:09:51,039 DOWN STREAM AFFECTS ON HUMAN 3043 02:09:51,039 --> 02:09:56,311 HEALTH AND METABOLISM. 3044 02:09:56,311 --> 02:10:00,348 THAT INCLUDES POTENTIAL HUNGER 3045 02:10:00,348 --> 02:10:02,083 SIGNALLING AND INTERACTIONS WITH 3046 02:10:02,083 --> 02:10:04,752 THE IMMUNE SYSTEM AND MODULATION 3047 02:10:04,752 --> 02:10:05,320 OF INFLAMMATION. 3048 02:10:05,320 --> 02:10:07,388 THESE COMPONENTS ARE PART OF 3049 02:10:07,388 --> 02:10:10,124 WHAT WE KNOW AS THE 3050 02:10:10,124 --> 02:10:11,326 BI-DIRECTIONAL RELATIONSHIP 3051 02:10:11,326 --> 02:10:13,328 BETWEEN THE GUT AND BRAIN TERMED 3052 02:10:13,328 --> 02:10:23,671 THE GUT-BRAIN AXIS. 3053 02:10:24,572 --> 02:10:27,809 AND I'M LOOKING AT THIS IN UNDER 3054 02:10:27,809 --> 02:10:30,144 REPRESENTED POPULATIONS IN 3055 02:10:30,144 --> 02:10:30,411 RESEARCH. 3056 02:10:30,411 --> 02:10:33,781 ON THE RIGHT WE SEE A DIAGRAM 3057 02:10:33,781 --> 02:10:34,549 SHOWING VAST UNDER 3058 02:10:34,549 --> 02:10:39,754 REPRESENTATION OF MULTIPLE 3059 02:10:39,754 --> 02:10:45,560 POPULATIONS AROUND THE WORLD 3060 02:10:45,560 --> 02:10:49,063 MICROBIOME RESEARCH AND VAST 3061 02:10:49,063 --> 02:10:51,699 DISPARITIES IN VULNERABLE GROUPS 3062 02:10:51,699 --> 02:10:55,570 EVEN IN THE U.S. 3063 02:10:55,570 --> 02:10:57,372 IT'S IMPORTANT TO EVALUATE 3064 02:10:57,372 --> 02:10:58,673 MICROBIOME IN THE SPECIFIC 3065 02:10:58,673 --> 02:11:01,576 MANNER BECAUSE AS SEEN IN THE 3066 02:11:01,576 --> 02:11:03,778 DIAGRAM IN THIS ARTICLE 3067 02:11:03,778 --> 02:11:09,050 EXPOSURES SUCH AS STRUCTURAL 3068 02:11:09,050 --> 02:11:10,351 DISCRIMINATION AND ENVIRONMENTAL 3069 02:11:10,351 --> 02:11:12,920 PRESSURES THERE'S A PATHWAY 3070 02:11:12,920 --> 02:11:16,958 BETWEEN THESE AND ONSET OF 3071 02:11:16,958 --> 02:11:17,592 CHRONIC DISEASE AND THERE'S A 3072 02:11:17,592 --> 02:11:19,594 THOUGHT MICROBIOME MAYBE A 3073 02:11:19,594 --> 02:11:24,565 MEDIATOR IN THAT PATHWAY SO IT'S 3074 02:11:24,565 --> 02:11:27,068 IMPORTANT TO UNDERSTAND THIS 3075 02:11:27,068 --> 02:11:32,173 PATHWAY INCLUDING LATINOS IN THE 3076 02:11:32,173 --> 02:11:32,540 U.S. 3077 02:11:32,540 --> 02:11:38,112 ALSO ANOTHER REASON TO STUDY 3078 02:11:38,112 --> 02:11:39,714 MICROBIOMES IN UNDER REPRESENTED 3079 02:11:39,714 --> 02:11:41,349 POPULATIONS IS MIGRATION. 3080 02:11:41,349 --> 02:11:46,521 WE KNOW DURING THE FIRST TALK 3081 02:11:46,521 --> 02:11:57,065 THAT MICROBIAL RICHNESS HAS BEEN 3082 02:11:57,632 --> 02:11:57,965 COR 3083 02:11:57,965 --> 02:11:59,000 CORRELATED TO HEALTH AND THIS IS 3084 02:11:59,000 --> 02:12:02,403 FROM THE STUDY OF ATLANTAS FROM 3085 02:12:02,403 --> 02:12:07,475 KAPLAN AND COLLEAGUES AND SHOWS 3086 02:12:07,475 --> 02:12:08,710 INDIVIDUALS OF HISPANIC 3087 02:12:08,710 --> 02:12:12,613 BACKGROUNDS WHO MIGRATED TO THE 3088 02:12:12,613 --> 02:12:15,917 U.S. EARLIER IN LIFE WAS 3089 02:12:15,917 --> 02:12:17,885 ASSOCIATED WITH LOWER MICROBIAL 3090 02:12:17,885 --> 02:12:19,253 RICHNESS EVEN COMPARED TO 3091 02:12:19,253 --> 02:12:20,121 U.S.-BORN HISPANICS. 3092 02:12:20,121 --> 02:12:23,157 THERE'S A QUESTION WE DON'T 3093 02:12:23,157 --> 02:12:25,593 FULLY UNDERSTAND THE QUESTION OF 3094 02:12:25,593 --> 02:12:26,694 EXPOSURES TO NEWER ENVIRONMENTS 3095 02:12:26,694 --> 02:12:29,197 AND THE IMPLICATIONS THEY MAY 3096 02:12:29,197 --> 02:12:30,498 HAVE MORE MICROBIOME, DIET AND 3097 02:12:30,498 --> 02:12:34,769 HEALTH. 3098 02:12:34,769 --> 02:12:37,271 SO BACK TO FIBER, WE KNOW A 3099 02:12:37,271 --> 02:12:38,906 SMALL PORTION OF THE 3100 02:12:38,906 --> 02:12:40,441 U.S. POPULATION IS CONSUMING 3101 02:12:40,441 --> 02:12:43,277 SUFFICIENT FIBER ON A DAILY 3102 02:12:43,277 --> 02:12:44,412 BASIS BUT THERE ARE VAST 3103 02:12:44,412 --> 02:12:48,583 DISPARITIES WHEN WE LOOK AT THE 3104 02:12:48,583 --> 02:12:50,251 DATA BY INCOME LEVEL OR BY 3105 02:12:50,251 --> 02:12:54,355 RACIAL AND ONLY ETHNIC 3106 02:12:54,355 --> 02:12:55,857 BACKGROUND AND SEE HISPANIC 3107 02:12:55,857 --> 02:12:58,025 POPULATIONS ALONG WITH 3108 02:12:58,025 --> 02:13:02,797 NON-HISPANIC BLACK POPULATION 3109 02:13:02,797 --> 02:13:05,400 HAVE A LOW CONSUMPTION AND NOT 3110 02:13:05,400 --> 02:13:07,001 READING THE ADEQUATE INTAKE OF 3111 02:13:07,001 --> 02:13:08,536 FIBER ON A DAILY BASIS ON 3112 02:13:08,536 --> 02:13:08,770 AVERAGE. 3113 02:13:08,770 --> 02:13:09,837 IT'S IMPORTANT BECAUSE WE KNOW 3114 02:13:09,837 --> 02:13:14,375 OF THE ESCALATING INCIDENTS AND 3115 02:13:14,375 --> 02:13:16,110 PREVALENCE OF OBESITY AND OTHER 3116 02:13:16,110 --> 02:13:16,711 ASSOCIATED CONDITIONS IN THIS 3117 02:13:16,711 --> 02:13:24,385 POPULATION. 3118 02:13:24,385 --> 02:13:27,488 SO THIS INSUFFICIENCY OF FIBER 3119 02:13:27,488 --> 02:13:29,791 INTAKE I'VE SEEN IN MY OWN WORK. 3120 02:13:29,791 --> 02:13:31,459 I'VE BEEN STUDYING HISPANIC 3121 02:13:31,459 --> 02:13:32,960 POPULATIONS IN NEW HAMPSHIRE. 3122 02:13:32,960 --> 02:13:36,497 IT'S A STATE THAT'S EXPERIENCING 3123 02:13:36,497 --> 02:13:39,066 A GREAT DEMOGRAPHIC SHIFT WITH 3124 02:13:39,066 --> 02:13:40,468 RAPID GROWTH IN THE HISPANIC 3125 02:13:40,468 --> 02:13:43,304 POPULATION AND YET INSUFFICIENT 3126 02:13:43,304 --> 02:13:44,505 SUPPORT SYSTEMS TO MAINTAIN 3127 02:13:44,505 --> 02:13:45,072 HEALTHY NUTRITION FOR THIS 3128 02:13:45,072 --> 02:13:47,642 POPULATION. 3129 02:13:47,642 --> 02:13:52,413 WE SAW THAT THERE WAS A HIGH 3130 02:13:52,413 --> 02:13:54,315 PREVALENCE DURING I PHONE SURVEY 3131 02:13:54,315 --> 02:14:01,189 IN 2021 AND 2022, HIGH 3132 02:14:01,189 --> 02:14:03,825 PREVALENCE OF MARGINAL FOOD 3133 02:14:03,825 --> 02:14:06,694 INSECURITY AND REGARDLESS OF 3134 02:14:06,694 --> 02:14:09,130 FOOD START THE POPULATION THAT 3135 02:14:09,130 --> 02:14:10,331 WAS REACHING THE RECOMMENDED 3136 02:14:10,331 --> 02:14:13,501 INTAKE OF DIETARY FIBER AND 3137 02:14:13,501 --> 02:14:19,974 FIBER RICH FOODS WAS VERY LOW. 3138 02:14:19,974 --> 02:14:23,711 AND THIS LEADS ME TO A STUDY IN 3139 02:14:23,711 --> 02:14:26,547 MY LAB FIBER AND FOOD INSECURITY 3140 02:14:26,547 --> 02:14:29,517 RESEARCH STUDY OR FIRST AND THIS 3141 02:14:29,517 --> 02:14:33,521 IS A STUDY INFORMING OUR FUTURE 3142 02:14:33,521 --> 02:14:34,722 INTERVENTIONS WE'RE HOPING TO 3143 02:14:34,722 --> 02:14:36,591 CONDUCT IN THE STATE. 3144 02:14:36,591 --> 02:14:38,726 WE ARE RECRUITING IN THE 3145 02:14:38,726 --> 02:14:41,162 CROSS-SECTIONAL DESIGN HISPANIC 3146 02:14:41,162 --> 02:14:42,630 ADULTS ELIGIBLE FOR FOOD 3147 02:14:42,630 --> 02:14:44,899 ASSISTANCE AND WHO EITHER MAY OR 3148 02:14:44,899 --> 02:14:48,603 MAY NOT HAVE OVER WEIGHT AND 3149 02:14:48,603 --> 02:14:49,203 OBESITY. 3150 02:14:49,203 --> 02:14:50,404 AND GOING CLOCKWISE FROM THE 3151 02:14:50,404 --> 02:14:52,373 UPPER LEFT SQUARE YOU SEE THERE 3152 02:14:52,373 --> 02:14:53,808 WE'RE ASSESSING A VARIETY OF 3153 02:14:53,808 --> 02:14:56,143 OUTCOMES IN THIS POPULATION. 3154 02:14:56,143 --> 02:14:57,645 WE'RE LOOKING AT THE FOOD 3155 02:14:57,645 --> 02:14:59,881 ENVIRONMENT. 3156 02:14:59,881 --> 02:15:02,550 WE'RE LOOKING AT DIETARY INTAKE, 3157 02:15:02,550 --> 02:15:03,784 ACCULTURATION AND ALSO 3158 02:15:03,784 --> 02:15:05,186 COLLECTING AN EXTENSIVE AMOUNT 3159 02:15:05,186 --> 02:15:09,056 OF BIOLOGICAL AND CLINICAL DATA 3160 02:15:09,056 --> 02:15:10,958 SPECIFICALLY WHOLE GENOME 3161 02:15:10,958 --> 02:15:15,863 SEQUENCING OF STOOL SAMPLES TO 3162 02:15:15,863 --> 02:15:21,536 ANALYZE THE MICROBIOME AND 3163 02:15:21,536 --> 02:15:25,940 METABOLOMICS AN MIXED MEAL 3164 02:15:25,940 --> 02:15:27,508 TOLERANCE TEST TO LOOK AT 3165 02:15:27,508 --> 02:15:30,811 HORMONES IMPLICATED IN HUNGER 3166 02:15:30,811 --> 02:15:36,684 AND SATIETY AND INFLAMMATION. 3167 02:15:36,684 --> 02:15:38,185 BRIEFING, THIS IS THE KIND OF 3168 02:15:38,185 --> 02:15:41,689 LAYOUT THAT YOU CAN SEE HERE FOR 3169 02:15:41,689 --> 02:15:42,823 WHAT PARTICIPANTS EXPERIENCE 3170 02:15:42,823 --> 02:15:46,193 DURING OUR STUDY. 3171 02:15:46,193 --> 02:15:49,964 THIS IS A STOOL SAMPLE AND 3172 02:15:49,964 --> 02:15:52,333 ANSWER QUESTIONNAIRES, PROVIDE A 3173 02:15:52,333 --> 02:15:54,035 FASTING BLOOD SAMPLE AND THEN 3174 02:15:54,035 --> 02:15:57,538 COLLECT A SERIES OF BLOOD 3175 02:15:57,538 --> 02:16:01,375 SAMPLES OVER TWO HOURS AFTER 3176 02:16:01,375 --> 02:16:03,077 CONSUMPTION OF A STANDARD LIQUID 3177 02:16:03,077 --> 02:16:03,277 MEAL. 3178 02:16:03,277 --> 02:16:06,581 AND SO JUST TO SHOW YOU HERE 3179 02:16:06,581 --> 02:16:08,149 SOME PRELIMINARY DATA FROM OUR 3180 02:16:08,149 --> 02:16:13,521 OPTIMIZATION OF OUR ASSAYS TO 3181 02:16:13,521 --> 02:16:17,858 MEASURE THE GLUCOSE AND HORMONES 3182 02:16:17,858 --> 02:16:20,695 FOR MEASURING SATIETY AND 3183 02:16:20,695 --> 02:16:22,330 THERE'S GREAT INDIVIDUAL 3184 02:16:22,330 --> 02:16:23,598 VARIABILITY AND IT'S CONSISTENT 3185 02:16:23,598 --> 02:16:25,366 WITH OTHER STUDIES AND HOW WE 3186 02:16:25,366 --> 02:16:27,268 RESPOND TO FOOD AND HOPEFULLY 3187 02:16:27,268 --> 02:16:28,569 SOMETHING A GREATER KNOWLEDGE OF 3188 02:16:28,569 --> 02:16:30,905 THE MICROBIOME AND DIETARY 3189 02:16:30,905 --> 02:16:33,174 HABITS AND OUR FOOD ENVIRONMENT 3190 02:16:33,174 --> 02:16:36,243 WILL HELP UNDERSTAND THE 3191 02:16:36,243 --> 02:16:38,212 INTER-INDIVIDUAL VARIABILITY. 3192 02:16:38,212 --> 02:16:42,917 OTHER ASPECTS OF THE FIRST STUDY 3193 02:16:42,917 --> 02:16:44,952 INCLUDE ASSESSMENT OF THE 3194 02:16:44,952 --> 02:16:46,454 EXPERIENCE TO NUTRITION ACCESS. 3195 02:16:46,454 --> 02:16:48,556 WE WANT TO UNDERSTAND IF WE 3196 02:16:48,556 --> 02:16:49,390 RECOMMENDED INDIVIDUALS TO 3197 02:16:49,390 --> 02:16:53,527 INCREASE THEIR INTAKE OF FIBER 3198 02:16:53,527 --> 02:16:55,563 RICH FOODS IF IT'S EVEN 3199 02:16:55,563 --> 02:16:55,930 FEASIBLE. 3200 02:16:55,930 --> 02:16:58,232 HOW COULD WE DO THIS. 3201 02:16:58,232 --> 02:17:03,571 WE'RE LOOKING AT ACCESSIBILITY 3202 02:17:03,571 --> 02:17:06,841 AND AFFORDABILITY AND FIBER RICH 3203 02:17:06,841 --> 02:17:09,777 FOODS AND AT UNH WE'RE USING A 3204 02:17:09,777 --> 02:17:11,746 RICH DATA SET WHERE THEY MAPPED 3205 02:17:11,746 --> 02:17:15,750 AND CATEGORIZED FOOD RETAILERS 3206 02:17:15,750 --> 02:17:18,352 THROUGHOUT THE STATE AND WE'RE 3207 02:17:18,352 --> 02:17:21,789 EXPERIENCE FOOD RETAILER DENSITY 3208 02:17:21,789 --> 02:17:22,990 AROUND PARTICIPANTS' RESIDENTIAL 3209 02:17:22,990 --> 02:17:33,167 ADDRESSES. 3210 02:17:33,634 --> 02:17:36,070 FINALLY WE'RE COMBINING THIS 3211 02:17:36,070 --> 02:17:39,173 FROM DIFFERENT SECTOR AND FOOD 3212 02:17:39,173 --> 02:17:40,808 SYSTEMS AND COMMUNITY HEALTH AND 3213 02:17:40,808 --> 02:17:42,510 EDUCATION AND GAIN WHAT ARE 3214 02:17:42,510 --> 02:17:47,415 BARRIERS AND OPPORTUNITIES TO 3215 02:17:47,415 --> 02:17:48,215 PROMOTE NUTRITION AND 3216 02:17:48,215 --> 02:17:50,384 CONSUMPTION OF NUTRITIOUS FOODS 3217 02:17:50,384 --> 02:17:53,120 IN THESE POPULATIONS. 3218 02:17:53,120 --> 02:17:55,623 AND SO JUST TO CLOSE WITH SOME 3219 02:17:55,623 --> 02:17:57,158 RESEARCH GAPS AND OPPORTUNITIES. 3220 02:17:57,158 --> 02:18:01,429 I MAINTAIN THIS IMPORTANCE OF 3221 02:18:01,429 --> 02:18:02,496 ASSESSING POPULATION SPECIFIC 3222 02:18:02,496 --> 02:18:05,533 TRAITS OF THE GUT MICROBIOME AND 3223 02:18:05,533 --> 02:18:07,334 DIET AND BUILT ENVIRONMENT AND 3224 02:18:07,334 --> 02:18:09,136 UNDERSTANDING MECHANISTIC LINKS 3225 02:18:09,136 --> 02:18:12,506 WITHIN DIFFERENT CONTEXTS. 3226 02:18:12,506 --> 02:18:15,476 ALSO DOING FURTHER WORK TO 3227 02:18:15,476 --> 02:18:17,244 UNDERSTAND HOW OUR WORK COULD BE 3228 02:18:17,244 --> 02:18:18,512 FEASIBLE TO FUTURE INTERVENTIONS 3229 02:18:18,512 --> 02:18:23,250 AND THIS DEFINITELY REQUIRES 3230 02:18:23,250 --> 02:18:24,251 INTERDISCIPLINARY COLLABORATIONS 3231 02:18:24,251 --> 02:18:26,887 NOT ONLY BETWEEN SCIENTISTS BUT 3232 02:18:26,887 --> 02:18:28,622 WITH OTHER STAKEHOLDERS IN 3233 02:18:28,622 --> 02:18:33,527 NUTRITION. 3234 02:18:33,527 --> 02:18:35,830 I'D LIKE TO TALK ABOUT THE 3235 02:18:35,830 --> 02:18:36,664 MEMBERS MY LAB AND COLLABORATORS 3236 02:18:36,664 --> 02:18:37,264 AND FUNDING SOURCES. 3237 02:18:37,264 --> 02:18:47,608 THANK YOU VERY MUCH. 3238 02:18:52,613 --> 02:18:53,180 >> THANK YOU. 3239 02:18:53,180 --> 02:18:56,183 I'LL JUMP INTO QUESTIONS AND 3240 02:18:56,183 --> 02:18:58,185 ANSWERS BECAUSE WE HAVE ABOUT 10 3241 02:18:58,185 --> 02:19:00,254 MINUTES AND I HAVE GOOD AUDIENCE 3242 02:19:00,254 --> 02:19:05,426 QUESTIONS SO I'LL PRIORITIZE 3243 02:19:05,426 --> 02:19:09,396 THOSE I'LL START WITH OUR FIRST 3244 02:19:09,396 --> 02:19:09,630 SPEAKER. 3245 02:19:09,630 --> 02:19:11,198 THE QUESTION COMES FROM THE 3246 02:19:11,198 --> 02:19:12,366 AUDIENCE WONDERING HOW DO YOU 3247 02:19:12,366 --> 02:19:16,170 DISCERN BETWEEN METABOLITESES 3248 02:19:16,170 --> 02:19:18,372 AND THAT MAY BE MICROBIAL OR 3249 02:19:18,372 --> 02:19:20,407 HOST DERIVED AND THE QUESTION 3250 02:19:20,407 --> 02:19:23,110 COULD PERTAIN TO YOUR SPECIFIC 3251 02:19:23,110 --> 02:19:23,844 STUDIES AND MORE GENERAL 3252 02:19:23,844 --> 02:19:25,112 QUESTION OF HOW DO WE UNDERSTAND 3253 02:19:25,112 --> 02:19:28,616 WHAT IS THE SOURCE OF THESE 3254 02:19:28,616 --> 02:19:38,826 METABOLITES. 3255 02:19:41,962 --> 02:19:48,202 >> THE WAY I CALL THEM MICROB 3256 02:19:48,202 --> 02:19:50,538 MICROBIMICROB 3257 02:19:50,538 --> 02:19:52,973 MICROBIALLY DERIVED SOME CAN BE 3258 02:19:52,973 --> 02:19:55,709 FROM MICROBES AND SOME BY HOSTS 3259 02:19:55,709 --> 02:19:57,645 AND SOME PRODUCED BY MICROBES 3260 02:19:57,645 --> 02:20:02,950 SOLELY OR FOUND IN OUR FOODS. 3261 02:20:02,950 --> 02:20:05,719 SO THE FACT THAT MY METABOLITES 3262 02:20:05,719 --> 02:20:10,257 ARE ACTING ANTI-INFLAMMATORY OR 3263 02:20:10,257 --> 02:20:11,392 FOUND IN CERTAIN GROUPS DOESN'T 3264 02:20:11,392 --> 02:20:13,227 MEAN IT'S JUST A MICROBE AND 3265 02:20:13,227 --> 02:20:14,695 CERTAIN EXPERIMENTS I NEED TO DO 3266 02:20:14,695 --> 02:20:16,597 WITH MOUSE WORK AND THIS 3267 02:20:16,597 --> 02:20:19,600 PARTICULAR BACTERIA THAT MAY 3268 02:20:19,600 --> 02:20:24,305 PRODUCE MY METABOLITE WILL NEED 3269 02:20:24,305 --> 02:20:26,340 TO BE DONE SO SAY THE METABOLITE 3270 02:20:26,340 --> 02:20:33,747 IS FUNCTION FROM THE MICROBE. 3271 02:20:33,747 --> 02:20:39,553 >> THANK YOU. 3272 02:20:39,553 --> 02:20:40,955 OTHER AUDIENCE QUESTION AND THIS 3273 02:20:40,955 --> 02:20:44,592 MAY GO TO OTHER SPEAKERS WHO 3274 02:20:44,592 --> 02:20:46,627 PRESENTED ON HISPANIC OR 3275 02:20:46,627 --> 02:20:48,996 AMERICAN INDIAN POPULATION. 3276 02:20:48,996 --> 02:20:50,598 IF YOU HAVE ANY IDEAS BASED ON 3277 02:20:50,598 --> 02:20:53,100 YOUR STUDIES ON WHAT FOODS ON 3278 02:20:53,100 --> 02:20:55,636 THIS CULTURAL FOOD WAYS MAY BE 3279 02:20:55,636 --> 02:20:57,438 HIGH IN FIBER OR HAVE OTHER 3280 02:20:57,438 --> 02:21:01,809 BENEFITS BUT NOT TYPICALLY 3281 02:21:01,809 --> 02:21:05,946 CONSUMED ACROSS THE U.S. AND IF 3282 02:21:05,946 --> 02:21:09,817 THIS HAS IMPLICATIONS FOR 3283 02:21:09,817 --> 02:21:12,453 PICKING FOODS WITHIN A 3284 02:21:12,453 --> 02:21:14,788 PARTICULAR FOOD WAY OR CULTURE. 3285 02:21:14,788 --> 02:21:21,795 >> THANK YOU, I CAN START. 3286 02:21:21,795 --> 02:21:24,265 GREAT QUESTION AND ONE OF THE 3287 02:21:24,265 --> 02:21:25,666 PIECES OF DATA WE ARE COLLECTING 3288 02:21:25,666 --> 02:21:29,637 WITH OUR CROSS-SECTIONAL STUDY 3289 02:21:29,637 --> 02:21:31,372 IS AN ASSESSMENT OF PREFERRED 3290 02:21:31,372 --> 02:21:33,874 FOODS WITHIN FIBER-RICH GROUPS. 3291 02:21:33,874 --> 02:21:37,811 WE CAN ASK PARTICIPANTS ABOUT 3292 02:21:37,811 --> 02:21:40,414 THEIR FAVORITE LEGUMES, WHOLE 3293 02:21:40,414 --> 02:21:44,318 GRAINS, FRUITS AND VEGETABLES 3294 02:21:44,318 --> 02:21:46,487 AND IN EFFORT TO CONNECT WITH 3295 02:21:46,487 --> 02:21:49,623 LOCAL FOOD PRODUCERS WHICH IS 3296 02:21:49,623 --> 02:21:52,126 ONE OF THE PRIORITIES OF THE 3297 02:21:52,126 --> 02:21:53,894 SYSTEM IN WHICH WERE FUNDED BUT 3298 02:21:53,894 --> 02:21:55,863 ONE OF THE THINGS I WOULD LIKE 3299 02:21:55,863 --> 02:21:59,333 TO DO IS CONSIDERING THE FACT 3300 02:21:59,333 --> 02:22:00,267 THAT THE HISPANIC LATINO 3301 02:22:00,267 --> 02:22:02,202 POPULATION IS SO DIVERSE AND IN 3302 02:22:02,202 --> 02:22:04,371 ADDITION AS WE'VE LEARNED 3303 02:22:04,371 --> 02:22:07,241 YESTERDAY AND TODAY THERE'S THIS 3304 02:22:07,241 --> 02:22:12,780 VAST HETEROGENEITY IN 3305 02:22:12,780 --> 02:22:13,781 CHARACTERISTICS AND MOVE TOWARDS 3306 02:22:13,781 --> 02:22:17,284 AN INTERVENTION DESIGN TO TAKE 3307 02:22:17,284 --> 02:22:18,953 INTO ACCOUNT FOOD PREFERENCE AND 3308 02:22:18,953 --> 02:22:20,688 LOOKING WHETHER WE CAN OFFER 3309 02:22:20,688 --> 02:22:23,090 INDIVIDUALS DIFFERENT CHOICES 3310 02:22:23,090 --> 02:22:25,292 AND LET THEM DECIDE OFF THE 3311 02:22:25,292 --> 02:22:26,894 DIFFERENT FIBER-RICH CHOICES 3312 02:22:26,894 --> 02:22:27,461 WHICH ONES THEY'D LAKE TO 3313 02:22:27,461 --> 02:22:34,435 CONSUME. 3314 02:22:34,435 --> 02:22:35,869 I DON'T HAVE SPECIFIC FOODS IN 3315 02:22:35,869 --> 02:22:36,704 MIND. 3316 02:22:36,704 --> 02:22:37,271 >> THANK YOU. 3317 02:22:37,271 --> 02:22:38,238 ANY OTHER RESPONSES TO THAT 3318 02:22:38,238 --> 02:22:45,946 QUESTION BEFORE WE MOVE ON? 3319 02:22:45,946 --> 02:22:50,184 >> I'LL ASK MY OWN QUESTION FOR 3320 02:22:50,184 --> 02:22:51,919 THE TALK ON THE STRONG HEART 3321 02:22:51,919 --> 02:22:54,888 HEALTH STUDY WAS PRECEDED IN THE 3322 02:22:54,888 --> 02:22:56,590 FLASH TALKS PEOPLE SAW THE 3323 02:22:56,590 --> 02:22:58,225 INTERESTING FLASH TALK 3324 02:22:58,225 --> 02:23:00,995 PRESENTATION BY DR. WEN THAT 3325 02:23:00,995 --> 02:23:03,664 DESCRIBED DATA ON DIETARY 3326 02:23:03,664 --> 02:23:09,169 PATTERNS AND THE RELATIONSHIP 3327 02:23:09,169 --> 02:23:15,342 WITH BLOOD ME -- METABOLIC 3328 02:23:15,342 --> 02:23:19,713 MEASURES AND LIPIDOMIC FEATURES 3329 02:23:19,713 --> 02:23:22,816 AND YOU REFERRED TO THE HEART 3330 02:23:22,816 --> 02:23:24,385 STUDY, FAMILY STUDY. 3331 02:23:24,385 --> 02:23:26,987 ARE THERE GENETIC DRIVERS OR 3332 02:23:26,987 --> 02:23:29,189 FOODS THAT YOU FIND CAN BE 3333 02:23:29,189 --> 02:23:33,260 IMPORTANT TO PROMOTE HEALTHFUL 3334 02:23:33,260 --> 02:23:34,762 LIPID FRACTIONS OR PERHAPS 3335 02:23:34,762 --> 02:23:37,064 THERE'S SOME AVAILABLE 3336 02:23:37,064 --> 02:23:37,364 MEDICATIONS. 3337 02:23:37,364 --> 02:23:40,601 WILL IT LOOK AT THE AFFECT OF 3338 02:23:40,601 --> 02:23:42,469 STATIN USE OR OTHER CHOLESTEROL 3339 02:23:42,469 --> 02:23:52,679 MEDICATIONS? 3340 02:24:02,656 --> 02:24:12,699 AND 3341 02:24:22,810 --> 02:24:27,047 >> THEY FOUND LIPIDS AND EXAMINE 3342 02:24:27,047 --> 02:24:31,785 WHETHER THIS DIETARY-RELATED 3343 02:24:31,785 --> 02:24:40,260 QUALITY ASSOCIATED WITH LIPIDS 3344 02:24:40,260 --> 02:24:43,497 PATTERN ASSOCIATED TO 3345 02:24:43,497 --> 02:24:44,832 CARDIOVASCULAR DISEASE AND 3346 02:24:44,832 --> 02:24:46,967 DIABETES, HYPERTENSION WORK IS 3347 02:24:46,967 --> 02:24:51,738 STILL ONGOING. 3348 02:24:51,738 --> 02:24:54,308 IN TERMS OF NOT HAVING THE DATA 3349 02:24:54,308 --> 02:24:57,411 YET AND WE JUST STARTED WORKING 3350 02:24:57,411 --> 02:25:03,383 ON THIS TOPIC SO WE HOPE IS THAT 3351 02:25:03,383 --> 02:25:10,724 WE CAN FIND A PATTERN ASSOCIATED 3352 02:25:10,724 --> 02:25:12,392 WITH QUALITY AND LOOK AT 3353 02:25:12,392 --> 02:25:12,759 METABOLIC RISK. 3354 02:25:12,759 --> 02:25:20,300 >> THANK YOU. 3355 02:25:20,300 --> 02:25:22,636 THE NEXT QUESTION I'D BE 3356 02:25:22,636 --> 02:25:24,204 INTERESTED TO HEAR ALL PANELISTS 3357 02:25:24,204 --> 02:25:25,706 WEIGH IN ON THIS ISSUE AS I SAID 3358 02:25:25,706 --> 02:25:31,778 AT THE OUTSET WHAT WE HEARD IN 3359 02:25:31,778 --> 02:25:36,917 THIS PANEL MIGHT BE PROBABLY NOT 3360 02:25:36,917 --> 02:25:38,719 TODAY BUT DOING INTERVENTIONS 3361 02:25:38,719 --> 02:25:41,822 AND SOME DAY OUR KNOWLEDGE OF 3362 02:25:41,822 --> 02:25:47,094 DIET-RELATED MICROBIOME CHANGES 3363 02:25:47,094 --> 02:25:51,131 OR THE KNOWLEDGE OF LIPID 3364 02:25:51,131 --> 02:25:54,101 IMPLICATIONS AN IMPLEMENTATION 3365 02:25:54,101 --> 02:25:55,636 HAS COME UP AGAIN AND AGAIN AND 3366 02:25:55,636 --> 02:25:59,873 I'LL START WITH DR. ROBINSON, 3367 02:25:59,873 --> 02:26:05,512 HOW CAN WE USE WHAT WE'VE 3368 02:26:05,512 --> 02:26:10,250 LEARNED SO FAR ABOUT THE GUT 3369 02:26:10,250 --> 02:26:17,024 MICROBIOME ROLE IN NUTRITION AND 3370 02:26:17,024 --> 02:26:21,929 THE NEXT GENERATION OF MOUSE 3371 02:26:21,929 --> 02:26:23,130 STUDIES OR SOMETHING ABOUT 3372 02:26:23,130 --> 02:26:24,831 PRODUCTS AVAILABLE MARKETED TO 3373 02:26:24,831 --> 02:26:26,166 THE GENERAL POPULATION TO DO 3374 02:26:26,166 --> 02:26:28,602 STOOL ANALYSIS AND PURPORTS TO 3375 02:26:28,602 --> 02:26:30,604 HAVE SOME CLINICALLY RELEVANT OR 3376 02:26:30,604 --> 02:26:32,806 HEALTH RELEVANT INFORMATION. 3377 02:26:32,806 --> 02:26:35,108 HOW FAR ALONG OR CLOSE ARE WE TO 3378 02:26:35,108 --> 02:26:35,676 THAT AND WHAT ARE THE NEXT 3379 02:26:35,676 --> 02:26:42,583 STEPS? 3380 02:26:42,583 --> 02:26:44,952 >> GREAT QUESTIONS. 3381 02:26:44,952 --> 02:26:46,220 MY EXPERIENCE IS WET LAB SO WHEN 3382 02:26:46,220 --> 02:26:47,754 IT COMES TO PEOPLE AND US TODAY 3383 02:26:47,754 --> 02:26:49,890 I DON'T KNOW EXACTLY HOW FAR 3384 02:26:49,890 --> 02:26:51,625 AWAY IT IS BUT I HAVE A GUESS 3385 02:26:51,625 --> 02:26:53,560 WHEN IT COMES TO THE PRECISION 3386 02:26:53,560 --> 02:26:55,429 MEDICINE AND UNDERSTANDING WHAT 3387 02:26:55,429 --> 02:26:57,130 MICROBES ARE NEEDING WHAT 3388 02:26:57,130 --> 02:26:59,600 DIETARY FIBERS, WE'RE STILL 3389 02:26:59,600 --> 02:27:05,639 HANDFUL OF YEARS AWAY. 3390 02:27:05,639 --> 02:27:11,144 BUT WITH THE WAY AND IS THE WAY 3391 02:27:11,144 --> 02:27:13,013 WE EAT WE DON'T HAVE TO HAVE FDA 3392 02:27:13,013 --> 02:27:15,716 APPROVAL IF WE HAVE A STUDY THAT 3393 02:27:15,716 --> 02:27:19,386 DID IS DONE TO CHANGE PEOPLE'S 3394 02:27:19,386 --> 02:27:24,758 LIVES SOONER THAN LATER. 3395 02:27:24,758 --> 02:27:31,131 WHAT I'M WORKING ON IS TRYING TO 3396 02:27:31,131 --> 02:27:41,575 UNDERSTAND AND LOOKING AT 3397 02:27:42,776 --> 02:27:44,478 EVERYONE INCREASED AND THE WAY 3398 02:27:44,478 --> 02:27:48,515 THEY EAT DIETARY FIBER WAS 3399 02:27:48,515 --> 02:27:48,782 DIFFERENT. 3400 02:27:48,782 --> 02:27:51,485 THE STUDIES I'M WORKING ON IS 3401 02:27:51,485 --> 02:27:54,488 HAVING IT BE MORE NICHE AND IF 3402 02:27:54,488 --> 02:27:56,023 YOU INCREASE YOUR ORANGE FIBER 3403 02:27:56,023 --> 02:27:58,191 OR WHEAT FIBER, HOW'S IT AFFECT 3404 02:27:58,191 --> 02:28:02,229 THE MICROBIOTA AND WHAT SPECIFIC 3405 02:28:02,229 --> 02:28:03,930 BACTERIA ARE NEEDING THOSE 3406 02:28:03,930 --> 02:28:09,903 FIBERS TO THEN SURVIVE AND IF I 3407 02:28:09,903 --> 02:28:14,608 DO AND DO WE HAVE BENEFITS. 3408 02:28:14,608 --> 02:28:15,142 I HOPE THAT ANSWERS YOUR 3409 02:28:15,142 --> 02:28:21,181 QUESTION. 3410 02:28:21,181 --> 02:28:25,152 >> ARE YOU READY FOR PRIME TIME 3411 02:28:25,152 --> 02:28:26,553 LIPID OMICS? 3412 02:28:26,553 --> 02:28:36,863 HOW CAN WE USE IT? 3413 02:28:42,302 --> 02:28:45,872 TAKE YOUR EXAMPLE OF LIPIDEMIC 3414 02:28:45,872 --> 02:28:46,673 SCREENING IS THAT SOMETHING 3415 02:28:46,673 --> 02:28:48,675 PATIENTS CAN USE TO IMPROVE 3416 02:28:48,675 --> 02:28:50,110 THEIR HEALTH AND PREVENT DISEASE 3417 02:28:50,110 --> 02:28:51,745 AND UNDERSTAND THEIR RISK OR DO 3418 02:28:51,745 --> 02:28:52,746 WE NEED MORE RESEARCH. 3419 02:28:52,746 --> 02:28:58,585 >> GREAT QUESTION. 3420 02:28:58,585 --> 02:29:01,922 THAT'S THE AIM OF THE STUDY. 3421 02:29:01,922 --> 02:29:04,591 BASICALLY IN OUR STUDY WE HAVE A 3422 02:29:04,591 --> 02:29:08,895 LOT OF LIPIDS. 3423 02:29:08,895 --> 02:29:15,335 THE REASON WE CAN'T PREDICT 3424 02:29:15,335 --> 02:29:19,039 CARDIAC METABOLIC RISK BEYOND 3425 02:29:19,039 --> 02:29:29,583 THIS WE ARE STILL MORE STUDY AND 3426 02:29:31,685 --> 02:29:41,762 WE WANT TO DO CAUSAL INFERENCE 3427 02:29:41,762 --> 02:29:44,030 THE CAUSALITY BEFORE MOVING TO 3428 02:29:44,030 --> 02:29:44,264 CLINIC. 3429 02:29:44,264 --> 02:29:47,768 THAT'S OUR NEXT STEP. 3430 02:29:47,768 --> 02:29:49,636 THANK YOU VERY MUCH VERY GOOD 3431 02:29:49,636 --> 02:29:49,903 QUESTION. 3432 02:29:49,903 --> 02:29:50,804 >> DO YOU WANT TO WEIGH IN ON 3433 02:29:50,804 --> 02:29:57,611 THIS QUESTION? 3434 02:29:57,611 --> 02:30:01,481 >> I'LL BRIEFLY SAY I WARE 3435 02:30:01,481 --> 02:30:03,083 WE'RE FAR FROM A CLINICAL 3436 02:30:03,083 --> 02:30:05,085 APPLICATION BUT WE NEED TO 3437 02:30:05,085 --> 02:30:10,056 BETTER UNDERSTAND THE UNDERLYING 3438 02:30:10,056 --> 02:30:13,360 ACTS INFLUENCING INTERINDIVIDUAL 3439 02:30:13,360 --> 02:30:16,930 DIFFERENCES BETWEEN THE 3440 02:30:16,930 --> 02:30:19,166 POPULATIONS WE STUDY AND ALSO IN 3441 02:30:19,166 --> 02:30:22,402 ALIGNMENT WITH WHAT THE EARLIER 3442 02:30:22,402 --> 02:30:22,936 PRESENTATIONS DELIVERED. 3443 02:30:22,936 --> 02:30:25,405 WE ALSO I THINK IT WOULD BE 3444 02:30:25,405 --> 02:30:32,612 WORTHWHILE CONTINUING TO STUDY 3445 02:30:32,612 --> 02:30:35,315 HOW OUR MICROBIOME MAY PREDICT A 3446 02:30:35,315 --> 02:30:36,550 RESPONSE TO THAT INTERVENTION 3447 02:30:36,550 --> 02:30:38,218 THE INTERACTIONS BETWEEN 3448 02:30:38,218 --> 02:30:39,820 MICROBIOME AND DIET AND USE THAT 3449 02:30:39,820 --> 02:30:45,225 FOR PREDICTION OF RESPONSES. 3450 02:30:45,225 --> 02:30:46,960 >> THANK YOU TO THE PANELISTS 3451 02:30:46,960 --> 02:30:49,262 AND THOSE WHO SENT IN QUESTIONS 3452 02:30:49,262 --> 02:30:54,401 AND THANK YOU FOR VIEWING OUR 3453 02:30:54,401 --> 02:30:54,601 PANEL. 3454 02:30:54,601 --> 02:30:54,935 >> THANK YOU. 3455 02:30:54,935 --> 02:31:05,178 >> THANK YOU. 3456 02:31:12,018 --> 02:31:16,923 >> GOOD AFTERNOON AND WELCOME. 3457 02:31:16,923 --> 02:31:18,492 I'M THE BRANCH CHIEF FOR THE 3458 02:31:18,492 --> 02:31:21,361 CENTER FOR NUTRITION, POLICY AND 3459 02:31:21,361 --> 02:31:23,964 PROMOTION NUTRITION AT THE 3460 02:31:23,964 --> 02:31:28,335 USDA'S FOOD NUTRITION SERVICE. 3461 02:31:28,335 --> 02:31:30,804 AND I'VE ALSO SERVED ON THE 3462 02:31:30,804 --> 02:31:31,805 WORKSHOP PLANNING COMMITTEE. 3463 02:31:31,805 --> 02:31:33,773 IN MY ROLE I LEAD AN 3464 02:31:33,773 --> 02:31:35,075 INTERDISCIPLINARY TEAM OF 3465 02:31:35,075 --> 02:31:36,109 SCIENTIST WHO'S PRIMARILY WORK 3466 02:31:36,109 --> 02:31:37,577 ON THE INTERSECTION OF NUTRITION 3467 02:31:37,577 --> 02:31:40,146 SCIENCE AND POLICY FOR PROJECTS 3468 02:31:40,146 --> 02:31:41,281 INCLUDING FOOD PATTERN MODELLING 3469 02:31:41,281 --> 02:31:42,415 ANALYSIS TO SUPPORT THE WORK OF 3470 02:31:42,415 --> 02:31:45,619 THE DIETARY GUIDELINES ADVISORY 3471 02:31:45,619 --> 02:31:47,821 COMMITTEE AND THRIFTY FOOD PLAN 3472 02:31:47,821 --> 02:31:50,457 AND HEALTHY EATING INDEX AND 3473 02:31:50,457 --> 02:31:51,458 STRIVE FOR EQUITABLE 3474 02:31:51,458 --> 02:31:52,425 REPRESENTATION ACROSS OUR WORK 3475 02:31:52,425 --> 02:31:54,594 AND THANKFUL TO HAVE THE 3476 02:31:54,594 --> 02:31:55,729 OPPORTUNITY TO LEARN FROM THE 3477 02:31:55,729 --> 02:31:57,430 SPEAKERS CONTRIBUTING TO THE 3478 02:31:57,430 --> 02:31:58,298 WORKSHOP. 3479 02:31:58,298 --> 02:32:01,535 SIMILAR TO OUR LAST FLASH TALK 3480 02:32:01,535 --> 02:32:03,169 SESSION, THIS WILL HIGHLIGHT 3481 02:32:03,169 --> 02:32:05,872 EARLY CAREER RESEARCHERS AND 3482 02:32:05,872 --> 02:32:07,707 TRAINEES WORKING WITH AMERICAN 3483 02:32:07,707 --> 02:32:09,109 INDIAN AND LATINO POPULATIONS. 3484 02:32:09,109 --> 02:32:10,243 EACH SPEAKER WILL SPEAK ABOUT 3485 02:32:10,243 --> 02:32:12,879 FIVE MINUTES FOLLOWED BY A QUICK 3486 02:32:12,879 --> 02:32:14,748 TWO-MINUTE QUESTION AND ANSWER 3487 02:32:14,748 --> 02:32:15,148 TIME. 3488 02:32:15,148 --> 02:32:17,384 AGAIN, PLEASE SEND ANY QUESTIONS 3489 02:32:17,384 --> 02:32:19,386 USING THE SUBMIT LIVE FEEDBACK 3490 02:32:19,386 --> 02:32:21,922 BUTTON IN THE NIH VIDEOCAST 3491 02:32:21,922 --> 02:32:22,989 SYSTEM. 3492 02:32:22,989 --> 02:32:25,258 THE FIRST PRESENTATION IS BY 3493 02:32:25,258 --> 02:32:31,331 BRANDY MOSER ENTITLED GUT 3494 02:32:31,331 --> 02:32:34,834 MICROBIOME AND INFLAMMATION IN 3495 02:32:34,834 --> 02:32:41,575 NEW HAMPSHIRE BHUTANESE REFUGEE 3496 02:32:41,575 --> 02:32:45,211 ADU 3497 02:32:45,211 --> 02:32:47,914 ADULTS WITH HIGH BURDEN OF TYPE 3498 02:32:47,914 --> 02:32:53,920 2 DIABETES. 3499 02:32:53,920 --> 02:32:58,391 >> THERE'S A RELATIONSHIP 3500 02:32:58,391 --> 02:32:59,125 BETWEEN THE GASTROINTESTINAL 3501 02:32:59,125 --> 02:33:00,694 TRACT AND THE BRAIN AND MEDIATED 3502 02:33:00,694 --> 02:33:02,562 BY FACTORS LIKE LIFESTYLE 3503 02:33:02,562 --> 02:33:05,665 INCLUDING DIET AND FIBER INTAKE. 3504 02:33:05,665 --> 02:33:07,801 AND THIS AXIS ENCOMPASSES THREE 3505 02:33:07,801 --> 02:33:09,369 PRIMARY SYSTEMS INCLUDING THE 3506 02:33:09,369 --> 02:33:10,937 IMMUNE SYSTEM, ENDOCRINE SYSTEM 3507 02:33:10,937 --> 02:33:13,006 AND NERVOUS SYSTEM BUT FOR THE 3508 02:33:13,006 --> 02:33:14,107 PURPOSES OF THIS PRESENTATION, 3509 02:33:14,107 --> 02:33:18,278 I'LL BE FOCUSSING ON THE IMMUNE 3510 02:33:18,278 --> 02:33:21,147 SYSTEM SPECIFICALLY 3511 02:33:21,147 --> 02:33:24,117 INFLAMMATION. 3512 02:33:24,117 --> 02:33:28,521 WE'LL BE HIGHLIGHTING 3513 02:33:28,521 --> 02:33:28,955 LIPOPOLYSACCHARIDE. 3514 02:33:28,955 --> 02:33:33,193 YOU CAN SEE THE DEPICTION OF 3515 02:33:33,193 --> 02:33:33,627 LIPOPOLYSACCHARIDE. 3516 02:33:33,627 --> 02:33:36,096 PART OF THE BACTERIAL CELL WALL 3517 02:33:36,096 --> 02:33:38,098 AND CROSS THE INTESTINAL BARRIER 3518 02:33:38,098 --> 02:33:41,001 IN HUMANS AND INDUCE AN 3519 02:33:41,001 --> 02:33:42,769 INFLAMMATORY RESPONSE AND IT'S 3520 02:33:42,769 --> 02:33:44,938 POTENTIALLY LINKED TO LOW MANY 3521 02:33:44,938 --> 02:33:49,809 OF GRADE CHRONIC INFLAMMATION 3522 02:33:49,809 --> 02:33:52,679 SEEN IN LOW-GRADE INFLAMMATION 3523 02:33:52,679 --> 02:33:56,449 DISEASES WE'RE FOCUSSING ON 3524 02:33:56,449 --> 02:33:58,852 BHUTANESE REFUGEES THAT HAVE 3525 02:33:58,852 --> 02:33:59,819 MIGRATED TO NEW HAMPSHIRE. 3526 02:33:59,819 --> 02:34:03,556 OUR PRIMARY OBJECTIVES INCLUDED 3527 02:34:03,556 --> 02:34:04,991 ENCOMPASSING THE 3528 02:34:04,991 --> 02:34:07,727 CHARACTERIZATION OF THE GUT 3529 02:34:07,727 --> 02:34:09,462 MICROBIOME ASKING WHO IS THERE 3530 02:34:09,462 --> 02:34:12,632 AND THE COMPOSITION AND WHAT DO 3531 02:34:12,632 --> 02:34:18,171 THE BACTERIAL COMMUNITIES LOOK 3532 02:34:18,171 --> 02:34:19,539 LIKE AND WHAT DO THEY HAVE THE 3533 02:34:19,539 --> 02:34:23,376 POTENTIAL TO DO AND HOW IS THIS 3534 02:34:23,376 --> 02:34:25,612 RELATED TO GLYCEMIC STATUS AND 3535 02:34:25,612 --> 02:34:25,945 INFLAMMATION. 3536 02:34:25,945 --> 02:34:29,916 WE CONDUCTED THE STUDY AND 3537 02:34:29,916 --> 02:34:32,118 COLLECTED DATA FROM A PREVIOUSLY 3538 02:34:32,118 --> 02:34:35,155 COLLECTED DATA AT UNH AS A 3539 02:34:35,155 --> 02:34:37,223 CROSS-SECTIONAL STUDY THAT 3540 02:34:37,223 --> 02:34:42,696 INCLUDED 50 OF THESE BHUTANESE 3541 02:34:42,696 --> 02:34:48,468 ADULTS AND 92% HAD OVERWEIGHT OR 3542 02:34:48,468 --> 02:34:53,239 OBESITY AND MEASURED THE 3543 02:34:53,239 --> 02:34:54,474 LIPOSACCHARIDE PROTEIN AND USING 3544 02:34:54,474 --> 02:34:57,510 WHOLE GENOME SEQUENCES AND BIO 3545 02:34:57,510 --> 02:35:00,847 INFORMATIC PIPELINES. 3546 02:35:00,847 --> 02:35:02,449 TWO MAIN THINGS WE USED TO 3547 02:35:02,449 --> 02:35:04,284 ASSESS THE GUT MICROBIOME WERE 3548 02:35:04,284 --> 02:35:07,320 RICHNESS AND DIVERSITY. 3549 02:35:07,320 --> 02:35:09,322 THEY ENCOMPASS THE UNIQUE 3550 02:35:09,322 --> 02:35:11,357 BACTERIAL SPECIES AND 3551 02:35:11,357 --> 02:35:11,758 DISTRIBUTION. 3552 02:35:11,758 --> 02:35:13,893 HISTORICALLY HIGHER RICHNESS AND 3553 02:35:13,893 --> 02:35:16,529 DIVERSITY IS SEEN WITH GREATER 3554 02:35:16,529 --> 02:35:17,230 METABOLIC HEALTH CONSISTENT WITH 3555 02:35:17,230 --> 02:35:18,298 OUR STUDY. 3556 02:35:18,298 --> 02:35:19,966 WE SAW THOSE WITH LOWER RICHNESS 3557 02:35:19,966 --> 02:35:23,903 AND DIVERSITY WERE AMONG THOSE 3558 02:35:23,903 --> 02:35:34,280 WITH TYPE 2 DIABETES. 3559 02:35:54,534 --> 02:35:56,970 >> WE WANTED TO SEE WHAT DO THE 3560 02:35:56,970 --> 02:35:58,304 BACTERIA HAVE THE POTENTIAL TO 3561 02:35:58,304 --> 02:35:58,872 DO. 3562 02:35:58,872 --> 02:36:04,110 WE'RE HONING IN ON LPS BIO 3563 02:36:04,110 --> 02:36:08,214 SYNTHESIS PATHWAY AND WE LOOKED 3564 02:36:08,214 --> 02:36:12,986 AT GENES AND FOUND THE ABUNDANCE 3565 02:36:12,986 --> 02:36:13,586 RELATED WITH THE INFLAMMATORY 3566 02:36:13,586 --> 02:36:23,730 MARKERS. 3567 02:36:26,132 --> 02:36:29,269 WE SAW IT RELATED TO 3568 02:36:29,269 --> 02:36:30,103 INFLAMMATION AND DYSREGULATION 3569 02:36:30,103 --> 02:36:32,605 AND PROVIDES AN UNDERSTANDING OF 3570 02:36:32,605 --> 02:36:36,209 THE MECHANISMS BETWEEN THE GUT 3571 02:36:36,209 --> 02:36:39,813 MICROBIOME AND GLYCEMIC 3572 02:36:39,813 --> 02:36:43,416 IMPAIRMENT AND IN AN UNDER 3573 02:36:43,416 --> 02:36:45,051 REPRESENTED POPULATION AND 3574 02:36:45,051 --> 02:36:48,655 ADDRESSING PERMEABILITY TO 3575 02:36:48,655 --> 02:36:59,132 TARGET GLYCEMIC REGULATION. 3576 02:37:01,968 --> 02:37:03,636 AND THERE'S TOO MANY DIVERSE 3577 02:37:03,636 --> 02:37:07,807 POPULATION TO IMPLEMENT THESE. 3578 02:37:07,807 --> 02:37:08,408 A LOT OF THESE POPULATION 3579 02:37:08,408 --> 02:37:18,785 ASSOCIATION SPECIFIC. 3580 02:37:19,319 --> 02:37:20,954 I'M HAPPY TO TAKE ANY QUESTIONS. 3581 02:37:20,954 --> 02:37:31,130 THANK YOU. 3582 02:37:36,636 --> 02:37:40,406 >> WE HAVE A GROUP OF 3583 02:37:40,406 --> 02:37:41,574 PRESENTATIONS AND I'M WONDERING 3584 02:37:41,574 --> 02:37:44,310 THE NEXT STEPS IN THE DIETARY 3585 02:37:44,310 --> 02:37:45,078 INTERVENTIONS WHERE THERE ARE 3586 02:37:45,078 --> 02:37:46,079 OPPORTUNITIES. 3587 02:37:46,079 --> 02:37:47,981 WHERE DO YOU THINK YOU WOULD 3588 02:37:47,981 --> 02:37:50,884 PRIORITIZE THAT WORK GOING FOR 3589 02:37:50,884 --> 02:37:52,919 THIS PARTICULAR GROUP OF 3590 02:37:52,919 --> 02:37:56,222 INDIVIDUALS IN OUR POPULATION? 3591 02:37:56,222 --> 02:37:58,458 >> SO THIS PARTICULAR GROUP I 3592 02:37:58,458 --> 02:37:59,926 WAS NOT A PART OF THE ORIGINAL 3593 02:37:59,926 --> 02:38:01,861 STUDY BUT THERE'S THE ORIGINAL 3594 02:38:01,861 --> 02:38:05,365 STUDY INCLUDING THIS GROUP 3595 02:38:05,365 --> 02:38:06,366 LOOKED AT SNAP EDUCATION AND 3596 02:38:06,366 --> 02:38:09,168 WHETHER IT WAS EFFECTIVE ON THIS 3597 02:38:09,168 --> 02:38:09,535 POPULATION. 3598 02:38:09,535 --> 02:38:10,870 SO IT'S REALLY EXCITING TO SEE 3599 02:38:10,870 --> 02:38:12,338 WHERE THEY GO WITH THAT PROJECT 3600 02:38:12,338 --> 02:38:15,508 OF LOOKING AT POTENTIAL 3601 02:38:15,508 --> 02:38:16,075 INTERVENTIONS WITH THIS 3602 02:38:16,075 --> 02:38:18,444 POPULATION BUT SPECIFICALLY 3603 02:38:18,444 --> 02:38:20,313 LOOKING AT OUR PROJECT. 3604 02:38:20,313 --> 02:38:22,215 WE HAVEN'T HAD MANY TALKS ABOUT 3605 02:38:22,215 --> 02:38:23,750 INTERVENTIONS BASED ON FIBER BUT 3606 02:38:23,750 --> 02:38:27,654 FIBER OBVIOUSLY IS A HOT TOPIC 3607 02:38:27,654 --> 02:38:30,556 WHEN DISCUSSING GUT MICROBIOME 3608 02:38:30,556 --> 02:38:30,823 RESEARCH. 3609 02:38:30,823 --> 02:38:38,398 SO LOOKING AT POTENTIAL WAYS TO 3610 02:38:38,398 --> 02:38:40,466 INCREASE FIBER IN CULTURALLY 3611 02:38:40,466 --> 02:38:42,368 RELEVANT WAYS IN THE POPULATION. 3612 02:38:42,368 --> 02:38:45,438 >> THANK YOU. 3613 02:38:45,438 --> 02:38:54,347 OUR NEXT PRESENTATION IS BY 3614 02:38:54,347 --> 02:38:57,083 DR. BRUNELLE. 3615 02:38:57,083 --> 02:38:59,285 WELCOME, DALE. 3616 02:38:59,285 --> 02:39:02,889 >> HELLO. 3617 02:39:02,889 --> 02:39:07,026 I'M DALE BRUNELLE AT PNEUM RAN 3618 02:39:07,026 --> 02:39:07,994 RESEARCH CENTER. 3619 02:39:07,994 --> 02:39:09,395 I'LL BE PRESENTING RESEARCH THAT 3620 02:39:09,395 --> 02:39:12,865 I AND MY COLLEAGUES HAVE BEEN 3621 02:39:12,865 --> 02:39:14,934 DOING AND THE AFFECTS ON 3622 02:39:14,934 --> 02:39:15,268 INFLAMMATORY. 3623 02:39:15,268 --> 02:39:16,302 THE INFORMATION I'M PRESENTING 3624 02:39:16,302 --> 02:39:26,846 IS FROM A STUDY DONE WITH PREADD 3625 02:39:30,583 --> 02:39:37,123 -- ADIPOSITES. 3626 02:39:37,123 --> 02:39:39,158 AND BLACK CHOKE BERRY WAS 3627 02:39:39,158 --> 02:39:40,293 HISTORICALLY DISTRIBUTED AROUND 3628 02:39:40,293 --> 02:39:43,997 THE GREAT LAKES REGION. 3629 02:39:43,997 --> 02:39:45,732 AMERICAN INDIAN TRIBES HAVE USED 3630 02:39:45,732 --> 02:39:49,168 IT AS A TRADITIONAL FOOD AND A 3631 02:39:49,168 --> 02:39:50,336 MEANS TO PREVENT CHRONIC 3632 02:39:50,336 --> 02:39:50,903 DISEASES. 3633 02:39:50,903 --> 02:39:57,643 IT HAS ANTI-DIABETIC AND 3634 02:39:57,643 --> 02:39:58,411 ANTI-INFLAMMATORY PROPERTY BUT 3635 02:39:58,411 --> 02:40:08,888 THE MECHANISMS ARE UNCLEAR. 3636 02:40:15,895 --> 02:40:20,933 AND THE TRANSCRIPTION CAN BE 3637 02:40:20,933 --> 02:40:27,040 ACTIVATED BY A FATTY ACID. 3638 02:40:27,040 --> 02:40:32,545 THE CELL STUDY HAD FOUR 3639 02:40:32,545 --> 02:40:32,845 TREATMENTS. 3640 02:40:32,845 --> 02:40:34,147 WE HAD AND WE HAVE A 3641 02:40:34,147 --> 02:40:35,948 PRETREATMENT IN WHICH WE ADDED 3642 02:40:35,948 --> 02:40:38,751 CHOKE BERRY EXTRACT TO COLUMNS 3643 02:40:38,751 --> 02:40:40,620 TWO AND THREE AS THE PURPLE 3644 02:40:40,620 --> 02:40:42,055 CIRCLES AND IN THE TREATMENT WE 3645 02:40:42,055 --> 02:40:44,090 ADDED CHOKE BERRY EXTRACT AGAIN 3646 02:40:44,090 --> 02:40:50,163 IN COLUMNS TWO AND THREE AS WELL 3647 02:40:50,163 --> 02:40:52,265 AS THE ACID IN THREE AND FOUR 3648 02:40:52,265 --> 02:40:54,300 REPRESENTED BY THE GREEN CIRCLE. 3649 02:40:54,300 --> 02:40:56,402 AFTER TREATMENT WE EXTRACTED 3650 02:40:56,402 --> 02:41:00,873 DNA, RNA AND PROTEIN TO LOOK AT 3651 02:41:00,873 --> 02:41:11,417 THE PROMOTER REGION IL6 AND THE 3652 02:41:11,417 --> 02:41:15,321 HUMAN STUDY INVOLVED 46 AMERICAN 3653 02:41:15,321 --> 02:41:16,989 INDIAN PARTICIPANTS THAT 3654 02:41:16,989 --> 02:41:20,026 CONSUMED 100 MILLIGRAMS OF CHOKE 3655 02:41:20,026 --> 02:41:21,828 BERRY CHOICE PER DAY FOR SIX 3656 02:41:21,828 --> 02:41:22,862 WEEKS. 3657 02:41:22,862 --> 02:41:24,597 BEFORE TREATMENT AND AFTER 3658 02:41:24,597 --> 02:41:27,967 TREATMENT WE TOOK A BLOOD DRAW 3659 02:41:27,967 --> 02:41:30,603 AND EXAMINES THE IL6 EXPRESSION 3660 02:41:30,603 --> 02:41:35,508 TO DETERMINE INFLAMMATION. 3661 02:41:35,508 --> 02:41:43,916 AND ALSO AND THE PROMOTER 3662 02:41:43,916 --> 02:41:44,217 METHYLATION. 3663 02:41:44,217 --> 02:41:46,486 IT CAN AFFECT THE BINDING OF 3664 02:41:46,486 --> 02:41:49,622 TRANSCRIPTION FACTORS AND ONE 3665 02:41:49,622 --> 02:41:50,123 CPD SITE CAN AFFECT RNA 3666 02:41:50,123 --> 02:42:00,333 EXPRESSION. 3667 02:42:01,100 --> 02:42:07,206 HISTOMA ACETYLATION AFFECTS THIS 3668 02:42:07,206 --> 02:42:07,607 INCREASE. 3669 02:42:07,607 --> 02:42:11,544 THIS IS THE IL6 PROMOTER REGION. 3670 02:42:11,544 --> 02:42:14,647 THE HIGHLIGHTED NUCLEOTIDES ARE 3671 02:42:14,647 --> 02:42:22,588 THE SITES WE WERE LOOKING AT AND 3672 02:42:22,588 --> 02:42:24,557 THE NUMBERS LOOK AT THE 3673 02:42:24,557 --> 02:42:26,025 TRANSCRIPTION SITE WHERE THEY'RE 3674 02:42:26,025 --> 02:42:26,259 LOCATED. 3675 02:42:26,259 --> 02:42:36,736 THE BLUE HIGHLIGHTED REGION 3676 02:42:36,936 --> 02:42:40,606 NUCLEOTIDES PERTAIN TO THE HUMAN 3677 02:42:40,606 --> 02:42:46,345 STUDY. 3678 02:42:46,345 --> 02:42:51,117 THE HUAN PREADIPOCYTE STUDY 3679 02:42:51,117 --> 02:42:54,520 SHOWED IT REDUCED IL6 EXPRESSION 3680 02:42:54,520 --> 02:42:58,558 AND INCREASED METHYLATION AT THE 3681 02:42:58,558 --> 02:43:02,128 CPG SITE NEGATIVE 1AP. 3682 02:43:02,128 --> 02:43:04,363 THE HUMAN RESULTS INDICATE THE 3683 02:43:04,363 --> 02:43:09,635 CHOKE BERRY JUICE CONSUMPTION 3684 02:43:09,635 --> 02:43:10,703 REDUCED RNA EXPRESSION WHICH 3685 02:43:10,703 --> 02:43:12,905 MEANS THERE'S A REDUCTION IN 3686 02:43:12,905 --> 02:43:15,241 INFLAMMATION BUT HAD A DIFFERENT 3687 02:43:15,241 --> 02:43:17,343 METHYLATION AT NEGATIVE 227 A 3688 02:43:17,343 --> 02:43:18,544 DECREASE IN METHYLATION FROM 3689 02:43:18,544 --> 02:43:24,083 THAT TREATMENT. 3690 02:43:24,083 --> 02:43:27,553 IN CONCLUSION, CHOKE BERRY 3691 02:43:27,553 --> 02:43:32,091 EXTRACT ALLEVIATED INFLAMMATION 3692 02:43:32,091 --> 02:43:37,196 IN IL6 EXPRESSION OF THE HUMAN 3693 02:43:37,196 --> 02:43:37,830 PREADIPOCYTES. 3694 02:43:37,830 --> 02:43:40,333 THERE WAS NO AFFECT ON ACE 3695 02:43:40,333 --> 02:43:43,603 ACETYLATION BY CHOKE BERRY AND 3696 02:43:43,603 --> 02:43:47,106 SIX WEEK CONSUMPTION BY THE 3697 02:43:47,106 --> 02:43:50,943 AMERICAN INDIAN CONSUMPTION 3698 02:43:50,943 --> 02:43:53,479 ALLEVI 3699 02:43:53,479 --> 02:43:55,248 ALLEVIATED INFLAMMATION AND THE 3700 02:43:55,248 --> 02:43:57,049 EPIGENETIC MODIFICATIONS IN THE 3701 02:43:57,049 --> 02:44:07,260 AMERICAN INDIAN AND IN THE HUMAN 3702 02:44:07,260 --> 02:44:07,793 PREAD 3703 02:44:07,793 --> 02:44:09,562 PREADIPOCYTE CELLS WERE AFFECT 3704 02:44:09,562 --> 02:44:14,300 AND IT MAY BE A FEASIBLE DIETARY 3705 02:44:14,300 --> 02:44:15,801 SOLUTION TO REDUCE INFLAMMATION 3706 02:44:15,801 --> 02:44:17,270 CAUSED BY CHRONIC DISEASE AND 3707 02:44:17,270 --> 02:44:18,738 THE RESEARCH WAS FUNDED BY THE 3708 02:44:18,738 --> 02:44:19,705 NATIONAL INSTITUTES OF HEALTH 3709 02:44:19,705 --> 02:44:20,773 AND I'D LIKE TO THANK ALL 3710 02:44:20,773 --> 02:44:31,217 INVOLVED IN THE RESEARCH. 3711 02:44:34,420 --> 02:44:36,422 >> THANK YOU SO MUCH, DALE. 3712 02:44:36,422 --> 02:44:38,524 WE HAVE ONE QUESTION. 3713 02:44:38,524 --> 02:44:40,192 THAT IS HAVE THERE BEEN OTHER 3714 02:44:40,192 --> 02:44:43,296 STUDIES WITH CHOKE BERRY AND 3715 02:44:43,296 --> 02:44:46,399 OTHER BIOMARKERS SUCH AS LDL, 3716 02:44:46,399 --> 02:44:48,768 HDL OR TOTAL CHOLESTEROL? 3717 02:44:48,768 --> 02:44:51,837 >> THERE'S BEEN OTHER CHOKE 3718 02:44:51,837 --> 02:44:56,942 BERRY JUICE STUDIES WITH THOSE 3719 02:44:56,942 --> 02:44:58,878 OTHER BIOMARKERS AND THERE 3720 02:44:58,878 --> 02:45:01,814 HASN'T BEEN A STUDY WITH 3721 02:45:01,814 --> 02:45:02,248 AMERICAN INDIANS AS 3722 02:45:02,248 --> 02:45:04,483 PARTICIPANTS. 3723 02:45:04,483 --> 02:45:06,118 ADDITIONALLY, THIS STUDY WAS A 3724 02:45:06,118 --> 02:45:07,887 LITTLE LARGER THAN JUST THIS 3725 02:45:07,887 --> 02:45:10,122 PORTION I'M PRESENTING. 3726 02:45:10,122 --> 02:45:18,364 WE HAVE LOOKED AT THOSE LDLs AND 3727 02:45:18,364 --> 02:45:20,966 OTHER -- 3728 02:45:20,966 --> 02:45:22,702 >> WELL, THANK YOU FOR SHARING 3729 02:45:22,702 --> 02:45:24,070 YOUR WORK WITH US. 3730 02:45:24,070 --> 02:45:25,838 OUR FINAL FLASH TALK 3731 02:45:25,838 --> 02:45:28,808 PRESENTATION IS DR. LOPEZ 3732 02:45:28,808 --> 02:45:38,551 ENTITLED ECANDO UNA MANO. 3733 02:45:38,551 --> 02:45:40,486 COMMUNITY FOOD AND NUTRITION 3734 02:45:40,486 --> 02:45:41,587 ASSISTANCE PROVIDERS PERCEPTIONS 3735 02:45:41,587 --> 02:45:44,657 OF THEIR ABILITY TO ADD EQUITILY 3736 02:45:44,657 --> 02:45:47,193 SERVE LOW-INCOME AND NON-ENGLISH 3737 02:45:47,193 --> 02:45:49,028 SPEAKING LATINO ADULTS IN U.S. 3738 02:45:49,028 --> 02:45:50,096 >> I'M HERE TO PRESENT A 3739 02:45:50,096 --> 02:45:51,897 RESEARCH STUDY THAT I DID 3740 02:45:51,897 --> 02:45:56,869 EARLIER THIS YEAR AS PART OF MY 3741 02:45:56,869 --> 02:45:59,071 DISSERTATION. 3742 02:45:59,071 --> 02:46:06,011 IT TRANSLATES TO PROVIDING A 3743 02:46:06,011 --> 02:46:08,748 HAN 3744 02:46:08,748 --> 02:46:09,081 HAND. 3745 02:46:09,081 --> 02:46:10,082 BEFORE PRESENTING THE RESULTS OF 3746 02:46:10,082 --> 02:46:14,587 THE RESEARCH STUDY ITSELF, IT'S 3747 02:46:14,587 --> 02:46:17,022 IMPORTANT TO GROUND OURSELVES IN 3748 02:46:17,022 --> 02:46:17,623 THE EXISTING LITERATURE FOR 3749 02:46:17,623 --> 02:46:20,459 BACKGROUND. 3750 02:46:20,459 --> 02:46:22,027 FOODIN SECURITY IS EXPERIENCED 3751 02:46:22,027 --> 02:46:23,329 WHEN A HOUSEHOLD DOES NOT HAVE 3752 02:46:23,329 --> 02:46:26,432 ACCESS TO FOOD, THAT MEANS 3753 02:46:26,432 --> 02:46:27,967 DIETARY NEEDS AND FOOD 3754 02:46:27,967 --> 02:46:29,702 PREFERENCES IN A SOCIALLY 3755 02:46:29,702 --> 02:46:30,503 ACCEPTABLE MANNER. 3756 02:46:30,503 --> 02:46:35,040 IT'S SORTED WITH AN INCREASED 3757 02:46:35,040 --> 02:46:36,942 RISK OF CHRONIC DISEASE AND 3758 02:46:36,942 --> 02:46:38,811 ALL-CAUSE MORTALITY. 3759 02:46:38,811 --> 02:46:42,782 WHEN CONSTANT LATINO ADULTS ARE 3760 02:46:42,782 --> 02:46:50,890 SIG NANIFICANTLY MORE LIKELY TO 3761 02:46:50,890 --> 02:46:52,124 EXPERIENCE FOOD INSECURITY AND 3762 02:46:52,124 --> 02:46:56,829 THE STUDY FOCUSES ON ONE OF 3763 02:46:56,829 --> 02:47:05,070 THOSE NON--TRADITIONAL DRIVERS. 3764 02:47:05,070 --> 02:47:09,141 AND 1.1% OF LATINO ADULTS SPOKE 3765 02:47:09,141 --> 02:47:10,810 A LANGUAGE OTHER THAN ENGLISH 3766 02:47:10,810 --> 02:47:13,612 AND 28% WERE NOT FLUENT IN 3767 02:47:13,612 --> 02:47:13,846 ENGLISH. 3768 02:47:13,846 --> 02:47:16,649 PRIOR SCHOLARSHIP INDICATES 3769 02:47:16,649 --> 02:47:18,384 AFTER ADJUSTING FOR STATUS 3770 02:47:18,384 --> 02:47:20,886 SPANISH SPEAKING INDIVIDUALS ARE 3771 02:47:20,886 --> 02:47:24,156 MORE LIKELY TO EXPERIENCE FOOD 3772 02:47:24,156 --> 02:47:25,324 INSECURITY COMPARED TO ENGLISH 3773 02:47:25,324 --> 02:47:27,593 SPEAKING COUNTERPARTS AND 3774 02:47:27,593 --> 02:47:29,662 THEY'RE LESS LIKELY TO 3775 02:47:29,662 --> 02:47:32,231 PARTICIPATE IN FOOD AND 3776 02:47:32,231 --> 02:47:36,735 NUTRITION ASSISTANCE PROGRAMS 3777 02:47:36,735 --> 02:47:40,339 AND REPORT RECEIVING LOWER 3778 02:47:40,339 --> 02:47:42,775 QUALITY FOOD ASSISTANCE AND WHEN 3779 02:47:42,775 --> 02:47:45,444 IT'S ADAPTED FOR LATINO ADULTS 3780 02:47:45,444 --> 02:47:46,078 SUCH AS IN THE PRESENCE OF A 3781 02:47:46,078 --> 02:47:48,414 TRANSLATOR THE BENEFITS ARE 3782 02:47:48,414 --> 02:47:50,416 TEMPORARY AND THEY DO NOT 3783 02:47:50,416 --> 02:47:54,086 IMPROVE THE LATINO ADULT'S FOOD 3784 02:47:54,086 --> 02:47:56,522 SECURITY IN THE LONG TERM. 3785 02:47:56,522 --> 02:47:59,925 PROVIDED THIS AND LEVERAGING THE 3786 02:47:59,925 --> 02:48:01,527 SOCIO LINGUISTS READING ON 3787 02:48:01,527 --> 02:48:02,695 LANGUAGE USE AND SOCIAL POWER 3788 02:48:02,695 --> 02:48:09,101 AND RESEARCH THIS AIMS TO 3789 02:48:09,101 --> 02:48:11,203 PROVIDE PERCEPTIONS OF LOW 3790 02:48:11,203 --> 02:48:14,406 INCOME AND NON-ENGLISH SPEAKING 3791 02:48:14,406 --> 02:48:15,875 ADULTS IN THE U.S. AND THE 3792 02:48:15,875 --> 02:48:17,276 ABILITY TO PROVIDE ADEQUATE FOOD 3793 02:48:17,276 --> 02:48:17,877 AND NUTRITION ASSISTANCE TO 3794 02:48:17,877 --> 02:48:23,549 THEM. 3795 02:48:23,549 --> 02:48:29,922 TO DO THIS CFNPs IN COMMUNITY 3796 02:48:29,922 --> 02:48:31,690 CENTERS AND COMMUNITY GARDENS 3797 02:48:31,690 --> 02:48:33,359 AND PUBLIC HEALTH DEPARTMENTS 3798 02:48:33,359 --> 02:48:35,127 AND FOOD BANK AND ANALYSIS WAS 3799 02:48:35,127 --> 02:48:40,432 USED TO ANALYZE ALL INTERVIEWS. 3800 02:48:40,432 --> 02:48:41,500 THREE OVERARCHING SOCIAL THEMES 3801 02:48:41,500 --> 02:48:44,136 WERE IDENTIFIED FROM THE 3802 02:48:44,136 --> 02:48:44,436 INTERVIEWS. 3803 02:48:44,436 --> 02:48:46,972 THESE WERE THE PRESENCE OF A 3804 02:48:46,972 --> 02:48:48,274 PROVIDER'S SOCIAL AUTHORITY IN 3805 02:48:48,274 --> 02:48:49,942 LATINO'S ADULTS INCREASED 3806 02:48:49,942 --> 02:48:52,611 FEELING OF OTHERNESS AND THE 3807 02:48:52,611 --> 02:48:54,480 DIMINISHED ABILITY TO 3808 02:48:54,480 --> 02:48:57,116 AUTHENTICATE FOOD AND NUTRITION 3809 02:48:57,116 --> 02:48:59,318 ASSISTANCE AND THEY SEE THEM AS 3810 02:48:59,318 --> 02:49:01,220 BARRIERS TO PROVIDE ADEQUATE 3811 02:49:01,220 --> 02:49:03,088 FOOD ASSISTANCE TO NON-ENGLISH 3812 02:49:03,088 --> 02:49:04,990 SPEAKING LATINO ADULTS. 3813 02:49:04,990 --> 02:49:06,592 IN TERMS OF SOCIAL AUTHORITY 3814 02:49:06,592 --> 02:49:10,429 THEY PERCEIVE THE LOW-INCOME AND 3815 02:49:10,429 --> 02:49:13,599 NON-ENGLISH SPEAKING LATINO 3816 02:49:13,599 --> 02:49:15,434 ADULTS FROM DISCORE DANT 3817 02:49:15,434 --> 02:49:16,936 PROVIDERS MAY NOT HAVE WHAT THEY 3818 02:49:16,936 --> 02:49:19,238 NEED TO CONTROL OF THEIR HEALTH 3819 02:49:19,238 --> 02:49:20,139 LEADING PROVIDERS THAT THE 3820 02:49:20,139 --> 02:49:23,776 LATINO ADULTS MAY BE APATHETIC 3821 02:49:23,776 --> 02:49:26,912 TOWARD THEIR FOOD SECURITY AND 3822 02:49:26,912 --> 02:49:29,949 HEALTH. 3823 02:49:29,949 --> 02:49:33,652 CFNPs PERCEIVE THE NON FEELING 3824 02:49:33,652 --> 02:49:35,588 OTHER HIGHLIGHT SOCIAL CULTURAL 3825 02:49:35,588 --> 02:49:37,456 DIFFERENCES BETWEEN THE ADULTS 3826 02:49:37,456 --> 02:49:38,490 AND PROVIDER. 3827 02:49:38,490 --> 02:49:39,959 STOPPING THEM FROM SEEKING FOOD 3828 02:49:39,959 --> 02:49:43,062 AND NUTRITION ASSISTANCE OR 3829 02:49:43,062 --> 02:49:44,663 CONTINUING TO SEEK THE 3830 02:49:44,663 --> 02:49:46,098 ASSISTANCE. 3831 02:49:46,098 --> 02:49:51,103 FINALLY, IF CFNP'S HAD A REPORT 3832 02:49:51,103 --> 02:49:53,072 TO PROVIDE ASSISTANCE TO 3833 02:49:53,072 --> 02:49:54,206 NON-ENGLISH SPEAKING LATINO 3834 02:49:54,206 --> 02:49:56,475 ADULTS AND IT WAS PERCEIVED THEY 3835 02:49:56,475 --> 02:49:58,544 MAY FIND IT DIFFICULT TO 3836 02:49:58,544 --> 02:50:00,179 VALIDATE OR CONFIRM FOOD AND 3837 02:50:00,179 --> 02:50:01,580 NUTRITION ASSISTANCE BEING 3838 02:50:01,580 --> 02:50:05,985 PROVIDED TO THEM. 3839 02:50:05,985 --> 02:50:08,087 IN CONCLUSION, THIS STUDY FOUND 3840 02:50:08,087 --> 02:50:10,189 THAT THERE IS NO QUICK FIX TO 3841 02:50:10,189 --> 02:50:12,691 ADEQUATELY PROVIDE FOOD AND 3842 02:50:12,691 --> 02:50:16,528 NUTRITION ASSISTANCE TO 3843 02:50:16,528 --> 02:50:17,496 NON-ENGLISH SPEAKING LATINO 3844 02:50:17,496 --> 02:50:18,764 INDIVIDUALS AND IT'S WARRANTED 3845 02:50:18,764 --> 02:50:19,498 BUT NOT ENOUGH. 3846 02:50:19,498 --> 02:50:23,002 THE INCREASED LIKELIHOOD OF 3847 02:50:23,002 --> 02:50:25,404 EXPERIENCING FOOD INSECURITY 3848 02:50:25,404 --> 02:50:27,339 AMONG NON-ENGLISH SPEAKING 3849 02:50:27,339 --> 02:50:33,178 LATINO ADULTS MAKES FOR THE 3850 02:50:33,178 --> 02:50:35,748 CONTINUED INEQUITIES AND UNEQUAL 3851 02:50:35,748 --> 02:50:38,283 ACCESS TO FOOD AND NUTRITION 3852 02:50:38,283 --> 02:50:38,584 ASSISTANCE. 3853 02:50:38,584 --> 02:50:39,451 WITH THAT THANK YOU ALL FOR 3854 02:50:39,451 --> 02:50:41,720 TAKING THE TIME TO LISTEN TO ME 3855 02:50:41,720 --> 02:50:45,557 AND ALSO FOR MY DISSERTATION 3856 02:50:45,557 --> 02:50:47,126 COMMITTEE FOR PROVIDING SUPPORT 3857 02:50:47,126 --> 02:50:48,193 FOR THIS RESEARCH AND THE 3858 02:50:48,193 --> 02:50:50,396 PROGRAM THAT HELPED FUND THE 3859 02:50:50,396 --> 02:50:51,864 PRESENT STUDY. 3860 02:50:51,864 --> 02:50:54,933 >> THANK YOU, DR. LOPEZ AND 3861 02:50:54,933 --> 02:50:55,901 CONGRATULATIONS ON THE RECENT 3862 02:50:55,901 --> 02:50:57,302 COMPLETION OF YOUR DOCTORAL 3863 02:50:57,302 --> 02:50:57,536 WORK. 3864 02:50:57,536 --> 02:50:59,638 WE'RE EXCITED TO FOLLOW YOUR 3865 02:50:59,638 --> 02:50:59,905 RESEARCH. 3866 02:50:59,905 --> 02:51:01,306 I'M AFRAID WE DON'T HAVE TIME 3867 02:51:01,306 --> 02:51:03,208 FOR QUESTIONS BEFORE OUR BREAK 3868 02:51:03,208 --> 02:51:06,345 SO TO KEEP ON SCHEDULE, WE WILL 3869 02:51:06,345 --> 02:51:07,980 TAKE A BRIEF BREAK. 3870 02:51:07,980 --> 02:51:10,315 THANK YOU FOR JOINING THIS FLASH 3871 02:51:10,315 --> 02:51:11,517 TALK SESSION AND PLEASE RETURN 3872 02:51:11,517 --> 02:51:20,333 AT 3:00 P.M. 3873 02:51:20,333 --> 02:51:22,235 WELCOME BACK FROM THE BREAK. 3874 02:51:22,235 --> 02:51:24,237 I HOPE YOU'RE ENJOYING THE 3875 02:51:24,237 --> 02:51:24,504 WORKSHOP. 3876 02:51:24,504 --> 02:51:26,739 WE'RE EXCITED TO WELCOME OUR 3877 02:51:26,739 --> 02:51:28,274 FEDERAL LEAGUES FROM USDA AND 3878 02:51:28,274 --> 02:51:29,308 CDC TO TALK ABOUT THE WORK 3879 02:51:29,308 --> 02:51:32,945 THEY'RE AGENCIES ARE DOING TO 3880 02:51:32,945 --> 02:51:35,615 ENSURE CULTURE ARE INTEGRATED UP 3881 02:51:35,615 --> 02:51:36,549 THEIR PROGRAMS. 3882 02:51:36,549 --> 02:51:39,619 WE HAVE DONNA JOHNSON BAILEY A 3883 02:51:39,619 --> 02:51:42,321 SENIOR ADVISORY FOR THE USDA 3884 02:51:42,321 --> 02:51:43,589 FOOD AND NUTRITION SERVICE. 3885 02:51:43,589 --> 02:51:52,165 THE CONSULTS ON PROJECTS THAT 3886 02:51:52,165 --> 02:51:57,069 AFFECT AREAS AND AFFECT FNS 3887 02:51:57,069 --> 02:52:00,339 PROGRAM AND HUMAN HEALTH S AND 3888 02:52:00,339 --> 02:52:04,977 MONITORS RULES REGULATED TO 3889 02:52:04,977 --> 02:52:06,712 NUTRITION POLICY. 3890 02:52:06,712 --> 02:52:06,946 WELCOME. 3891 02:52:06,946 --> 02:52:08,147 >> HELLO EVERYONE. 3892 02:52:08,147 --> 02:52:09,682 THANK YOU FOR THE OPPORTUNITY TO 3893 02:52:09,682 --> 02:52:12,552 SHARE SOME OF THE CURRENT 3894 02:52:12,552 --> 02:52:14,420 ACTIVITIES WITHIN USDA. 3895 02:52:14,420 --> 02:52:18,524 THE USDA FOOD AND NUTRITION 3896 02:52:18,524 --> 02:52:21,627 SERVICE FOCUSES ON IMPROVING 3897 02:52:21,627 --> 02:52:23,529 NUTRITION AMONG HOUSEHOLDS WITH 3898 02:52:23,529 --> 02:52:26,966 CHILDREN AND THOSE WITH LIMITED 3899 02:52:26,966 --> 02:52:27,200 INCOME. 3900 02:52:27,200 --> 02:52:28,701 WHILE MAJOR LEGISLATIVE CHANGES 3901 02:52:28,701 --> 02:52:30,403 HAVE AFFECTED THESE THE 3902 02:52:30,403 --> 02:52:32,505 FOUNDATION REMAINS THE MISSION 3903 02:52:32,505 --> 02:52:34,974 OF FNS IN PARTNERSHIP WITH STATE 3904 02:52:34,974 --> 02:52:37,109 AND TRIBAL GOVERNMENTS IS TO 3905 02:52:37,109 --> 02:52:40,112 REDUCE FOOD INSECURITY AND 3906 02:52:40,112 --> 02:52:40,880 HUNGER AND PROVIDE CHILDREN AND 3907 02:52:40,880 --> 02:52:42,715 THOSE WITH LIMITED RESOURCES 3908 02:52:42,715 --> 02:52:44,317 ACCESS TO FOOD AND HEALTHFUL 3909 02:52:44,317 --> 02:52:50,823 DIET AND NUTRITION IN A WAY THAT 3910 02:52:50,823 --> 02:52:53,826 SUPPORTS AGRICULTURE AND 3911 02:52:53,826 --> 02:52:56,229 INSPIRES PUBLIC CONFIDENCE. 3912 02:52:56,229 --> 02:52:58,498 USDA'S FOOD AND NUTRITION 3913 02:52:58,498 --> 02:52:59,265 SERVICE ADMINISTERS 16 PROGRAMS 3914 02:52:59,265 --> 02:53:00,533 THAT AFFECT THE LIVES OF 3915 02:53:00,533 --> 02:53:01,334 MILLIONS OF PEOPLE. 3916 02:53:01,334 --> 02:53:03,703 OVER THE COURSE OF THE TYPICAL 3917 02:53:03,703 --> 02:53:09,375 YEAR ABOUT 1 IN 4 PEOPLE IN THE 3918 02:53:09,375 --> 02:53:12,111 COUNTRY PARTICIPATES IN SNAP AND 3919 02:53:12,111 --> 02:53:14,380 EIGHT NUTRITION PROGRAMS SUCH AS 3920 02:53:14,380 --> 02:53:15,348 THE NATIONAL SCHOOL LUNCH 3921 02:53:15,348 --> 02:53:16,415 PROGRAM AND WIC. 3922 02:53:16,415 --> 02:53:17,717 WE'RE ALSO DEVELOPING THE 3923 02:53:17,717 --> 02:53:19,886 DIETARY GUIDELINES FOR AMERICANS 3924 02:53:19,886 --> 02:53:22,221 IN PARTNERSHIP WITH HHS WHICH 3925 02:53:22,221 --> 02:53:25,224 ARE USED TO INFORM PROGRAM 3926 02:53:25,224 --> 02:53:25,825 POLICY AND VARIOUS EDUCATION 3927 02:53:25,825 --> 02:53:36,035 INITIATIVES. 3928 02:54:06,966 --> 02:54:10,536 IN 2022 USDA CREATED AN EQUITY 3929 02:54:10,536 --> 02:54:10,836 COMMISSION. 3930 02:54:10,836 --> 02:54:12,872 THE COMMISSION PROVIDED 3931 02:54:12,872 --> 02:54:14,473 RECOMMENDED WHICH INCLUDES IN 3932 02:54:14,473 --> 02:54:15,141 ENHANCED RESEARCH AGENDA TO 3933 02:54:15,141 --> 02:54:17,777 UNDERSTAND DISPARITIES OF EQUITY 3934 02:54:17,777 --> 02:54:19,512 WITHIN FOOD SYSTEMS AND PROGRAM 3935 02:54:19,512 --> 02:54:19,812 OPERATIONS. 3936 02:54:19,812 --> 02:54:21,647 TO ACCOMPLISH FOOD AND NUTRITION 3937 02:54:21,647 --> 02:54:25,551 SECURITY GOALS, USDA RELIES ON 3938 02:54:25,551 --> 02:54:27,553 SOUND SCIENCE AND DATA ASSETS 3939 02:54:27,553 --> 02:54:29,722 INCLUDING THE FNS RESEARCH AND 3940 02:54:29,722 --> 02:54:32,458 ANALYSIS TEAMS AND THE USDA 3941 02:54:32,458 --> 02:54:33,092 RESEARCH EDUCATION AND ECONOMICS 3942 02:54:33,092 --> 02:54:38,097 MISSION AREAS. 3943 02:54:38,097 --> 02:54:40,099 FNS PLANS AND COORDINATES THE 3944 02:54:40,099 --> 02:54:42,568 AND EVALUATION ACTIVITIES 3945 02:54:42,568 --> 02:54:44,837 THROUGH THE DEVELOPMENT OF A 3946 02:54:44,837 --> 02:54:46,839 RESEARCH AND EVALUATION PLAN. 3947 02:54:46,839 --> 02:54:49,542 IT APPLIES AN EQUITY LENS TO 3948 02:54:49,542 --> 02:54:52,311 ENSURE SOCIO ECONOMIC AND 3949 02:54:52,311 --> 02:54:56,315 CULTURAL CONSIDERATIONS ARE 3950 02:54:56,315 --> 02:54:57,416 REFLECTED IN THE PROCESS. 3951 02:54:57,416 --> 02:54:59,552 BASED ON PRIORITIES OUTLINED IN 3952 02:54:59,552 --> 02:55:02,154 THE USDA STRATEGIC PLAN, FNS HAS 3953 02:55:02,154 --> 02:55:05,157 DEVELOPED AND IMPLEMENTED 3954 02:55:05,157 --> 02:55:06,659 NUMEROUS RESEARCH AND PROGRAM 3955 02:55:06,659 --> 02:55:08,427 STRATEGIES TO ADDRESS EQUITY AND 3956 02:55:08,427 --> 02:55:08,661 CULTURE. 3957 02:55:08,661 --> 02:55:10,763 THE OVER ARCHING PRIORITIES 3958 02:55:10,763 --> 02:55:12,665 INCLUDE STRENGTHENING HEALTHY 3959 02:55:12,665 --> 02:55:16,035 DIETARY HABITS, ENSURING 3960 02:55:16,035 --> 02:55:17,336 EQUITABLE AND CONSISTENT ACCESS 3961 02:55:17,336 --> 02:55:19,338 TO FNS PROGRAMS AND IMPROVING 3962 02:55:19,338 --> 02:55:22,241 RESULTS AND CONSUMER EXPERIENCES 3963 02:55:22,241 --> 02:55:23,042 AND ENSURING ACCOUNTABILITY TO 3964 02:55:23,042 --> 02:55:28,114 STAKEHOLDERS. 3965 02:55:28,114 --> 02:55:31,283 OVER THE PAST YEAR, FNS 3966 02:55:31,283 --> 02:55:32,151 PUBLISHED THE FIRST AGENCY 3967 02:55:32,151 --> 02:55:32,852 LEARNING AGENDA. 3968 02:55:32,852 --> 02:55:34,887 THEY'RE A NEW PART OF THE 3969 02:55:34,887 --> 02:55:36,389 RESEARCH PROCESS AND OFFER A 3970 02:55:36,389 --> 02:55:38,190 SYSTEMATIC APPROACH FOR 3971 02:55:38,190 --> 02:55:38,924 IDENTIFYING AND ADDRESSING 3972 02:55:38,924 --> 02:55:40,760 PRIORITY QUESTIONS RELEVANT TO 3973 02:55:40,760 --> 02:55:42,228 THE AGENCY. 3974 02:55:42,228 --> 02:55:44,096 QUESTIONS ARE DESIGN TO GUIDE 3975 02:55:44,096 --> 02:55:45,398 RESEARCH PLANNING AND FNS AND 3976 02:55:45,398 --> 02:55:46,766 THE NEXT SLIDES WILL TAKE A LOOK 3977 02:55:46,766 --> 02:55:48,401 AT SOME EXAMPLES OF HOW HEALTH 3978 02:55:48,401 --> 02:55:51,337 EQUITY AND CULTURE ARE REFLECTED 3979 02:55:51,337 --> 02:55:55,441 IN FNS RESEARCH. 3980 02:55:55,441 --> 02:55:57,710 THE LONGITUDINAL STUDY OF SNAP 3981 02:55:57,710 --> 02:55:59,412 HOUSEHOLD WILL MONITOR HOW 3982 02:55:59,412 --> 02:56:02,314 CHANGES IN SNAP POLICY AND 3983 02:56:02,314 --> 02:56:03,449 BENEFIT LEVELS AFFECT 3984 02:56:03,449 --> 02:56:06,819 PARTICIPATION STATUS, FOOD 3985 02:56:06,819 --> 02:56:09,422 PURCHASES AND DIET QUALITY AND 3986 02:56:09,422 --> 02:56:11,557 FOLLOW A REPRESENTATIVE SAMPLE 3987 02:56:11,557 --> 02:56:13,426 TO COLLECT DATA ANNUALLY 3988 02:56:13,426 --> 02:56:14,694 REGARDLESS OF SNAP PARTICIPATION 3989 02:56:14,694 --> 02:56:16,962 STATUS AND INCLUDE DATA ELEMENTS 3990 02:56:16,962 --> 02:56:18,698 SUCH AS FOOD PURCHASES, DIETARY 3991 02:56:18,698 --> 02:56:22,501 INTAKES, USE OF SNAP ED AND USE 3992 02:56:22,501 --> 02:56:24,437 OF OTHER ASSISTANCE PROGRAMS. 3993 02:56:24,437 --> 02:56:27,373 THE LIMITED ENGLISH PROFICIENCY 3994 02:56:27,373 --> 02:56:29,842 STUDY WILL GATHER DATA FROM ALL 3995 02:56:29,842 --> 02:56:31,277 53 SNAP AGENCIES AN THREE 3996 02:56:31,277 --> 02:56:34,847 TERRITORIES VIA A WEB-BASED 3997 02:56:34,847 --> 02:56:38,718 SURVEY, INTERVIEWS AND CASE 3998 02:56:38,718 --> 02:56:42,455 STUDIES TO FNS WITH FINDINGS IN 3999 02:56:42,455 --> 02:56:45,157 LIMITED PROFICIENCY ACCESS IN 4000 02:56:45,157 --> 02:56:45,357 SNAP. 4001 02:56:45,357 --> 02:56:47,927 THE NUTRITION COMPONENT OF SNAP 4002 02:56:47,927 --> 02:56:49,562 HAS BEEN USING AN EVALUATION 4003 02:56:49,562 --> 02:56:54,300 FRAMEWORK SINCE 2016 TO HELP 4004 02:56:54,300 --> 02:56:55,968 ASSESS OUTCOMES OF SNAP 4005 02:56:55,968 --> 02:56:56,535 INTERVENTIONS. 4006 02:56:56,535 --> 02:56:59,605 OUT OF 51 INDICATORS INCLUDED 4007 02:56:59,605 --> 02:57:01,107 FRAMEWORK, SEVEN PRIORITY 4008 02:57:01,107 --> 02:57:02,742 INDICATORS ARE USED FNS TO 4009 02:57:02,742 --> 02:57:04,243 UNDERSTAND PROGRAM OUTCOMES AND 4010 02:57:04,243 --> 02:57:05,845 THIS STUDY WILL EXAMINE 4011 02:57:05,845 --> 02:57:07,313 INTERVENTIONS THAT SUPPORT THE 4012 02:57:07,313 --> 02:57:09,281 PRIORITY INDICATORS, HOW 4013 02:57:09,281 --> 02:57:10,549 OUTCOMES ARE MEASURED AND THE 4014 02:57:10,549 --> 02:57:15,554 QUALITY OF DATA COLLECTED. 4015 02:57:15,554 --> 02:57:18,858 STUDIES IN DEVELOPMENT TO 4016 02:57:18,858 --> 02:57:23,996 SUPPORT CHILD NUTRITION PROGRAMS 4017 02:57:23,996 --> 02:57:34,540 INCLUDE THE PURCHASE STUDY AND 4018 02:57:38,878 --> 02:57:40,980 LAUNCHING THE CHARACTERISTIC 4019 02:57:40,980 --> 02:57:42,515 STUDY TO COLLECT BASELINE 4020 02:57:42,515 --> 02:57:45,785 DESCRIPTIONIVE DATA THROUGH A 4021 02:57:45,785 --> 02:57:46,452 NATIONALLY REPRESENTATIVE SURVEY 4022 02:57:46,452 --> 02:57:48,954 OF PARTICIPATING ADULT DAYCARE 4023 02:57:48,954 --> 02:57:50,656 CENTER TO BETTER UNDERSTAND THE 4024 02:57:50,656 --> 02:57:52,658 POPULATIONS AND FUNDING SOURCES 4025 02:57:52,658 --> 02:57:53,292 AND MEAL SERVICE AND COMMUNITY 4026 02:57:53,292 --> 02:58:00,633 PROGRAMMING. 4027 02:58:00,633 --> 02:58:03,335 RECIPE IS A PRIORITY FOR WIC 4028 02:58:03,335 --> 02:58:09,041 PROGRAM AND THE AGENCIES OFFER 4029 02:58:09,041 --> 02:58:12,645 BREAST FEEDING SUPPORT TO 4030 02:58:12,645 --> 02:58:14,013 MOTHERS AND UPDATE STATISTICS 4031 02:58:14,013 --> 02:58:16,682 AND BEST PRACTICES TO IMPROVE 4032 02:58:16,682 --> 02:58:18,384 BREAST FEEDING RATES AND ALSO 4033 02:58:18,384 --> 02:58:21,520 EXAMINE INEQUITIES IN ACCESS AND 4034 02:58:21,520 --> 02:58:23,656 DELIVERY OF WIC BREAST FEEDING 4035 02:58:23,656 --> 02:58:24,156 SUPPORT. 4036 02:58:24,156 --> 02:58:25,925 A STUDY TO EXAMINE PARTICIPATION 4037 02:58:25,925 --> 02:58:28,294 IN WIC AND PREVALENCE OF HEALTH 4038 02:58:28,294 --> 02:58:29,562 RISKS ASSOCIATE THE WITH 4039 02:58:29,562 --> 02:58:31,030 MATERNAL MORTALITY WILL USE DATA 4040 02:58:31,030 --> 02:58:35,835 FROM CDC AS A PREGNANCY RISK 4041 02:58:35,835 --> 02:58:39,572 ASSESSMENT MONITORING SYSTEM TO 4042 02:58:39,572 --> 02:58:40,706 LOOK AT CONDITIONS THAT INCREASE 4043 02:58:40,706 --> 02:58:43,409 THE RISK OF COMPLICATIONS DURING 4044 02:58:43,409 --> 02:58:44,777 PREGNANCY AND POSTPARTUM 4045 02:58:44,777 --> 02:58:45,978 PERIODS. 4046 02:58:45,978 --> 02:58:46,946 THE FINDINGS WILL INFORM ACTION 4047 02:58:46,946 --> 02:58:49,081 TO SUPPORT POPULATIONS AT 4048 02:58:49,081 --> 02:58:53,819 HIGHEST RISK FOR MATERNAL 4049 02:58:53,819 --> 02:58:56,789 MORBIDITY AND MORTALITY. 4050 02:58:56,789 --> 02:58:59,158 FNS CONDUCTS CONSUMER 4051 02:58:59,158 --> 02:59:00,092 COMMUNICATION RESEARCH RELATED 4052 02:59:00,092 --> 02:59:01,327 TO THE DEVELOPMENT OF MESSAGES 4053 02:59:01,327 --> 02:59:02,828 AND DIGITAL TOOLS AND OTHER 4054 02:59:02,828 --> 02:59:05,431 RESOURCES TO IMPROVE DIETARY 4055 02:59:05,431 --> 02:59:05,898 HABITS. 4056 02:59:05,898 --> 02:59:09,034 FNS HAS TRANSLATED MANY 4057 02:59:09,034 --> 02:59:10,269 NUTRITION EDUCATION RESOURCES 4058 02:59:10,269 --> 02:59:12,805 INTO SPANISH INCLUDING THOSE 4059 02:59:12,805 --> 02:59:14,673 AVAILABLE ON THE MY PLATE.gov 4060 02:59:14,673 --> 02:59:16,475 WEBSITE AND INCLUDES THE QUIZ, 4061 02:59:16,475 --> 02:59:19,612 PLANS, RECIPES, TIP SHEETS AND 4062 02:59:19,612 --> 02:59:21,614 GRAPHICS INCLUDING THE MY PLATE 4063 02:59:21,614 --> 02:59:24,483 ICON AVAILABLE IN 21 LANGUAGES. 4064 02:59:24,483 --> 02:59:27,253 MY PLATE IS ALSO ON INSTAGRAM TO 4065 02:59:27,253 --> 02:59:29,889 REACH MORE AUDIENCES WITH 4066 02:59:29,889 --> 02:59:30,389 HEALTHY EATING TIPS AND 4067 02:59:30,389 --> 02:59:34,693 INFORMATION. 4068 02:59:34,693 --> 02:59:37,062 SNAP ED PLAYS A CRITICAL ROLE IN 4069 02:59:37,062 --> 02:59:38,731 SUPPORTING NUTRITION EDUCATION 4070 02:59:38,731 --> 02:59:40,566 AND ISSUES ANNUAL GUIDANCE FOR 4071 02:59:40,566 --> 02:59:43,102 STATES TO ADVANCE FOOD SECURITY. 4072 02:59:43,102 --> 02:59:45,738 FNS HAS STRENGTHENED SNAP ED BY 4073 02:59:45,738 --> 02:59:46,972 INCREASING TECHNICAL SUPPORT 4074 02:59:46,972 --> 02:59:48,607 THROUGH THE NEW NUTRITION 4075 02:59:48,607 --> 02:59:49,275 EDUCATION BRANCH ESTABLISHED 4076 02:59:49,275 --> 02:59:52,845 LAST YEAR AND IMPLEMENTING THE 4077 02:59:52,845 --> 02:59:55,180 NEW NATIONAL PROGRAM EVALUATION 4078 02:59:55,180 --> 02:59:57,783 AND REPORTING SYSTEM AND PAYERS 4079 02:59:57,783 --> 03:00:00,686 LAUNCHED THIS YEAR AND ENSURING 4080 03:00:00,686 --> 03:00:09,094 EQUITY THROUGH PROGRAM ACCESS, 4081 03:00:09,094 --> 03:00:10,029 SERVICE DELIVERY AND CLARIFYING 4082 03:00:10,029 --> 03:00:11,463 EXPECTATION TO CONSULT WITH 4083 03:00:11,463 --> 03:00:17,836 TRIBAL ORGANIZING IN DEVELOPING 4084 03:00:17,836 --> 03:00:18,737 STATE SNAP ED PLANS. 4085 03:00:18,737 --> 03:00:19,939 OVER THE PAST YEAR CHILD 4086 03:00:19,939 --> 03:00:23,542 NUTRITION PROGRAMS HAVE 4087 03:00:23,542 --> 03:00:27,713 PUBLISHED AND UPDATE THE MEAL 4088 03:00:27,713 --> 03:00:29,782 STANDARDS AROUND INCREASED 4089 03:00:29,782 --> 03:00:32,885 ACCESS TO FOODS FOR TRIBAL 4090 03:00:32,885 --> 03:00:35,154 COMMUNITY AND EXPANDED 4091 03:00:35,154 --> 03:00:36,755 PROVISIONS GIVING HIGH-NEED 4092 03:00:36,755 --> 03:00:38,324 COMMUNITIES THE OPTION TO 4093 03:00:38,324 --> 03:00:39,124 PROVIDE SCHOOL MEALS TO STUDENTS 4094 03:00:39,124 --> 03:00:42,828 AT NO COST. 4095 03:00:42,828 --> 03:00:44,263 TO FURTHER SUPPORT THE POLICY 4096 03:00:44,263 --> 03:00:45,597 EFFORTS TEAM NUTRITION AND THE 4097 03:00:45,597 --> 03:00:47,032 EDUCATION AND TRAINING ARM OF 4098 03:00:47,032 --> 03:00:48,801 CHILD NUTRITION SUPPORTS THE 4099 03:00:48,801 --> 03:00:51,103 HEALTHY MEANS INCENTIVES 4100 03:00:51,103 --> 03:00:52,838 INITIATIVE WHICH CELEBRATES 4101 03:00:52,838 --> 03:00:53,505 SCHOOL FOOD AUTHORITIES THAT 4102 03:00:53,505 --> 03:00:57,109 MADE IMPROVEMENTS TO THE 4103 03:00:57,109 --> 03:00:59,445 NUTRITIONAL QUALITY OF THEIR 4104 03:00:59,445 --> 03:01:00,713 SCHOOL MEALS AND HAS AN 4105 03:01:00,713 --> 03:01:01,814 EXTENSIVE LIBRARY OF RESOURCES 4106 03:01:01,814 --> 03:01:03,549 TO PROMOTE HEALTHY, CULTURALLY 4107 03:01:03,549 --> 03:01:08,921 RELEVANT MEALS. 4108 03:01:08,921 --> 03:01:09,588 NUTRITION EDUCATION HAS ALWAYS 4109 03:01:09,588 --> 03:01:14,259 BEEN A CRITICAL PART OF THE WIC 4110 03:01:14,259 --> 03:01:17,629 PROGRAM AND THE WIC RESOURCE 4111 03:01:17,629 --> 03:01:18,897 PROGRAM PROVIDERS EFFORTS TO 4112 03:01:18,897 --> 03:01:22,167 OFFER CULTURALLY RELEVANT 4113 03:01:22,167 --> 03:01:22,434 RESOURCES. 4114 03:01:22,434 --> 03:01:25,170 TO SUPPORT WIC PROFESSIONALS 4115 03:01:25,170 --> 03:01:26,538 THERE'S A COOPERATIVE AGREEMENT 4116 03:01:26,538 --> 03:01:27,906 WITH THE NATIONAL INSTITUTE OF 4117 03:01:27,906 --> 03:01:31,043 FOOD AND AGRICULTURE TO DEVELOP 4118 03:01:31,043 --> 03:01:35,481 A NATIONAL WORKFORCE STRATEGY 4119 03:01:35,481 --> 03:01:37,116 FOR WIC AND SUPPORT THOSE 4120 03:01:37,116 --> 03:01:38,484 ELIGIBLE BUT NOT ENROLLED IN 4121 03:01:38,484 --> 03:01:41,787 WIC. 4122 03:01:41,787 --> 03:01:44,423 IF YOU ARE INTERESTED IN ANY OF 4123 03:01:44,423 --> 03:01:46,959 THE TOPICS MENTIONED HERE TODAY 4124 03:01:46,959 --> 03:01:49,395 I KNOW THEY'RE FLYING BY 4125 03:01:49,395 --> 03:01:50,529 INCLUDING THE NUMEROUS FUNDING 4126 03:01:50,529 --> 03:01:52,064 OPPORTUNITIES FOR RESEARCH, 4127 03:01:52,064 --> 03:01:52,865 PLEASE VISIT USDA WEB PAGES TO 4128 03:01:52,865 --> 03:01:53,399 LEARN MORE. 4129 03:01:53,399 --> 03:02:01,140 THANK YOU. 4130 03:02:01,140 --> 03:02:03,642 >> THANK YOU, DONNA. 4131 03:02:03,642 --> 03:02:04,777 NEXT SLIDE. 4132 03:02:04,777 --> 03:02:06,211 THAT WAS AN EXCELLENT OVERVIEW 4133 03:02:06,211 --> 03:02:07,613 AND IT'S EXCITING TO SEE THE 4134 03:02:07,613 --> 03:02:10,449 WORK BEING DONE TO ENSURE HEALTH 4135 03:02:10,449 --> 03:02:11,683 EQUITY WITHIN SNAP ED AND MY 4136 03:02:11,683 --> 03:02:14,186 PLATE TO MAKE IT MORE USER 4137 03:02:14,186 --> 03:02:15,020 FRIENDLY FOR THOSE OF DIFFERENT 4138 03:02:15,020 --> 03:02:17,122 CULTURAL BACKGROUNDS. 4139 03:02:17,122 --> 03:02:19,992 OUR NEXT PRESENTATION IS BY 4140 03:02:19,992 --> 03:02:22,294 DR. HARRIS WHO SERVES AS THE 4141 03:02:22,294 --> 03:02:24,663 SENIOR HEALTH SCIENTIST IN THE 4142 03:02:24,663 --> 03:02:25,764 DIVISION OF NUTRITION AND 4143 03:02:25,764 --> 03:02:27,499 PHYSICAL ACTIVITY IN THE CDC. 4144 03:02:27,499 --> 03:02:30,335 SHE'S LEAD FOR THE HEALTHY FOOD 4145 03:02:30,335 --> 03:02:31,236 ENVIRONMENTS TEAM IN THE OBESITY 4146 03:02:31,236 --> 03:02:41,747 PREVENTION AND CONTROL BRANCH. 4147 03:02:42,147 --> 03:02:44,283 >> I'M ALSO A MEMBER OF THE 4148 03:02:44,283 --> 03:02:54,760 WORKSHOP PLANNING COMMITTEE. 4149 03:03:23,222 --> 03:03:24,957 >> I'LL DISCUSS THE CULTURAL 4150 03:03:24,957 --> 03:03:26,191 CONSIDERATION TO ADDRESS HEALTHY 4151 03:03:26,191 --> 03:03:27,860 FOOD ENVIRONMENTS AND OUTLINE 4152 03:03:27,860 --> 03:03:29,595 THE MAIN FUNDING PROGRAMS FROM 4153 03:03:29,595 --> 03:03:31,096 OUR DIVISION AND BRIEFLY THOSE 4154 03:03:31,096 --> 03:03:35,467 FROM ONE SISTER DIVISION IN A 4155 03:03:35,467 --> 03:03:36,902 CHRONIC DISEASE CENTER THAT 4156 03:03:36,902 --> 03:03:37,970 SERVED TRIBAL NATIONS. 4157 03:03:37,970 --> 03:03:40,472 I WAS RECENTLY AT A MEETING AND 4158 03:03:40,472 --> 03:03:43,275 OVERHEARD A WOMAN TALKING WITH A 4159 03:03:43,275 --> 03:03:47,846 CARIBBEAN ACCENT SAY MY LOCAL 4160 03:03:47,846 --> 03:03:49,982 BODEGA STARTED CARRYING A 4161 03:03:49,982 --> 03:03:50,916 CERTAIN FOOD. 4162 03:03:50,916 --> 03:03:52,818 THIS REMINDS ME OF WHAT YOU 4163 03:03:52,818 --> 03:03:53,418 HEARD IN THE PRESENTATIONS IN 4164 03:03:53,418 --> 03:03:55,721 THE WORKSHOP THAT WE CAN DEVELOP 4165 03:03:55,721 --> 03:03:56,655 INTERVENTIONS WHICH INCREASE 4166 03:03:56,655 --> 03:03:59,725 ACCESS TO HEALTHY FOODS AND 4167 03:03:59,725 --> 03:04:02,161 BEVERAGES BUT IF THE FOODS 4168 03:04:02,161 --> 03:04:04,530 AREN'T WHAT PEOPLE ARE USED TO 4169 03:04:04,530 --> 03:04:06,498 AND WANT TO EAT OR DRINK THAN 4170 03:04:06,498 --> 03:04:07,399 OUR PROGRAMS ARE NOT HELPING 4171 03:04:07,399 --> 03:04:11,670 PEOPLE EFFECTIVELY. 4172 03:04:11,670 --> 03:04:14,606 WE KNOW DIFFERENCES IN SOCIAL 4173 03:04:14,606 --> 03:04:15,674 DETERMINATES OF HEALTH 4174 03:04:15,674 --> 03:04:19,378 CONTRIBUTE TO THE STARK AND 4175 03:04:19,378 --> 03:04:19,945 PERSISTENT CHRONIC DISEASE 4176 03:04:19,945 --> 03:04:20,479 DISPARITIES IN THE UNITED 4177 03:04:20,479 --> 03:04:25,851 STATES. 4178 03:04:25,851 --> 03:04:26,885 SYSTEMATICALLY LIMITING 4179 03:04:26,885 --> 03:04:28,387 OPPORTUNITIES FOR MEMBERS OF 4180 03:04:28,387 --> 03:04:32,090 SOME GROUPS TO BE HEALTHY. 4181 03:04:32,090 --> 03:04:33,025 CDC'S NATIONAL CENTER FOR 4182 03:04:33,025 --> 03:04:34,092 CHRONIC DISEASE PREVENTION AND 4183 03:04:34,092 --> 03:04:37,362 HEALTH PROMOTION TO ADDRESS THE 4184 03:04:37,362 --> 03:04:41,767 SOCIAL DETERMINATES OF HEALTH 4185 03:04:41,767 --> 03:04:45,237 TIED TO HYPERTENSION, HEART 4186 03:04:45,237 --> 03:04:46,438 DISEASE, TYPE 2 DIABETES AND 4187 03:04:46,438 --> 03:04:49,107 AFFECT THOSE MOST AFFECTED. 4188 03:04:49,107 --> 03:04:50,509 THE CHRONIC DISEASE CENTER 4189 03:04:50,509 --> 03:04:51,610 DEFINES FOOD AND NUTRITION 4190 03:04:51,610 --> 03:04:53,478 SECURITY AS HAVING RELIABLE 4191 03:04:53,478 --> 03:04:55,080 ACCESS TO ENOUGH HIGH-QUALITY 4192 03:04:55,080 --> 03:04:59,518 FOOD TO AVOID HUNGER AND STAY 4193 03:04:59,518 --> 03:04:59,818 HEALTHY. 4194 03:04:59,818 --> 03:05:01,887 THIS NOT ONLY INCLUDES THE 4195 03:05:01,887 --> 03:05:03,155 CONCEPT OF ENOUGH FOOD AND 4196 03:05:03,155 --> 03:05:04,156 HEALTH SECURITY AND ADDRESS THE 4197 03:05:04,156 --> 03:05:05,924 QUALITY OF FOOD FOR NUTRITION 4198 03:05:05,924 --> 03:05:06,458 SECURITY. 4199 03:05:06,458 --> 03:05:07,926 QUALITY IN THIS CONTEXT REFERS 4200 03:05:07,926 --> 03:05:09,595 TO FOODS THAT ALIGN WITH THE 4201 03:05:09,595 --> 03:05:12,631 DIETARY GUIDELINES FOR AMERICANS 4202 03:05:12,631 --> 03:05:13,932 AS WELL AS MEETS PEOPLE'S 4203 03:05:13,932 --> 03:05:15,567 PREFERENCES AND NEEDS FROM 4204 03:05:15,567 --> 03:05:20,939 CULTURAL OR OTHER PERSPECTIVES. 4205 03:05:20,939 --> 03:05:23,675 THE DIVISION OF NUTRITION AT CDC 4206 03:05:23,675 --> 03:05:25,077 ADDRESSES FOOD AND NUTRITION 4207 03:05:25,077 --> 03:05:27,512 SECURITY THROUGHOUT THE LIFE 4208 03:05:27,512 --> 03:05:28,880 SPAN WITH PRIORITY STRATEGIES 4209 03:05:28,880 --> 03:05:31,583 FOCUSSED ON SUPPORTING EATERS AT 4210 03:05:31,583 --> 03:05:35,320 THE EARLY STAGES OF LIFE THROUGH 4211 03:05:35,320 --> 03:05:35,587 ADULTHOOD. 4212 03:05:35,587 --> 03:05:37,889 AND POLICY, SYSTEMS AND 4213 03:05:37,889 --> 03:05:40,292 ENVIRONMENTAL STRATEGIES SO THAT 4214 03:05:40,292 --> 03:05:41,593 HEALTHIER CHOICES ARE EASIER TO 4215 03:05:41,593 --> 03:05:43,195 MAKE FOR COMMUNITY MEMBERS. 4216 03:05:43,195 --> 03:05:46,198 WE ANCHOR PROGRAMS IN HEALTH 4217 03:05:46,198 --> 03:05:47,699 EQUITY, SHARING CDC'S OVER ALL 4218 03:05:47,699 --> 03:05:49,167 VISION THAT ALL PEOPLE SHOULD 4219 03:05:49,167 --> 03:05:50,602 HAVE THE OPPORTUNITY TO AATTAIN 4220 03:05:50,602 --> 03:05:52,671 THE HIGHEST LEVEL OF HEALTH 4221 03:05:52,671 --> 03:05:58,377 POSSIBLE. 4222 03:05:58,377 --> 03:06:01,446 DNPAO HELPS LOCAL, STATE AND 4223 03:06:01,446 --> 03:06:01,980 TRIBAL ORGANIZATIONS AND 4224 03:06:01,980 --> 03:06:02,781 NATIONAL ORGANIZATIONS AND 4225 03:06:02,781 --> 03:06:04,883 UNIVERSITIES AND OTHER PARTNERS 4226 03:06:04,883 --> 03:06:06,785 TAKE ACTIONS THAT PROMOTE ACCESS 4227 03:06:06,785 --> 03:06:08,754 TO GOOD NUTRITION AND REGULAR 4228 03:06:08,754 --> 03:06:09,354 PHYSICAL ACTIVITY. 4229 03:06:09,354 --> 03:06:10,822 AS WE'RE AT THE END OF THE 4230 03:06:10,822 --> 03:06:14,159 PHYSICAL YEAR THIS WEEK, THE 4231 03:06:14,159 --> 03:06:17,562 CURRENT SET OF 71, COOPERATIVE 4232 03:06:17,562 --> 03:06:18,597 AGREEMENTS ARE REACHING THEIR 4233 03:06:18,597 --> 03:06:20,899 COMPLETION AND NEXT WEEK WE 4234 03:06:20,899 --> 03:06:23,535 WELCOME 74 NEW RECIPIENTS ACROSS 4235 03:06:23,535 --> 03:06:28,106 OUR FUNDING PROGRAMS WITH ACTIVE 4236 03:06:28,106 --> 03:06:30,375 ACRONYMS AND THAT SPAN, HOP AND 4237 03:06:30,375 --> 03:06:30,876 REACH. 4238 03:06:30,876 --> 03:06:32,611 THROUGH THE STATE PHYSICAL 4239 03:06:32,611 --> 03:06:36,081 ACTIVITY AND SPAN PROGRAM, DNPAO 4240 03:06:36,081 --> 03:06:38,884 FUNDS STATE LEVEL RECIPIENTS AND 4241 03:06:38,884 --> 03:06:41,453 LARGELY HEALTH DEPARTMENTS TO 4242 03:06:41,453 --> 03:06:42,154 IMPLEMENT EVIDENCE-BASED 4243 03:06:42,154 --> 03:06:47,526 STRATEGIES THAT SUPPORT GOOD 4244 03:06:47,526 --> 03:06:52,431 NUTRITION AND BREAST FEEDING AND 4245 03:06:52,431 --> 03:06:53,799 THERE'S 15 LAND GRANT UNIVERSITY 4246 03:06:53,799 --> 03:06:55,801 TO WORK WITH COMMUNITY EXTENSION 4247 03:06:55,801 --> 03:06:57,069 SERVICES TO PROMOTE GOOD 4248 03:06:57,069 --> 03:06:58,737 NUTRITION AND PHYSICAL ACTIVITY 4249 03:06:58,737 --> 03:07:01,540 IN COUNTIES WHERE MORE THAN 40% 4250 03:07:01,540 --> 03:07:03,742 OF THE ADULT POPULATION HAS 4251 03:07:03,742 --> 03:07:06,945 OBESITY LARGELY RURAL COUNTIES. 4252 03:07:06,945 --> 03:07:09,114 THROUGH THE ETHNIC AND RACIAL 4253 03:07:09,114 --> 03:07:10,148 APPROACHES TO COMMUNITY HEALTH 4254 03:07:10,148 --> 03:07:13,185 NOW IN THE 24th YEAR, IT FUNDS 4255 03:07:13,185 --> 03:07:15,620 40 STATE AND LOCAL ORGANIZATIONS 4256 03:07:15,620 --> 03:07:17,489 WORKING TO REDUCE HEALTH 4257 03:07:17,489 --> 03:07:19,624 DISPARITIES AMONG RACIAL AND 4258 03:07:19,624 --> 03:07:21,360 ETHNIC GROUPS IN COMMUNITIES 4259 03:07:21,360 --> 03:07:23,929 WITH HIGH RISK OR RATES OF 4260 03:07:23,929 --> 03:07:28,867 CHRONIC DISEASES. 4261 03:07:28,867 --> 03:07:29,501 RECIPIENTS PROMOTE BREAST 4262 03:07:29,501 --> 03:07:31,770 FEEDING, PHYSICAL ACTIVITY AND 4263 03:07:31,770 --> 03:07:33,338 INCREASE ACCESS TO HEALTH CARE 4264 03:07:33,338 --> 03:07:36,742 AND PREVENTIVE HEALTH SERVICES. 4265 03:07:36,742 --> 03:07:40,145 THIS SLIDE SHOWS THE NUTRITION 4266 03:07:40,145 --> 03:07:41,380 SPECIFIC EVIDENCE-BASED 4267 03:07:41,380 --> 03:07:43,148 STRATEGIES LEVERAGED BY SPAN, 4268 03:07:43,148 --> 03:07:45,550 HOP AND REACH PROGRAMS TO CREATE 4269 03:07:45,550 --> 03:07:46,718 HEALTHIER FOOD ENVIRONMENTS. 4270 03:07:46,718 --> 03:07:49,955 SOME OF OUR KEY STRATEGIES TO DO 4271 03:07:49,955 --> 03:07:52,090 THIS INCLUDE SUPPORTING PROGRAMS 4272 03:07:52,090 --> 03:07:54,493 AND HOSPITALS AND COMMUNITY 4273 03:07:54,493 --> 03:07:56,128 SETTINGS TO PROMOTE BREAST 4274 03:07:56,128 --> 03:07:57,462 FEEDING, IMPLEMENTING FOOD 4275 03:07:57,462 --> 03:07:59,798 SERVICE GUIDELINES TO PROMOTE 4276 03:07:59,798 --> 03:08:01,333 HEALTHY OPTIONS AND FOOD SERVICE 4277 03:08:01,333 --> 03:08:03,235 SETTINGS SUCH AS WORK SITES, 4278 03:08:03,235 --> 03:08:07,439 HOSPITALS AND FOOD PANTRIES. 4279 03:08:07,439 --> 03:08:13,278 PARTNERING WITH GROSS GROCERS 4280 03:08:13,278 --> 03:08:15,147 AND PRODUCE PRESCRIPTION 4281 03:08:15,147 --> 03:08:16,748 PROGRAMS TO ENABLE HEALTH CARE 4282 03:08:16,748 --> 03:08:18,216 PROVIDERS TO DISTRICT BENEFITS 4283 03:08:18,216 --> 03:08:20,485 TO PATIENTS LIVING WITH OR AT 4284 03:08:20,485 --> 03:08:23,321 HIGH RISK OF AFFECTED HEALTH 4285 03:08:23,321 --> 03:08:24,489 CONDITIONS TO PURCHASE FRUITS 4286 03:08:24,489 --> 03:08:27,592 AND VEGETABLES AT LITTLE TO NO 4287 03:08:27,592 --> 03:08:29,327 COST AND EDUCATION CENTER TO 4288 03:08:29,327 --> 03:08:32,197 ESTABLISH HEALTHY DIETARY 4289 03:08:32,197 --> 03:08:36,201 PATTERNS BY BRINGING LOCALLY 4290 03:08:36,201 --> 03:08:38,703 PRODUCED FOOD IN THE CLASSROOM 4291 03:08:38,703 --> 03:08:39,337 THROUGH FARM AND EARLY EDUCATION 4292 03:08:39,337 --> 03:08:42,374 PROGRAMS. 4293 03:08:42,374 --> 03:08:48,747 WORK OF THE HEALTHY FOOD 4294 03:08:48,747 --> 03:08:50,715 ENVIRONMENT TEAMS HELPS IDENTIFY 4295 03:08:50,715 --> 03:08:52,818 GUIDANCE TO TAILOR ACTIVITIES TO 4296 03:08:52,818 --> 03:08:55,320 MEET CULTURAL PREFERENCES OF THE 4297 03:08:55,320 --> 03:08:55,954 PRIORITY POPULATION. 4298 03:08:55,954 --> 03:08:58,089 IN OUR FOOD SERVICE GUIDELINES 4299 03:08:58,089 --> 03:09:02,127 TOOL KIT WE HAVE A PAGE DEVOTED 4300 03:09:02,127 --> 03:09:06,131 TO HELPING PUBLIC HEALTH 4301 03:09:06,131 --> 03:09:07,265 PROFESSIONALS UNDERSTAND THE 4302 03:09:07,265 --> 03:09:09,301 IMPORTANCE OF GUIDANCE HOW TO 4303 03:09:09,301 --> 03:09:10,101 SUPPORT THE CULTURAL PREFERENCES 4304 03:09:10,101 --> 03:09:14,940 IN FOOD SERVICE. 4305 03:09:14,940 --> 03:09:17,609 I'LL HIGHLIGHT THE WORK OF TWO 4306 03:09:17,609 --> 03:09:22,113 SPECIFIC REACH PROGRAMS AND 4307 03:09:22,113 --> 03:09:27,185 YOU'LL HEAR FROM A THIRD IN THE 4308 03:09:27,185 --> 03:09:28,620 UPCOMING PANEL. 4309 03:09:28,620 --> 03:09:33,592 THE FIRST IS MICHIGAN IN ENCLAVE 4310 03:09:33,592 --> 03:09:37,262 OF DETROIT AND THEY LACK ACCESS 4311 03:09:37,262 --> 03:09:41,700 TO PUBLIC FOODS AND 43% OF 4312 03:09:41,700 --> 03:09:43,735 RESIDENTS LIVE IN POVERTY. 4313 03:09:43,735 --> 03:09:46,037 SINCE 2019 THE REACH RECIPIENT 4314 03:09:46,037 --> 03:09:48,673 AT EASTERN MICHIGAN UNIVERSITY 4315 03:09:48,673 --> 03:09:51,243 PARTNERED WITH DETROIT 4316 03:09:51,243 --> 03:09:52,477 FRIENDSHIP HOUSE FOR ACCESS IN 4317 03:09:52,477 --> 03:09:55,146 THE LOCAL ASIAN COMMUNITY. 4318 03:09:55,146 --> 03:09:59,017 THERE WAS A NUTRITION POLICY FOR 4319 03:09:59,017 --> 03:10:03,421 THE CHOICE FOOD PANTRY AND 4320 03:10:03,421 --> 03:10:07,559 IMPLEMENTED THE SWAP PROGRAM IN 4321 03:10:07,559 --> 03:10:07,759 2022. 4322 03:10:07,759 --> 03:10:10,262 THERE'S FOOD PANTRY TO RANK 4323 03:10:10,262 --> 03:10:13,265 THEIR INVENTORY AND ALIGNS WITH 4324 03:10:13,265 --> 03:10:15,667 THE NUTRITION GUIDELINES FOR THE 4325 03:10:15,667 --> 03:10:17,002 CHARITABLE FOOD SYSTEM. 4326 03:10:17,002 --> 03:10:20,872 THE TRANSLATED SWAP SIGNS AND 4327 03:10:20,872 --> 03:10:22,674 MATERIALS INTO ARABIC AND OTHERS 4328 03:10:22,674 --> 03:10:24,276 TO MAKE THE INFORMATION 4329 03:10:24,276 --> 03:10:25,410 ACCESSIBLE TO CLIENTS. 4330 03:10:25,410 --> 03:10:27,746 THE REACH PROGRAM ALSO CREATED 4331 03:10:27,746 --> 03:10:30,649 FOOD SAFETY AND INTERCULTURAL 4332 03:10:30,649 --> 03:10:31,182 TRAININGS FOR STAFF AND 4333 03:10:31,182 --> 03:10:36,087 VOLUNTEERS. 4334 03:10:36,087 --> 03:10:38,823 AS A RESULT IT PROVIDES MEAT, 4335 03:10:38,823 --> 03:10:40,992 VEGETABLES, RICE AND FISH AND 4336 03:10:40,992 --> 03:10:43,495 PROVIDED FOOD BOXES IN 2023 FOR 4337 03:10:43,495 --> 03:10:46,932 CLIENTS WHO OBSERVED RAMADAN. 4338 03:10:46,932 --> 03:10:48,667 ANOTHER EXAMPLE COMES FROM 4339 03:10:48,667 --> 03:10:49,501 NAVAJO NATION. 4340 03:10:49,501 --> 03:10:51,603 IT'S AN AREA OF LOW POPULATION 4341 03:10:51,603 --> 03:10:54,105 DENSITY LIMITED INFRASTRUCTURE 4342 03:10:54,105 --> 03:10:56,241 AND HIGH POVERTY RATES LEADING 4343 03:10:56,241 --> 03:10:58,777 FAMILIES TO LACK ACCESS TO FOOD 4344 03:10:58,777 --> 03:11:00,946 THAT IS AFFORDABLE. 4345 03:11:00,946 --> 03:11:04,182 1 IN 5 ADULTS HAS DIABETES THE 4346 03:11:04,182 --> 03:11:06,585 FOURTH LEADING CAUSE OF DEATH ON 4347 03:11:06,585 --> 03:11:08,353 THE NAVAJO NATION. 4348 03:11:08,353 --> 03:11:11,389 THERE'S A NON-PROFIT 4349 03:11:11,389 --> 03:11:14,826 ORGANIZATION BASED IN NEW MEXICO 4350 03:11:14,826 --> 03:11:17,796 AND ARE PARTNERS IN HEALTH. 4351 03:11:17,796 --> 03:11:23,101 IN 2015 IT LAUNCH THE FRUIT AND 4352 03:11:23,101 --> 03:11:24,536 VEGETABLE CONSUMPTION PROGRAM TO 4353 03:11:24,536 --> 03:11:26,471 INCREASE CONSUMPTION. 4354 03:11:26,471 --> 03:11:28,473 IN THE NAVAJO PRESCRIPTION 4355 03:11:28,473 --> 03:11:32,210 PROGRAM A TEAM PROSCRIBES 4356 03:11:32,210 --> 03:11:33,745 VOUCHERS REDEEMABLE FOR FRUITS, 4357 03:11:33,745 --> 03:11:36,247 VEGETABLES AND FOODS AT 4358 03:11:36,247 --> 03:11:37,415 PARTICIPATING SUPER MARKETS AND 4359 03:11:37,415 --> 03:11:38,750 FARMERS MARKETS. 4360 03:11:38,750 --> 03:11:40,485 IN ADDITION THE PROGRAM PROVIDES 4361 03:11:40,485 --> 03:11:47,392 NUTRITION COACHING FOR FAMILIES. 4362 03:11:47,392 --> 03:11:50,028 THOUGH SOME OF THE FUNDED 4363 03:11:50,028 --> 03:11:53,098 RECIPIENTS DO SERVE TRIBAL 4364 03:11:53,098 --> 03:11:56,568 POPULATIONS OUR SISTER DIVISION 4365 03:11:56,568 --> 03:11:58,503 OF POPULATION HEALTH AND CHRONIC 4366 03:11:58,503 --> 03:12:00,338 DISEASE CENTERS PARTNER WITH 4367 03:12:00,338 --> 03:12:01,106 AMERICAN INDIAN AND ALASKAN 4368 03:12:01,106 --> 03:12:02,807 NATIVE COMMUNITIES TO PROMOTE 4369 03:12:02,807 --> 03:12:06,011 HEALTH AND REDUCE DISEASE AND 4370 03:12:06,011 --> 03:12:07,412 STRENGTHEN CULTURAL CONNECTIONS 4371 03:12:07,412 --> 03:12:09,914 TO PROMOTE WELLNESS AND CULTURAL 4372 03:12:09,914 --> 03:12:12,117 AND SOCIAL CONNECTEDNESS, 4373 03:12:12,117 --> 03:12:13,718 CONSUMPTION OF HEALTHY 4374 03:12:13,718 --> 03:12:14,719 TRADITIONAL FOODS AND INCREASED 4375 03:12:14,719 --> 03:12:15,186 PHYSICAL ACTIVITY IN 4376 03:12:15,186 --> 03:12:22,193 COMMUNITIES. 4377 03:12:22,193 --> 03:12:26,898 ONE PROGRAM IS AN INNOVATIVE 4378 03:12:26,898 --> 03:12:28,533 PROGRAM TO BUILD RESILIENCE AND 4379 03:12:28,533 --> 03:12:30,502 CONNECTION TO FAMILY, COMMUNITY 4380 03:12:30,502 --> 03:12:33,371 AND CULTURE. 4381 03:12:33,371 --> 03:12:35,206 THE COMMUNITIES HAVE ACTIVITIES 4382 03:12:35,206 --> 03:12:37,075 FOCUSSED ON MAKING CONNECTIONS 4383 03:12:37,075 --> 03:12:39,844 TO TRADITIONAL FOODS AND FOOD 4384 03:12:39,844 --> 03:12:40,078 WAYS. 4385 03:12:40,078 --> 03:12:42,147 THESE RANGE FROM PLANT IDENTITY 4386 03:12:42,147 --> 03:12:44,983 AND MAPPING, NATIVE LANGUAGE, 4387 03:12:44,983 --> 03:12:48,053 PLANTING, HARVESTING, PRESERVING 4388 03:12:48,053 --> 03:12:48,987 AND FOOD SHARING PROGRAMS. 4389 03:12:48,987 --> 03:12:52,891 ONE EXAMPLE OF A PROGRAM THAT 4390 03:12:52,891 --> 03:12:56,294 WOVE SEVERAL OF THESE ACTIVITIES 4391 03:12:56,294 --> 03:13:00,465 IS THE W OF BANAKI HEALTH AND 4392 03:13:00,465 --> 03:13:04,602 WELLNESS AND BROUGHT INTER 4393 03:13:04,602 --> 03:13:07,605 GENERATIONAL GROUPS TO GATHER 4394 03:13:07,605 --> 03:13:08,306 THIS TRADITIONAL FOOD AND 4395 03:13:08,306 --> 03:13:10,375 THERE'S INTERNS FROM THE TRIBE 4396 03:13:10,375 --> 03:13:12,277 TO DEVELOP EDUCATIONAL MATERIALS 4397 03:13:12,277 --> 03:13:13,645 INCLUDING NATIVE LANGUAGE AND 4398 03:13:13,645 --> 03:13:15,080 PREPARATION INSTRUCTIONS YOU CAN 4399 03:13:15,080 --> 03:13:19,851 SEE ON THE SLIDE. 4400 03:13:19,851 --> 03:13:21,052 I'D LIKE TO SHARE INFORMATION ON 4401 03:13:21,052 --> 03:13:28,059 HOW TO CONNECT WITH RESEARCHERS, 4402 03:13:28,059 --> 03:13:31,696 EVALU 4403 03:13:31,696 --> 03:13:32,230 EVALU 4404 03:13:32,230 --> 03:13:34,132 EVALUATORS AND IT MAY BE OPEN TO 4405 03:13:34,132 --> 03:13:36,501 COLLABORATION WITH RESEARCHERS 4406 03:13:36,501 --> 03:13:38,870 AND EVALUATORS TO SHOW IMPACT OF 4407 03:13:38,870 --> 03:13:40,705 THEIR COMMUNITY NUTRITION WORK. 4408 03:13:40,705 --> 03:13:42,073 FOR EXAMPLE, SOME 4409 03:13:42,073 --> 03:13:42,774 COMMUNITY-BASED ORGANIZATIONS IN 4410 03:13:42,774 --> 03:13:44,709 REACH MAY BENEFIT FROM 4411 03:13:44,709 --> 03:13:47,212 PARTNERSHIP WITHIN THE ACADEMIC 4412 03:13:47,212 --> 03:13:48,012 RESEARCHER TO COLLABORATE ON 4413 03:13:48,012 --> 03:13:50,115 GRANT APPLICATIONS FOR FURTHER 4414 03:13:50,115 --> 03:13:52,183 FUNDING FOR IN DEPTH EVALUATION. 4415 03:13:52,183 --> 03:13:54,486 YOU CAN FIND AN OF ALL OF OUR 4416 03:13:54,486 --> 03:13:56,621 FUNDED RECIPIENTS ON THE WEBSITE 4417 03:13:56,621 --> 03:13:57,455 TO SEE THE GEOGRAPHIC LOCATIONS 4418 03:13:57,455 --> 03:13:59,524 WHERE THEY WORK. 4419 03:13:59,524 --> 03:14:00,859 IF YOU ARE INTERESTED IN 4420 03:14:00,859 --> 03:14:02,260 CONNECTING WITH OTHER 4421 03:14:02,260 --> 03:14:03,561 RESEARCHERS AND EVALUATORS 4422 03:14:03,561 --> 03:14:05,730 WORKING ON FOOD AND NUTRITION 4423 03:14:05,730 --> 03:14:07,732 SECURITY, CULTURAL FOODS AND 4424 03:14:07,732 --> 03:14:12,170 HEALTH EQUITY AND DNPAO FUNDS 4425 03:14:12,170 --> 03:14:14,339 THE FOOD EVALUATION NETWORK 4426 03:14:14,339 --> 03:14:15,073 COORDINATED BY THE UNIVERSITY OF 4427 03:14:15,073 --> 03:14:15,774 CALIFORNIA SAN FRANCISCO. 4428 03:14:15,774 --> 03:14:17,776 YOU CAN JOIN ONE OF THE 11 WORK 4429 03:14:17,776 --> 03:14:20,111 GROUPS IN RELEVANT TOPIC AREAS 4430 03:14:20,111 --> 03:14:22,647 FROM FOOD SECURITY TO RURAL FOOD 4431 03:14:22,647 --> 03:14:24,015 ACCESS TO FOOD SERVICE 4432 03:14:24,015 --> 03:14:25,416 GUIDELINES BY REACHING OUT TO 4433 03:14:25,416 --> 03:14:26,351 THE E-MAIL ADDRESS AT THE LINK 4434 03:14:26,351 --> 03:14:30,688 SHOWN HERE. 4435 03:14:30,688 --> 03:14:32,423 FINALLY, IF YOU'D LIKE TO KEEP 4436 03:14:32,423 --> 03:14:34,392 UPDATED ON HAPPENINGS, TAKE OUT 4437 03:14:34,392 --> 03:14:36,461 THE CELL PHONE NOW AND COPY THE 4438 03:14:36,461 --> 03:14:38,530 QR CODE TO TAKE YOU TO THE CDC 4439 03:14:38,530 --> 03:14:41,533 NEWS AND UPDATES PAGE FOR ALL 4440 03:14:41,533 --> 03:14:43,601 CDC NEWSLETTER SUBSCRIPTIONS. 4441 03:14:43,601 --> 03:14:47,472 AFTER YOU ENTER YOUR E-MAIL 4442 03:14:47,472 --> 03:14:48,540 ADDRESS, SCROLL THROUGH AND 4443 03:14:48,540 --> 03:14:52,177 SELECT OVERWEIGHT AND OBESITY TO 4444 03:14:52,177 --> 03:14:57,682 SIGN UP FOR THE DNPAO'S 4445 03:14:57,682 --> 03:14:58,149 NEWSLETTER. 4446 03:14:58,149 --> 03:14:59,551 THANK YOU FOR YOUR INTEREST IN 4447 03:14:59,551 --> 03:15:01,519 OUR WORK AT CDC AND WE'LL MOVE 4448 03:15:01,519 --> 03:15:07,859 ON TO THE NEXT PANEL. 4449 03:15:07,859 --> 03:15:11,362 >> THANK YOU FOR THE OVERVIEW. 4450 03:15:11,362 --> 03:15:13,631 I WANT TO THANK BOTH OUR 4451 03:15:13,631 --> 03:15:15,967 SPEAKERS FOR THE IMPORTANT WORK 4452 03:15:15,967 --> 03:15:17,802 THAT THEY DO AND WE'LL TAKE 4453 03:15:17,802 --> 03:15:21,673 QUESTIONS FOR DONNA AND DIANNE 4454 03:15:21,673 --> 03:15:23,575 DURING OUR PANEL 7 Q&A SESSION. 4455 03:15:23,575 --> 03:15:27,579 WE'LL TURN IT OVER TO OUR 4456 03:15:27,579 --> 03:15:29,948 MODERATOR FOR OUR NEXT PANEL WHO 4457 03:15:29,948 --> 03:15:30,615 WILL INTRODUCE PANEL 7. 4458 03:15:30,615 --> 03:15:33,518 WELCOME. 4459 03:15:33,518 --> 03:15:37,422 >> I DO WANT TO THANK OUR 4460 03:15:37,422 --> 03:15:38,857 WONDERFUL PRESENTATION FROM 4461 03:15:38,857 --> 03:15:41,092 DIANE AND DONNA AND WE'LL TAKE 4462 03:15:41,092 --> 03:15:46,865 QUESTIONS DURING THE PANEL 7 Q&A 4463 03:15:46,865 --> 03:15:51,536 QUEUE THOSE UP IN THE CHAT. 4464 03:15:51,536 --> 03:15:55,473 I'M BEEN A PLEASURE WORKING ON 4465 03:15:55,473 --> 03:15:56,374 THE PLANNING COMMITTEE AND PROUD 4466 03:15:56,374 --> 03:16:00,245 TO SERVE AS A PROD MODERATOR FOR 4467 03:16:00,245 --> 03:16:02,380 PANEL 7. 4468 03:16:02,380 --> 03:16:03,681 IT WILL HIGHLIGHT RESEARCH INTO 4469 03:16:03,681 --> 03:16:07,652 THE COMMUNITY THE BRIDGE TO 4470 03:16:07,652 --> 03:16:09,254 EVIDENCE INTO PRACTICE. 4471 03:16:09,254 --> 03:16:14,626 WE HAVE A GREAT LINEUP. 4472 03:16:14,626 --> 03:16:25,169 I WANT TO SAY IDENTIFY YOURSELF 4473 03:16:34,779 --> 03:16:36,547 AND THE PANELIST YOUR DIRECTING 4474 03:16:36,547 --> 03:16:38,416 QUESTIONS TO AND THAT INCLUDES 4475 03:16:38,416 --> 03:16:41,653 DIANE AND DONNA REGARDING THEIR 4476 03:16:41,653 --> 03:16:46,057 RESPECTIVE CDC AND USDA 4477 03:16:46,057 --> 03:16:46,424 PRESENTATIONS. 4478 03:16:46,424 --> 03:16:47,625 MY COLLEAGUE WILL BE HELPING 4479 03:16:47,625 --> 03:16:49,127 FILTER TODAY'S QUESTIONS AND 4480 03:16:49,127 --> 03:16:52,030 WE'LL GET START WITH THE FIRST 4481 03:16:52,030 --> 03:17:02,540 PRESENTATION AS NETTED BY DR. 4482 03:17:06,711 --> 03:17:07,478 STOTZ. 4483 03:17:07,478 --> 03:17:09,347 SHE'S A CERTIFIED DIABETES 4484 03:17:09,347 --> 03:17:14,018 EDUCATOR AND ADDRESSES FOOD 4485 03:17:14,018 --> 03:17:16,854 INSECURITY AND IMPACTING 4486 03:17:16,854 --> 03:17:18,489 DIABETES WITH AN EMPHASIS ON 4487 03:17:18,489 --> 03:17:19,223 HEALTH DISPARITY. 4488 03:17:19,223 --> 03:17:19,457 WELCOME. 4489 03:17:19,457 --> 03:17:20,558 I LOOK FORWARD TO LEARNING ABOUT 4490 03:17:20,558 --> 03:17:30,802 THE WORKSHOP. 4491 03:17:35,473 --> 03:17:39,277 >> THIS IS THE CORRECT TITLE. 4492 03:17:39,277 --> 03:17:40,211 THANK YOU FOR READING IT. 4493 03:17:40,211 --> 03:17:42,981 I'M GRATEFUL TO HAVE BEEN 4494 03:17:42,981 --> 03:17:44,248 INVITED FOR THIS OPPORTUNITY. 4495 03:17:44,248 --> 03:17:46,951 I HOPE YOU ALL HAD THE CHANCE TO 4496 03:17:46,951 --> 03:17:47,885 SEE PANEL 1 PRESENTATION 4497 03:17:47,885 --> 03:17:57,328 YESTERDAY THAT THE SOCIO 4498 03:17:57,328 --> 03:17:58,496 CULTURAL FACTORS SET UP MY 4499 03:17:58,496 --> 03:18:00,431 PRESENTATION TODAY. 4500 03:18:00,431 --> 03:18:02,567 I ALWAYS WANT TO START WITH 4501 03:18:02,567 --> 03:18:03,835 ACKNOWLEDGEMENTS INSTEAD OF 4502 03:18:03,835 --> 03:18:05,536 WAITING UNTIL THE END SO I DON'T 4503 03:18:05,536 --> 03:18:07,872 RUN OUT OF TIME. 4504 03:18:07,872 --> 03:18:13,277 THE WORK I'LL PRESENT TOOK A 4505 03:18:13,277 --> 03:18:13,511 VILLAGE. 4506 03:18:13,511 --> 03:18:16,080 I WANT TO THANK ALL THE FOLKS 4507 03:18:16,080 --> 03:18:21,886 LETS -- LISTED ON THIS SLIDE. 4508 03:18:21,886 --> 03:18:23,654 AND SO NUTRITION EDUCATION IS 4509 03:18:23,654 --> 03:18:25,656 ONE OF THE CORNERSTONES OF 4510 03:18:25,656 --> 03:18:29,227 DIABETES SELF-MANAGEMENT AND 4511 03:18:29,227 --> 03:18:29,927 CARE. 4512 03:18:29,927 --> 03:18:33,765 A HEALTHFUL DIET RICH IN FRUITS 4513 03:18:33,765 --> 03:18:36,000 AND WHOLE GRAINS AND TRADITIONAL 4514 03:18:36,000 --> 03:18:37,735 FOODS CAN REDUCE COMPLICATIONS 4515 03:18:37,735 --> 03:18:40,138 AND AND NUTRITION INFORMATION 4516 03:18:40,138 --> 03:18:41,973 CAN SUPPORT PEOPLE EATING 4517 03:18:41,973 --> 03:18:45,309 HEALTHY FOOD ON A BUDGET 4518 03:18:45,309 --> 03:18:47,211 MITIGATING FOOD INSECURITY. 4519 03:18:47,211 --> 03:18:48,346 SO RESEARCH SUPPORTS WHEN 4520 03:18:48,346 --> 03:18:50,148 NUTRITION EDUCATION IS TAILORED 4521 03:18:50,148 --> 03:18:51,916 TO THE SPECIFIC NEEDS OF A 4522 03:18:51,916 --> 03:18:55,386 PERSON, FAMILY OR COMMUNITY AND 4523 03:18:55,386 --> 03:19:01,359 CULTURALLY RELEVANTLY APPROACHES 4524 03:19:01,359 --> 03:19:03,027 ARE EMPLOYED THERE'S MORE 4525 03:19:03,027 --> 03:19:09,867 POSITIVE HEALTH OUTCOMES. 4526 03:19:09,867 --> 03:19:14,739 AND IT CREATED A CURRICULUM 4527 03:19:14,739 --> 03:19:19,577 ENTITLED WHAT CAN I EAT AND PA 4528 03:19:19,577 --> 03:19:24,849 PARTNERED WITH A COMMUNITY IN 4529 03:19:24,849 --> 03:19:30,054 ADAPTING THE THIS FOR THE 4530 03:19:30,054 --> 03:19:31,255 POPULATION WITH TYPE 2 DIABETES 4531 03:19:31,255 --> 03:19:33,357 AND WE TRANSLATED RESEARCH INTO 4532 03:19:33,357 --> 03:19:33,925 PRACTICE IN DEVELOPING THE 4533 03:19:33,925 --> 03:19:44,135 CURRICULUM. 4534 03:20:02,453 --> 03:20:03,387 YOU CAN SEE THE WONDERFUL 4535 03:20:03,387 --> 03:20:05,123 COMMUNITIES WE HAD THE 4536 03:20:05,123 --> 03:20:05,923 OPPORTUNITY TO COLLABORATE WITH 4537 03:20:05,923 --> 03:20:08,759 WHO PROVIDED THEIR FEEDBACK AND 4538 03:20:08,759 --> 03:20:09,827 RECOMMENDATIONS AT HOW TO ADAPT 4539 03:20:09,827 --> 03:20:12,230 THE ORIGINAL WHAT CAN I EAT 4540 03:20:12,230 --> 03:20:12,864 PROGRAM SPECIFICALLY FOR NATIVE 4541 03:20:12,864 --> 03:20:14,031 PEOPLE. 4542 03:20:14,031 --> 03:20:15,833 WITH EACH OF THESE COMMUNITIES, 4543 03:20:15,833 --> 03:20:18,169 WE WERE ABLE TO TALK TO PEOPLE 4544 03:20:18,169 --> 03:20:19,937 WHO HAVE TYPE 2 DIABETES, THEIR 4545 03:20:19,937 --> 03:20:21,072 FAMILY MEMBERS, HEALTH CARE 4546 03:20:21,072 --> 03:20:22,807 PROVIDERS WHO CARE FOR THEM, 4547 03:20:22,807 --> 03:20:23,674 PROGRAM ADMINISTRATORS AND 4548 03:20:23,674 --> 03:20:30,948 TRIBAL LEADERS. 4549 03:20:30,948 --> 03:20:32,650 BASED ON THE FINDINGS WE 4550 03:20:32,650 --> 03:20:34,919 REVIEWED THE EXISTING LITERATURE 4551 03:20:34,919 --> 03:20:38,322 GIVEN THERE'S QUITE A BIT OF 4552 03:20:38,322 --> 03:20:39,524 NUTRITION AND DIABETES EDUCATION 4553 03:20:39,524 --> 03:20:40,558 FOR AMERICAN INDIAN PEOPLE THAT 4554 03:20:40,558 --> 03:20:40,858 EXISTS. 4555 03:20:40,858 --> 03:20:45,730 WE CONDUCTED A HEALTH LITERACY 4556 03:20:45,730 --> 03:20:50,768 ASSESSMENT OF THE EXISTING 4557 03:20:50,768 --> 03:21:01,312 CURRICULUM AROUND THERE'S FOOD 4558 03:21:02,613 --> 03:21:04,081 PREPARATION AND FOOD WAYS AND 4559 03:21:04,081 --> 03:21:05,383 INTEGRATION OF STORY TELLING AND 4560 03:21:05,383 --> 03:21:10,588 SHARING AS A POWERFUL WAY OF 4561 03:21:10,588 --> 03:21:14,959 KNOWING DRAWING AND ACTIVITIES 4562 03:21:14,959 --> 03:21:16,294 AROUND ORIGINAL PHOTOGRAPHY 4563 03:21:16,294 --> 03:21:22,133 THROUGHOUT THE CURRICULUM. 4564 03:21:22,133 --> 03:21:25,970 WE DEVELOPED THE CURRICULUM IN 4565 03:21:25,970 --> 03:21:28,439 YEAR 2 AND PILOTED THE 4566 03:21:28,439 --> 03:21:29,840 EVALUATION BY DIFFERENT SITES. 4567 03:21:29,840 --> 03:21:33,811 YOU'LL NOTE GIVEN THE YEAR THAT 4568 03:21:33,811 --> 03:21:35,046 PILOT EVALUATION HAPPENED DURING 4569 03:21:35,046 --> 03:21:36,814 COVID SO LIKE MANY WE HAD TO 4570 03:21:36,814 --> 03:21:38,950 ADAPT OUR CRICK COLUMN AND PIVOT 4571 03:21:38,950 --> 03:21:40,551 FOR VIRTUAL OR ZOOM-BASED 4572 03:21:40,551 --> 03:21:43,955 DELIVERY. 4573 03:21:43,955 --> 03:21:46,757 SO IN THIS PILOT EVALUATION WE 4574 03:21:46,757 --> 03:21:49,760 ADDED ONE ADDITIONAL SITE. 4575 03:21:49,760 --> 03:21:51,629 THE ORIGINAL FOUR SITES REMAINED 4576 03:21:51,629 --> 03:21:53,898 WITH US AND ADDED THE AMERICAN 4577 03:21:53,898 --> 03:21:54,465 CHEROKEE HOSPITAL IN NORTH 4578 03:21:54,465 --> 03:21:59,337 CAROLINA. 4579 03:21:59,337 --> 03:22:02,106 SO WE EMPLOYED A RANDOMIZED 4580 03:22:02,106 --> 03:22:03,741 CONTROL TRIAL TO UNDERSTAND THE 4581 03:22:03,741 --> 03:22:08,679 IMPACTS OF THE WHAT CAN I EAT 4582 03:22:08,679 --> 03:22:09,280 CURRICULUM. 4583 03:22:09,280 --> 03:22:10,815 EVERYONE GOT ACCESS. 4584 03:22:10,815 --> 03:22:13,384 SOME WERE GIVEN ACCESS THREE 4585 03:22:13,384 --> 03:22:14,252 MONTHS INTO THE INTERVENTION 4586 03:22:14,252 --> 03:22:18,723 PERIOD AS THE WAIT LIST CONTROL. 4587 03:22:18,723 --> 03:22:22,893 I DON'T EXPECT YOU TO BE ABLE TO 4588 03:22:22,893 --> 03:22:24,195 READ ANYTHING ON THE SLIDES BUT 4589 03:22:24,195 --> 03:22:26,897 TO SHOW THE FINDINGS FROM THE 4590 03:22:26,897 --> 03:22:29,166 PILOT EVALUATION THE FIVE-SITE 4591 03:22:29,166 --> 03:22:31,335 PILOT EVALUATION WE PRESENTED AT 4592 03:22:31,335 --> 03:22:33,504 THE ADA SCIENTIFIC SESSIONS IN 4593 03:22:33,504 --> 03:22:33,704 2021. 4594 03:22:33,704 --> 03:22:35,906 ONE OF OUR KEY FINDINGS AS 4595 03:22:35,906 --> 03:22:38,342 LISTED HERE IN THE CENTER WAS 4596 03:22:38,342 --> 03:22:40,711 THAT THE VIRTUAL DIABETES 4597 03:22:40,711 --> 03:22:42,313 NUTRITION EDUCATION CLASSES 4598 03:22:42,313 --> 03:22:44,915 SHOWED AN INCREASE IN 4599 03:22:44,915 --> 03:22:46,717 SELF-EFFICACY FOR THE DIABETES 4600 03:22:46,717 --> 03:22:52,089 PLATE AND MAKING HEALTHFUL 4601 03:22:52,089 --> 03:22:54,458 CHOSES AND SELF-ADVOCACY IS KEY 4602 03:22:54,458 --> 03:22:54,892 FOR CHANGE. 4603 03:22:54,892 --> 03:22:58,796 AND ANOTHER POSTER AT THE SAME 4604 03:22:58,796 --> 03:23:00,831 SESSION SHOWED OUR QUALITATIVE 4605 03:23:00,831 --> 03:23:02,099 FINDINGS THE FOLKS THAT ENGAGE 4606 03:23:02,099 --> 03:23:06,437 IN THE CLASSES ON ZOOM LIKED THE 4607 03:23:06,437 --> 03:23:07,471 PEER-TO-PEER INTERACTION 4608 03:23:07,471 --> 03:23:08,739 OPPORTUNITIES. 4609 03:23:08,739 --> 03:23:11,842 AND PREFER THE NUTRITION 4610 03:23:11,842 --> 03:23:17,848 EDUCATOR WAS WELL VERSED ON 4611 03:23:17,848 --> 03:23:26,390 COMMUNITY-SPECIFIC CONTACTS. 4612 03:23:26,390 --> 03:23:30,061 WE ARE NOW IN A NEW ERA OF 4613 03:23:30,061 --> 03:23:30,528 EVALUATION. 4614 03:23:30,528 --> 03:23:31,595 THIS YEAR THROUGH SIX IS WHERE 4615 03:23:31,595 --> 03:23:33,297 WE'RE AT NOW. 4616 03:23:33,297 --> 03:23:35,966 THE LAST LINE ON THE GRAPHIC. 4617 03:23:35,966 --> 03:23:38,602 AND WE ADDED AN INTEREST IN FOOD 4618 03:23:38,602 --> 03:23:40,404 INSECURITY AND ALSO LOOKING AT 4619 03:23:40,404 --> 03:23:42,406 THE IN-PERSON CLASSES NOW THAT 4620 03:23:42,406 --> 03:23:43,708 IT'S SAFE TO DO SO AFTER THE 4621 03:23:43,708 --> 03:23:48,579 PANDEMIC. 4622 03:23:48,579 --> 03:23:50,247 SO IN THIS NEW EVALUATION OF THE 4623 03:23:50,247 --> 03:23:52,249 WHAT CAN I EAT CURRICULUM WITH 4624 03:23:52,249 --> 03:23:54,485 AN ADDED HEALTHY FOOD RESOURCE 4625 03:23:54,485 --> 03:23:55,920 WE'RE LOOKING AT MULTI-LEVEL 4626 03:23:55,920 --> 03:23:57,655 APPROACHES TO ADDRESS THE 4627 03:23:57,655 --> 03:24:00,057 MULTIPLE PATHWAYS WE KNOW FOOD 4628 03:24:00,057 --> 03:24:02,660 INSECURITY IMPACTS MORBIDITY AND 4629 03:24:02,660 --> 03:24:04,362 MORTALITY AND HOW NUTRITION 4630 03:24:04,362 --> 03:24:07,598 EDUCATION CAN HELP MITIGATE THE 4631 03:24:07,598 --> 03:24:12,603 IMPACTS FOOD INSECURITY. 4632 03:24:12,603 --> 03:24:15,206 SO THIS IN OUR STUDY DESIGN YOU 4633 03:24:15,206 --> 03:24:17,441 CAN SEE THIS AND THE LAST SLIDE 4634 03:24:17,441 --> 03:24:21,679 IS SWOOPED AROUND BY A COMMUNITY 4635 03:24:21,679 --> 03:24:23,748 ADVISORY BOARD WHICH WE HAVE IN 4636 03:24:23,748 --> 03:24:24,915 OF INFORMING EVERY STEP OF THE 4637 03:24:24,915 --> 03:24:26,117 WAY HOW TO IMPLEMENT THE PROGRAM 4638 03:24:26,117 --> 03:24:28,452 AND HOW TO EVALUATE THE PROGRAM 4639 03:24:28,452 --> 03:24:31,155 AND WE HAVE A WONDERFUL ROBUST 4640 03:24:31,155 --> 03:24:32,289 COMMUNITY BOARD LEADER THE 4641 03:24:32,289 --> 03:24:33,791 LIAISON BETWEEN THE RESEARCH 4642 03:24:33,791 --> 03:24:35,426 TEAM AND THE COMMUNITY ADVISORY 4643 03:24:35,426 --> 03:24:38,496 BOARD AND NOW WE'RE CONDUCTING A 4644 03:24:38,496 --> 03:24:40,631 THREE-ARM RANDOMIZED CONTROL 4645 03:24:40,631 --> 03:24:45,569 TRIAL LOOKING AT WHAT CAN I EAT 4646 03:24:45,569 --> 03:24:48,606 CLASSES PLUS A HEALTHY FOOD 4647 03:24:48,606 --> 03:24:50,274 RESOURCE AND HEALTH FOOD 4648 03:24:50,274 --> 03:24:57,081 RESOURCE ALONE WITH 0, 1, 3, 6 4649 03:24:57,081 --> 03:24:58,416 AROUND 9 MONTH FOLLOW-UPS FOR 4650 03:24:58,416 --> 03:25:06,490 THE RANDOMIZED ARMS. 4651 03:25:06,490 --> 03:25:08,325 SO CLOSING WITH RESEARCH GAPS 4652 03:25:08,325 --> 03:25:08,859 AND OPPORTUNITIES. 4653 03:25:08,859 --> 03:25:14,031 WE WANT IT KNOW WHAT THE 4654 03:25:14,031 --> 03:25:15,900 FINDINGS FROM THE CURRENT 4655 03:25:15,900 --> 03:25:18,636 RANDOMIZED CONTROL TRIAL TO 4656 03:25:18,636 --> 03:25:20,504 UNDERSTAND THE CHALLENGES AND 4657 03:25:20,504 --> 03:25:22,640 HOW FOOD INSECURITY AND DIABETES 4658 03:25:22,640 --> 03:25:25,242 EDUCATION COLLECTIVELY CAN HELP 4659 03:25:25,242 --> 03:25:27,645 PEOPLE WITH TYPE 2 DIABETES. 4660 03:25:27,645 --> 03:25:29,146 WE ALSO EVENTUALLY WANT TO 4661 03:25:29,146 --> 03:25:31,582 EVALUATE THIS WITH A 4662 03:25:31,582 --> 03:25:33,150 PEER-EDUCATOR MODEL. 4663 03:25:33,150 --> 03:25:34,618 WE KNOW NOT EVERY COMMUNITY HAS 4664 03:25:34,618 --> 03:25:36,620 ACCESS TO A DIETICIAN SO WE WANT 4665 03:25:36,620 --> 03:25:38,923 TO BE MINDFUL THAT WE'RE NOT 4666 03:25:38,923 --> 03:25:40,424 LIMITING WHO WE CAN SERVE BY 4667 03:25:40,424 --> 03:25:42,092 ACCESS TO THAT KIND OF HEALTH 4668 03:25:42,092 --> 03:25:42,426 PROFESSIONAL. 4669 03:25:42,426 --> 03:25:43,627 WE PROBABLY WANT TO ADD 4670 03:25:43,627 --> 03:25:46,096 ADDITIONAL CLASSES AND TOPICS. 4671 03:25:46,096 --> 03:25:47,498 FOLKS ARE ALREADY ASKING US AT 4672 03:25:47,498 --> 03:25:49,767 THE END WHAT'S NEXT AND WHAT CAN 4673 03:25:49,767 --> 03:25:52,102 WE LEARN NEXT WHICH IS EXCITING. 4674 03:25:52,102 --> 03:25:54,738 WE WANT TO AUGMENT WITH 4675 03:25:54,738 --> 03:25:56,507 TRADITIONAL FOOD AND NUTRITION 4676 03:25:56,507 --> 03:25:57,975 COOKING EDUCATION EXPERIENCES 4677 03:25:57,975 --> 03:26:00,578 AND ALSO THINK HOW CAN WE ADAPT 4678 03:26:00,578 --> 03:26:02,847 THE CURRICULUM FOR THOSE WHO 4679 03:26:02,847 --> 03:26:04,181 DON'T YET HAVE TYPE 2 DIABETES 4680 03:26:04,181 --> 03:26:05,449 AND HOPING TO PREVENT THIS IN 4681 03:26:05,449 --> 03:26:11,188 THEIR LIFE. 4682 03:26:11,188 --> 03:26:13,057 THIS IS MY CONTACT INFORMATION. 4683 03:26:13,057 --> 03:26:15,960 GRATEFUL TO HAVE BEEN INVITED TO 4684 03:26:15,960 --> 03:26:19,196 PRESENT TODAY AND WANT TO MAKE 4685 03:26:19,196 --> 03:26:21,131 SURE I THANK NHLBI AND ALL OF MY 4686 03:26:21,131 --> 03:26:22,967 COLLABORATORS WHO WERE LISTED ON 4687 03:26:22,967 --> 03:26:23,467 MY SECOND SLIDE. 4688 03:26:23,467 --> 03:26:26,437 THANK YOU SO MUCH. 4689 03:26:26,437 --> 03:26:27,738 >> THANK YOU, SARA. 4690 03:26:27,738 --> 03:26:32,243 THAT WAS A WONDERFUL AND CONCISE 4691 03:26:32,243 --> 03:26:32,643 PRESENTATION. 4692 03:26:32,643 --> 03:26:37,882 WE LOOK FORWARD TO QUESTIONS SO 4693 03:26:37,882 --> 03:26:39,617 PUT THEM IN THE QUESTION 4694 03:26:39,617 --> 03:26:43,120 FUNCTION SLOT AND THE NEXT TALK 4695 03:26:43,120 --> 03:26:47,525 IS CO-PRESENTED BIENI AND MAR 4696 03:26:47,525 --> 03:26:52,429 IS -- MARISSA BUILD MORE 4697 03:26:52,429 --> 03:26:53,297 INCLUSIVE CHARITABLE FOOD SYSTEM 4698 03:26:53,297 --> 03:26:54,431 IN NORTHWEST ARKANSAS. 4699 03:26:54,431 --> 03:26:56,400 I HAD THE PRIVILEGE TO GET TO 4700 03:26:56,400 --> 03:26:58,469 KNOW THIS TEAM AND PROJECT SO 4701 03:26:58,469 --> 03:27:05,743 EXCITED THEY WERE FEATURE D JENI 4702 03:27:05,743 --> 03:27:08,078 IS A FOOD SYSTEM SENIOR MANAGER 4703 03:27:08,078 --> 03:27:10,414 AT THE COMMUNITY HEALTH AND 4704 03:27:10,414 --> 03:27:11,749 RESEARCH CENTER AND HER WORK 4705 03:27:11,749 --> 03:27:14,184 PRIMARILY FOCUSES ON BUILDING 4706 03:27:14,184 --> 03:27:15,819 CONNECTIONS BETWEEN CULTURALLY 4707 03:27:15,819 --> 03:27:19,623 APPROPRIATE FOODS AND NUTRITION 4708 03:27:19,623 --> 03:27:23,827 EDUCATION AND SUSTAINABLE 4709 03:27:23,827 --> 03:27:26,530 AGRICULTURE AND MARISSA IS AT 4710 03:27:26,530 --> 03:27:30,234 THE UNIVERSITY OF ARKANSAS 4711 03:27:30,234 --> 03:27:31,902 MEDICAL COMMUNITY HEALTH AND 4712 03:27:31,902 --> 03:27:35,406 RESEARCH AND HER EXPERTISE IS IN 4713 03:27:35,406 --> 03:27:37,374 TEACHING OTHER HOW'S TO DEVELOP 4714 03:27:37,374 --> 03:27:39,109 THEIR QUALITATIVE SKILLS. 4715 03:27:39,109 --> 03:27:40,110 I'M VERY EXCITED TO HEAR YOUR 4716 03:27:40,110 --> 03:27:43,314 WORK TODAY. 4717 03:27:43,314 --> 03:27:46,550 >> HI, THANK YOU FOR THE 4718 03:27:46,550 --> 03:27:46,984 INTRODUCTION. 4719 03:27:46,984 --> 03:27:48,652 I'M JENNI AND I'M EXCITED TO 4720 03:27:48,652 --> 03:27:50,487 TALK WITH YOU ALL ABOUT A 4721 03:27:50,487 --> 03:27:54,124 PROJECT BEING IMPLEMENTED BY A 4722 03:27:54,124 --> 03:27:57,127 GROUP OF FOOD SYSTEM 4723 03:27:57,127 --> 03:28:00,731 PRACTITIONERS IN A NORTHWEST 4724 03:28:00,731 --> 03:28:02,633 PORTION OF ARKANSAS. 4725 03:28:02,633 --> 03:28:04,301 THIS IS MADE POSSIBLE BY THE 4726 03:28:04,301 --> 03:28:05,469 FUNDING BY THE WAL-MART 4727 03:28:05,469 --> 03:28:07,771 FOUNDATION. 4728 03:28:07,771 --> 03:28:09,673 I WANT IT START BY SHARING ABOUT 4729 03:28:09,673 --> 03:28:13,277 OUR OFFICE COMMUNITY HEALTH AND 4730 03:28:13,277 --> 03:28:13,544 RESEARCH. 4731 03:28:13,544 --> 03:28:15,512 IT'S A DIVERSE TEAM DEDICATED TO 4732 03:28:15,512 --> 03:28:16,947 WORKING WITH COMMUNITIES TO 4733 03:28:16,947 --> 03:28:17,581 CREATE A BETTER STATE OF HEALTH 4734 03:28:17,581 --> 03:28:19,950 FOR ALL. 4735 03:28:19,950 --> 03:28:22,519 AS LEADERS IN COMMUNITY ENGAGED 4736 03:28:22,519 --> 03:28:23,621 RESEARCH AND WE SEEK TO 4737 03:28:23,621 --> 03:28:26,924 UNDERSTAND THE NEEDS OF THE 4738 03:28:26,924 --> 03:28:29,460 COMMUNITY AND USE WHAT WE LEARN 4739 03:28:29,460 --> 03:28:31,829 TO CREATE IMPACTFUL PROGRAMS TO 4740 03:28:31,829 --> 03:28:34,632 CREATE MEANINGFUL LARGE SCALE 4741 03:28:34,632 --> 03:28:37,901 CHANGE OVER TIME. 4742 03:28:37,901 --> 03:28:38,602 SOUR OF 4743 03:28:38,602 --> 03:28:40,871 SO OUR OFFICE IS GUIDED BY 4744 03:28:40,871 --> 03:28:41,438 EXTENSIVE AND COMMUNITY 4745 03:28:41,438 --> 03:28:44,875 COLLABORATIVE PARTNERSHIPS AND 4746 03:28:44,875 --> 03:28:46,977 IT'S THE RESULT OF A LEARNING 4747 03:28:46,977 --> 03:28:49,079 PARTNERSHIP CALLED THE NORTHWEST 4748 03:28:49,079 --> 03:28:49,847 ARKANSAS FOOD INSECURITY 4749 03:28:49,847 --> 03:29:00,224 COMMUNITY OF PRACTICE. 4750 03:29:06,096 --> 03:29:13,537 I WANT TO CALL TO TO THE GOAL 4751 03:29:13,537 --> 03:29:15,205 AND HOW HEALTHY FOOD SHOWS UP IN 4752 03:29:15,205 --> 03:29:17,274 THE CHARITABLE FOOD SYSTEM AND 4753 03:29:17,274 --> 03:29:19,710 HOW IT'S REACHING IN WAYS THAT 4754 03:29:19,710 --> 03:29:23,480 IS CULTURALLY APPROPRIATE AND IT 4755 03:29:23,480 --> 03:29:26,517 INSPIRED OUR PROJECT WE'RE 4756 03:29:26,517 --> 03:29:34,858 PRESENTING TO YOU TODAY. 4757 03:29:34,858 --> 03:29:37,294 SS THERE'S THE COMMUNITY OF 4758 03:29:37,294 --> 03:29:38,662 PRACTICE MADE OF 23 4759 03:29:38,662 --> 03:29:39,396 ORGANIZATIONS AND SERVICE 4760 03:29:39,396 --> 03:29:40,898 PROVIDERS FROM DIFFERENT SECTORS 4761 03:29:40,898 --> 03:29:43,167 INCLUDING FOOD PANTRIES, 4762 03:29:43,167 --> 03:29:43,834 CULTURALLY SPECIFIC 4763 03:29:43,834 --> 03:29:44,601 ORGANIZATIONS AND HEALTH CARE 4764 03:29:44,601 --> 03:29:46,670 PROVIDERS TO NAME A FEW. 4765 03:29:46,670 --> 03:29:49,239 AND GUIDING THE COMMUNITY OF 4766 03:29:49,239 --> 03:29:50,274 PRACTICE WITH TWO ADVISORY 4767 03:29:50,274 --> 03:29:52,943 BOARDS, ONE A STAKEHOLDER 4768 03:29:52,943 --> 03:29:55,245 ADVISORY BOARD AND MADE UP OF 4769 03:29:55,245 --> 03:29:56,747 NORTHWEST ARKANSAS RESIDENTS WHO 4770 03:29:56,747 --> 03:29:58,215 HAVE SIGNIFICANT EXPERIENCE WITH 4771 03:29:58,215 --> 03:29:59,883 FOOD INSECURITY AND WHO 4772 03:29:59,883 --> 03:30:04,888 REPRESENT DIVERSE COMMUNITIES. 4773 03:30:04,888 --> 03:30:06,390 THEN THE NATIONAL ADVISORY BOARD 4774 03:30:06,390 --> 03:30:11,962 COMPRISED OF LEADERS IN FOOD 4775 03:30:11,962 --> 03:30:13,997 ACCESS AND INNOVATION AND WE 4776 03:30:13,997 --> 03:30:17,201 HAVE FACILITATION AND 4777 03:30:17,201 --> 03:30:17,501 EVALUATION. 4778 03:30:17,501 --> 03:30:19,603 SO BIG PART OF THIS COMMUNITY OF 4779 03:30:19,603 --> 03:30:21,772 PRACTICE IS THE CULTIVATION OF 4780 03:30:21,772 --> 03:30:23,207 NEW STRATEGIES. 4781 03:30:23,207 --> 03:30:25,776 THIS GRUP LEANED INTO THAT AND 4782 03:30:25,776 --> 03:30:27,311 WORKED TOGETHER TO SELECT AND 4783 03:30:27,311 --> 03:30:29,713 DESIGN THREE DIFFERENT PILOT 4784 03:30:29,713 --> 03:30:29,980 PROJECTS. 4785 03:30:29,980 --> 03:30:34,351 THIS PROCESS INCLUDED FEEDBACK 4786 03:30:34,351 --> 03:30:38,989 AND ALL THREE PROJECTS ARE BEING 4787 03:30:38,989 --> 03:30:41,091 IMPLEMENTED AND WE'RE FOCUSSING 4788 03:30:41,091 --> 03:30:44,461 ON THE CULTURAL FOOD PREFERENCE 4789 03:30:44,461 --> 03:30:45,763 PROJECT AND BUILDING THE 4790 03:30:45,763 --> 03:30:47,297 CAPACITY IN NORTHWEST ARKANSAS 4791 03:30:47,297 --> 03:30:48,632 TO SERVE CULTURALLY APPROPRIATE 4792 03:30:48,632 --> 03:30:49,366 FOODS FOR COMMUNITY. 4793 03:30:49,366 --> 03:30:53,303 THE FIRST STEP WAS TO CREATE 4794 03:30:53,303 --> 03:30:54,671 CULTURAL FOOD PREFERENCE LISTS 4795 03:30:54,671 --> 03:30:56,340 FOR USE BY COMMUNITY 4796 03:30:56,340 --> 03:30:57,908 ORGANIZATIONS AND I'LL HAVE 4797 03:30:57,908 --> 03:30:59,076 MARISSA TALK ABOUT THAT. 4798 03:30:59,076 --> 03:31:01,979 >> TO DEVELOP THE LISTS FIRST WE 4799 03:31:01,979 --> 03:31:04,281 CONDUCTED A LITERATURE REVIEW OF 4800 03:31:04,281 --> 03:31:06,483 NATIONAL BEST PRACTICES AS WELL 4801 03:31:06,483 --> 03:31:07,785 AS LOCAL REGIONAL DATA. 4802 03:31:07,785 --> 03:31:10,354 THE COMMUNITY OF PRACTICE 4803 03:31:10,354 --> 03:31:13,791 MEMBERS CHOSE THE LATINO 4804 03:31:13,791 --> 03:31:15,492 AMERICAN TO BE THE MAIN CULTURAL 4805 03:31:15,492 --> 03:31:16,426 COMMUNITIES WE FOCUSSED ON 4806 03:31:16,426 --> 03:31:22,499 BECAUSE THEY WERE THE TWO MOST 4807 03:31:22,499 --> 03:31:24,401 COMMON DIVERSITIES OF OUR SYSTEM 4808 03:31:24,401 --> 03:31:27,104 AND PARTNERED WITH ONE HISPANIC 4809 03:31:27,104 --> 03:31:29,573 AND ANOTHER THAT CONDUCTED 4810 03:31:29,573 --> 03:31:32,142 LISTENING SESSIONS WITH THE 4811 03:31:32,142 --> 03:31:34,511 MEMBERS OF THE CHARITABLE FOOD 4812 03:31:34,511 --> 03:31:34,778 SYSTEM. 4813 03:31:34,778 --> 03:31:38,282 THEY PURVIEWED THE LIST AND 4814 03:31:38,282 --> 03:31:43,387 PROVIDED FEEDBACK ON THE LIST 4815 03:31:43,387 --> 03:31:49,526 THEY'D LIKE TO SEE OFFERED AND 4816 03:31:49,526 --> 03:31:54,631 LOOKED AT HOLIDAYS AND RELIGIOUS 4817 03:31:54,631 --> 03:31:54,932 PRACTICES. 4818 03:31:54,932 --> 03:31:56,166 THIS CONTAINS INFORMATION ON THE 4819 03:31:56,166 --> 03:31:57,835 IMPORTANCE OF CULTURALLY 4820 03:31:57,835 --> 03:31:59,570 PREFERRED FOODS, THEY CONTAIN 4821 03:31:59,570 --> 03:32:01,471 SECTIONS ON PROCUREMENT, 4822 03:32:01,471 --> 03:32:04,174 DISTRIBUTION AND PREFERENCE 4823 03:32:04,174 --> 03:32:05,509 GUIDES WE JUST DISCUSSED AS WELL 4824 03:32:05,509 --> 03:32:08,045 AS EDUCATIONAL MATERIALS AND 4825 03:32:08,045 --> 03:32:12,182 RECIPES AND SIGNABGE. 4826 03:32:12,182 --> 03:32:14,751 YOU'LL SEE THE CULTURALLY 4827 03:32:14,751 --> 03:32:16,553 APPROPRIATE GROCERY STORES 4828 03:32:16,553 --> 03:32:18,188 PROVIDED BY USERS AND TRENDS 4829 03:32:18,188 --> 03:32:20,090 ACROSS THE COMMUNITIES TO HELP 4830 03:32:20,090 --> 03:32:21,491 GUIDE AGENCIES. 4831 03:32:21,491 --> 03:32:24,027 THE MAIN TAKEAWAY IN THE TRENDS 4832 03:32:24,027 --> 03:32:26,430 WAS PRIORITIZING FRESH FRUITS 4833 03:32:26,430 --> 03:32:32,369 AND VEGETABLES AND PROVIDING 4834 03:32:32,369 --> 03:32:38,075 SCRATCH COOKING ESSENTIALS LIKE 4835 03:32:38,075 --> 03:32:41,678 OILS AND YEAST. 4836 03:32:41,678 --> 03:32:45,849 THIS GIVES MORE ABOUT THE TOOL 4837 03:32:45,849 --> 03:32:46,083 KIT. 4838 03:32:46,083 --> 03:32:51,288 IT CONTAINS INFORMATION LIKE THE 4839 03:32:51,288 --> 03:32:57,127 PREFERENCE GUIDES. 4840 03:32:57,127 --> 03:32:59,129 AND SEE WHAT THE PAGES LOOK LIKE 4841 03:32:59,129 --> 03:33:00,898 AND INGREDIENTS FOR IMPORTANT 4842 03:33:00,898 --> 03:33:05,669 RELIGIOUS HOLIDAYS AND MEALS. 4843 03:33:05,669 --> 03:33:07,237 >> AFTER CONDUCTING THE 4844 03:33:07,237 --> 03:33:10,340 LISTENING SESSIONS WE SET OUT TO 4845 03:33:10,340 --> 03:33:11,575 IMPROVE CULTURAL FOOD OFFERINGS 4846 03:33:11,575 --> 03:33:15,045 AND TO DO THIS WE INCENTIVIZED 4847 03:33:15,045 --> 03:33:16,813 THREE FARMERS AND THREE 4848 03:33:16,813 --> 03:33:20,584 PROVIDERS TO USE THE TOOL KIT. 4849 03:33:20,584 --> 03:33:22,519 AND USE WHAT THEY LEARN TO 4850 03:33:22,519 --> 03:33:26,456 EITHER GROW AND DONATE OR 4851 03:33:26,456 --> 03:33:27,357 PURCHASE AND DISTRIBUTE 4852 03:33:27,357 --> 03:33:32,796 PREFERRED FOOD ITEMS WITHIN THE 4853 03:33:32,796 --> 03:33:34,364 CHARITABLE FOOD SYSTEM. 4854 03:33:34,364 --> 03:33:35,265 AND DATA COLLECTION EFFORTS TO 4855 03:33:35,265 --> 03:33:36,900 EVALUATE THE PROJECT AND ENHANCE 4856 03:33:36,900 --> 03:33:38,502 A WIDELY DISTRIBUTED FINAL TOOL 4857 03:33:38,502 --> 03:33:43,740 KIT. 4858 03:33:43,740 --> 03:33:44,808 >> IT'S THE NEXT FEW SLIDES 4859 03:33:44,808 --> 03:33:47,577 SUMMARIZE DATA FROM THE COHORT 4860 03:33:47,577 --> 03:33:49,913 MEETINGS, PARTNER INTERVIEWS AND 4861 03:33:49,913 --> 03:33:50,781 CLIENT SURVEYS. 4862 03:33:50,781 --> 03:33:53,850 THIS OUTLINES HOW GRANTEES USE 4863 03:33:53,850 --> 03:33:54,818 THE TOOL KIT. 4864 03:33:54,818 --> 03:33:57,287 FOR FARMERS MANY REPORTED IT TO 4865 03:33:57,287 --> 03:33:58,989 INTRODUCE NEW CROPS INTO THEIR 4866 03:33:58,989 --> 03:34:01,658 PRODUCTION PLAN LIKE GINGER, 4867 03:34:01,658 --> 03:34:03,727 MELONS AND SWEET CORN. 4868 03:34:03,727 --> 03:34:04,795 SOME FARMERS WERE ALREADY 4869 03:34:04,795 --> 03:34:05,896 PRODUCING MANY OF THE PREFERRED 4870 03:34:05,896 --> 03:34:07,764 FOODS SO THEY FOCUSSED ON 4871 03:34:07,764 --> 03:34:10,734 EXPANDING PLANTINGS TO INCREASE 4872 03:34:10,734 --> 03:34:13,203 YIELDS AND ALSO REPORTED BEING 4873 03:34:13,203 --> 03:34:14,838 MORE INTENTIONAL ABOUT 4874 03:34:14,838 --> 03:34:16,974 DISTRIBUTING CERTAIN FOODS TO 4875 03:34:16,974 --> 03:34:18,775 PARTNER SITES WITH THE MOST 4876 03:34:18,775 --> 03:34:19,276 VALUE. 4877 03:34:19,276 --> 03:34:22,079 FOR PROVIDERS, THEY USED THE 4878 03:34:22,079 --> 03:34:25,449 TOOL KIT TO PROCURE ITEMS LIKE 4879 03:34:25,449 --> 03:34:28,852 DRIED BLACK BEANS AND TUNA AND 4880 03:34:28,852 --> 03:34:30,954 COOKING STAPLES AND SOME 4881 03:34:30,954 --> 03:34:34,191 INCLUDED RECIPES WITH THE FOODS 4882 03:34:34,191 --> 03:34:34,491 DISTRIBUTE. 4883 03:34:34,491 --> 03:34:38,929 ONE PARTNER COLLABORATED TO 4884 03:34:38,929 --> 03:34:40,497 DISTRIBUTE PREFERRED FOODS AT 4885 03:34:40,497 --> 03:34:41,865 HISPANIC CHURCHES AND OTHER 4886 03:34:41,865 --> 03:34:43,734 REPORTED STRUCTURAL CHANGES TO 4887 03:34:43,734 --> 03:34:46,503 THEIR DISTRIBUTION MODEL BY 4888 03:34:46,503 --> 03:34:47,904 ADDING DEDICATED CULTURAL 4889 03:34:47,904 --> 03:34:48,438 SECTIONS WITHIN LANGUAGE 4890 03:34:48,438 --> 03:34:58,582 SIGNAGE. 4891 03:35:00,117 --> 03:35:02,452 >> THY INTEGRATED NEW ITEMS AND 4892 03:35:02,452 --> 03:35:03,720 FOUND THIGH WERE WELL RECEIVED 4893 03:35:03,720 --> 03:35:06,123 AND MOVING QUICKLY OFF THE 4894 03:35:06,123 --> 03:35:09,226 SHELVES AND THIS IS ALWAYS FRESH 4895 03:35:09,226 --> 03:35:11,862 PRODUCE AND MILK AND FLOUR. 4896 03:35:11,862 --> 03:35:15,098 THEY INCORPORATED OTHER WORK IN 4897 03:35:15,098 --> 03:35:15,866 THE COMMUNITY MEALS PROGRAMS AND 4898 03:35:15,866 --> 03:35:17,100 ON THE CHALLENGES SIDE YOU CAN 4899 03:35:17,100 --> 03:35:19,369 SEE THERE IS STILL A HIGH COST 4900 03:35:19,369 --> 03:35:21,138 OF FOOD, TROUBLE FINDING CERTAIN 4901 03:35:21,138 --> 03:35:23,907 ITEMS AND FOR FARMERS THERE'S 4902 03:35:23,907 --> 03:35:25,776 LIMITATIONS ON WHAT TO GROW IN 4903 03:35:25,776 --> 03:35:27,744 THE ARKANSAS CLIMATE 4904 03:35:27,744 --> 03:35:29,846 PARTICULARLY THE TROPICAL FRUIT 4905 03:35:29,846 --> 03:35:40,323 PREFERRED BY ONE COMMUNITY. 4906 03:35:41,024 --> 03:35:42,025 AND A LOT OF OUR AGENCY 4907 03:35:42,025 --> 03:35:45,162 COLLEAGUES WERE AFRAID FOCUSSING 4908 03:35:45,162 --> 03:35:47,898 ON SPECIFIC POPULATIONS WOULD 4909 03:35:47,898 --> 03:35:51,334 ALIENATE THE REST OF THEIR 4910 03:35:51,334 --> 03:35:52,969 CLIENTS AND THIS WAS NOT THE 4911 03:35:52,969 --> 03:35:54,905 CASE AND MANY SAID THEY'D 4912 03:35:54,905 --> 03:36:00,243 RECEIVE THE ITEMS RECEIVED AND 4913 03:36:00,243 --> 03:36:04,147 THE FOOD ITEMS WAS CORROBORATED. 4914 03:36:04,147 --> 03:36:09,252 AND ONE FINDING IS THEY ALL 4915 03:36:09,252 --> 03:36:10,854 WANTED TO SEE THINGS LIKE 4916 03:36:10,854 --> 03:36:12,155 TOILETRIES AND DIAPERS AND 4917 03:36:12,155 --> 03:36:13,924 THEY'RE EXPENSIVE FOR AGENCIES 4918 03:36:13,924 --> 03:36:16,259 TO BUY SO WE RECOMMEND THE 4919 03:36:16,259 --> 03:36:17,294 AGENCIES ADD THEM TO THE 4920 03:36:17,294 --> 03:36:23,066 DONATION LIST FOR THE FUTURE. 4921 03:36:23,066 --> 03:36:26,103 A GAP IN THE WORK WAS NOT HAVING 4922 03:36:26,103 --> 03:36:27,137 ENOUGH MARSHALLESE CLIENT 4923 03:36:27,137 --> 03:36:29,206 FEEDBACK SO IN THE FUTURE WE 4924 03:36:29,206 --> 03:36:32,809 WANT TO TARGET THIS AREA OF 4925 03:36:32,809 --> 03:36:34,010 OUTREACH AND WE DISCUSSED 4926 03:36:34,010 --> 03:36:35,745 SCALING AND EXPANSION WITH THE 4927 03:36:35,745 --> 03:36:37,547 REGIONAL FOOD BANK ON THE 4928 03:36:37,547 --> 03:36:38,782 PROCUREMENT SIDE AND EXPANDING 4929 03:36:38,782 --> 03:36:40,750 THE EDUCATIONAL COMPONENT FOR 4930 03:36:40,750 --> 03:36:41,551 FARMERS. 4931 03:36:41,551 --> 03:36:43,153 WE ALSO THOUGHT OF REPLICATING 4932 03:36:43,153 --> 03:36:46,456 THE WORK FOR OTHER COMMUNITIES 4933 03:36:46,456 --> 03:36:48,225 INCLUDING INTERNATIONAL STUDENT 4934 03:36:48,225 --> 03:36:52,629 POPULATION HERE AT THE 4935 03:36:52,629 --> 03:36:52,963 UNIVERSITY. 4936 03:36:52,963 --> 03:36:57,567 A LOT OF OUR WORK THINK ABOUT 4937 03:36:57,567 --> 03:36:58,368 MEDICALLY APPROPRIATE FOODS AND 4938 03:36:58,368 --> 03:37:00,537 THIS REPRESENT AS A GAP IN 4939 03:37:00,537 --> 03:37:02,005 KNOWLEDGE AND ONE AREA OF FUTURE 4940 03:37:02,005 --> 03:37:04,207 RESEARCH IS WORKING WITH OUR 4941 03:37:04,207 --> 03:37:05,542 UNIVERSITY TO DO WORK AROUND 4942 03:37:05,542 --> 03:37:06,576 CHRONIC DISEASE TO IMPLEMENT 4943 03:37:06,576 --> 03:37:07,711 MEDICALLY TAILORED INTERVENTIONS 4944 03:37:07,711 --> 03:37:17,854 IN THESE COMMUNITIES. 4945 03:37:17,854 --> 03:37:22,826 >> WE WANT TO THANK OUR 4946 03:37:22,826 --> 03:37:27,931 COMMUNITY OF PRACTICE MEMBERS 4947 03:37:27,931 --> 03:37:33,537 AND OUR FACILITATE OR. 4948 03:37:33,537 --> 03:37:34,037 >> THANK YOU. 4949 03:37:34,037 --> 03:37:39,910 I CAN ATTEST TO THE GREAT WORK 4950 03:37:39,910 --> 03:37:40,844 DEMONSTRATED BY THE 4951 03:37:40,844 --> 03:37:41,178 PRESENTATION. 4952 03:37:41,178 --> 03:37:47,851 THERE'S ALREADY QUESTIONS COMING 4953 03:37:47,851 --> 03:37:53,723 ONE I'LL ADDRESS IN THE Q&A AND 4954 03:37:53,723 --> 03:37:58,962 WE'LL GET TO DISCUSS IT DURING 4955 03:37:58,962 --> 03:38:01,865 THAT TIME BUT PLEASE ENTER YOUR 4956 03:38:01,865 --> 03:38:02,899 QUESTIONS. 4957 03:38:02,899 --> 03:38:03,700 AND WE'LL MOVE ON TO OUR NEXT 4958 03:38:03,700 --> 03:38:10,106 PRESENTATION. 4959 03:38:10,106 --> 03:38:13,310 HER PRESENTATION IS REGARDING 4960 03:38:13,310 --> 03:38:14,711 NEW YORK'S CARIBBEAN DIABETES 4961 03:38:14,711 --> 03:38:16,546 PREVENTION PROGRAM. 4962 03:38:16,546 --> 03:38:17,380 SHE'S DEDICATED TO ADDRESSING 4963 03:38:17,380 --> 03:38:20,550 HEALTH DISPARITIES AND 4964 03:38:20,550 --> 03:38:22,419 INEQUITIES IN THE NEW YORK UNDER 4965 03:38:22,419 --> 03:38:23,920 SERVED COMMUNITY USING 4966 03:38:23,920 --> 03:38:26,990 COMMUNITY-BASED PARTICIPATORY 4967 03:38:26,990 --> 03:38:27,257 RESEARCH. 4968 03:38:27,257 --> 03:38:28,925 I'M LOOKING FORWARD IT HEARING 4969 03:38:28,925 --> 03:38:29,993 ABOUT YOUR WORK. 4970 03:38:29,993 --> 03:38:32,896 >> THANK YOU SO MUCH FOR THE 4971 03:38:32,896 --> 03:38:35,732 INTRODUCTION. 4972 03:38:35,732 --> 03:38:39,002 I'M PLEASED TO BE HERE. 4973 03:38:39,002 --> 03:38:40,203 THE CONVERSATION IS INSPIRING 4974 03:38:40,203 --> 03:38:42,172 WHEN YOU OFTEN FIND YOU MAY BE 4975 03:38:42,172 --> 03:38:44,608 THE ONLY PERSON WHO MAY BE 4976 03:38:44,608 --> 03:38:52,249 EMBEDDED IN THE COMMUNITY AT THE 4977 03:38:52,249 --> 03:38:52,582 TIME. 4978 03:38:52,582 --> 03:38:59,656 AND I'M INSPIRED BY THE 4979 03:38:59,656 --> 03:39:02,659 PRESENTATION. 4980 03:39:02,659 --> 03:39:04,494 THERE'S THEORETICAL BACKGROUND 4981 03:39:04,494 --> 03:39:05,629 WE'VE USED AND I'LL DIVE INTO 4982 03:39:05,629 --> 03:39:10,634 HOW WE DID IT. 4983 03:39:10,634 --> 03:39:15,238 WE USED THE CDC DIABETES 4984 03:39:15,238 --> 03:39:20,343 PREVENTION PROGRAM CURRICULUM 4985 03:39:20,343 --> 03:39:20,944 FOR THE COMMUNITY IN NEW YORK 4986 03:39:20,944 --> 03:39:26,249 CITY. 4987 03:39:26,249 --> 03:39:31,054 WE DID THIS BECAUSE WE HAVE DONE 4988 03:39:31,054 --> 03:39:32,689 EPIDEMIOLOGICAL STUDIES BASED ON 4989 03:39:32,689 --> 03:39:38,128 TRUE DATA SETS UNIQUE TO NEW 4990 03:39:38,128 --> 03:39:39,229 YORK CITY. 4991 03:39:39,229 --> 03:39:45,969 AND MANY ARE IMMIGRANTS. 4992 03:39:45,969 --> 03:39:47,437 THIS IS A HUGE PART OF NEW YORK 4993 03:39:47,437 --> 03:39:47,837 CITY. 4994 03:39:47,837 --> 03:39:57,047 WE FOUND IN OUR DATA FROM AN 4995 03:39:57,047 --> 03:40:00,517 NHANES STUDY THE PREVALENCE OF 4996 03:40:00,517 --> 03:40:05,388 TYPE 2 DIABETES IS AROUND 31% 4997 03:40:05,388 --> 03:40:09,826 AND WE GOOD QUALITATIVE WORK 4998 03:40:09,826 --> 03:40:12,329 WHERE WE FOUND THE OPPORTUNITIES 4999 03:40:12,329 --> 03:40:17,000 TO ADDRESS RISK FACTORS IN 5000 03:40:17,000 --> 03:40:18,368 PHYSICAL ACTIVITY AND ADDRESSING 5001 03:40:18,368 --> 03:40:20,970 AND ACKNOWLEDGING THE STRESSFUL 5002 03:40:20,970 --> 03:40:25,141 LIVES OF BLACK IMMIGRANT 5003 03:40:25,141 --> 03:40:27,944 COMMUNITIES WITH MINORITY STATUS 5004 03:40:27,944 --> 03:40:31,214 AND ALSO BLACK PERSONS IN A 5005 03:40:31,214 --> 03:40:33,550 HIGHLY RACIALIZED CITY AND 5006 03:40:33,550 --> 03:40:34,784 ACKNOWLEDGE THE CULTURES OF 5007 03:40:34,784 --> 03:40:37,320 FAMILIES THAT HAVE CONNECTIONS 5008 03:40:37,320 --> 03:40:41,458 THAT LIVE PART OF THE TIME OTHER 5009 03:40:41,458 --> 03:40:42,859 PLACES AND HAVE TWO OR MORE 5010 03:40:42,859 --> 03:40:49,099 CULTURAL IDENTITIES. 5011 03:40:49,099 --> 03:40:53,403 AND THEN GROWING UP IN 5012 03:40:53,403 --> 03:40:54,537 MULTI-GENERATIONAL HOMES AND THE 5013 03:40:54,537 --> 03:40:58,375 DESIRE TO TURN THE TIDE IN TYPE 5014 03:40:58,375 --> 03:41:02,779 2 DIABETES BUT LACK OF HOW-TO 5015 03:41:02,779 --> 03:41:05,882 AND TO DO SOMETHING ABOUT THE 5016 03:41:05,882 --> 03:41:08,752 HIGH PREVALENCE AND RISK. 5017 03:41:08,752 --> 03:41:19,229 SO WE HEARD FROM MY CO-P.I. 5018 03:41:19,562 --> 03:41:28,605 YESTERDAY AND WE GATHERED ALMOST 5019 03:41:28,605 --> 03:41:30,940 EXCLUSIVELY STUDENTS OF 5020 03:41:30,940 --> 03:41:33,543 CARIBBEAN DESCENT DOING OUTREACH 5021 03:41:33,543 --> 03:41:35,211 AND CONDUCTING FOCUS GROUPS TO 5022 03:41:35,211 --> 03:41:37,614 HAVE A DEEPLY CULTURALLY 5023 03:41:37,614 --> 03:41:40,550 COMPETENT TEAM AND WORKED ON I 5024 03:41:40,550 --> 03:41:43,453 DIDN'T KNOW HOW TO DO LIKE 5025 03:41:43,453 --> 03:41:45,155 SOCIAL MEDIA AND PLAYED A BIG 5026 03:41:45,155 --> 03:41:48,491 ROLE IN TEXT EDITING AND IMAGE 5027 03:41:48,491 --> 03:41:58,501 PLACEMENT AND EDITING STORIES 5028 03:41:58,501 --> 03:42:03,006 AND WE CONVENED AN ADVISORY 5029 03:42:03,006 --> 03:42:03,606 BOARD. 5030 03:42:03,606 --> 03:42:05,542 WE'VE BEEN ROOTED IN THIS FOR 5031 03:42:05,542 --> 03:42:11,648 QUITE A WHILE HOW TO. 5032 03:42:11,648 --> 03:42:13,583 WE HIRED HEALTH PROFESSIONALS 5033 03:42:13,583 --> 03:42:19,789 AND MANY ARE ALUMNI AND 95% ARE 5034 03:42:19,789 --> 03:42:21,024 FORMER RESEARCH ASSOCIATES OR 5035 03:42:21,024 --> 03:42:23,726 STUDENT RESEARCHERS FROM MY LAB. 5036 03:42:23,726 --> 03:42:26,429 THEY'RE TRAINING IN THE 5037 03:42:26,429 --> 03:42:30,099 METHODOLOGIES AND AGAIN EMBEDDED 5038 03:42:30,099 --> 03:42:32,435 IN THE COMMUNITY. 5039 03:42:32,435 --> 03:42:37,907 THEY HAD GREAT CONNECTIONS FOR 5040 03:42:37,907 --> 03:42:39,776 RECRUITMENT AND FOCUS 5041 03:42:39,776 --> 03:42:41,811 RECRUITMENT AND INTERVENTION AND 5042 03:42:41,811 --> 03:42:45,582 HAVE REVIEWED ALL MATERIALS AND 5043 03:42:45,582 --> 03:42:48,818 RESEARCH PROTOCOL AND THAT HAS 5044 03:42:48,818 --> 03:42:49,519 BEEN A REALLY MEANINGFUL 5045 03:42:49,519 --> 03:42:59,362 PROCESS. 5046 03:42:59,362 --> 03:43:01,965 SO WE DID FOCUS AND WE PUT 5047 03:43:01,965 --> 03:43:07,637 FLYERS IN LAUNDROMATS AND 5048 03:43:07,637 --> 03:43:09,372 COMMUNITY LOCATIONS AND HANDED 5049 03:43:09,372 --> 03:43:10,206 THEM OUT TO FRIENDS AND FAMILY, 5050 03:43:10,206 --> 03:43:16,045 ETCETERA. 5051 03:43:16,045 --> 03:43:24,621 WE CONDUCTED FOCUS GROUPS VERY 5052 03:43:24,621 --> 03:43:26,289 -- VIA ZOOM BECAUSE OF COVID 5053 03:43:26,289 --> 03:43:29,726 AND WE HAD AT THE IDEA WE WOULD 5054 03:43:29,726 --> 03:43:31,928 DO A VIRTUAL PROGRAM BECAUSE 5055 03:43:31,928 --> 03:43:32,495 LIVING IN NEW YORK CITY IS 5056 03:43:32,495 --> 03:43:42,705 CHALLENGING. 5057 03:44:23,479 --> 03:44:26,449 AND THERE'S ADAPTATIONS AND 5058 03:44:26,449 --> 03:44:32,822 CULTURAL VALUES AND BELIEFS THAT 5059 03:44:32,822 --> 03:44:35,725 ARE ROOTED AND SOME OF THE 5060 03:44:35,725 --> 03:44:39,629 EXTERNAL AND INTERNAL BARRIERS 5061 03:44:39,629 --> 03:44:41,531 AND THE DICHOTOMOUS CULTURAL 5062 03:44:41,531 --> 03:44:42,065 CHALLENGES WE HAD TO KEEP 5063 03:44:42,065 --> 03:44:52,208 UNMIND. 5064 03:44:54,444 --> 03:44:56,579 WHAT WE FOUND IN TERMS OF 5065 03:44:56,579 --> 03:45:01,651 GUIDANCE AND THANK YOU FOR THE 5066 03:45:01,651 --> 03:45:11,227 SHOUT OUT EARLIER THIS PROGRAM 5067 03:45:11,227 --> 03:45:13,563 INCLUDED THINGS PEOPLE EAT AND 5068 03:45:13,563 --> 03:45:16,799 IDENTIFIED AND WE INCLUDE 5069 03:45:16,799 --> 03:45:17,934 CULTURALLY RELEVANT PHYSICAL 5070 03:45:17,934 --> 03:45:22,038 ACTIVITY IDEAS. 5071 03:45:22,038 --> 03:45:25,241 THE USUAL GOING TO THE GYM, 5072 03:45:25,241 --> 03:45:28,478 JOGGING, RUNNING, MARATHONING 5073 03:45:28,478 --> 03:45:29,879 DOESN'T RESONATE WITH THIS 5074 03:45:29,879 --> 03:45:33,983 COMMUNITY. 5075 03:45:33,983 --> 03:45:39,856 THERE'S A LOUD CALL FOR PEOPLE 5076 03:45:39,856 --> 03:45:43,593 TO LOOK LIKE CARIBBEAN PEOPLE 5077 03:45:43,593 --> 03:45:44,627 AND THEY'RE HIGHLY DIVERSE IN 5078 03:45:44,627 --> 03:45:46,829 TERMS OF PEOPLE'S ORIGIN AND WE 5079 03:45:46,829 --> 03:45:47,630 HAD TO THINK ABOUT REPRESENTING 5080 03:45:47,630 --> 03:45:54,671 THAT AS WELL. 5081 03:45:54,671 --> 03:45:57,707 WE HAD TO ADDRESS THE LACK OF 5082 03:45:57,707 --> 03:46:00,710 TIME TO EXERCISE AND SAFE 5083 03:46:00,710 --> 03:46:02,845 NEIGHBORHOODS AND THE 5084 03:46:02,845 --> 03:46:05,848 PROLIFERATION OF UNHEALTHY FOODS 5085 03:46:05,848 --> 03:46:08,017 AND CULTURAL FAMILY SOCIAL NORMS 5086 03:46:08,017 --> 03:46:09,018 THAT MAY MAKE IT DIFFICULT TO 5087 03:46:09,018 --> 03:46:16,359 MAKE CHANGES. 5088 03:46:16,359 --> 03:46:19,095 WE LOOKED AT THE GENERIC CDC 5089 03:46:19,095 --> 03:46:23,599 RECRUITMENT MATERIALS AND MOST 5090 03:46:23,599 --> 03:46:27,637 ARE TIED TO THE AMERICAN 5091 03:46:27,637 --> 03:46:32,675 POPULATION ON A WHOLE. 5092 03:46:32,675 --> 03:46:42,785 AND WE FOUND MOST LIVED IN 5093 03:46:42,785 --> 03:46:47,356 SUBURBIA AND IN WHOLE HOUSES AND 5094 03:46:47,356 --> 03:46:51,761 HAD FOOD ITEMS. 5095 03:46:51,761 --> 03:46:53,596 WE TALKED TO PEOPLE AND LISTENED 5096 03:46:53,596 --> 03:46:57,633 AND HEARD WHAT THEY SAID AND 5097 03:46:57,633 --> 03:46:59,869 THEY SAID THINGS LIKE SEEING MY 5098 03:46:59,869 --> 03:47:01,204 FLAG MADE ME FEEL SEEN AND 5099 03:47:01,204 --> 03:47:01,471 VALIDATED. 5100 03:47:01,471 --> 03:47:07,110 SO WE FOCUSSED ON THE THINGS 5101 03:47:07,110 --> 03:47:11,881 SAID IN THE FOCUS GROUPS THEIR 5102 03:47:11,881 --> 03:47:14,250 WORDS AND THAT HOW CAN YOU EAT 5103 03:47:14,250 --> 03:47:24,794 WHAT YOU LOVE AND STAY HEALTHY? 5104 03:47:26,829 --> 03:47:27,997 WITH MADE SOCIALLY 5105 03:47:27,997 --> 03:47:29,365 REPRESENTATIVE FLYERS FOR 5106 03:47:29,365 --> 03:47:32,101 DIFFERENT KINDS OF PEOPLE AND 5107 03:47:32,101 --> 03:47:37,173 REPRESENT PEOPLE THAT IS OF 5108 03:47:37,173 --> 03:47:44,680 GREAT DIVERSITY. 5109 03:47:44,680 --> 03:47:48,785 HERE'S AN EXAMPLE AND JUST THIS 5110 03:47:48,785 --> 03:47:53,222 MONDAY HAD A ZOOM SESSION FOR 5111 03:47:53,222 --> 03:47:56,259 IMPLEMENTATION OF THE PILOT WITH 5112 03:47:56,259 --> 03:47:58,961 FITNESS TRACKERS AND RECORDED 5113 03:47:58,961 --> 03:48:00,329 THE SESSIONS ON A PRIVATE 5114 03:48:00,329 --> 03:48:01,764 YOUTUBE SESSION SO THOSE WHO 5115 03:48:01,764 --> 03:48:02,965 MISSED THE SESSION COULD WATCH 5116 03:48:02,965 --> 03:48:05,168 AT A LATER TIME. 5117 03:48:05,168 --> 03:48:11,073 WE HAD PLAY LISTS FOR THE 5118 03:48:11,073 --> 03:48:12,408 SESSIONS. 5119 03:48:12,408 --> 03:48:14,277 WE ALWAYS OPEN THE SESSION WITH 5120 03:48:14,277 --> 03:48:16,312 A BEACH VIDEO FOR WELCOME AND 5121 03:48:16,312 --> 03:48:22,852 MEDITATION AND WE SET UP OUR 5122 03:48:22,852 --> 03:48:25,021 GROUP HIGHLY ACTIVE WITH 5123 03:48:25,021 --> 03:48:26,389 SESSIONS AND DANCE PARTIES IN 5124 03:48:26,389 --> 03:48:30,459 THE STREET. 5125 03:48:30,459 --> 03:48:38,534 IT'S BEEN QUITE LIVELY AND 5126 03:48:38,534 --> 03:48:45,675 ENCOURAGING FOR LIFESTYLE 5127 03:48:45,675 --> 03:48:48,911 COACHES AND WE HAVE INCENTIVES 5128 03:48:48,911 --> 03:48:51,347 FOR PEOPLE TO SHOW UP AN TO KEEP 5129 03:48:51,347 --> 03:48:53,149 THEM MOTIVATED. 5130 03:48:53,149 --> 03:49:01,591 AND THEN WE HANDED OUT GIFT 5131 03:49:01,591 --> 03:49:05,428 CARDS AND WE HAD PHONES FOR 5132 03:49:05,428 --> 03:49:10,499 CALLS AND CHECK-INS WITH 5133 03:49:10,499 --> 03:49:16,505 PARTICIPANTS AS RECOMMENDED. 5134 03:49:16,505 --> 03:49:21,711 SOME OF THE CHANGES OR TO ADD 5135 03:49:21,711 --> 03:49:23,546 FOODS BECAUSE MOST IMMIGRANT 5136 03:49:23,546 --> 03:49:25,581 COMMUNITIES TALK ABOUT 5137 03:49:25,581 --> 03:49:28,684 EXTENSIVELY EAT ALL KINDS OF 5138 03:49:28,684 --> 03:49:34,557 FOODS CARIBBEANS ALSO EAT PIZ 5139 03:49:34,557 --> 03:49:40,997 DID AND EAT POTAPOTATO. 5140 03:49:40,997 --> 03:49:42,198 WE HAD A COCKTAIL OF SUGGESTIONS 5141 03:49:42,198 --> 03:49:45,368 FOR FOOD. 5142 03:49:45,368 --> 03:49:49,038 SAME THING FOR BEVERAGES. 5143 03:49:49,038 --> 03:49:51,741 ONE OF THE THINGS THAT 5144 03:49:51,741 --> 03:49:53,342 PARTICIPANTS SAID NONE OF MY 5145 03:49:53,342 --> 03:49:54,410 DOCTORS SAID THE WORD OUTLOUD OF 5146 03:49:54,410 --> 03:50:01,484 THE FOODS THAT I REALLY LOVE 5147 03:50:01,484 --> 03:50:07,723 LIKE THIS SORRELL. 5148 03:50:07,723 --> 03:50:11,260 IT'S HIGH IN SUGAR AND 5149 03:50:11,260 --> 03:50:13,596 EQUIVALENT TO SODA BUT 5150 03:50:13,596 --> 03:50:14,263 RECOGNIZING FOODS THAT IMPORTANT 5151 03:50:14,263 --> 03:50:15,431 TO PARTICIPANTS. 5152 03:50:15,431 --> 03:50:16,866 IT WENT WELL. 5153 03:50:16,866 --> 03:50:19,101 WE HAD 19 PARTICIPANTS. 5154 03:50:19,101 --> 03:50:24,874 THEY COMPLETED THIS SESSION. 5155 03:50:24,874 --> 03:50:28,210 WE HAD SOME CHALLENGES SETTING 5156 03:50:28,210 --> 03:50:32,915 UP IN PEOPLE'S HOME BUT WE HAD 5157 03:50:32,915 --> 03:50:40,556 79% RETENTION AND WE DON'T YET 5158 03:50:40,556 --> 03:50:45,861 HAVE WEIGHT LOSS DATA TO SHARE. 5159 03:50:45,861 --> 03:50:48,698 THIS IS ALL PRELIMINARY ONE 5160 03:50:48,698 --> 03:50:50,533 THING THAT HAPPENED WAS THE 5161 03:50:50,533 --> 03:50:51,667 PARTICIPANTS ASK WE PLEASE, 5162 03:50:51,667 --> 03:50:56,739 PLEASE, PLEASE, CONTINUE. 5163 03:50:56,739 --> 03:51:02,511 THOUGH WE EXHAUSTED OUR FUNDING 5164 03:51:02,511 --> 03:51:05,314 WE'RE GOING TO CONTINUE THE 5165 03:51:05,314 --> 03:51:06,849 MONTHLY WORKSHOPS FOR THE NEXT 5166 03:51:06,849 --> 03:51:14,991 SIX MONTHS WITH THIS COHORT. 5167 03:51:14,991 --> 03:51:17,393 IN CLOSING I WANT TO THANK OUR 5168 03:51:17,393 --> 03:51:20,096 ADVISORY BOARD AND RESEARCHERS 5169 03:51:20,096 --> 03:51:21,364 WITHOUT WHOM I COULD NOT HAVE 5170 03:51:21,364 --> 03:51:21,897 DONE THIS. 5171 03:51:21,897 --> 03:51:24,533 WHAT WE HAVE DONE IN THE PROCESS 5172 03:51:24,533 --> 03:51:28,337 ALSO IS ENSURED OUR STUDENT 5173 03:51:28,337 --> 03:51:30,506 RESEARCHERS ARE NOW TRAINED AND 5174 03:51:30,506 --> 03:51:31,474 CERTIFIED LIFESTYLE COACHES SO 5175 03:51:31,474 --> 03:51:35,878 WHEN THEY WALK OUT OF HERE THEY 5176 03:51:35,878 --> 03:51:37,046 CAN ACTUALLY LEAD DIABETES 5177 03:51:37,046 --> 03:51:47,390 PREVENTION PROGRAMS. 5178 03:51:51,794 --> 03:51:56,298 I WANT TO THANK THE ORGANIZERS. 5179 03:51:56,298 --> 03:52:03,372 >> THAT WAS OUTSTANDING. 5180 03:52:03,372 --> 03:52:04,907 WE ARE TRYING TO EXPEDITE OUR 5181 03:52:04,907 --> 03:52:06,275 FLASH TALKS AND ENCOURAGE YOU TO 5182 03:52:06,275 --> 03:52:07,843 ASK QUESTIONS. 5183 03:52:07,843 --> 03:52:09,378 PLEASE PUT THEM IN THERE. 5184 03:52:09,378 --> 03:52:11,647 IF WE DON'T GET TO ALL TODAY 5185 03:52:11,647 --> 03:52:13,349 IT'S FOOD FOR THOUGHT FOR OUR 5186 03:52:13,349 --> 03:52:15,051 PRESENTERS AND OVER ALL WORKSHOP 5187 03:52:15,051 --> 03:52:16,986 WRITE UP AS WE GET TO THE 5188 03:52:16,986 --> 03:52:18,087 QUESTIONS YOU HAVE INCLUDING 5189 03:52:18,087 --> 03:52:19,989 ADHERENCE AND ENGAGEMENT ON EACH 5190 03:52:19,989 --> 03:52:20,256 SESSIONS. 5191 03:52:20,256 --> 03:52:22,491 NOW I HAVE THE HONOR TO 5192 03:52:22,491 --> 03:52:24,960 TRANSITION TO OUR NEXT 5193 03:52:24,960 --> 03:52:30,666 PRESENTER. 5194 03:52:30,666 --> 03:52:35,771 SHE'S GOING TO PRESENT ON THE 5195 03:52:35,771 --> 03:52:38,174 REACH LOWELL'S 2022 COMMUNITY 5196 03:52:38,174 --> 03:52:40,810 FOOD AND RESPONSIBLE FOR THE 5197 03:52:40,810 --> 03:52:42,078 LEADERSHIP, DIRECTION AND 5198 03:52:42,078 --> 03:52:45,648 EVALUATION OF THE PROGRAM AND 5199 03:52:45,648 --> 03:52:46,916 EMPHASIZES MEASURABLE OUTCOMES 5200 03:52:46,916 --> 03:52:48,184 USING DATA AND BEST PRACTICES. 5201 03:52:48,184 --> 03:52:50,486 WELCOME AND WE LOOK FORWARD TO 5202 03:52:50,486 --> 03:52:57,126 HEARING YOUR PRESENTATION. 5203 03:52:57,126 --> 03:52:57,693 >> THANK YOU. 5204 03:52:57,693 --> 03:52:59,995 WE ARE EXCITING TO SHARE OUR 5205 03:52:59,995 --> 03:53:02,498 COMMUNITY FOODS ASSESSMENT AND 5206 03:53:02,498 --> 03:53:07,169 THIS WAS A COLLABORATIVE EFFORT 5207 03:53:07,169 --> 03:53:08,771 WITH A COMMUNITY BASED 5208 03:53:08,771 --> 03:53:09,371 ORGANIZATION WE'LL TALK ABOUT 5209 03:53:09,371 --> 03:53:11,941 SHORTLY. 5210 03:53:11,941 --> 03:53:16,178 I WANTED TO GIVE YOU ALL 5211 03:53:16,178 --> 03:53:19,982 BACKGROUND ON WHAT THE CITY OF 5212 03:53:19,982 --> 03:53:21,083 LOWELL LOOKS LIKE AND IT'S 5213 03:53:21,083 --> 03:53:30,626 ALWAYS BEEN AN INTMMIGRANT CITY 5214 03:53:30,626 --> 03:53:35,598 AND YOU SEE HERE LOWELL IS NOW 5215 03:53:35,598 --> 03:53:37,399 HOME TO SOUTHERN AMERICAN 5216 03:53:37,399 --> 03:53:39,635 FAMILIES AND THESE ARE AREAS 5217 03:53:39,635 --> 03:53:45,307 WHERE HUMAN RIGHTS ARE IN 5218 03:53:45,307 --> 03:53:48,644 JEOPARDY. 5219 03:53:48,644 --> 03:53:51,347 HERE WE SEE 58% OF OUR TOTAL 5220 03:53:51,347 --> 03:53:54,517 POPULATION IS PART OF THE GLOBAL 5221 03:53:54,517 --> 03:53:56,152 MAJORITY BUT WE ALSO SEE WE HAVE 5222 03:53:56,152 --> 03:53:59,255 A HUGE POPULATION OF 28% 5223 03:53:59,255 --> 03:54:01,023 FOREIGN-BORN AND THE TOP FIVE 5224 03:54:01,023 --> 03:54:04,093 E-AMERICANING COUNTRIES RIGHT 5225 03:54:04,093 --> 03:54:07,129 NOW ARE FRUSTRATION, DEMOCRATIC 5226 03:54:07,129 --> 03:54:14,703 REPUBLIC OF CONGO, UGANDA AND 5227 03:54:14,703 --> 03:54:25,047 GUATEMALA AND HAITI. 5228 03:54:31,453 --> 03:54:39,228 AND THIS IS LOCATED INSIDE A 5229 03:54:39,228 --> 03:54:39,628 HISTORIC BUILDING. 5230 03:54:39,628 --> 03:54:43,666 USUALLY IT HAS TO DO WITH 5231 03:54:43,666 --> 03:54:44,567 IMMIGRATION AND THE DEFINITION 5232 03:54:44,567 --> 03:54:48,304 OF THE WORK WE DO IN OUR 5233 03:54:48,304 --> 03:54:48,571 COMMUNITY. 5234 03:54:48,571 --> 03:54:49,738 THAT BUILDING ON THE SCREEN IS 5235 03:54:49,738 --> 03:54:52,341 OUR BUILDING. 5236 03:54:52,341 --> 03:54:54,376 OUR MISSION IS TO PROVIDE CARE 5237 03:54:54,376 --> 03:54:59,081 OF QUALITY AND CULTURALLY 5238 03:54:59,081 --> 03:55:02,017 COMPETENT SERVICES TO REDUCE 5239 03:55:02,017 --> 03:55:04,053 HEALTH DISPARITIES AND EMPOWER 5240 03:55:04,053 --> 03:55:05,054 EACH INDIVIDUAL TO MAXIMIZE 5241 03:55:05,054 --> 03:55:10,693 THEIR OVER ALL WELL BEING. 5242 03:55:10,693 --> 03:55:14,897 SUSPECT THE LANDSCAPE OF WHO WE 5243 03:55:14,897 --> 03:55:16,031 SERVE AND WHY IT'S IMPORTANT OUR 5244 03:55:16,031 --> 03:55:18,100 PROGRAM IS AT THE HEALTH CENTER 5245 03:55:18,100 --> 03:55:20,102 WE SERVE ONE OUT OF TWO 5246 03:55:20,102 --> 03:55:24,240 RESIDENTS AT THE HEALTH CENTER. 5247 03:55:24,240 --> 03:55:27,309 WE SEE OVER 244,000 MEDICAL 5248 03:55:27,309 --> 03:55:28,377 VISITS OUR DEMOGRAPHICS ALIGN 5249 03:55:28,377 --> 03:55:31,146 WITH OUR COMMUNITY. 5250 03:55:31,146 --> 03:55:36,252 WE SEE 45% OF OUR PATIENTS SPEAK 5251 03:55:36,252 --> 03:55:39,688 A LANGUAGE OTHER THAN ENGLISH 5252 03:55:39,688 --> 03:55:48,497 AND THREE-FOURTHS ARE RACIALLY 5253 03:55:48,497 --> 03:55:51,734 DIVERSE AND I THINK ONE THING 5254 03:55:51,734 --> 03:55:53,035 THAT'S IMPORTANT WITH HAVING AN 5255 03:55:53,035 --> 03:55:54,370 ORGANIZATION LEADING THIS EFFORT 5256 03:55:54,370 --> 03:55:57,039 IS WE ARE COMMITTED TO SOCIAL 5257 03:55:57,039 --> 03:56:02,044 JUSTICE AND RACIAL EQUITY. 5258 03:56:02,044 --> 03:56:06,348 WE PASSED A RESOLUTION DECLARING 5259 03:56:06,348 --> 03:56:07,383 RACISM AS A PUBLIC HEALTH CRISIS 5260 03:56:07,383 --> 03:56:08,450 AND SPEAKS TO THE COMMITMENT WE 5261 03:56:08,450 --> 03:56:17,559 HAVE TO OUR COMMUNITY. 5262 03:56:17,559 --> 03:56:21,597 WE HAVE A COALITION MEMBER WHO 5263 03:56:21,597 --> 03:56:23,032 WORKED CLOSELY AT THE COMMUNITY 5264 03:56:23,032 --> 03:56:24,933 FOODS ASSESSMENT AND WE'RE A 5265 03:56:24,933 --> 03:56:28,470 FOOD JUSTICE ORGANIZATION WHO'S 5266 03:56:28,470 --> 03:56:32,341 MISSION IS TO IMPROVE PHYSICAL 5267 03:56:32,341 --> 03:56:35,210 HEALTH AND INCREASE ACCESS TO 5268 03:56:35,210 --> 03:56:38,113 LOCALLY GROWN FOOD EDUCATION. 5269 03:56:38,113 --> 03:56:40,849 THE MISSION IS TO EXPAND AND 5270 03:56:40,849 --> 03:56:42,985 EMPOWER AND CATALYZE FOOD ACCESS 5271 03:56:42,985 --> 03:56:53,395 AND EMPOWER COMMUNITIES. 5272 03:56:54,596 --> 03:56:56,799 THERE'S' QR CODE ON THE SCREEN 5273 03:56:56,799 --> 03:56:57,633 TO LEARN MORE ABOUT THE AMAZING 5274 03:56:57,633 --> 03:57:06,809 ORGANIZATION. 5275 03:57:06,809 --> 03:57:13,515 SO REACH LOWELL IS FUNDED BY THE 5276 03:57:13,515 --> 03:57:19,488 CENTER FOR DISEASE CONTROL AND 5277 03:57:19,488 --> 03:57:22,257 OUR GOAL IS TO ELIMINATE 5278 03:57:22,257 --> 03:57:28,297 DISPARITIES AS IT RELATES TO 5279 03:57:28,297 --> 03:57:28,664 DIABETES. 5280 03:57:28,664 --> 03:57:32,634 WE DO THIS BY PRIORITIZING 5281 03:57:32,634 --> 03:57:36,305 SYSTEMS-LEVELS INTERVENTION AND 5282 03:57:36,305 --> 03:57:38,340 COMMUNITY-WIDE INTERVENTION AND 5283 03:57:38,340 --> 03:57:42,044 EVIDENCE-BASED ACTIVITIES. 5284 03:57:42,044 --> 03:57:43,579 AND WE CAN'T DO THIS ALONE. 5285 03:57:43,579 --> 03:57:47,516 WE WORK WITH A NUMBER OF 5286 03:57:47,516 --> 03:57:50,352 PARTNERS, A WRAP-AROUND SERVICE 5287 03:57:50,352 --> 03:57:54,723 AGENCY AND PLANNING AND 5288 03:57:54,723 --> 03:57:59,461 DEVELOPMENT AND OUR COMMUNITY 5289 03:57:59,461 --> 03:58:03,031 HEALTH NETWORK AREA JSI WHO 5290 03:58:03,031 --> 03:58:04,867 WORKS AS OUR EVALUATOR AND OTHER 5291 03:58:04,867 --> 03:58:07,970 WRAP AROUND SERVICES WORKING 5292 03:58:07,970 --> 03:58:13,008 WITH THE POPULATION. 5293 03:58:13,008 --> 03:58:16,645 THESE ARE OUR PARTNERS. 5294 03:58:16,645 --> 03:58:19,481 WE DO OUR WORK INFORMING 5295 03:58:19,481 --> 03:58:19,782 STRATEGIES. 5296 03:58:19,782 --> 03:58:26,488 TODAY WE'LL BE FORCUSSING ON OU 5297 03:58:26,488 --> 03:58:35,297 NEW -- NUTRITION. 5298 03:58:35,297 --> 03:58:45,774 AND WE LOOKED AT OUR BUILT 5299 03:58:52,981 --> 03:58:53,982 ENVIRONMENT IN PHYSICAL ACTIVITY 5300 03:58:53,982 --> 03:58:58,687 THAT IS DONE IN OUR COMMUNITY. 5301 03:58:58,687 --> 03:59:01,824 WE ARE ALSO IN OUR COVID-19 5302 03:59:01,824 --> 03:59:12,201 PROMOTION ACTIVITIES. 5303 03:59:22,177 --> 03:59:25,013 WE AND GATHERING LESSONS LEARNED 5304 03:59:25,013 --> 03:59:29,518 AND WE LOOKED AT BOTH STRATEGIES 5305 03:59:29,518 --> 03:59:39,995 AND HAVE A SUSTAINABLE PLAN. 5306 03:59:44,833 --> 03:59:49,838 IS THIS EVALUATE THE FOOD SYSTEM 5307 03:59:49,838 --> 03:59:57,813 IN LOWELL AND WE GATHERED 5308 03:59:57,813 --> 04:00:00,048 PRIMARY SOURCES AND WE LOOKED AT 5309 04:00:00,048 --> 04:00:02,251 ADDITIONAL DATA THROUGH THE END 5310 04:00:02,251 --> 04:00:04,453 OF 2021 AND WROTE OUR REPORT IN 5311 04:00:04,453 --> 04:00:06,989 THE EARLY 20 TE. 5312 04:00:06,989 --> 04:00:12,895 -- 2022 AND WE COLLECTED DATA 5313 04:00:12,895 --> 04:00:14,796 AND SURVEYS FROM RESIDENTS, 5314 04:00:14,796 --> 04:00:18,534 EMERGENCY FOOD PROVIDERS AND 5315 04:00:18,534 --> 04:00:19,067 PRODUCERS. 5316 04:00:19,067 --> 04:00:19,201 . 5317 04:00:19,201 --> 04:00:22,738 WE HAVE FOCUS GROUPS AND 5318 04:00:22,738 --> 04:00:24,606 INVENTORIES OF FOOD RETAILERS. 5319 04:00:24,606 --> 04:00:26,942 WE WORKED WITH OVER 50 LOCAL 5320 04:00:26,942 --> 04:00:30,479 ORGANIZATIONS TO MAKE SURE WE 5321 04:00:30,479 --> 04:00:31,213 HAD OUTREACH. 5322 04:00:31,213 --> 04:00:34,349 PEOPLE SUPPORT ADMINISTRATIVE 5323 04:00:34,349 --> 04:00:34,950 SURVEYS AND ORGANIZING FOCUS 5324 04:00:34,950 --> 04:00:38,487 GROUPS. 5325 04:00:38,487 --> 04:00:41,523 THE METHODS WERE FOCUSSED ON 5326 04:00:41,523 --> 04:00:44,026 RECEIVING DATA FROM COMMUNITIES 5327 04:00:44,026 --> 04:00:46,061 THAT HAVE BEEN HISTORICALLY 5328 04:00:46,061 --> 04:00:47,429 INCLUDED FROM RESOURCES AND 5329 04:00:47,429 --> 04:00:48,497 INFORMING DATA AND INCLUDING AND 5330 04:00:48,497 --> 04:00:52,467 NOT LIMITED TO IMMIGRANT AND 5331 04:00:52,467 --> 04:01:03,011 REFUGEES AND BIPOC COMMUNITIES. 5332 04:01:03,812 --> 04:01:05,080 THANK YOU FOR BEARING WITH ME 5333 04:01:05,080 --> 04:01:07,015 GUYS. 5334 04:01:07,015 --> 04:01:08,917 I DON'T KNOW WHAT HAPPENED BUT 5335 04:01:08,917 --> 04:01:15,958 I'M SO THE PURPOSE OF THE CFA IN 5336 04:01:15,958 --> 04:01:17,693 LOWELL IS TO UNDERSTAND WHAT 5337 04:01:17,693 --> 04:01:19,061 FOOD SECURITY PROGRAM IS WORKING 5338 04:01:19,061 --> 04:01:21,830 IN LOWELL AND WHAT NEEDS TO BE 5339 04:01:21,830 --> 04:01:23,065 IMPROVED AND GUIDE POLICIES AND 5340 04:01:23,065 --> 04:01:25,901 STRATEGIES AND WE WERE ABLE TO 5341 04:01:25,901 --> 04:01:28,770 GET TO KNOW WHAT FOOD HAS HAD A 5342 04:01:28,770 --> 04:01:31,273 SUPPORTIVE POSITIVE HEALTH 5343 04:01:31,273 --> 04:01:35,577 OUTCOMES AND CULTURALLY 5344 04:01:35,577 --> 04:01:42,918 CONNECTED DESIRABLE FOODS AND 5345 04:01:42,918 --> 04:01:45,587 INCLUDE AFFORDABLE, FRESHNESS 5346 04:01:45,587 --> 04:01:49,791 AND TIME AND WE MADE SURE OUR 5347 04:01:49,791 --> 04:01:50,726 PRIORITY POPULATION WAS THE 5348 04:01:50,726 --> 04:01:52,094 INFORMATION WAS GATHERED FROM 5349 04:01:52,094 --> 04:01:54,296 PRIORITY POPULATION ESPECIALLY 5350 04:01:54,296 --> 04:01:55,831 BECAUSE THESE POPULATIONS 5351 04:01:55,831 --> 04:01:57,099 INTERACT WITH OUR FOOD SYSTEM 5352 04:01:57,099 --> 04:01:57,599 THE BEST. 5353 04:01:57,599 --> 04:02:02,204 WE ALSO MADE SURE WE WERE ABLE 5354 04:02:02,204 --> 04:02:04,740 TO ALSO INCLUDE FARMERS, FOOD 5355 04:02:04,740 --> 04:02:05,374 MANUFACTURERS AROUND FOOD 5356 04:02:05,374 --> 04:02:06,575 INSTITUTIONS AN RETAILERS. 5357 04:02:06,575 --> 04:02:12,147 WE WANTED TO MAKE SURE WE 5358 04:02:12,147 --> 04:02:14,683 MIRRORED THE DEMOGRAPHICS OF OUR 5359 04:02:14,683 --> 04:02:19,021 COMMUNITY MEMBERS AND HAD IT 5360 04:02:19,021 --> 04:02:19,454 TRA 5361 04:02:19,454 --> 04:02:22,591 TRANSLATED IN FIVE LANGUAGES AND 5362 04:02:22,591 --> 04:02:24,426 A LOT OF OUR PEOPLE DON'T 5363 04:02:24,426 --> 04:02:26,328 SPEAK -- ONLY SPEAK THEIR 5364 04:02:26,328 --> 04:02:27,663 LANGUAGE VERBALLY AND DO NOT 5365 04:02:27,663 --> 04:02:34,236 READ OR WRITE THEIR LANGUAGE. 5366 04:02:34,236 --> 04:02:41,877 SO WE LEARNED A LOT OF ABOUT OUR 5367 04:02:41,877 --> 04:02:42,144 COMMUNITY. 5368 04:02:42,144 --> 04:02:45,414 WE KNOW A BARRIER WAS FOOD 5369 04:02:45,414 --> 04:02:46,748 AFFORDABILITY AND THERE WERE 5370 04:02:46,748 --> 04:02:49,584 BARRIERS LIKE TIME, LACK OF 5371 04:02:49,584 --> 04:02:53,622 TRANSPORTATION AND INTEREST OF 5372 04:02:53,622 --> 04:02:56,758 AREAS WERE FOOD EDUCATION AND 5373 04:02:56,758 --> 04:02:57,325 AGRICULTURE. 5374 04:02:57,325 --> 04:02:58,994 WE KNEW THAT OUR FOOD SYSTEM IN 5375 04:02:58,994 --> 04:03:03,365 LOWELL NEEDED TO HAVE ADEQUATE 5376 04:03:03,365 --> 04:03:04,800 AVAILABILITY OF FRESH PRODUCE 5377 04:03:04,800 --> 04:03:07,035 AND FREE FOOD BENEFITS AND 5378 04:03:07,035 --> 04:03:08,704 BENEFIT PROGRAMS AND PROGRAMS 5379 04:03:08,704 --> 04:03:11,406 THAT CANNOT SERVE THE ENTIRE 5380 04:03:11,406 --> 04:03:14,643 POPULATION WERE ACTUALLY THINGS 5381 04:03:14,643 --> 04:03:20,515 LIKE BENEFITS. 5382 04:03:20,515 --> 04:03:24,619 SO HERE ARE OUR CFA INFO 5383 04:03:24,619 --> 04:03:26,988 GRAPHICS ON THE FINDINGS AND WE 5384 04:03:26,988 --> 04:03:34,563 HAD TO TAKE ACTIONS AND ALSO 5385 04:03:34,563 --> 04:03:38,667 HAVE A QR CODE FOR THE PROCESS 5386 04:03:38,667 --> 04:03:39,367 OF THE RECOMMENDATION AREAS HERE 5387 04:03:39,367 --> 04:03:44,940 AND FEEL FREE TO SCAN THAT TO 5388 04:03:44,940 --> 04:03:51,313 GET A DEEPER DIVE. 5389 04:03:51,313 --> 04:03:52,848 HERE'S OTHER CATEGORIES WITH 5390 04:03:52,848 --> 04:03:54,149 DATA WE FOUND HIGHLIGHTED IN THE 5391 04:03:54,149 --> 04:03:59,654 PROGRAM. 5392 04:03:59,654 --> 04:04:02,457 SOME SOLUTIONS HERE AFTER A 5393 04:04:02,457 --> 04:04:07,929 WHILE AND AFTER DIGESTING THE 5394 04:04:07,929 --> 04:04:11,867 FINDINGS, WE HAVE EIGHT MEMBERS 5395 04:04:11,867 --> 04:04:14,236 NOW FOCUSSING ON AFFORDABILITY 5396 04:04:14,236 --> 04:04:15,137 AND EDUCATION AND AGRICULTURE 5397 04:04:15,137 --> 04:04:16,204 FROM TWO MARKETS. 5398 04:04:16,204 --> 04:04:19,174 WE INCREASED OTHER MARKETS TO 5399 04:04:19,174 --> 04:04:21,710 SIX AND INCREASED OUR CSA 5400 04:04:21,710 --> 04:04:23,879 MEMBERSHIP TO 200. 5401 04:04:23,879 --> 04:04:27,983 WE WERE ALSO ABLE TO WORK ON 5402 04:04:27,983 --> 04:04:29,985 ADOPTING THREE ACRES OF NEW 5403 04:04:29,985 --> 04:04:33,121 URBAN AGRICULTURE LAND TO FOCUS 5404 04:04:33,121 --> 04:04:36,324 ON EDUCATION. 5405 04:04:36,324 --> 04:04:38,026 AS WE LEARNED OUR COMMUNITY 5406 04:04:38,026 --> 04:04:39,027 NEEDS TO BE INFORMED ABOUT THE 5407 04:04:39,027 --> 04:04:43,932 FOOD BENEFITS AND HOW TO ACCESS 5408 04:04:43,932 --> 04:04:44,232 THEM. 5409 04:04:44,232 --> 04:04:49,271 WE TRIED TO DO EDUCATION AROUND 5410 04:04:49,271 --> 04:04:50,272 STORING FOOD AND HAVING IT 5411 04:04:50,272 --> 04:04:52,307 AVAILABLE AND MAKING THAT 5412 04:04:52,307 --> 04:04:54,509 INTENTIONAL AND ALSO HAVING 5413 04:04:54,509 --> 04:05:02,784 RECIPES AVAILABLE. 5414 04:05:02,784 --> 04:05:04,753 CONNECT WITH US. 5415 04:05:04,753 --> 04:05:05,754 THANK YOU FOR BEARING WITH ME. 5416 04:05:05,754 --> 04:05:08,723 I DON'T KNOW WHAT HAPPENED TO MY 5417 04:05:08,723 --> 04:05:08,957 THROAT. 5418 04:05:08,957 --> 04:05:10,158 THAT'S MY CONTACT INFORMATION IF 5419 04:05:10,158 --> 04:05:11,293 YOU HAVE QUESTIONS. 5420 04:05:11,293 --> 04:05:12,494 THANK YOU, GUYS. 5421 04:05:12,494 --> 04:05:13,695 >> WE'VE ALL BEEN THERE 5422 04:05:13,695 --> 04:05:19,734 ESPECIALLY AS WE WRAP UP ON A 5423 04:05:19,734 --> 04:05:22,370 FRIDAY. 5424 04:05:22,370 --> 04:05:24,539 PARTICIPANTS ARE HAVING TO 5425 04:05:24,539 --> 04:05:26,241 REALLY CONDENSE INFORMATION IN A 5426 04:05:26,241 --> 04:05:31,012 SHORT PERIOD OF TIME BUT WITH 5427 04:05:31,012 --> 04:05:33,415 YOU HAVE ONE MORE SPEAKER BEFORE 5428 04:05:33,415 --> 04:05:34,482 WE TRANSITION. 5429 04:05:34,482 --> 04:05:36,518 WE HAVE A BELIEVE TIME FOR A 5430 04:05:36,518 --> 04:05:37,285 COUPLE Q&A. 5431 04:05:37,285 --> 04:05:39,955 AS LISTED HERE REACH OUT TO OUR 5432 04:05:39,955 --> 04:05:43,291 SPEAKERS, PUT YOUR QUESTIONS IN 5433 04:05:43,291 --> 04:05:46,294 AND WE'LL MAKE SURE YOU HAVE 5434 04:05:46,294 --> 04:05:46,528 ANSWERS. 5435 04:05:46,528 --> 04:05:48,730 WE'LL HAVE BRIEF TIME BEFORE WE 5436 04:05:48,730 --> 04:05:50,498 TRANSITION TO THE FLASH TALK. 5437 04:05:50,498 --> 04:05:56,638 I WANT TO INTERDUST -- INTRODUCE 5438 04:05:56,638 --> 04:06:03,645 OUR LAST SPEAKER HIGHLIGHTI IIN 5439 04:06:03,645 --> 04:06:06,147 TRANSLATION OF RESEARCH INTO 5440 04:06:06,147 --> 04:06:06,414 PRACTICE. 5441 04:06:06,414 --> 04:06:08,016 HER PRESENTATION WILL FOCUS ON 5442 04:06:08,016 --> 04:06:12,554 TEACHING KITCHEN AND 5443 04:06:12,554 --> 04:06:15,056 CULTURE-CENTERED DIETARY 5444 04:06:15,056 --> 04:06:15,390 INTERVENTION. 5445 04:06:15,390 --> 04:06:17,158 SHE'S A STAFF SCIENTIST AT THE 5446 04:06:17,158 --> 04:06:18,793 NIH CLINICAL CENTER AND THE 5447 04:06:18,793 --> 04:06:21,930 ACTING SECTION CHIEF OF THE 5448 04:06:21,930 --> 04:06:23,865 DIETARY BEHAVIORS AND BIO SOCIAL 5449 04:06:23,865 --> 04:06:26,735 HEALTH SECTION WITHIN THE 5450 04:06:26,735 --> 04:06:27,802 TRANSLATIONAL BIO BEHAVIORAL AND 5451 04:06:27,802 --> 04:06:29,204 HEALTH DISPARITIES BRANCH. 5452 04:06:29,204 --> 04:06:32,107 HER RESEARCH FOCUSES ON THE 5453 04:06:32,107 --> 04:06:35,110 PSYCHO-SOCIAL OUTCOMES OF HEALTH 5454 04:06:35,110 --> 04:06:36,044 BEHAVIORS, MICROBIOME RELATED 5455 04:06:36,044 --> 04:06:37,579 MECHANISMS OF HEALTH DISPARITIES 5456 04:06:37,579 --> 04:06:38,680 AND TODAY'S PRESENTATION WILL 5457 04:06:38,680 --> 04:06:40,515 FOCUS ON THE ROLE OF COOKING 5458 04:06:40,515 --> 04:06:43,051 INTERVENTION AND DIETARY 5459 04:06:43,051 --> 04:06:45,787 BEHAVIORS IN CARDIOVASCULAR 5460 04:06:45,787 --> 04:06:46,955 OUTPUT. 5461 04:06:46,955 --> 04:06:47,188 WELCOME. 5462 04:06:47,188 --> 04:06:50,692 >> THANK YOU FOR THE 5463 04:06:50,692 --> 04:06:51,760 INTRODUCTION. 5464 04:06:51,760 --> 04:06:53,028 I'M PRIVILEGED TO BE HERE AND 5465 04:06:53,028 --> 04:06:59,601 ROUND OUT THE END OF PANEL 7. 5466 04:06:59,601 --> 04:07:02,070 WE KNOW DIET IS A KEY MODIFIABLE 5467 04:07:02,070 --> 04:07:03,571 RISK FACTOR FOR DISEASE 5468 04:07:03,571 --> 04:07:04,372 PREVENTION. 5469 04:07:04,372 --> 04:07:08,376 IT'S NOT EASILY IMPLEMENTED. 5470 04:07:08,376 --> 04:07:11,546 AS THIS FIGURE SHOWING NHANES 5471 04:07:11,546 --> 04:07:14,082 FIGURE IN WHICH WE SEE A HEALTHY 5472 04:07:14,082 --> 04:07:16,017 DIET CONTINUES TO BE THE LEAST 5473 04:07:16,017 --> 04:07:18,119 PREVALENT HEALTH PROMOTING 5474 04:07:18,119 --> 04:07:19,587 LIFESTYLE CHASE AMONG 5475 04:07:19,587 --> 04:07:23,158 U.S. ADULTS AND SINCE 2008 HAS 5476 04:07:23,158 --> 04:07:25,293 BEEN JOINED BY THE CORRESPONDING 5477 04:07:25,293 --> 04:07:29,297 OF MAINTAINING A HEALTHY WEIGHT. 5478 04:07:29,297 --> 04:07:31,199 AND REASONS FOR US TO REALLY 5479 04:07:31,199 --> 04:07:32,701 FOCUS ON THE CULTURAL RELEVANCE 5480 04:07:32,701 --> 04:07:34,903 OF THE HEALTHY DIET WILL ONLY 5481 04:07:34,903 --> 04:07:36,972 CONTINUE TO BECOME MORE RELEVANT 5482 04:07:36,972 --> 04:07:38,940 AS THE U.S. CONTINUES TO HAVE AN 5483 04:07:38,940 --> 04:07:40,041 INCREASING NUMBER OF THE 5484 04:07:40,041 --> 04:07:45,580 POPULATION WHO ARE U.S.-SCITIZES 5485 04:07:45,580 --> 04:07:49,951 BUT NOT U.S. BORN AND 5486 04:07:49,951 --> 04:07:52,187 INCREASING ACCULTURATION USE OF 5487 04:07:52,187 --> 04:07:55,390 ENGLISH IN THE HOME AND LIFE IN 5488 04:07:55,390 --> 04:07:57,392 THE U.S. AND AMONG THOSE 5489 04:07:57,392 --> 04:07:59,027 NON-U.S. BORN WE CAN SEE THE 5490 04:07:59,027 --> 04:08:01,796 MORE ACCULTURATION THERE'S LESS 5491 04:08:01,796 --> 04:08:07,202 INTAKE OF UNPROFESSOR 5492 04:08:07,202 --> 04:08:09,571 UNPROCESSED FOOD AND THE MORE 5493 04:08:09,571 --> 04:08:11,039 ACCULTURATION THE MORE INTAKE OF 5494 04:08:11,039 --> 04:08:13,274 PROCESSED FOODS AS SEEN ON THE 5495 04:08:13,274 --> 04:08:13,875 RIGHT. 5496 04:08:13,875 --> 04:08:15,243 AND AS HAS BEEN DISCUSSED OVER 5497 04:08:15,243 --> 04:08:17,979 THE PAST TWO DAYS, DIET IS 5498 04:08:17,979 --> 04:08:20,048 GREATLY INFLUENCED BY MULTIPLE 5499 04:08:20,048 --> 04:08:22,083 FACTORS INCLUDING PSYCHOLOGICAL, 5500 04:08:22,083 --> 04:08:23,218 SOCIO ECONOMIC, ENVIRONMENTAL 5501 04:08:23,218 --> 04:08:26,254 AND CULTURAL. 5502 04:08:26,254 --> 04:08:27,055 WE KNOW THAT FOODS AND MEALS 5503 04:08:27,055 --> 04:08:29,124 PROVIDE A WAY TO SHOW CASE 5504 04:08:29,124 --> 04:08:30,658 STORIES AND TRADITIONS 5505 04:08:30,658 --> 04:08:31,960 REPRESENTATIVE OF FOOD WASTE AND 5506 04:08:31,960 --> 04:08:33,261 HERITAGE AND TODAY I'LL 5507 04:08:33,261 --> 04:08:37,665 HIGHLIGHT HOW CULINARY EDUCATION 5508 04:08:37,665 --> 04:08:43,805 WIN WITHIN TEACHING KITCHEN CAN 5509 04:08:43,805 --> 04:08:47,242 HAVE BEHAVIORS WHILE CONSIDERING 5510 04:08:47,242 --> 04:08:49,911 CULTURAL RELEVANCE. 5511 04:08:49,911 --> 04:08:53,481 WHAT IS A TEACHING KITCHEN? 5512 04:08:53,481 --> 04:08:54,816 IT'S A LEARNING LABORATORY FOR 5513 04:08:54,816 --> 04:08:59,120 LIFE SKILLS AND ADVOCATING 5514 04:08:59,120 --> 04:09:08,163 INDIVIDUAL TO EAT, MOVE, COOK 5515 04:09:08,163 --> 04:09:12,000 AND THINK ON EDUCATION AND FOOD 5516 04:09:12,000 --> 04:09:17,872 AND DIET AND THERE'S COMPONENTS 5517 04:09:17,872 --> 04:09:26,581 INCLUDING MINDFULNESS TECHNIQUES 5518 04:09:26,581 --> 04:09:29,117 AND HANDS-ON CULINARY 5519 04:09:29,117 --> 04:09:29,417 INSTRUCTION. 5520 04:09:29,417 --> 04:09:32,253 THE GOAL IS OFTEN NOT TO REPLACE 5521 04:09:32,253 --> 04:09:35,390 CULTURAL FOODS BUT TO ENHANCE 5522 04:09:35,390 --> 04:09:37,125 AND INTRODUCE NUTRITION 5523 04:09:37,125 --> 04:09:39,094 EDUCATION ON USING ONE'S OWN 5524 04:09:39,094 --> 04:09:40,395 CULTURAL FOODS WE DON'T ASK 5525 04:09:40,395 --> 04:09:43,098 PEOPLE TO SWAP OUT WHAT THEY ARE 5526 04:09:43,098 --> 04:09:44,399 TRADITIONALLY USED TO AS MUCH AS 5527 04:09:44,399 --> 04:09:45,400 WE INTRODUCE IN EDUCATION THAT 5528 04:09:45,400 --> 04:09:53,374 CAN ENHANCE THEIR HEALTH. 5529 04:09:53,374 --> 04:09:55,176 THE IMPORTANCE ON CULINARY 5530 04:09:55,176 --> 04:09:56,077 SKILLS IN TEACHING CONDITIONS 5531 04:09:56,077 --> 04:09:58,179 CANNOT BE UNDER STATED. 5532 04:09:58,179 --> 04:10:00,014 THE LINK BETWEEN CUISINE AND 5533 04:10:00,014 --> 04:10:01,182 CULTURE AS WE TALKED ABOUT IN 5534 04:10:01,182 --> 04:10:03,685 THE PAST TWO DAYS CAN BE 5535 04:10:03,685 --> 04:10:05,286 HIGHLIGHTED THROUGH CULINARY 5536 04:10:05,286 --> 04:10:05,587 INSTRUCTION. 5537 04:10:05,587 --> 04:10:07,922 IT PROVIDES A PATHWAY TO 5538 04:10:07,922 --> 04:10:08,523 INTRODUCING RECIPE AND DIET 5539 04:10:08,523 --> 04:10:11,593 FLEXIBILITY. 5540 04:10:11,593 --> 04:10:13,962 THE CULTURAL CENTERED COMPONENTS 5541 04:10:13,962 --> 04:10:16,998 OF THIS CAN INCLUDE ATTENTION TO 5542 04:10:16,998 --> 04:10:19,400 PARTICULAR FLAVOR AND FOOD TYPE 5543 04:10:19,400 --> 04:10:22,770 PREFERENCES, RECIPES THAT 5544 04:10:22,770 --> 04:10:24,606 COMBINE FLAVOR ELEMENTS AND 5545 04:10:24,606 --> 04:10:25,940 MEALS THAT REPRESENT ONE'S 5546 04:10:25,940 --> 04:10:28,076 CULTURE AND DISCUSSIONS ON MEAL 5547 04:10:28,076 --> 04:10:34,482 CYCLES OR HOW MEALS ARE USED TO 5548 04:10:34,482 --> 04:10:38,553 REPRESENT ORDINARY OR 5549 04:10:38,553 --> 04:10:41,990 CELEBRATORY OCCASIONS. 5550 04:10:41,990 --> 04:10:45,460 AND WE HAVE LOOK AT EATING TIMES 5551 04:10:45,460 --> 04:10:49,531 AND FREQUENCIES SUCH AS OTHER 5552 04:10:49,531 --> 04:10:50,398 DIETARY BEHAVIORS. 5553 04:10:50,398 --> 04:10:52,267 PERSONAL TRAITS SOMEONE MAY HAVE 5554 04:10:52,267 --> 04:10:55,003 OUTSIDE THEIR ONLY NICK IDENTITY 5555 04:10:55,003 --> 04:10:56,905 CULTURE AND AND IN PARTICULAR 5556 04:10:56,905 --> 04:10:58,640 WHEN WE ARE THINKING ABOUT FOOD 5557 04:10:58,640 --> 04:11:01,176 AND CULTURE WE NEED TO CONSIDER 5558 04:11:01,176 --> 04:11:02,110 MULTIPLE RELATIONSHIPS IN 5559 04:11:02,110 --> 04:11:03,778 MATERIALS OF ROLES SUCH AS THE 5560 04:11:03,778 --> 04:11:05,013 CARETAKER, IF A PERSON IS A 5561 04:11:05,013 --> 04:11:07,215 PARENT OR IF THEY'RE A MEMBER OF 5562 04:11:07,215 --> 04:11:12,487 A PARTICULAR END -- GENDER OR 5563 04:11:12,487 --> 04:11:16,491 SOCIAL GROUP WITHIN A CULTURE. 5564 04:11:16,491 --> 04:11:18,126 FURTHER CULTURE AS WE ALL KNOW 5565 04:11:18,126 --> 04:11:20,161 CAN BE INFLUENCED BY BOTH 5566 04:11:20,161 --> 04:11:22,363 STRUCTURE AND AGENCY. 5567 04:11:22,363 --> 04:11:25,600 WHERE STRUCTURE REPRESENTS THE 5568 04:11:25,600 --> 04:11:26,901 ENVIRONMENTAL STRUCTURES SUCH AS 5569 04:11:26,901 --> 04:11:27,902 FOOD ENVIRONMENT BUT CAN ALSO 5570 04:11:27,902 --> 04:11:30,805 INCLUDE THE STRUCTURE OF A 5571 04:11:30,805 --> 04:11:32,340 PERSON'S FAMILY OR INDIVIDUAL 5572 04:11:32,340 --> 04:11:33,441 ROUTINE AND AGENCY CAN REPRESENT 5573 04:11:33,441 --> 04:11:36,444 THEIR ABILITY TO MAKE PRACTICAL 5574 04:11:36,444 --> 04:11:38,713 AND NORMATIVE CHOICES IN 5575 04:11:38,713 --> 04:11:41,449 RESPONSE TO REAL TIME SITUATIONS 5576 04:11:41,449 --> 04:11:43,618 SUCH AS SELF-EFFICACY EXPRESSED 5577 04:11:43,618 --> 04:11:46,487 IN EARLIER PRESENTATIONS IN 5578 04:11:46,487 --> 04:11:50,124 ADDITION TO FOOD SKILLS. 5579 04:11:50,124 --> 04:11:51,726 SO WITHIN TEACHING KITCHEN 5580 04:11:51,726 --> 04:11:54,696 PROGRAMS, WE'RE LOOKING TO 5581 04:11:54,696 --> 04:11:56,064 ADDRESS FOOD IN CUISINE AND 5582 04:11:56,064 --> 04:12:00,368 CULTURE AND LOOKING FOR WAYS TO 5583 04:12:00,368 --> 04:12:02,070 ADDRESS AGENCY AS WELL AS THE 5584 04:12:02,070 --> 04:12:03,004 CONTEXTUAL CONSIDERING PEOPLE'S 5585 04:12:03,004 --> 04:12:06,007 STRUCTURE AND THEIR ACCESS TO 5586 04:12:06,007 --> 04:12:08,810 DIFFERENT FOOD TOPOLOGIES SUCH 5587 04:12:08,810 --> 04:12:11,246 AS CONVENIENCE STORES OR LOCAL 5588 04:12:11,246 --> 04:12:13,848 FARMERS MARKETS AND WORKING WITH 5589 04:12:13,848 --> 04:12:18,453 LOCAL ADVOCACY GROUPS AND FOOD 5590 04:12:18,453 --> 04:12:20,555 BANKS AND INTERVENTIONS AND 5591 04:12:20,555 --> 04:12:23,258 SINCE THE COVID PANDEMIC WE HAVE 5592 04:12:23,258 --> 04:12:24,559 ABLE TO THINK ABOUT 5593 04:12:24,559 --> 04:12:26,494 NON-TRADITIONAL AND DIVERSE 5594 04:12:26,494 --> 04:12:27,562 SETTINGS SUCH AS MOBILE TEACHING 5595 04:12:27,562 --> 04:12:30,331 KITCHEN AND POP-UP KITCHEN IN 5596 04:12:30,331 --> 04:12:35,670 ORDER TO PROVIDE CURRICULUM. 5597 04:12:35,670 --> 04:12:37,305 AS I MENTIONED WITH THE PANDEMIC 5598 04:12:37,305 --> 04:12:39,774 WE SOUGHT OUT DIFFERENT 5599 04:12:39,774 --> 04:12:41,042 NON-TRADITIONAL SETTINGS AND 5600 04:12:41,042 --> 04:12:42,410 MOST IMPORTANTLY THESE 5601 04:12:42,410 --> 04:12:44,279 NON-TRADITIONAL SETTINGS HAVE 5602 04:12:44,279 --> 04:12:45,013 INCLUDED VIRTUAL TEACHING 5603 04:12:45,013 --> 04:12:49,017 KITCHEN IN WHICH WE HAVE 5604 04:12:49,017 --> 04:12:52,987 CONVERTED ZOOM ROOMS INTO 5605 04:12:52,987 --> 04:12:55,056 CHEF-LED KITCHEN FOR PEOPLE TO 5606 04:12:55,056 --> 04:12:58,026 LEARN HOW TO IMPLEMENT RECIPES 5607 04:12:58,026 --> 04:12:59,193 OR NUTRITION EDUCATION WITHIN 5608 04:12:59,193 --> 04:13:00,595 THEIR HOMES AND ALLOW FOR 5609 04:13:00,595 --> 04:13:02,864 REAL-TIME IMPLEMENTATION OF 5610 04:13:02,864 --> 04:13:06,668 THEIR PANTRIES AS WELL THEIR 5611 04:13:06,668 --> 04:13:10,505 FAMILY AND PERSONAL FLAVOR 5612 04:13:10,505 --> 04:13:11,806 CHOICES. 5613 04:13:11,806 --> 04:13:14,709 SO NOW I'LL DISCUSS TWO TEACHING 5614 04:13:14,709 --> 04:13:16,010 KITCHEN PROGRAMS THAT EXEMPLIFY 5615 04:13:16,010 --> 04:13:18,513 THE ABILITY TO PROVIDE 5616 04:13:18,513 --> 04:13:20,281 CULTURE-CENTERED INTERVENTIONS 5617 04:13:20,281 --> 04:13:21,716 AND INCORPORATING CONSIDERATIONS 5618 04:13:21,716 --> 04:13:22,283 OF AGENCY AND ENVIRONMENTAL 5619 04:13:22,283 --> 04:13:24,118 STRUCTURE. 5620 04:13:24,118 --> 04:13:25,753 THE FIRST IS A STUDY IN 5621 04:13:25,753 --> 04:13:28,956 PHILADELPHIA CONDUCTED AT THE 5622 04:13:28,956 --> 04:13:30,925 LIBRARY OF PHILADELPHIA IN 5623 04:13:30,925 --> 04:13:33,294 COLLABORATION WITH THE PHILLY 5624 04:13:33,294 --> 04:13:34,429 AUTISM PROJECT AT DREXEL 5625 04:13:34,429 --> 04:13:35,663 UNIVERSITY AND MY TEAM AT NIH. 5626 04:13:35,663 --> 04:13:38,032 THE PROGRAM IS CALLED COOKING 5627 04:13:38,032 --> 04:13:38,866 WITH CONFIDENCE. 5628 04:13:38,866 --> 04:13:41,169 IT'S A SIX-WEEK COOKING 5629 04:13:41,169 --> 04:13:42,337 INTERVENTION FOR LOW-INCOME 5630 04:13:42,337 --> 04:13:44,539 YOUNG ADULTS LIVING ON THE 5631 04:13:44,539 --> 04:13:45,940 AUTISM SPECTRUM. 5632 04:13:45,940 --> 04:13:47,508 THIS ALLOWS FOR THE DELIVERY OF 5633 04:13:47,508 --> 04:13:51,646 CLASSES TO REMAIN WITHIN THE 5634 04:13:51,646 --> 04:13:52,480 COMMUNITY WITHIN LIBRARY CENTERS 5635 04:13:52,480 --> 04:13:55,616 AND THERE'S A FOCUS NOT ON 5636 04:13:55,616 --> 04:13:59,587 PARTICULAR FOODS OR PARTICULAR 5637 04:13:59,587 --> 04:14:01,255 DIETARY PATTERN BUT EXPERIENTIAL 5638 04:14:01,255 --> 04:14:04,659 LEARNING IN OUR CLASSES TO 5639 04:14:04,659 --> 04:14:07,662 EXPAND DIETARY CHOICES RELATED 5640 04:14:07,662 --> 04:14:08,996 TO FOOD TEXTURE. 5641 04:14:08,996 --> 04:14:11,032 SOME OF THE INITIAL PRE AND POST 5642 04:14:11,032 --> 04:14:13,501 RESULTS WE HAVE SHOW IMPROVEMENT 5643 04:14:13,501 --> 04:14:17,939 ON SELF-EFFICACY AND BECAUSE WE 5644 04:14:17,939 --> 04:14:19,607 HAVE A FOCUS ON EXPERIENTIAL 5645 04:14:19,607 --> 04:14:21,075 LEARNING WE WANT TO LOOK AT 5646 04:14:21,075 --> 04:14:22,877 FOCUS FOR FUTURE INTERVENTIONS 5647 04:14:22,877 --> 04:14:23,978 SUCH AS KNIFE SKILLS WITHIN THE 5648 04:14:23,978 --> 04:14:25,513 TARGET GRUP. 5649 04:14:25,513 --> 04:14:29,484 TARGET GROUP. 5650 04:14:29,484 --> 04:14:31,419 ANOTHER TEACHING KITCHEN EXAMPLE 5651 04:14:31,419 --> 04:14:34,789 OUR TEAM AT NIH LEADS IS CALLED 5652 04:14:34,789 --> 04:14:36,257 DC COOKS. 5653 04:14:36,257 --> 04:14:38,793 IT EVALUATES THE PROGRAM ON 5654 04:14:38,793 --> 04:14:41,028 CARDIOVASCULAR RISK FACTOR 5655 04:14:41,028 --> 04:14:42,697 REDUCTION FOR AFRICAN AMERICANS 5656 04:14:42,697 --> 04:14:43,331 LIVING WITHIN WASHINGTON, D.C. 5657 04:14:43,331 --> 04:14:44,899 AND THE KEY PART OF THIS STUDY 5658 04:14:44,899 --> 04:14:47,535 IS THAT WE WERE NOT JUST 5659 04:14:47,535 --> 04:14:49,137 CULTURALLY SENSITIVE TO 5660 04:14:49,137 --> 04:14:49,771 TRADITIONAL AFRICAN AMERICAN 5661 04:14:49,771 --> 04:14:51,372 FOODS BUT ALSO CULTURALLY 5662 04:14:51,372 --> 04:14:53,107 SPECIFIC TO THE RESIDENTIAL AREA 5663 04:14:53,107 --> 04:14:54,675 OF THE PARTICIPANTS. 5664 04:14:54,675 --> 04:14:57,979 SO FOR EXAMPLE WE PARTNERED WITH 5665 04:14:57,979 --> 04:15:00,448 A NON-PROFIT FOOD BANK 5666 04:15:00,448 --> 04:15:01,616 ORGANIZATION IN ORDER TO 5667 04:15:01,616 --> 04:15:03,384 IDENTIFY HOW TO PROVISION FOODS 5668 04:15:03,384 --> 04:15:04,919 FOR OUR VIRTUAL CLASSES. 5669 04:15:04,919 --> 04:15:08,055 AND THEN WE ALSO IDENTIFIED A 5670 04:15:08,055 --> 04:15:09,624 CHEF INTERVENTIONIST SELECTED 5671 04:15:09,624 --> 04:15:12,994 FROM THE NEIGHBORHOOD AND THEN 5672 04:15:12,994 --> 04:15:15,062 HAVE WORKED CONTINUALLY AND 5673 04:15:15,062 --> 04:15:20,201 GUIDED BY OUR ADVISORY BOARD. 5674 04:15:20,201 --> 04:15:23,004 THEN LASTLY WITHIN THE STUDY WE 5675 04:15:23,004 --> 04:15:25,473 ADHERE TO THE IDEA OF DIET 5676 04:15:25,473 --> 04:15:27,241 FLEXIBILITY AND VIRTUAL 5677 04:15:27,241 --> 04:15:28,676 SETTINGS. 5678 04:15:28,676 --> 04:15:31,813 THE RECIPES EMPHASIZE THE FOOD 5679 04:15:31,813 --> 04:15:36,918 GROUPS INSTEAD OF SPECIFIC FOODS 5680 04:15:36,918 --> 04:15:40,188 AND THE ABILITY FOR OUR 5681 04:15:40,188 --> 04:15:41,289 PARTICIPANTS TO SUBSTITUTE OR 5682 04:15:41,289 --> 04:15:44,525 ADD IN FROM THEIR OWN PANTRY AND 5683 04:15:44,525 --> 04:15:46,260 IDENTIFY IF THE RECIPES WORK FOR 5684 04:15:46,260 --> 04:15:47,161 THEIR FAMILIES, TRADITION AND 5685 04:15:47,161 --> 04:15:49,130 CULTURE. 5686 04:15:49,130 --> 04:15:51,232 AND SO TO CONCLUDE THERE'S STILL 5687 04:15:51,232 --> 04:15:54,669 SIGNIFICANT GAPS THAT NEED TO BE 5688 04:15:54,669 --> 04:15:56,737 ADDRESSED IN TERM OF PROVIDING 5689 04:15:56,737 --> 04:15:58,773 CULTURALLY CENTERED DIETARY 5690 04:15:58,773 --> 04:15:59,106 INTERVENTIONS. 5691 04:15:59,106 --> 04:16:01,342 FOR ONE IN THE INTEREST OF TIME 5692 04:16:01,342 --> 04:16:02,710 I'LL HIGHLIGHT A COUPLE. 5693 04:16:02,710 --> 04:16:04,178 IN TERMS OF GENERAL RESEARCH 5694 04:16:04,178 --> 04:16:06,781 GAPS THERE'S STILL AN OVER ALL 5695 04:16:06,781 --> 04:16:08,816 LACK OF INFORMATION AT THE 5696 04:16:08,816 --> 04:16:10,651 EPIDEMIOLOGICAL LEVEL REGARDING 5697 04:16:10,651 --> 04:16:14,655 CULTURE-CENTERED QUESTIONS ON 5698 04:16:14,655 --> 04:16:16,791 MEAL PREPARATION AND DIETARY 5699 04:16:16,791 --> 04:16:17,158 BEHAVIOR. 5700 04:16:17,158 --> 04:16:18,926 WITH THE LACK OF DATA THERE'S 5701 04:16:18,926 --> 04:16:20,094 LESS INFORMATION TO GUIDE 5702 04:16:20,094 --> 04:16:22,997 TEACHING KITCHEN PROGRAMS. 5703 04:16:22,997 --> 04:16:26,000 IN TERMS OF METHODOLOGICAL GAPS 5704 04:16:26,000 --> 04:16:27,969 THERE'S NOT ENOUGH ATTENTION ON 5705 04:16:27,969 --> 04:16:29,003 MECHANISMS THAT LED TO DIET 5706 04:16:29,003 --> 04:16:31,572 QUALITY CHANGES AND THAT ALLOW 5707 04:16:31,572 --> 04:16:34,342 PEOPLE TO RETAIN A CULTURALLY 5708 04:16:34,342 --> 04:16:36,644 CENTERED DIET AND LASTLY IN 5709 04:16:36,644 --> 04:16:37,578 TERMS OF GENERAL KNOWLEDGE GAPS 5710 04:16:37,578 --> 04:16:40,047 HOW CAN WE PROMOTE INCLUSION OF 5711 04:16:40,047 --> 04:16:41,849 BIOMARKERS AND PSYCHOSOCIAL 5712 04:16:41,849 --> 04:16:42,717 VARIABLES WITHIN TEACHING 5713 04:16:42,717 --> 04:16:47,455 KITCHEN PROGRAMS SO WE CAN ALLOW 5714 04:16:47,455 --> 04:16:49,023 FOR THE TRANSLATION FOR CLINICAL 5715 04:16:49,023 --> 04:16:50,057 OUTCOMES THAT ARE REPRESENTED IN 5716 04:16:50,057 --> 04:16:51,526 THE HEALTH DISPARITIES. 5717 04:16:51,526 --> 04:16:53,461 AND WITH THAT I'LL END MY TALK 5718 04:16:53,461 --> 04:16:53,661 THERE. 5719 04:16:53,661 --> 04:17:00,301 I TRIED TO STAY WITHIN TIME. 5720 04:17:00,301 --> 04:17:01,068 >> THANK YOU. 5721 04:17:01,068 --> 04:17:03,037 AND WE HAVE A GRACE OF A 5722 04:17:03,037 --> 04:17:05,206 FIVE-MINUTE PERIOD TO WRAP UP 5723 04:17:05,206 --> 04:17:10,378 AND THEN TRANSITION TO FLASH 5724 04:17:10,378 --> 04:17:20,488 TALKS. 5725 04:17:38,506 --> 04:17:40,408 AND THEY'RE WORK IS TRANSLATED 5726 04:17:40,408 --> 04:17:41,042 INTO IN THE COMMUNITIES THEY 5727 04:17:41,042 --> 04:17:51,252 HIGHLIGHTED. 5728 04:18:01,629 --> 04:18:03,497 >> I'VE BEEN IN THE INVENTION 5729 04:18:03,497 --> 04:18:06,834 SPACE FOR A VERY LONG TIME. 5730 04:18:06,834 --> 04:18:08,936 AND IT'S WONDERFUL TO SEE HOW 5731 04:18:08,936 --> 04:18:11,872 DIFFERENT METHODOLOGIES HAVE 5732 04:18:11,872 --> 04:18:12,773 PROGRESSED AND ADVANCED. 5733 04:18:12,773 --> 04:18:15,643 HOW MUCH THEY'VE BEEN ACCEPTED 5734 04:18:15,643 --> 04:18:21,616 BY WIDER ACADEMIC AUDIENCES AND 5735 04:18:21,616 --> 04:18:31,058 I THINK THE BIGGEST AHA IS 5736 04:18:31,058 --> 04:18:32,426 ADDRESSING BEHAVIORS AND 5737 04:18:32,426 --> 04:18:33,928 INFLUENCE THE OUTCOME OF THE 5738 04:18:33,928 --> 04:18:36,697 DIVERSE COMMUNITY WE SERVE. 5739 04:18:36,697 --> 04:18:40,434 WE CERTAINLY HAVE WORK BEFORE US 5740 04:18:40,434 --> 04:18:42,770 FOR YEARS TO COME AND IT'S 5741 04:18:42,770 --> 04:18:43,738 ENCOURAGING THERE'S SO MANY 5742 04:18:43,738 --> 04:18:45,373 YOUNG PEOPLE WILLING AND ABLE TO 5743 04:18:45,373 --> 04:18:48,342 PARTICIPATE IN THE WORK AND 5744 04:18:48,342 --> 04:18:49,777 COMMIT TO MAKING CHANGE. 5745 04:18:49,777 --> 04:18:50,911 IT'S BEEN VERY GRATIFYING TO 5746 04:18:50,911 --> 04:18:52,713 PARTICIPATE IN THIS CONFERENCE. 5747 04:18:52,713 --> 04:18:54,649 >> I THINK THAT WAS A GREAT 5748 04:18:54,649 --> 04:18:57,284 SUMMARY OF THE TWO-DAY WORKSHOP 5749 04:18:57,284 --> 04:18:58,586 IN WHOLE. 5750 04:18:58,586 --> 04:19:00,621 DIANE, I'LL GO TO YOU. 5751 04:19:00,621 --> 04:19:01,355 >> THANK YOU. 5752 04:19:01,355 --> 04:19:04,792 WE'RE AT THEN OF OUR FIVE-YEAR 5753 04:19:04,792 --> 04:19:05,292 COOPERATIVE AGREEMENT. 5754 04:19:05,292 --> 04:19:07,161 WE'RE STARTING TO REALLY BE ABLE 5755 04:19:07,161 --> 04:19:10,598 TO DEVELOP THE SUCCESS STORIES 5756 04:19:10,598 --> 04:19:12,767 AND HEAR WHAT THE FIVE-YEAR 5757 04:19:12,767 --> 04:19:14,869 INVESTMENT OF TIME, MONEY AND 5758 04:19:14,869 --> 04:19:18,606 LOVE TO THE WORK FROM ALL OF US 5759 04:19:18,606 --> 04:19:23,678 FROM THE STAFF AND DNPO TO THE 5760 04:19:23,678 --> 04:19:24,879 STAFF IN THE RECIPIENT GROUPS 5761 04:19:24,879 --> 04:19:26,280 AND COMMUNITIES THEY SERVE. 5762 04:19:26,280 --> 04:19:29,083 IT'S AN EXCITING TIME AND WE'RE 5763 04:19:29,083 --> 04:19:31,919 JUST ABOUT TO LAUNCH ANOTHER SET 5764 04:19:31,919 --> 04:19:33,421 OF FIVE YEAR COOPERATIVE 5765 04:19:33,421 --> 04:19:35,423 AGREEMENTS AND GET TO KNOW A 5766 04:19:35,423 --> 04:19:40,261 WHOLE NEW SET OF RECIPIENTS. 5767 04:19:40,261 --> 04:19:42,963 IT'S A GREAT TRANSITION TIME AND 5768 04:19:42,963 --> 04:19:45,266 THE JOY IS IN SEEING THE 5769 04:19:45,266 --> 04:19:46,634 CULMINATION OF THE LAST FIVE 5770 04:19:46,634 --> 04:19:47,768 YEARS AND LAUNCHING INTO THE 5771 04:19:47,768 --> 04:19:58,045 NEXT FIVE YEARS. 5772 04:19:59,480 --> 04:20:09,957 >> WHAT BRINGS ME TODAY IS ONE 5773 04:20:11,692 --> 04:20:12,226 THE PROGRAM THAT PEOPLE WANT 5774 04:20:12,226 --> 04:20:19,633 MORE. 5775 04:20:19,633 --> 04:20:25,906 AND I HEARD IT FROM OTHER 5776 04:20:25,906 --> 04:20:29,510 PROGRAMS ALSO I THINK THERE'S A 5777 04:20:29,510 --> 04:20:34,882 DEEP NEED NOT BEING MET BECAUSE 5778 04:20:34,882 --> 04:20:37,785 PEOPLE HAVE ANOTHER PLACE TO GO 5779 04:20:37,785 --> 04:20:42,123 TO SO WHAT WAS THE SILVER LINING 5780 04:20:42,123 --> 04:20:42,990 OF THE PANDEMIC WAS THAT 5781 04:20:42,990 --> 04:20:44,692 EVERYBODY OR MOST PEOPLE GOT 5782 04:20:44,692 --> 04:20:46,494 USED TO DOING THINGS ONLINE AND 5783 04:20:46,494 --> 04:20:47,895 REALIZED THEY CAN GO HOME AND 5784 04:20:47,895 --> 04:20:53,167 PUT ON THEIR PAJAMA PANTS AND 5785 04:20:53,167 --> 04:20:53,901 COULD STILL DO SOMETHING FOR 5786 04:20:53,901 --> 04:21:02,777 THEIR HEALTH. 5787 04:21:02,777 --> 04:21:03,778 AND WE'RE ON THE RIGHT TRACK 5788 04:21:03,778 --> 04:21:11,886 WITH WHAT WE HAVE DONE SO FAR 5789 04:21:11,886 --> 04:21:14,588 WE'RE GOING TO TACKLE FOOD 5790 04:21:14,588 --> 04:21:17,024 ACCESS IN KIND AND COOKING AND 5791 04:21:17,024 --> 04:21:23,864 ALL OF THE ABOVE AND 5792 04:21:23,864 --> 04:21:25,065 RESTAURANTS. 5793 04:21:25,065 --> 04:21:26,767 >> LOOKS LIKE YOU'RE DOING AN 5794 04:21:26,767 --> 04:21:27,368 OUTSTANDING JOB BUILDING THE 5795 04:21:27,368 --> 04:21:34,975 PIPELINE. 5796 04:21:34,975 --> 04:21:36,610 >> I'D LIKE TO SAY AS AN 5797 04:21:36,610 --> 04:21:37,912 EVALUATOR I GET TO TALK DIRECTLY 5798 04:21:37,912 --> 04:21:38,579 WITH A LOT OF THE AGENCIES WE 5799 04:21:38,579 --> 04:21:48,756 WORK WITH. 5800 04:21:52,026 --> 04:21:54,161 THERE'S A WAY OF INTERACTING AND 5801 04:21:54,161 --> 04:21:56,564 HAVING CONVERSATIONS AT 5802 04:21:56,564 --> 04:21:58,499 CULTURALLY APPROPRIATE GROCERY 5803 04:21:58,499 --> 04:22:03,270 STORES AND TRYING TO ENGAGE. 5804 04:22:03,270 --> 04:22:05,239 >> THE DIRECT FEEDBACK FROM 5805 04:22:05,239 --> 04:22:07,408 CLIENTS AND NEIGHBORS ACCESSING 5806 04:22:07,408 --> 04:22:10,411 THE CHARITABLE FOOD SYSTEMS ARE 5807 04:22:10,411 --> 04:22:12,279 RECEIVING FOODS THEY LIKE AND 5808 04:22:12,279 --> 04:22:13,781 ARE FAMILIAR WITH AND FEEL HEARD 5809 04:22:13,781 --> 04:22:14,915 AND SEEN AND SOMETHING THEY'VE 5810 04:22:14,915 --> 04:22:16,717 BEEN LOOK FOR A LONG TIME AND 5811 04:22:16,717 --> 04:22:18,552 PLEASED AND SATISFIED. 5812 04:22:18,552 --> 04:22:24,191 >> AND YOU GUYS HAVE QUESTIONS 5813 04:22:24,191 --> 04:22:34,735 AND ANYTHING FROM DR. FARMER OR 5814 04:22:35,936 --> 04:22:36,103 ANYONE. 5815 04:22:36,103 --> 04:22:37,471 >> WHEN WE TALK TO THE COMMUNITY 5816 04:22:37,471 --> 04:22:38,839 AND THEY ASK FOR MORE PROGRAMS 5817 04:22:38,839 --> 04:22:49,350 LIKE OTHER SPEAKERS HAVE SAID. 5818 04:22:49,650 --> 04:22:52,786 THE MOST IMPORTANT THING IS THEY 5819 04:22:52,786 --> 04:22:55,189 DEMAND MORE VEGETABLES AN IT'S 5820 04:22:55,189 --> 04:22:59,793 WILL THE PART OF THE JOY. 5821 04:22:59,793 --> 04:23:06,634 >> I THINK FOR US IT'S HOW WE'RE 5822 04:23:06,634 --> 04:23:08,202 ADDRESSING THE RECOMMENDATION 5823 04:23:08,202 --> 04:23:09,503 AREAS AND FROM THE EXPANSION 5824 04:23:09,503 --> 04:23:13,407 FROM TWO TO SIX AND NOW THE 5825 04:23:13,407 --> 04:23:17,278 MOBILE MARKETS AND HOURS ARE 5826 04:23:17,278 --> 04:23:18,879 BEING EXTENDED BRINGS ME THE JOY 5827 04:23:18,879 --> 04:23:24,585 OF THE IMPACT ON THE COMMUNITY. 5828 04:23:24,585 --> 04:23:26,520 >> GREAT IT SEE THE FEDERAL 5829 04:23:26,520 --> 04:23:27,621 SUPPORTS AND NON-GOVERNMENT 5830 04:23:27,621 --> 04:23:30,324 SUPPORTS MAKING THE PROJECTS 5831 04:23:30,324 --> 04:23:30,658 HAPPEN. 5832 04:23:30,658 --> 04:23:32,526 I GREATLY APPRECIATE THE PANEL'S 5833 04:23:32,526 --> 04:23:37,498 WORK TO BRING EVIDENCE INTO 5834 04:23:37,498 --> 04:23:42,870 PRACTICE AND WITH THAT I'LL 5835 04:23:42,870 --> 04:23:44,538 TRANSITION TO OUR MODERATOR TO 5836 04:23:44,538 --> 04:23:49,543 KICK OFF THE FLASH TALKS. 5837 04:23:49,543 --> 04:23:55,249 >> I'M A SENIOR SCIENTIST AND 5838 04:23:55,249 --> 04:24:00,321 POLICY ADVISER IN CDC. 5839 04:24:00,321 --> 04:24:02,456 I WORK ON ALMOST EVERYTHING IN 5840 04:24:02,456 --> 04:24:03,657 NUTRITION WHERE SCIENCE AND 5841 04:24:03,657 --> 04:24:05,492 POLICY INTERSECT AND SERVED ON 5842 04:24:05,492 --> 04:24:07,461 THE COMMITTEE FOR THE WORKSHOP. 5843 04:24:07,461 --> 04:24:09,663 I'LL BE THE MODERATOR FOR THE 5844 04:24:09,663 --> 04:24:12,199 FINAL FLASH TALK PRESENTATION. 5845 04:24:12,199 --> 04:24:13,734 EACH SPEAKER WILL SPEAK ABOUT 5846 04:24:13,734 --> 04:24:20,441 FIVE MINUTES FOLLOWED BY A 5847 04:24:20,441 --> 04:24:22,009 TWO-MINUTE AND SUBMIT QUESTIONS 5848 04:24:22,009 --> 04:24:24,712 IN THE LIVE FEEDBACK BUTTON IN 5849 04:24:24,712 --> 04:24:25,813 THE NIH VIDEOCAST. 5850 04:24:25,813 --> 04:24:28,115 OUR FIRST PRESENTER WILL PROMOTE 5851 04:24:28,115 --> 04:24:30,451 HEALTH EQUITY THROUGH CULTURALLY 5852 04:24:30,451 --> 04:24:32,353 APPROPRIATE INTERVENTIONS 5853 04:24:32,353 --> 04:24:33,487 SUPPORTING INDIVIDUALS WITH 5854 04:24:33,487 --> 04:24:43,764 HIGHER TENSION. 5855 04:24:48,669 --> 04:24:52,406 >> THANK YOU ALL FOR THIS 5856 04:24:52,406 --> 04:24:53,240 WONDERFUL PROGRAM TODAY. 5857 04:24:53,240 --> 04:24:55,576 I AM AN ASSISTANT PROFESSOR AT 5858 04:24:55,576 --> 04:24:58,312 ST. KATHERINE UNIVERSITY WORKING 5859 04:24:58,312 --> 04:25:01,915 AS A HEALTH EQUITY FELLOW WITH 5860 04:25:01,915 --> 04:25:03,484 C2 DREAM. 5861 04:25:03,484 --> 04:25:07,187 THANK YOU FOR HOLDING ME 5862 04:25:07,187 --> 04:25:09,123 ACCOUNTABLE AS A WHITE 5863 04:25:09,123 --> 04:25:09,990 PRESENTING WOMEN LEADING A 5864 04:25:09,990 --> 04:25:13,260 RESEARCH PROJECT RELATED TO FOOD 5865 04:25:13,260 --> 04:25:16,663 ACCESS IN AN IMMIGRANT HISPANIC 5866 04:25:16,663 --> 04:25:18,332 LATINO POPULATION. 5867 04:25:18,332 --> 04:25:19,600 I BELIEVE CULTURALLY APPROPRIATE 5868 04:25:19,600 --> 04:25:23,270 FOODS IS A RIGHT WE SHOULD ALL 5869 04:25:23,270 --> 04:25:26,373 HAVE REGARDLESS OF RACE AND 5870 04:25:26,373 --> 04:25:26,707 ETHNICITY. 5871 04:25:26,707 --> 04:25:28,809 I RECOGNIZE FOR ME FOOD IS A 5872 04:25:28,809 --> 04:25:31,045 PASSION AND FOOD CHOICE SAY 5873 04:25:31,045 --> 04:25:33,514 PRIVILEGE BUT WHEN INDIVIDUALS 5874 04:25:33,514 --> 04:25:35,883 LACK ACCESS TO THIS NECESSITY 5875 04:25:35,883 --> 04:25:38,485 AND AFFECTS OF OTHER DIMENSIONS 5876 04:25:38,485 --> 04:25:42,022 OF HEALTH CAN ENSUE. 5877 04:25:42,022 --> 04:25:45,092 THE DIETARY APPROACHES TO STOP 5878 04:25:45,092 --> 04:25:46,360 HYPERTENSION OR THE DASH EATING 5879 04:25:46,360 --> 04:25:51,231 PLAN IS KNOWN TO REDUCE BLOOD 5880 04:25:51,231 --> 04:25:52,666 PRESSURE AND OTHER FACTORS AND 5881 04:25:52,666 --> 04:25:54,802 RECOMMENDS FOUR TO FIVE SERVES 5882 04:25:54,802 --> 04:25:57,805 OF FRUITS AND VEGETABLE AND 5883 04:25:57,805 --> 04:25:59,540 WHOLE GRAINS AND LEGUMES AND 5884 04:25:59,540 --> 04:26:01,608 FISH AND POULTRY. 5885 04:26:01,608 --> 04:26:03,911 GUIDANCE FAVORS DIETARY PATTERNS 5886 04:26:03,911 --> 04:26:06,280 OF WHITE AFFLUENT INDIVIDUALS 5887 04:26:06,280 --> 04:26:11,652 UNDERMINING BARRIERS SIUCH AS 5888 04:26:11,652 --> 04:26:13,887 COST AND AVAILABILITY AND 5889 04:26:13,887 --> 04:26:19,693 THERE'S INTERVENTIONS AS WE'VE 5890 04:26:19,693 --> 04:26:21,728 SEEN IN THE WORKSHOP AND 5891 04:26:21,728 --> 04:26:22,563 PROVIDING EQUITY IN 5892 04:26:22,563 --> 04:26:23,464 CARDIOVASCULAR DISEASE 5893 04:26:23,464 --> 04:26:23,730 TREATMENT. 5894 04:26:23,730 --> 04:26:26,266 THE PROJECT AIMED TO MEASURE THE 5895 04:26:26,266 --> 04:26:30,838 EFFECT OF IMPROVED ACCESS TO 5896 04:26:30,838 --> 04:26:34,308 FRUITS AND VEGETABLES AND CARDIO 5897 04:26:34,308 --> 04:26:36,243 METABOLIC EFFECTS SUCH AS 5898 04:26:36,243 --> 04:26:39,012 SYSTOLIC AND DIASTOLIC BLOOD 5899 04:26:39,012 --> 04:26:42,816 PRESSURE AND WAIST CIRCUMFERENCE 5900 04:26:42,816 --> 04:26:47,521 AND POPULATION DIAGNOSED WITH 5901 04:26:47,521 --> 04:26:51,959 HYPERTENSION. 5902 04:26:51,959 --> 04:26:57,865 OUR STUDY USED A PHASED MIXED 5903 04:26:57,865 --> 04:27:02,769 METHOD APPROACH AND A DASH BOX 5904 04:27:02,769 --> 04:27:05,672 AND FOLLOWED BY AN INTERVIEW TO 5905 04:27:05,672 --> 04:27:08,041 GATHER FEEDBACK ON THE DASH BOX 5906 04:27:08,041 --> 04:27:10,410 CONTENTS AND THEN THOSE TWO 5907 04:27:10,410 --> 04:27:11,912 PHASES INFORMED PILOT TESTING 5908 04:27:11,912 --> 04:27:15,516 FOR THE OPEN CLINICAL TRIAL 5909 04:27:15,516 --> 04:27:16,917 INCLUDING DISTRIBUTION OF THE 5910 04:27:16,917 --> 04:27:18,485 DASH BOX SUPPORTED BY CHRONIC 5911 04:27:18,485 --> 04:27:28,829 DISEASE MANAGEMENT. 5912 04:27:35,369 --> 04:27:39,139 WE UTILIZED A LITERATURE 5913 04:27:39,139 --> 04:27:42,743 INFORMED SURVEY FOR THOSE WHO 5914 04:27:42,743 --> 04:27:44,678 SELF-IDENTIFIED AS HISPANIC OR 5915 04:27:44,678 --> 04:27:47,181 LATINO FOR THE DASH MEAL KIT 5916 04:27:47,181 --> 04:27:47,414 DESIGN. 5917 04:27:47,414 --> 04:27:53,187 WE DEVELOPED SIX FRUIT AND 5918 04:27:53,187 --> 04:27:55,122 VEGETABLE BOXES IN PREFERENCED 5919 04:27:55,122 --> 04:28:00,827 FROM TE SURVEY AND A KIT THAT 5920 04:28:00,827 --> 04:28:10,003 INCLUDED RICE, MASA FLOUR AND 5921 04:28:10,003 --> 04:28:10,971 FOOD INSECURITY WAS OVER 46% 5922 04:28:10,971 --> 04:28:11,505 HIGHER THAN THE NATIONAL 5923 04:28:11,505 --> 04:28:21,648 AVERAGE. 5924 04:28:23,617 --> 04:28:25,219 THE FRUITS AND VEGETABLES WERE 5925 04:28:25,219 --> 04:28:29,122 DISPLAYED. 5926 04:28:29,122 --> 04:28:31,491 AND INTERVIEWS GAINED INSIGHTS 5927 04:28:31,491 --> 04:28:34,861 ON PREFERENCES. 5928 04:28:34,861 --> 04:28:38,165 DATA SHOWED THAT TAY WERE 5929 04:28:38,165 --> 04:28:39,933 CONSUMING TWO AND A HALF SERVES 5930 04:28:39,933 --> 04:28:41,935 OF FRUITS AND VEGETABLES A DAY 5931 04:28:41,935 --> 04:28:45,505 FALLING SHORT OF THE GUIDELINES. 5932 04:28:45,505 --> 04:28:52,212 PARTICIPANTS PICKED BOX A AS 5933 04:28:52,212 --> 04:28:55,215 THEIR FIRST PREFERENCE AND FOUR 5934 04:28:55,215 --> 04:28:57,484 THEMES EMERGED RELATED TO 5935 04:28:57,484 --> 04:28:59,720 PREFERENCES NOTING THEY WANTED 5936 04:28:59,720 --> 04:29:01,855 ALL FRESH ITEMS AND BARRIERS 5937 04:29:01,855 --> 04:29:05,759 SUCH AS MONEY, TIME AND 5938 04:29:05,759 --> 04:29:07,094 TRANSPORTATION THAT MAKE IT 5939 04:29:07,094 --> 04:29:08,862 DIFFICULT TO OBTAIN FRUITS AND 5940 04:29:08,862 --> 04:29:14,735 VEGETABLES AND INDIVIDUALS 5941 04:29:14,735 --> 04:29:17,571 SHOWED ACKNOWLEDGE OF COOKING 5942 04:29:17,571 --> 04:29:18,171 PRESERVATION AND PORTION SIZE 5943 04:29:18,171 --> 04:29:28,649 EDUCATION WAS STILL NEEDED. 5944 04:29:56,143 --> 04:30:01,281 AND SOME WERE NOT ABLE TO 5945 04:30:01,281 --> 04:30:03,517 PARTICIPATE IN THE PROCUREMENT 5946 04:30:03,517 --> 04:30:08,188 OF THE MEALS AND PARTICIPANTS 5947 04:30:08,188 --> 04:30:13,327 FOUND A DECREASE IN STRESS FOR 5948 04:30:13,327 --> 04:30:15,095 OBTAINING INGREDIENTS FOR THE 5949 04:30:15,095 --> 04:30:17,898 PROGRAM AND THERE'S COMPLIANCE 5950 04:30:17,898 --> 04:30:24,738 AND SATISFACTION. 5951 04:30:24,738 --> 04:30:26,173 AND DEVELOP CULTURALLY 5952 04:30:26,173 --> 04:30:27,507 APPROPRIATE NUTRITION 5953 04:30:27,507 --> 04:30:29,676 INTERVENTION MEET DIETARY 5954 04:30:29,676 --> 04:30:32,813 RECOMMENDATIONS FOR INDIVIDUALS 5955 04:30:32,813 --> 04:30:34,848 MANAGING CHRONIC DISEASE TO 5956 04:30:34,848 --> 04:30:37,284 EFFECTIVE DO THIS THROUGH A DASH 5957 04:30:37,284 --> 04:30:38,685 EATING PLAN AND INCREASE ACCESS 5958 04:30:38,685 --> 04:30:43,256 TO FOOD AND VEGETABLES AND FOOD 5959 04:30:43,256 --> 04:30:44,157 SECURITY AS WELL AS CHRONIC 5960 04:30:44,157 --> 04:30:45,192 DISEASE MANAGEMENT. 5961 04:30:45,192 --> 04:30:47,227 THIS WORK SUGGEST AS A 5962 04:30:47,227 --> 04:30:49,296 CULTURALLY APPROPRIATE DASH BOX 5963 04:30:49,296 --> 04:30:52,032 MAY BE AN INVENTION TO LOWER 5964 04:30:52,032 --> 04:30:54,534 BLOOD PRESSURE FOR HISPANIC OR 5965 04:30:54,534 --> 04:30:55,168 LATINO INDIVIDUALS WITH 5966 04:30:55,168 --> 04:30:58,438 HYPERTENSION. 5967 04:30:58,438 --> 04:31:01,341 I WELCOME ANY QUESTIONS. 5968 04:31:01,341 --> 04:31:01,975 DO WE HAVE TWO MINUTES FOR 5969 04:31:01,975 --> 04:31:11,885 QUESTIONS? 5970 04:31:11,885 --> 04:31:13,653 >> I SEE RIGHT HERE SOMEONE 5971 04:31:13,653 --> 04:31:14,688 WROTE IN IS THERE THE 5972 04:31:14,688 --> 04:31:16,923 POSSIBILITY FOR A LARGER TRIAL? 5973 04:31:16,923 --> 04:31:17,958 >> THAT'S THE HOPE. 5974 04:31:17,958 --> 04:31:21,595 THIS PROJECT WAS FUNDED AS A 5975 04:31:21,595 --> 04:31:24,331 PILOT STUDY THROUGH A P50 5976 04:31:24,331 --> 04:31:24,564 CENTER. 5977 04:31:24,564 --> 04:31:25,365 THAT'S MY GOAL. 5978 04:31:25,365 --> 04:31:28,034 TO TRY TO EXPAND THIS TO A 5979 04:31:28,034 --> 04:31:30,504 LARGER TRIAL AND A LARGER SPACE 5980 04:31:30,504 --> 04:31:32,339 KNOWING THAT COMMUNITY-BASED 5981 04:31:32,339 --> 04:31:33,006 PARTICIPATORY RESEARCH PRACTICES 5982 04:31:33,006 --> 04:31:39,346 HAVE SUPPORTED THE INTERVENTION. 5983 04:31:39,346 --> 04:31:40,614 >> I BELIEVE WE ONLY HAVE TIME 5984 04:31:40,614 --> 04:31:48,188 FOR ONE QUESTION EACH. 5985 04:31:48,188 --> 04:31:49,689 >> THE NEXT SLIDE ARE MY 5986 04:31:49,689 --> 04:31:50,490 ACKNOWLEDGEMENTS. 5987 04:31:50,490 --> 04:32:00,667 THANK YOU. 5988 04:32:02,803 --> 04:32:04,471 >> AND WE'LL HAVE A PRESENTATION 5989 04:32:04,471 --> 04:32:06,339 ON PERCEIVED FACILITATORS AND 5990 04:32:06,339 --> 04:32:09,876 BARRIERS TO IMPLEMENTING 5991 04:32:09,876 --> 04:32:12,245 CULTURALLY INCLUSIVE DIETS INTO 5992 04:32:12,245 --> 04:32:13,747 HOSPITAL AND LONG-TERM CARE 5993 04:32:13,747 --> 04:32:14,714 FACILITIES. 5994 04:32:14,714 --> 04:32:14,948 WELCOME. 5995 04:32:14,948 --> 04:32:16,983 >> GOOD AFTERNOON AND THANK YOU 5996 04:32:16,983 --> 04:32:19,119 FOR THE OPPORTUNITY TO PRESENT 5997 04:32:19,119 --> 04:32:21,054 MY WORK TODAY ON PERCEIVED 5998 04:32:21,054 --> 04:32:23,089 FACILITATORS AND BARRIERS TO 5999 04:32:23,089 --> 04:32:25,792 IMPLEMENTING CULTURALLY 6000 04:32:25,792 --> 04:32:26,927 INCLUSIVE DIETS IN HOSPITAL 6001 04:32:26,927 --> 04:32:29,629 LONG-TERM CARE FACILITIES AS 6002 04:32:29,629 --> 04:32:30,997 PART OF THE INSPIRING WORKSHOP 6003 04:32:30,997 --> 04:32:35,669 WITH INTERESTING AND INNOVATIVE 6004 04:32:35,669 --> 04:32:35,869 WORK. 6005 04:32:35,869 --> 04:32:37,237 I'D LIKE TO ACKNOWLEDGE THE FUND 6006 04:32:37,237 --> 04:32:40,440 FROM THE UNIVERSITY OF ILLINOIS 6007 04:32:40,440 --> 04:32:45,011 THAT SUPPORTED THIS WORK WITH MY 6008 04:32:45,011 --> 04:32:46,046 COLLABORATORS AT ILLINOIS AS 6009 04:32:46,046 --> 04:32:46,580 WELL AS THE UNIVERSITY OF 6010 04:32:46,580 --> 04:32:52,486 CHICAGO. 6011 04:32:52,486 --> 04:32:54,120 AND LONG-TERM CARE IS 6012 04:32:54,120 --> 04:32:56,857 INCREASINGLY UTILIZED FOR ADULTS 6013 04:32:56,857 --> 04:32:59,025 OF COLOR AS WELL AS OLDER 6014 04:32:59,025 --> 04:33:00,460 IMMIGRANT AND ETHNIC MINORITY 6015 04:33:00,460 --> 04:33:02,462 ADULTS FACE DISPARITIES IN TERMS 6016 04:33:02,462 --> 04:33:04,264 OF EXPERIENCING WORSE HEALTH 6017 04:33:04,264 --> 04:33:05,499 OUTCOMES, LOWER LEVELS OF SOCIAL 6018 04:33:05,499 --> 04:33:08,702 ENGAGEMENT AND POORER QUALITY OF 6019 04:33:08,702 --> 04:33:09,703 CARE IN THE INSTITUTIONAL 6020 04:33:09,703 --> 04:33:11,571 SETTINGS SUCH AS HOSPITALS AND 6021 04:33:11,571 --> 04:33:13,573 LONG-TERM CARE ENVIRONMENTS. 6022 04:33:13,573 --> 04:33:15,809 BUT RESEARCH AND RELATED EFFORTS 6023 04:33:15,809 --> 04:33:19,546 TO IMPROVED CULTURAL INCLUSIVITY 6024 04:33:19,546 --> 04:33:24,150 IN LONG-TERM CARE SPECIFICALLY 6025 04:33:24,150 --> 04:33:26,453 HAVE EXCLUDED CONSIDERATION OF 6026 04:33:26,453 --> 04:33:26,653 DIET. 6027 04:33:26,653 --> 04:33:28,989 WE SET OUT TO IDENTIFY THE 6028 04:33:28,989 --> 04:33:31,091 FACILITATORS AND BARRIERS TO 6029 04:33:31,091 --> 04:33:34,561 IMPLEMENTING THESE TYPE OF 6030 04:33:34,561 --> 04:33:36,263 CULTURALLY INCLUSIVE FOODS 6031 04:33:36,263 --> 04:33:36,930 INCLUDING LONG-TERM CARE 6032 04:33:36,930 --> 04:33:40,467 SETTINGS AS WELL AS HOSPITALS. 6033 04:33:40,467 --> 04:33:43,003 WE CONDUCTED AN ONLINE 6034 04:33:43,003 --> 04:33:44,604 NATIONWIDE CROSS-SECTIONAL 6035 04:33:44,604 --> 04:33:47,073 SURVEY BETWEEN JUNE AND OCTOBER 6036 04:33:47,073 --> 04:33:55,315 OF 2022 WITH 118 REGISTERED D 6037 04:33:55,315 --> 04:33:57,551 DIETICIANS AND OF OUR FINAL 6038 04:33:57,551 --> 04:34:00,453 SAMPLE OF 118, 37% WORKED IN A 6039 04:34:00,453 --> 04:34:10,864 LONG-TERM CARE FACILITY. 6040 04:34:14,200 --> 04:34:20,674 AND IMPLEMENTED CULTURALLY 6041 04:34:20,674 --> 04:34:21,775 INCLUSIVE DIETS AND WHAT THEY 6042 04:34:21,775 --> 04:34:22,342 BELIEVED WERE THE TOP THREE 6043 04:34:22,342 --> 04:34:32,519 BARRIERS. 6044 04:34:45,031 --> 04:34:46,366 AND THERE WERE 106 RESPONDENTS 6045 04:34:46,366 --> 04:34:49,069 AND THE LIST OF BARRIERS ARE ON 6046 04:34:49,069 --> 04:34:51,104 THE LEFT AND THE BARS REFLECT 6047 04:34:51,104 --> 04:34:52,572 THE PERCENTAGE RESPONDENTS 6048 04:34:52,572 --> 04:34:57,611 REPORTING EACH BARRIER. 6049 04:34:57,611 --> 04:35:08,121 THE BLUE BAR THERE WAS STAFF 6050 04:35:10,056 --> 04:35:11,558 CULTURAL KNOWLEDGE AND AWARENESS 6051 04:35:11,558 --> 04:35:12,759 AND THE SECOND MOST COMMON WAS 6052 04:35:12,759 --> 04:35:23,169 THE COST OF INGREDIENTS. 6053 04:35:49,362 --> 04:35:51,464 THEY DISCUSSED COLLABORATION AND 6054 04:35:51,464 --> 04:35:53,600 DIVERSITY AND DESCRIBED 6055 04:35:53,600 --> 04:35:54,768 PARTNERSHIPS WITH SPECIALTY 6056 04:35:54,768 --> 04:35:56,936 SCORES AND ETHNIC FOOD VENDORS 6057 04:35:56,936 --> 04:35:58,271 WITH CONSISTENT EFFORTS TO 6058 04:35:58,271 --> 04:35:59,439 SOLICIT PATIENT FEEDBACK AND 6059 04:35:59,439 --> 04:36:00,940 IDEAS TO DEMONSTRATE A DEMAND 6060 04:36:00,940 --> 04:36:01,441 FOR CHANGE WITHIN THESE 6061 04:36:01,441 --> 04:36:10,784 FACILITIES. 6062 04:36:10,784 --> 04:36:16,122 AND THAT WOULD DRIVE THE NEED 6063 04:36:16,122 --> 04:36:18,625 FOR ADDRESSING CHANGE. 6064 04:36:18,625 --> 04:36:20,560 OUR STUDY SUGGESTIONS THREE 6065 04:36:20,560 --> 04:36:22,862 PRIORITIES IN MOVING THE NEED 6066 04:36:22,862 --> 04:36:27,901 TOWARDS CULTURALLY INCLUSIVE 6067 04:36:27,901 --> 04:36:30,103 FOODS AND FIRST IS POLICIES THAT 6068 04:36:30,103 --> 04:36:33,173 PROVIDE CLEAR GUIDANCE ON HOW TO 6069 04:36:33,173 --> 04:36:34,841 INCORPORATE CULTURALLY INCLUSIVE 6070 04:36:34,841 --> 04:36:35,909 FOOD IN LONG-TERM CARE AND 6071 04:36:35,909 --> 04:36:38,645 THEY'RE CONVEYED EFFECTIVELY AND 6072 04:36:38,645 --> 04:36:44,084 CLERL TO STA-- CLEARLY IT STAFFD 6073 04:36:44,084 --> 04:36:46,653 A WILLINGNESS TO CHANGE AMONG 6074 04:36:46,653 --> 04:36:49,923 STAFF AND THE THIRD IS PATIENT 6075 04:36:49,923 --> 04:36:54,427 ENGAGEMENT AND LEARNING FROM 6076 04:36:54,427 --> 04:36:55,995 CULTURALLY DIVERSE PATIENTS AND 6077 04:36:55,995 --> 04:36:57,731 WHAT FOODS ARE IMPORTANT TO THE 6078 04:36:57,731 --> 04:37:00,500 HEALING PROCESS CRITICAL TO 6079 04:37:00,500 --> 04:37:01,601 IMPROVING AWARENESS AMONG 6080 04:37:01,601 --> 04:37:03,236 PERSONNEL IN THE FACILITIES. 6081 04:37:03,236 --> 04:37:06,106 THIS STARTS WITH ASKING S AND 6082 04:37:06,106 --> 04:37:10,143 SOLICITING FEEDBACK AND FINDING 6083 04:37:10,143 --> 04:37:11,978 INNOVATIVE WAYS TO SERVE 6084 04:37:11,978 --> 04:37:14,347 CULTURALLY RELEVANT FOODS IN 6085 04:37:14,347 --> 04:37:15,682 HEALTH CARE FACILITIES. 6086 04:37:15,682 --> 04:37:16,683 THANK YOU VERY MUCH AND HERE'S 6087 04:37:16,683 --> 04:37:18,351 MY CONTACT INFORMATION AND I 6088 04:37:18,351 --> 04:37:19,185 WELCOME ANY QUESTIONS IF WE HAVE 6089 04:37:19,185 --> 04:37:29,295 TIME. 6090 04:37:41,975 --> 04:37:52,418 >> THERE'S WILLINGNESS TO EAT 6091 04:37:58,057 --> 04:37:59,726 DIFFERENT KINDS OF FOODS AND 6092 04:37:59,726 --> 04:38:01,194 THERE'S AN ASSUMPTION THAT 6093 04:38:01,194 --> 04:38:02,695 RESIDENTS MAY NOT BE OPEN TO 6094 04:38:02,695 --> 04:38:06,399 TRYING NEW CULTURALLY DIVERSE 6095 04:38:06,399 --> 04:38:11,304 FOODS AND WE NEED TO ASK 6096 04:38:11,304 --> 04:38:12,205 PATIENTS TO UNDERSTAND AND 6097 04:38:12,205 --> 04:38:22,649 REMOVE THE BIASES AT THE 6098 04:38:24,150 --> 04:38:26,152 ADMINISTRATIVE LEVEL. 6099 04:38:26,152 --> 04:38:35,728 >> THE NEXT SPEAKER IS 6100 04:38:35,728 --> 04:38:36,696 DR. LORA. 6101 04:38:36,696 --> 04:38:38,631 >> THANK YOU FOR THE 6102 04:38:38,631 --> 04:38:38,965 INTRODUCTION. 6103 04:38:38,965 --> 04:38:43,770 I LOOK FORWARD TO TALKING WITH 6104 04:38:43,770 --> 04:38:54,414 YOU ABOUT QUALITATIVE FINDINGS. 6105 04:38:58,484 --> 04:39:04,924 ACCORDING TO THE CENSUS DATA 6106 04:39:04,924 --> 04:39:06,359 LATINOS REPRESENTATIVE THE 6107 04:39:06,359 --> 04:39:08,962 POPULATION AND THEY'RE AT 45% 6108 04:39:08,962 --> 04:39:10,396 COMPARED TO MEN FROM OTHER 6109 04:39:10,396 --> 04:39:15,401 RACIAL GROUPS IN THE UNITED 6110 04:39:15,401 --> 04:39:15,635 STATES. 6111 04:39:15,635 --> 04:39:19,505 IN THE D.C. AREA HISPANICS ARE 6112 04:39:19,505 --> 04:39:19,672 23%. 6113 04:39:19,672 --> 04:39:23,343 YET HISPANIC MEN ARE REPRESENTED 6114 04:39:23,343 --> 04:39:28,982 IN THE WEIGHT MANAGEMENT TRIAL. 6115 04:39:28,982 --> 04:39:38,825 FOR INSTANCE, IT'S RECOGNIZED 6116 04:39:38,825 --> 04:39:43,563 CONSUMPTION OF HEALTHY FOODS ARE 6117 04:39:43,563 --> 04:39:52,605 LINKED TO DECREASED DIET AND THE 6118 04:39:52,605 --> 04:39:55,775 U.S. BASIS STUDIES HAVE ASSESSED 6119 04:39:55,775 --> 04:39:58,044 UNDERSTANDING OF THE MEANING OF 6120 04:39:58,044 --> 04:40:02,215 HEALTHY EATING AND DECISIONS. 6121 04:40:02,215 --> 04:40:07,787 THERE'S PERCEPTIONS OF HEALTHY 6122 04:40:07,787 --> 04:40:13,960 EATING AMONG MIDDLE AGED CENTRAL 6123 04:40:13,960 --> 04:40:17,397 AMERICAN MEN WITH OVERWEIGHT OR 6124 04:40:17,397 --> 04:40:17,630 OBESITY. 6125 04:40:17,630 --> 04:40:21,234 WE CONDUCTED IN DEPTH INTERVIEWS 6126 04:40:21,234 --> 04:40:26,973 WITH MEN LIVING IN THE D.C. AREA 6127 04:40:26,973 --> 04:40:37,283 AND PARTICIPATION 6128 04:40:51,597 --> 04:40:59,005 [INDISCERNIBLE] PARTICIPANTS HAD 6129 04:40:59,005 --> 04:41:06,212 A SCORE. 6130 04:41:06,212 --> 04:41:12,685 PERCEPTIONS OF HEALTHY EATING. 6131 04:41:12,685 --> 04:41:15,688 HAVING A BALANCED DIET, 6132 04:41:15,688 --> 04:41:17,290 PREPARING HOMEMADE MEALS AND 6133 04:41:17,290 --> 04:41:19,325 EATING FOODS IN LOW FAT, SUGAR 6134 04:41:19,325 --> 04:41:23,229 AND SODIUM AND NOT HAVING 6135 04:41:23,229 --> 04:41:23,496 DISEASES. 6136 04:41:23,496 --> 04:41:28,001 FOR EXAMPLE, EATING HEALTHY IS 6137 04:41:28,001 --> 04:41:38,444 FOR STARTERS HAVING FOODS. 6138 04:41:44,684 --> 04:41:49,422 AND REGULATING THE AMOUNT OF 6139 04:41:49,422 --> 04:41:55,461 FOOD PARTICIPANTS EAT AS ENGAGED 6140 04:41:55,461 --> 04:42:05,772 IN HEALTHY EATING. 6141 04:42:27,794 --> 04:42:35,535 [INDISCERNIBLE] MEN HAD A GOOD 6142 04:42:35,535 --> 04:42:38,504 UNDERSTANDING OF WHAT HEALTHY 6143 04:42:38,504 --> 04:42:42,742 EATING WAS. 6144 04:42:42,742 --> 04:42:43,543 REDUCING PORTION SIZES 6145 04:42:43,543 --> 04:42:48,247 PREFERRING TO CONSUME CULTURALLY 6146 04:42:48,247 --> 04:42:53,653 TRADITIONALLY HEALTHY FOODS IN 6147 04:42:53,653 --> 04:43:01,094 THE U.S. 6148 04:43:01,094 --> 04:43:06,866 AND WE HAVE CHALLENGES IN 6149 04:43:06,866 --> 04:43:09,402 MANAGING THE POPULATION. 6150 04:43:09,402 --> 04:43:12,872 AND WE HAVE VARIETAL FACTORS IN 6151 04:43:12,872 --> 04:43:19,779 WEIGHT MANAGEMENT AND 6152 04:43:19,779 --> 04:43:20,113 INTERVENTION. 6153 04:43:20,113 --> 04:43:23,149 PARTICULAR CONSIDERATIONS 6154 04:43:23,149 --> 04:43:26,652 CAPITALIZING ON INTEGRATING 6155 04:43:26,652 --> 04:43:31,491 CLOSE FAMILY MEMBERS. 6156 04:43:31,491 --> 04:43:31,858 THANK YOU. 6157 04:43:31,858 --> 04:43:34,961 I'M HAPPY TO TAKE QUESTIONS. 6158 04:43:34,961 --> 04:43:35,428 >> THANK YOU. 6159 04:43:35,428 --> 04:43:36,963 WE'RE EXCITED TO FOLLOW YOUR 6160 04:43:36,963 --> 04:43:39,132 RESEARCH CAREER. 6161 04:43:39,132 --> 04:43:42,168 SO I HAVE ONE QUESTION FOR YOU, 6162 04:43:42,168 --> 04:43:44,670 YOU DISCUSSED SEVERAL ISSUES OR 6163 04:43:44,670 --> 04:43:47,707 RAISED FACILITATORS TO HEALTHY 6164 04:43:47,707 --> 04:43:48,541 EATING. 6165 04:43:48,541 --> 04:43:49,442 WERE SPECIFIC ONES THAT STOOD 6166 04:43:49,442 --> 04:43:55,414 OUT AS CRITICAL FOR ACHIEVING 6167 04:43:55,414 --> 04:43:55,648 SUCCESS? 6168 04:43:55,648 --> 04:44:01,754 >> CAPITALIZING ON THE 6169 04:44:01,754 --> 04:44:02,822 UNDERSTAND MEN HAVE ON CERTAIN 6170 04:44:02,822 --> 04:44:09,695 CONDITIONS THAT ARE RELATED TO 6171 04:44:09,695 --> 04:44:10,396 OBESITY AND UNDERSTANDING 6172 04:44:10,396 --> 04:44:11,597 HEALTHY EATING. 6173 04:44:11,597 --> 04:44:12,832 IT'S IMPORTANT. 6174 04:44:12,832 --> 04:44:16,302 SOMETIMES IN THE LITERATURE WE 6175 04:44:16,302 --> 04:44:17,737 FIND SOME POPULATIONS HAVE AN 6176 04:44:17,737 --> 04:44:23,176 UNDERSTANDING OF HEALTHY EATING. 6177 04:44:23,176 --> 04:44:26,312 WE UNDERSTOOD AND IT'S IMPORTANT 6178 04:44:26,312 --> 04:44:33,152 TO INCORPORATE THE INTERVENTION. 6179 04:44:33,152 --> 04:44:33,686 >> THANK YOU. 6180 04:44:33,686 --> 04:44:36,489 THANK YOU ALL FOR JOINING US 6181 04:44:36,489 --> 04:44:37,023 TODAY. 6182 04:44:37,023 --> 04:44:38,724 AGAIN THANK YOU FOR OUR 6183 04:44:38,724 --> 04:44:40,193 EXCELLENT SPEAKERS FOR THEIR 6184 04:44:40,193 --> 04:44:42,728 RESEARCH AND AS WE NEAR THE DAY 6185 04:44:42,728 --> 04:44:45,164 I'LL END IT TO THE WORKSHOP 6186 04:44:45,164 --> 04:44:45,898 CO-CHAIRS TO WRAP UP THE 6187 04:44:45,898 --> 04:44:46,165 WORKSHOP. 6188 04:44:46,165 --> 04:44:56,409 >> THANK YOU. 6189 04:44:56,742 --> 04:44:57,543 >> THANK YOU EVERYONE FOR 6190 04:44:57,543 --> 04:44:58,878 ATTENDING TODAY. 6191 04:44:58,878 --> 04:45:00,513 IT WAS AN EXCELLENT PRESENTATION 6192 04:45:00,513 --> 04:45:06,519 WE SAW THROUGHOUT THE DAY. 6193 04:45:06,519 --> 04:45:08,020 WE WON'T WRAP UP WHAT HAPPENED 6194 04:45:08,020 --> 04:45:09,722 YESTERDAY BUT WANTED TO GO OVER 6195 04:45:09,722 --> 04:45:12,091 AND HIGHLIGHT THE PANELS. 6196 04:45:12,091 --> 04:45:13,326 IF YOU MISSED DAY ONE MAKE SURE 6197 04:45:13,326 --> 04:45:14,961 TO GO BACK AND VIEW THE 6198 04:45:14,961 --> 04:45:15,761 RECORDING WHEN IT'S AVAILABLE 6199 04:45:15,761 --> 04:45:16,329 BECAUSE YESTERDAY WAS AN 6200 04:45:16,329 --> 04:45:16,762 EXCELLENT GROUP OF 6201 04:45:16,762 --> 04:45:27,006 PRESENTATIONS. 6202 04:45:38,351 --> 04:45:39,885 >> WE HEARD THE CHALLENGES AND 6203 04:45:39,885 --> 04:45:40,920 OPPORTUNITIES TO DEVELOP THE 6204 04:45:40,920 --> 04:45:42,989 DIETARY GUIDELINES. 6205 04:45:42,989 --> 04:45:44,957 HEARD ABOUT THE PROCESS TO 6206 04:45:44,957 --> 04:45:47,493 CREATING THE DIETARY GUIDELINES 6207 04:45:47,493 --> 04:45:51,297 AND FROM THE BEGINNING TO END 6208 04:45:51,297 --> 04:45:54,066 AND THE THREE STEPS FROM DATA 6209 04:45:54,066 --> 04:45:59,205 ANALYSIS AND HOW CULTURAL FOODS 6210 04:45:59,205 --> 04:46:02,708 ARE INCLUDED AND INCLUDING THE 6211 04:46:02,708 --> 04:46:04,877 PROCESS AND ABOUT ALL THE 6212 04:46:04,877 --> 04:46:10,049 DIFFERENT DATABASES AND 6213 04:46:10,049 --> 04:46:13,519 PROCESSING USDA DATABASE TO 6214 04:46:13,519 --> 04:46:18,958 INCLUDE CULTURAL FOODS AND THE 6215 04:46:18,958 --> 04:46:24,096 CHALLENGE OF INCLUDING THE RIGHT 6216 04:46:24,096 --> 04:46:26,198 DIETARY DATA TO CAPTURE THE 6217 04:46:26,198 --> 04:46:27,700 NUANCES OF THE CULTURAL FOODS 6218 04:46:27,700 --> 04:46:32,972 INCLUDING RECIPES AND PORTION 6219 04:46:32,972 --> 04:46:33,472 SIZES. 6220 04:46:33,472 --> 04:46:37,677 LASTLY THE STUDY ON ACCESS 6221 04:46:37,677 --> 04:46:40,913 THROUGH SYSTEM SOLIDARITY AND 6222 04:46:40,913 --> 04:46:43,616 WHY WE NEED TO PAY ATTENTION IN 6223 04:46:43,616 --> 04:46:46,152 THE DIFFERENCES AND FIND 6224 04:46:46,152 --> 04:46:46,786 SIMILARITIES ACROSS THE 6225 04:46:46,786 --> 04:46:50,756 DIFFERENT CULTURES AND LASTLY IN 6226 04:46:50,756 --> 04:46:53,059 PANEL SIX AN INTERESTING SHIFT 6227 04:46:53,059 --> 04:46:56,696 ABOUT LEARNING THE MECHANISMS 6228 04:46:56,696 --> 04:46:57,930 FROM MICROBIOMES AND THE 6229 04:46:57,930 --> 04:47:02,368 IMPORTANCE OF FIBER. 6230 04:47:02,368 --> 04:47:07,073 WE HEARD ABOUT THE IMPORTANCE OF 6231 04:47:07,073 --> 04:47:08,774 FIBER IN THE METH LOGICAL 6232 04:47:08,774 --> 04:47:10,643 MECHANISMS AND ONE IMPORTANT 6233 04:47:10,643 --> 04:47:13,379 POINT I THINK WE ALL HEARD ABOUT 6234 04:47:13,379 --> 04:47:16,182 THROUGH THE DIFFERENT TALKS NOT 6235 04:47:16,182 --> 04:47:17,116 FORGETTING ABOUT THE SOCIAL 6236 04:47:17,116 --> 04:47:18,751 DETERMINATES OF HEALTH AS WE 6237 04:47:18,751 --> 04:47:20,419 CONSIDER THE BIOLOGICAL 6238 04:47:20,419 --> 04:47:22,288 MECHANISMS AS WELL. 6239 04:47:22,288 --> 04:47:23,255 >> EXCELLENT. 6240 04:47:23,255 --> 04:47:25,224 WE ALSO HAD OUR FLASH PANELS 6241 04:47:25,224 --> 04:47:27,293 TODAY WHICH TALKED ABOUT CULTURE 6242 04:47:27,293 --> 04:47:30,896 AND OUR DIET AND HOW IT IMPACTS 6243 04:47:30,896 --> 04:47:32,998 OUTCOMES FROM CELL TO SOCIETY. 6244 04:47:32,998 --> 04:47:35,601 IT WAS A GOOD BREADTH OF 6245 04:47:35,601 --> 04:47:35,935 PRESENTATIONS. 6246 04:47:35,935 --> 04:47:37,703 IN THE FLASH TALKS REPRESENT THE 6247 04:47:37,703 --> 04:47:39,972 TOP NINE SCORING ABSTRACTS OUT 6248 04:47:39,972 --> 04:47:41,107 OF 38 SUBMISSIONS TO 6249 04:47:41,107 --> 04:47:43,876 REPRESENTING THE UP AND COMING 6250 04:47:43,876 --> 04:47:45,378 RESEARCH IN CULTURALLY CENTERED 6251 04:47:45,378 --> 04:47:47,713 DIETARY INTERVENTIONS. 6252 04:47:47,713 --> 04:47:50,216 WE HEARD FROM THE DIVISION OF 6253 04:47:50,216 --> 04:47:52,084 NUTRITION AND PHYSICAL ACTIVITY 6254 04:47:52,084 --> 04:47:56,455 AT THE CDC AND HAD OUR PANEL 7 6255 04:47:56,455 --> 04:47:59,959 WHY PROVIDED EXAMPLES HOW TO 6256 04:47:59,959 --> 04:48:02,628 TRANSLATE CULTURAL INTERVENTIONS 6257 04:48:02,628 --> 04:48:05,664 AND HOW TO TRANSLATE THE 6258 04:48:05,664 --> 04:48:08,534 DIABETES, NUTRITION EDUCATION 6259 04:48:08,534 --> 04:48:12,505 CURRICULUM FOR AMERICAN INDIANS 6260 04:48:12,505 --> 04:48:16,041 AND HEALTHY FOOD ACCESS IN 6261 04:48:16,041 --> 04:48:17,543 ARKANSAS AND THE PREVENTION 6262 04:48:17,543 --> 04:48:19,645 PROGRAM FOR BLACK CARIBBEAN 6263 04:48:19,645 --> 04:48:21,981 COMMUNITIES IN NEW YORK CITY AND 6264 04:48:21,981 --> 04:48:26,419 THE AMAZING WORK WITH CULTURALLY 6265 04:48:26,419 --> 04:48:27,853 TAILORED NUTRITION PROGRAM AND 6266 04:48:27,853 --> 04:48:30,589 THE ROLE TEACHING KITCHEN CAN 6267 04:48:30,589 --> 04:48:34,794 PLAY IN DELIVERING CULTURALLY 6268 04:48:34,794 --> 04:48:37,830 CENTERED TEACHING INTERVENTIONS. 6269 04:48:37,830 --> 04:48:39,565 IF YOU'RE A REGISTERED DIETICIAN 6270 04:48:39,565 --> 04:48:44,437 HOPING TO GAIN CPU CREDITS FOR 6271 04:48:44,437 --> 04:48:46,005 THIS WE'RE WAITING ON APPROVAL 6272 04:48:46,005 --> 04:48:49,542 SO CHECK THE WEBSITE AND THERE'S 6273 04:48:49,542 --> 04:48:51,510 E-MAILS THERE FOR ALISON AND 6274 04:48:51,510 --> 04:48:53,345 TANYA TO REACH OUT TO FOR 6275 04:48:53,345 --> 04:48:54,480 UPDATES ON HOW TO GET 6276 04:48:54,480 --> 04:48:58,751 CERTIFICATES AND CREDIT FOR 6277 04:48:58,751 --> 04:48:59,051 THAT. 6278 04:48:59,051 --> 04:49:04,223 WE ALSO WANT TO THANK THE 6279 04:49:04,223 --> 04:49:06,759 PLANNING COMMITTEE FOR THE 6280 04:49:06,759 --> 04:49:07,092 AMAZING WORK. 6281 04:49:07,092 --> 04:49:09,161 THEY MET WEEKLY AND HAD LOTS OF 6282 04:49:09,161 --> 04:49:11,063 FEEDBACK AND THEY DID AN AMAZING 6283 04:49:11,063 --> 04:49:14,800 JOB SUGGESTING SPEAKERS AND 6284 04:49:14,800 --> 04:49:15,701 EVERYONE HAS A DEEP INTEREST IN 6285 04:49:15,701 --> 04:49:17,336 THE TOPIC AND IT'S BEEN A 6286 04:49:17,336 --> 04:49:17,970 PLEASURE TO WORK WITH EVERYONE 6287 04:49:17,970 --> 04:49:23,676 ON THIS. 6288 04:49:23,676 --> 04:49:25,744 AND LASTLY I WANT TO THANK OUR 6289 04:49:25,744 --> 04:49:27,680 SUPPORTERS, SPONSORS AND OTHER 6290 04:49:27,680 --> 04:49:28,848 FEDERAL PARTNERS. 6291 04:49:28,848 --> 04:49:32,284 THIS WAS A TRANS-FEDERAL SESSION 6292 04:49:32,284 --> 04:49:36,555 WE HAD. 6293 04:49:36,555 --> 04:49:38,190 MANY DIFFERENT AGENCIES 6294 04:49:38,190 --> 04:49:39,091 COLLABORATING AND IT WAS 6295 04:49:39,091 --> 04:49:43,162 EXCITING TO BE A PART OF THIS. 6296 04:49:43,162 --> 04:49:45,097 THANKS EVERYONE FOR JOINING US. 6297 04:49:45,097 --> 04:49:49,869 WE WOULD LIKE FEEDBACK ON THE 6298 04:49:49,869 --> 04:49:54,206 TWO-DAY WORKSHOP SO YOU CAN SCAN 6299 04:49:54,206 --> 04:49:55,741 THIS QR CODE AND COMPLETE A 6300 04:49:55,741 --> 04:49:57,142 SURVEY TO GIVE US FEEDBACK AND 6301 04:49:57,142 --> 04:49:57,743 IT WILL BE IN THE CHAT BOX AS 6302 04:49:57,743 --> 04:50:00,746 WELL. 6303 04:50:00,746 --> 04:50:02,882 SO THANKS EVERYONE FOR ATTENDING 6304 04:50:02,882 --> 04:50:04,917 THIS SESSION ON BEHALF OF ALL 6305 04:50:04,917 --> 04:50:09,121 THE PANELISTS AND JOSIE AND I AS 6306 04:50:09,121 --> 04:50:11,056 CO-CHAIRS AND THE MODERATORS AND 6307 04:50:11,056 --> 04:50:11,323 SPEAKERS. 6308 04:50:11,323 --> 04:50:13,292 WE APPRECIATE YOU ALL ATTENDING 6309 04:50:13,292 --> 04:50:14,527 TODAY AND WE HOPE EVERYONE HAS A 6310 04:50:14,527 --> 04:50:15,227 WONDERFUL WEEKEND. 6311 04:50:15,227 --> 04:50:25,227 THANK YOU.