HELLO, EVERYONE.
GOOD MORNING, GOOD AFTERNOON,
GOOD EVENING WHEREVER YOU ARE
AND WELCOME ADVANCING HEALTH
EQUITY THROUGH CULTURE-CENTERED
DIETARY INTERVENTIONS TO ADDRESS
CHRONIC DISEASES BY THE NATIONAL
INSTITUTES OF HEALTH.
TODAY IS DAY TWO AND WE'LL HAVE
HOUSEKEEPING INFORMATION BEFORE
WE START.
>> GOOD AFTERNOON, I'M BRITTANY
VIAFONA JUNIOR SUPPORTER WITH
THE WORKSHOP SUPPORT PROGRAM.
THANK YOU FOR JOINING US
VIRTUALLY FOR THE FINAL DAY OF
ADVANCING HEALTH EQUITY TO
ADDRESS CHRONIC DISEASES VIRTUAL
WORKSHOP.
BEFORE WE BEGIN, NOTE THE
REMINDERS.
THE PRESENTATION IS BEING
RECORDED FOR INTERNAL USE OME.
PLEASE MAINTAIN RESEARCH
INTEGRITY AND CONFIDENTIALITY.
SEND QUESTIONS AND COMMENTS
THROUGH NIH VIDEOCAST LIVE
FEEDBACK BY USING THE SEND LIVE
FEEDBACK BUTTON AT THE TOP RIGHT
OF THE VIDEO DESCRIPTION.
IF POSSIBLE STATE WHICH PANELIST
YOU'RE DIRECTING YOUR QUESTIONS
TO.
QUESTIONS WILL BE CAPTURED BY
WORKSHOP SPONSORS AND LIVE
CAPTIONS ARE LOCATED ON THE
TOOLBAR AT THE BOTTOM RIGHT OF
YOUR VIDEO PLAYER.
SO CLICK ENGLISH TO ENABLE THEM.
AGAIN, WE'RE EXCITED TO JOIN US
FOR DAY TWO AND YOU'LL NOW HEAR
FROM DR. DAVID GOFF FOR THE DAY
TWO WELCOME.
>> GOOD AFTERNOON OR GOOD
MORNING OR GOOD EVENING
DEPENDING ON WHERE YOU ARE.
IT'S MY PLEASURE TO WELCOME YOU
FOR THE SECOND DAY OF THIS
REALLY IMPORTANT WORKSHOP.
WE REALLY APPRECIATE THE TIME
THAT YOU ARE TAKING TO HELP US
WITH THESE ISSUES AND GIVE US
YOUR INPUT.
WE KNOW YOUR TIME IS VERY
APPRECIATION AND THERE ARE MANY
WAYS YOU COULD BE SPENDING YOUR
TIME TODAY.
WE'RE GRATEFUL THAT YOU'RE
SPENDING IT WITH US GIVING US
INPUT ON THESE IMPORTANT ISSUES.
AS WAS MENTIONED I LEAD THE
DIVISION OF CARDIOVASCULAR
SCIENCES AT NHLBI AND WHILE
THESE ISSUES ARE OF IMPORTANCE
WELL BEYOND THE DIVISION OF
CARDIOVASCULAR SCIENCES, I DID
WANT TO LET YOU KNOW ABOUT HOW
IMPORTANT THIS IS SPECIFICALLY
TO US AND OUR WORK FOR ADVANCING
CARDIOVASCULAR HEALTH FOR ALL.
WE HAVE PUBLISHED A STRATEGIC
VISION IMPLEMENTATION PLAN IN
WHICH WE'VE IDENTIFIED SIX
PILLARS OF FOCUS AND THE TOPICS
YOU'RE ADDRESSING ARE REALLY
IMPORTANT TO OUR STRATEGIC
VISION IMPLEMENTATION PLAN.
THE FIRST PILLAR IS ADDRESSING
SOCIAL DETERMINATES OF
CARDIOVASCULAR HEALTH AND HEALTH
INEQUITIES.
FIRST BECAUSE IT'S JUST THE MOST
IMPORTANT THING WE CAN BE
FOCUSSING ON AS AN ORGANIZATION
AND THAT FIRST WORD WAS CHOSEN
PURPOSEFULLY.
IT'S ADDRESSING SOCIAL
DETERMINATES OF HEALTH AND IT'S
NOT DESCRIBING OR EXPLAINING
IT'S ADDRESSING.
IT'S TIME FOR US TO REALLY MAKE
PROGRESS ON TESTING APPROACHES
TO ADDRESS SOCIAL DETERMINATES
OF CARDIOVASCULAR AND HEALTH
INEQUITIES AND THE INPUT WILL BE
CRITICAL TO OUR SUCCESSION IN
MOVING FORWARD IN THE STRATEGIC
IMPLEMENTATION PILLAR.
THE OTHERS ARE ENHANCING
RESILIENCE, PROMOTING
CARDIOVASCULAR HEALTH AND
PREVENTING CARDIOVASCULAR
DISEASE ACROSS THE LIFE SPAN.
ELIMINATING HYPERTENSION RELATED
CARDIOVASCULAR DISEASE, REDUCING
THE BURDEN OF HEART FAILURE AND
PREVENTING VASCULAR DEMENTIA.
THE INPUT YOU'RE GOING TO BE
GIVING US IS GOING TO BE VERY
IMPORTANT TO ALL OF THOSE
PILLARS.
I DID WANT TO FOCUS SPECIFICALLY
ON THE FIRST ONE.
I'LL PUT IN THE CHAT THE
REFERENCES TO THE PUBLICATION OF
THIS PLAN FROM A COUPLE YEARS
AGO AND UPDATE OR PROGRESS
REPORT WITH HOW WE'RE DOING IN
IMPLEMENTING OUR PLAN.
I WANT TO TOUCH BRIEFLY ON
LETTING YOU KNOW HOW WE'LL USE
YOUR INPUT OVER THE MONTHS AND
YEARS TO COME.
THE FIRST THING IS WE ANTICIPATE
THERE WILL BE A WORKSHOP REPORT
LINKED WITH OTHER PARTICIPATING
INSTITUTES.
WE'D LIKE YOU TO GET THAT
WORKSHOP REPORT EXECUTIVE
SUMMARY COMPLETED WITHIN A MONTH
OR SO SO THE INFORMATION CAN BE
SHARED WITH THE BROADER RESEARCH
COMMUNITY WHILE IT'S STILL
TIMELY.
YOU MAY WANT TO DEVELOP A
PUBLICATION TO A PEER REVIEWED
JOURNAL THAT WE'LL BE GLAD TO
SUPPORT THAT WITH STAFF SUPPORT
AND OTHER SUPPORT.
AND WE WOULD ASK THAT YOU GET
THAT COMPLETED WITHIN THE COMING
MONTHS SO IT CAN BE SUBMITTED IN
A TIMELY BASIS WHILE THE INPUT
IS STILL TIMELY.
WE'LL ALSO EXPECT THAT WHEN YOU
GO HOME YOU'LL BE ENCOURAGED AND
INSPIRED TO SUBMIT OUTSTANDING
IMPLICATIONS TO OUR INSTITUTE
AND OTHER INSTITUTES TO ADVANCE
THE SCIENCE.
CERTAINLY AT NHLBI AND ACROSS
NIH THE VAST MAJORITY OF
RESOURCES THAT WE COMMIT ON AN
ANNUAL BASIS GO TO
INVESTIGATOR-INITIATED
PEER-REVIEW APPLICATIONS.
I'D LIKE TO SAY IT'S PRETTY
SIMPLE TO GET MONEY FROM NHLBI,
WRITE A GREAT APPLICATION AND
GET A GREAT SCORE AND WE LOVE
GIVING MONEY AWAY.
NOTE I SAID SIMPLE NOT EASY.
WE MAY ALSO PUT OUT A FUNDING
OPPORTUNITY EITHER FROM NHLBI OR
IN COLLABORATION WITH OTHER
INSTITUTES.
WE DON'T DO THAT FOR EVERY
WORKSHOP BECAUSE WE HAVE MORE
WORKSHOPS EACH YEAR THAN WE CAN
PUT OUT STRATEGIC INITIATIVES.
HOWEVER WE ALSO TAKE YOUR INPUT
INTO CONSIDERATION WHEN WE
IMPLEMENT A PROCESS WE CALL OUR
SELECT PAY PROCESS.
WHILE WE FUND MOST OF OUR RO1
APPLICATIONS BY PAY LINE, WE DO
RESERVE A SMALL POT OF FUNDS TO
PICK UP HIGHLY STRATEGIC
REALIGNED APPLICATIONS THAT MAY
LIE JUST OUTSIDE THE PAY LINE
BUT ARE STRATEGICALLY ALIGNED.
SO WE'LL ALSO USE YOUR INPUT
WHEN WE MAKE THOSE DECISIONS ON
A REGULAR BASIS.
JUST WANTED TO GIVE YOU AN IDEA
HOW WE'LL USE YOUR INPUT, HOW
IMPORTANT IT IS FOR US, HOW
ALIGNED THIS WORKSHOP IS AND
REALLY FOUNDATIONAL TO
IMPLEMENTATION OF OUR STRATEGIC
VISION AND TO THANK FOR THE TIME
THAT YOU'RE COMMITTING TO THIS
EFFORT BECAUSE WE KNOW THERE'S
MANY WAYS YOU COULD BE SPENDING
YOUR TIME AND GRATEFUL YOU'RE
SPENDING THIS TIME WITH US.
WITH THAT I'LL PASS THE BATON
BACK TO JOSIE.
I APPRECIATE THE CO-CHAIRS TOO
AND THEIR COMMITMENT OF EFFORT
WHICH IS SUBSTANTIAL.
THANKS SO MUCH.
>> THANK YOU VERY MUCH,
DR. GOFF.
SO I'M HERE WITH MY CO-CHAIR
DR. TURNER-McGRIEVY WE WANT TO
GIVE YOU OUR SUMMARY OF WHAT WE
LEARNED ABOUT THE DIFFERENT
TOPICS AND PANELS.
WE'LL GIVE A SUMMARY.
WOULD I LIKE TO START?
>> WE STARTED WITH A REAL
OVERVIEW OF WHAT FOOD AND
CULTURE IS, DEFINITIONS OF THAT
AND
AND JOSIE GAVE A GREAT EXAMPLE
HOW TO TAILOR DIETARY
INTERVENTIONS FOR DIFFERENT
CULTURES.
THEN WE WENT INTO OUR FOUR
PANELS.
SO OUR FIRST PANEL WAS LOOKING
AT NATIVE AMERICAN COMMUNITIES
AND INTERVENTIONS AND PROGRAMS
BEING CONDUCTED AMONG THOSE
POPULATIONS.
WE THEN HAD DIETARY
INTERVENTIONS TAILORED TO BLACKS
OF DIVERSE SOCIO CULTURAL
EXPERIENCES IN THE U.S. AND THEN
JOSIE -- I DON'T KNOW IF YOU
WANT TO TOUCH ON PANEL THERE'S
AND FOUR.
>> I WOULD LIKE TO MENTION THAT
WE HAD A THIRD PANEL TALKING
ABOUT THE LATINO COMMUNITY AND
WE HEARD SEVERAL TOPICS ON THE
IMPORTANCE OF LOOKING AT CAN
CULTURE FROM DIFFERENT
PERSPECTIVES THAT NOT ONLY
ACCOUNT FOR SOCIAL DETERMINATES
OF HEALTH AND HISTORICAL CONTEXT
OF HOW COMMUNITIES CAME HERE AND
IN TERMS OF ACCULTURATION AND
ALSO THE IMPORTANCE OF SOCIAL
SUPPORT.
OUR PANEL FOUR WAS ON DIVERSE
PACIFIC ISLANDER COMMUNITIES
INCLUDING POPULATIONS INCLUDING
CHINESE AMERICANS IN NEW YORK
AND WE HEARD ABOUT THE
IMPORTANCE OF FAMILY AND ALSO
THE IMPORTANCE OF PAYING
ATTENTION TO THE DIFFERENT
CULTURES WITHIN EACH OF THE
SPECIFIC ETHNICITIES.
REMEMBER IN THE FOOD IS ALSO
IMPORTANT FOR NUTRITION AND
HAVING FUN WHEN YOU'RE EATING.
THAT SETS THE STAGE FOR TODAY.
TODAY WE'RE GOING TO CONTINUE
WITH MEETING OUR OBJECTIVES OF
REVIEWING THE SOCIAL CULTURAL
FACTORS AND HOW TO LEVERAGE THAT
INTO INTERVENTIONS AND WE'RE
GOING IT HEAR ABOUT THAT IN A
COUPLE NEXT PANELS.
IDENTIFYING THE OPPORTUNITIES
FOR CULTURAL TAILORING
ADAPTATION AND WE ARE GOING TO
BE HEARING ABOUT THAT IN THE
NEXT PANEL AND EXAMINING THE
INFLUENCES OF CULTURALLY RELATED
FACTORS AND MECHANISMS IN OUR
PANEL SIX.
SO THOSE ARE THE GOALS OF DAY
TWO.
AND WITH THAT I'D LIKE TO
COMPLETE THE NEXT FEW.
>> AS MENTIONED YESTERDAY THE
U.S. IS EXTREMELY DIVERSE AND
THAT REALLY CONTRIBUTED TO THE
WIDE VARIETY OF DIETARY PATTERNS
THAT WE SEE IN THE U.S.
SO THINGS LIKE GEOGRAPHY, RACIAL
ETHNIC GROUPS, IMMIGRATION, ALL
THESE CONTRIBUTE TO THE DIVERSE
PATTERNS IN THE U.S.
AS WE MENTIONED WE COVERED DAY
ONE WHERE WE WENT OVER THE FOUR
PANELS AND NOW WANT TO HIGHLIGHT
WHAT WE'LL COVER TODAY.
WE'RE EXCITED ABOUT IT.
>> WE'RE READY TO START IN PANEL
5 WE'LL LISTEN ABOUT THE
CHALLENGES AND OPPORTUNITY FOR
DEVELOPING EVIDENCE-BASED
DIETARY GUIDANCE FOR DIVERSE
POPULATIONS AND WHERE WE STAND
WITH THE EVIDENCE.
PANEL 6 ABOUT THE MECHANISMS WE
HEARD ABOUT YESTERDAY.
WE'LL EXPAND ON THAT THE
MICROBIOME AND METABOLOMICS AND
PANEL 7 TRANSLATING RESEARCH
INTO THE COMMUNITY AND BRIDGING
THE EVIDENCE INTO PRACTICE.
WE'RE GOING TO HAVE SEVERAL
COMMUNITY PARTNERS COMING IN TO
TALK ABOUT THAT.
WE'RE ALSO GOING TO HAVE FLASH
TALKS THROUGHOUT THE DAY FROM
OUR CENTERS.
AND WITH THAT WE ARE READY TO
START OUR PANEL 5 IF I MAY
INVITE DR. FUNG THE MODERATOR
FOR OUR PANEL.
>> GOOD AFTERNOON AND WELCOME TO
THE FIRST PANEL OF THE DAY.
I'M VERY EXCITED TO BE THE
MODERATOR OF THIS PANEL BECAUSE
WE HAVE AN EXCELLENT GROUP OF
SPEAKERS WHO SPENT YEARS IN THE
TRENCHES.
I'M LIN ADJUNCT PROFESSOR IN THE
CHANG SCHOOL OF PUBLIC HEALTH.
I SPENT MY PROFESSIONAL LIFE
LOOKING AT DIETARY QUALITY AND
CHRONIC DISEASES AND I'M ALSO AN
SOCIETY EDITOR FOR THE JOURNAL
FOR NUTRITION.
AMONG OUR FIVE SPEAKERS WE HAVE
A RESEARCHER, SCIENTIST, WE HAVE
PROFESSIONALS AND HOPE THIS
GIVES INFORMATION AND FOOD FOR
THOUGHT IN THIS.
IN THIS AREA.
PLEASE USE THE Q&A DISCUSSION
AND THE NIH VIDEOCAST FEEDBACK
BUTTON TO SUBMIT YOUR QUESTIONS
AND COMMENTS.
SO WITHOUT FURTHER ADO WE'RE
GOING TO START WITH OUR FIRST
PRESENTER.
JANET IS AN ADVISER IN THE HHS
OFFICE OF DECEMBER AND
PREVENTION AND PROMOTION.
SHE'S THE HHS LEAD AND IN 2020
AND A FEDERAL OFFICER FOR THIS
ROUND AS WELL.
SHE HAS DONE ALSO OTHER
CROSS-CUTTING NUTRITION
ACTIVITIES ACROSS DIFFERENT
FEDERAL OFFICES.
JANET, WE'RE EXCITED TO HAVE YOU
AND WELCOME.
>> THANK YOU, DR. FUNG.
DELIGHTED TO BE HERE TO DISCUSS
EVIDENCE REVIEW APPROACHES AND
EQUITY CONSIDERATIONS INFORMING
THE DEVELOPMENT OF THE DIETARY
GUIDELINES.
SO TODAY I'LL COVER A BRIEF
BACKGROUND ON THE DIETARY
GUIDELINES AND INFORMATION
SPECIFIC TO THE CURRENT EDITION
WE'RE PROMOTING AND IMPLEMENTING
AND SHARE HOW THE 2025 DIETARY
GUIDELINES IS CONSIDERING EQUITY
IN THE NEXT REVISION REVIEW.
JUST A LITTLE BIT OF BACKGROUND
ON THE DIETARY GUIDELINES.
IT PROVIDES SCIENCE-BASED ADVICE
ON NUTRITION INTAKE TO PROMOTE
HEALTH.
HELP REDUCE RISK OF CHRONIC
DISEASE AND MEET NUTRIENT NEEDS
IT SERVES AS THE CORNERSTONE OF
NUTRITION POLICIES AND MANDATED
TO REFLECT THE BEST AVAILABLE
EVIDENCE AND IT MUST BE
PUBLISHED AND UPDATED EVERY FIVE
YEARS BY HHS AND USDA.
IT PROVIDED GUIDELINES FOR THE
GENERAL PUBLIC BUT IS WRITTEN
FOR A PROFESSIONAL AUDIENCE SUCH
AS POLICY MAKERS, HEALTH CARE
PROVIDERS AND NUTRITION
EDUCATORS AND PROGRAM OPERATORS.
MY OFFICE, OF DISEASE PREVENTION
AND HEALTH PROMOTION AND CENTER
FOR NUTRITION POLICY AND
PROMOTION AT USDA AND HHS ARE
CO-LEADS OF THE DEVELOPMENT OF
THE DIETARY GUIDELINES.
SO THE DIETARY GUIDELINES INFORM
FEDERAL NUTRITION POLICIES AND
PROGRAMS AND YOU CAN SEE MANY OF
THE EXAMPLES ON THE SLIDE HERE
SUCH AS WIC, CHILD NUTRITION
PROGRAMS, USDA, FOOD PLANS, MY
PLATE, FOOD SERVICE GUIDELINES
FOR FEDERAL FACILITIES, THE
OLDER AMERICANS ACT NUTRITION
PROGRAM SUCH AS CONGREGATE AND
HOME-DELIVERED NUTRITION
PROGRAMS IN ADDITION TO PUBLIC
HEALTH PROGRAMS INCLUDING
DISEASE PREVENTION ACROSS THE.
-- ACROSS THE GOVERNMENT.
SO A HEALTHY DIETARY PATTERN CAN
BENEFIT ALL INDIVIDUALS
REGARDLESS OF AGE, RACE,
ETHNICITY OR CURRENT HEALTH
STATUS.
SO THE SCIENCE REVIEW TO INFORM
CURRENT EDITION OF THE CURRENT
EDITIONS RECOMMENDS DIVERSITY OF
ALL AMERICANS INCLUDING AGES,
LIFE STAGES, DIFFERENT RACIAL
AND ETHNIC BACKGROUNDS AND A
RANGE OF SOCIO ECONOMIC
STATUSES.
AS A RESULT THE DIETARY
GUIDELINES PROVIDE A FRAMEWORK
FOR ACHIEVING A HEALTHY DIETARY
PATTERN DESIGN TO MEET PEOPLE
WHERE THEY ARE.
SO ON THIS SLIDE WE HIGHLIGHT
GUIDELINE 2 WHERE WE ADVISE THE
DIETARY PATTERNS BE CUSTOMIZED.
SO EVERYONE CAN ENJOY
NUTRIENT-DENSE FOOD AND BEVERAGE
CHOICES TO REFLECT PERSONAL
PREFERENCES, CULTURAL TRADITIONS
AND BUDGETARY CONSIDERATIONS.
SO INSTEAD OF BEING
PRESCRIPTIVE, WE'D LIKE TO HAVE
PEOPLE AND THOSE WHO WORK WITH
COMMUNITY MEMBERS HELP
INDIVIDUALS MAKE THEIR DIETARY
PATTERN THEIR OWN BY SELECTING
HEALTHY FOODS, BEVERAGES, MEALS
AND SNACKS SPECIFIC TO THEIR
PREFERENCES.
A KEY STARTING POINT FOR
ESTABLISHING AND MAINTAINING
HEALTHY DIETARY PATTERN IS TO
ENSURE INDIVIDUALS AND FAMILY
PREFERENCES IN NUTRIENT-DENSE
FORMS ARE BUILT IN DAY TO DAY
CHOICES.
WE DO HAVE A FRAMEWORK WHICH
I'LL SHARE THAT CAN BE USED TO
REFLECT SPECIFIC CULTURAL
TRADITIONS AND IT'S AN IMPORTANT
STRATEGY WORKING THROUGH
COMMUNITIES ACROSS OUR COUNTRY
TO ENJOY A HEALTHY DIETARY
PATTERN.
ONE EXAMPLE WE HEARD ABOUT
YESTERDAY IS UTILIZING SPICES
AND HERBS.
USING THAT FROM OUR VARIOUS
CULTURES TO HELP FLAVOR FOODS
AND REDUCING SATURATED FAT,
ADDED SUGARS OR SODIUM.
THAT CAN ALSO HELP INCREASE THE
ENJOYMENT OF OUR FOOD.
AND FINALLY IT CAN BE AFFORDABLE
WHEN PLANNED FOR AND WE HAVE
RESOURCES FOR THAT AS WELL.
THIS IS THE FRAME WORK I JUST
MENTIONED.
THE DIETARY GUIDELINE AND IT'S
NOT PRESCRIPTIVE BUT WE HOPE IT
WILL HELP THOSE WHO WORK WITH
INDIVIDUALS ACROSS AMERICA MEET
PEOPLE WHERE THEY ARE.
YOU CAN FIND THIS FRAMEWORK ON
DIETARY GUIDELINES.gov AND WE
HAVE A QR CODE AVAILABLE IN
ENGLISH AND SPANISH AND WOULD
LIKE TO EMPHASIZE THESE ARE
EXAMPLES OF NUTRIENT-DENSE
FOODS.
THERE'S FOODS AND FOOD GROUPS
BUT NOT SPECIFIC FOODS BECAUSE
WE WOULD LIKE PEOPLE TO BE ABLE
TO INDIVIDUALIZE WHAT THEY EAT.
IN ADECIS ZIDECIS ZIDECISION --
HAVE A LARGE AMOUNT OF RESOURCES
FOR IMPLEMENTING THE CURRENT
DIETARY GUIDELINES ON DIETARY
GUIDELINES.gov AVAILABLE IN
ENGLISH AND SPANISH AND A HEALTH
CARE PROVIDER TOOL KIT A SET OF
10 FACT SHEETS IN ENGLISH AND
SPANISH.
IN ADDITION TO MY PLATE, WHICH
THERE'S A LOT OF RESOURCES FOR
IMPLEMENTATION SO PLEASE IF YOU
HAVEN'T VISITED DIETARY
GUIDELINES.gov, I ENCOURAGE YOU
TO DO SO.
SO DEVELOPING THE DIETARY
GUIDELINES FOR AMERICANS IS A
FIVE-STEP PROCESS.
SO YOU CAN SEE HERE WE ARE ON
THE THIRD STEP CURRENTLY.
WE START OFF WITH IDENTIFYING
SCIENTIFIC QUESTIONS, APPOINT
THE ADVISORY COMMITTEE WHICH
WERE APIPOINTED IN JANUARY OF
THIS YEAR.
OUR ADVISORY COMMITTEE IS
REVIEWING THE EVIDENCE.
FOLLOWING THE RECEIPT OF THE
ADVISORY COMMITTEE SCIENTIFIC
REPORT IS WHERE WE DEVELOP THE
GUIDELINES AND STEP FIVE IS
IMPLEMENTATION OF THE GUIDELINES
WHICH IS CRITICALLY IMPORTANT.
I THINK A LOT OF WHAT WAS
DISCUSSED ON DAY ONE, WHICH WAS
FABULOUS BAEY THE WAY, IS THINKG
ABOUT IMPLEMENTATION AND HOW CAN
WE HELP OUR COMMUNITIES IMPROVE
THEIR NUTRIENT INTAKE THAT
BETTER ALIGNS WITH THE DIETARY
GUIDELINES.
SO IN STEP 5 WE'RE GRATEFUL FOR
OUR FEDERAL PARTNERS, HEALTH
CARE PROVIDERS AND THE WORKSHOP
FOR HELPING US IMPLEMENT OUR
GUIDELINES IN DIVERSE
POPULATIONS ACROSS THE COUNTRY.
SO NOW I'D LIKE TO HIGHLIGHT OUR
WONDERFUL 2025 DIETARY
GUIDELINES COMMITTEE.
I'LL BE SHOWCASING SOME OF THEIR
WORK TODAY.
YOU HEARD FROM FROM SOME
YESTERDAY AND DR. FUNG IS
MODERATING THIS SESSION.
SARA BOOTH AND OUR COMMITTEE
CHAIR AND VICE CHAIR AND WE HAVE
OUR HEALTH EQUITY WORKING GROUP
CHAIR.
I WANT TO HIGHLIGHT DR
DR. TALEGAWKAR AND THEY'RE
LEADERS IN THE FIELD OF
NUTRITION AND PUBLIC HEALTH.
THEY BRING IMPORTANT EXPERTISE
ON NUTRITION AND HEALTH OUTCOMES
ACROSS THE LIFE SPAN FROM
INFANTS TO OLDER AMERICANS AND
IMPORTANT ESPECIALLY FOR THIS
WORKSHOP THEY POSSESS A WEALTH
OF KNOWLEDGE IN HEALTH EQUITY
AND DIVERSE POPULATIONS IN
AMERICA.
IT'S BEEN AN HONOR SUPPORTING
THEIR WORK AND I'M HAPPY TO
SHOWCASE SOME OF THEIR WORK
TODAY.
THE ADVISORY COMMITTEE IS
DIVIDED INTO SUBCOMMITTEES YOU
SEE HERE AND THERE'S FOUR IN
DIFFERENT TOPICS.
YOU CAN SEE IN YELLOW WE HAVE A
CROSS-CUTTING HEALTH EQUITY
WORKING GROUP.
THIS WORKING GROUP WORKS ACROSS
ALL OF THE SUBCOMMITTEES TO
INCORPORATE HEALTH EQUITY
PRINCIPLES THROUGHOUT THE
COMMITTEES EVIDENCE REVIEW.
AND I WILL SHARE NEXT THE THREE
METHODS OF THEIR EVIDENCE REVIEW
AND HOW THEY'RE MERGING IN
CONSIDERATIONS OF HEALTH EQUITY
THROUGHOUT THEIR WORK.
THESE ARE THE THREE APPROACH THE
COMMITTEE IS USING TO EXAMINE
THE EVIDENCE STARTING WITH DATA
ANALYSIS A COLLECTION OF
NATIONAL DATA SETS TO DESCRIBE
CURRENT HEALTH AND DIETARY
INTAKE OF AMERICANS.
AND THIS WILL HELP US WHEN WE
DEVELOP THE GUIDELINES PRACTICAL
AND MAKE THEM RELEVANT AND
ACHIEVABLE.
FOOD PATTERN MODELLING IS A WAY
TO EVALUATE SPECIFIC CHANGES IN
THE TYPES OF FOODS AND BEVERAGES
LOOKING AT ENERGY AND NUTRIENT
NEEDS WHILE REFLECTING HEALTH
PROMOTING PATTERNS THAT ARE
IDENTIFIED IN SYSTEMATIC
REVIEWS.
SO THIS HELPS INFORM THE
DEVELOPMENT OF RELEVANT DIETARY
PATTERNS FOR THE AMERICAN
POPULATION.
AND FINALLY SYSTEMATIC REVIEWS
WHICH IS A GOLD STANDARD
EVIDENCE-SYNTHESIS STANDARD THAT
ANSWERS QUESTIONS PUBLIC HEALTH.
TO NOTE EACH OF THESE THREE
APPROACH HAS A RIGOROUS
PROTOCOL-DRIVEN METHODOLOGY AND
PLAYS A UNIQUE COMPLIMENTARY
ROLE IN THE REVIEW OF EXAMINING
THE SCIENCE.
SO ON THE NEXT THREE SLIDES I
WILL DESCRIBE HOW THE DIETARY
GUIDELINES ADVISORY COMMITTEE IS
INCLUDING HEALTH EQUITY THROUGH
THEIR EVIDENCE REVIEW.
I'M SCRATCHING THE SURFACE ON
THE WONDERFUL WORK OUR COMMITTEE
IS DOING.
BUT I ENCOURAGE YOU IF YOU
HAVEN'T BEEN FOLLOWING ALONG YOU
CAN SEE THEIR MEETINGS WHICH
THERE'S A LINK TO ON DIETARY
GUIDELINES.com.
YOU CAN HEAR MORE ON THEIR WORK.
THE FIRST METHOD IS HEALTH
EQUITY CONSIDERATIONS AN DATA
ANALYSIS.
IT'S A VERY BUSY SLIDE BUT THESE
ARE THE STEPS IN THE WORK AND
HEALTH EQUITY IS INCORPORATED
THROUGHOUT THE PROCESS INCLUDING
IDENTIFICATION OF DATA NEEDS,
DEVELOPMENT OF THE PLAN,
DETERMINATION OF THE ANALYSIS
AND SUB POPULATION VARIABLES
THAT WE REQUEST FROM OUR FEDERAL
DATA ANALYSTS.
SO THE COMMITTEE WILL BE LOOKING
AT TRENDS, SIMILARITIES AND
DIFFERENCES BETWEEN SUB
POPULATIONS, DIETARY INTAKES AND
PATTERNS IN THEIR HEALTH
CONDITION PREVALENCE AND ALL
INCORPORATED INTO THE
COMMITTEE'S REPORT.
AN EXAMPLE OF NEW DEMOGRAPHICS
THE COMMITTEE HAS REQUESTED THIS
ROUND OF THE REVIEW.
THEY'RE LOOKING AT THROUGH
NHANES FURTHER EXPLORATION OF
FOOD SECURITY CATEGORY IN A
HOUSEHOLD.
HOUSEHOLD BENEFITS SUCH AS SNAP
AND WIC.
SO THOSE ARE GOING TO BE SOME
REALLY INTERESTING ANALYSES.
SO MOVING ON TO FOOD PATTERN
MODELLING.
OUR 2025 COMMITTEE IS USING FOOD
PATTERN MODELLING TO ANSWER THE
OVERARCHING SCIENTIFIC QUESTION
LOOKING AT LIFE STAGES AND
INFORMATION THAT WE HAVE SHOULD
CHANGES BE MADE TO THE CURRENT
DIETARY PATTERN THAT ARE IN THE
GUIDELINES?
AND SHOULD ADDITIONAL DIETARY
PATTERNS BE DEVELOPED OR
PROPOSED.
SO THERE'S SOME VERY INTERESTING
PATTERNS AND THEY'RE LOOKING AT
DIETS AND BRINGING IN MORE
DIVERSE DATA FROM MORE
REPRESENTATIVE POPULATIONS.
SYSTEM REVIEWS IS THE THIRD
SCIENTIFIC APPROACH THE
COMMITTEE IS UTILIZING SO HEALTH
EQUITY IS BEING CONSIDERED
THROUGHOUT THE SYSTEMATIC REVIEW
BOTH IN HOW REVIEWS ARE
CONNECTED AND REPORTED.
SO FOR EXAMPLE THESE
CONSIDERATIONS ARE BEING BUILT
INTO THE SYSTEMIC REVIEW PROCESS
AND IT'S ALIGNED WITH OTHER
ORGANIZATIONS USE THEM IN
REVIEWS.
SOME EXAMPLES, DURING THE
PROTOCOL DEVELOPMENT THEY'RE
LOOKING AT KEY CONFOUNDERS SUCH
AS SOCIO ECONOMIC POSITION USING
MORE INCLUSIVE TERMINOLOGY
THROUGHOUT THEIR PROTOCOLS.
THE COMMITTEE IS ALSO DOING AN
EVIDENCE SCAN ON CULTURALLY
TAILORED DIETARY INTERVENTIONS.
THIS IS COMPLETELY RELEVANT TO
THE WORKSHOP.
SO THEY'RE DOING A SCAN TO
ASSESS THE EVIDENCE ON
CULTURALLY TAILORED INTERVENTION
STUDIES IN FOOD ENVIRONMENT IN
DIFFERENT POPULATIONS LOOKING AT
THE IMPACT ON DIETARY INTAKE AND
HEALTH.
SO I KNOW A LOT OF THE COMMITTEE
MEMBERS ARE TUNED INTO THIS
WORKSHOP TO SEE ALL THE
WONDERFUL WORK THAT YOU'RE
DOING.
THIS IS REALLY IMPORTANT TO HELP
US UNDERSTAND IMPLEMENTATION
STRATEGIES THAT ARE ALIGNED WITH
THE CURRENT DIETARY GUIDELINES
AND HOW WE CAN CONTINUOUSLY
IMPROVE OUR GUIDANCE.
SO THE GOALS FOR THE NEXT
DIETARY GUIDELINES, WE'RE HOPING
TO HAVE DIETARY PATTERNS THAT
ARE REPRESENTATIVE OF THE
DIVERSE EATING PATTERNS THE
UNITED STATES.
AS WE HEARD IN DAY ONE, THIS IS
NO SMALL CHALLENGE BUT WE'RE
REALLY EXCITED WITH THE WORK THE
COMMITTEE'S DOING.
WE'D ALSO LIKE TO HAVE
ADDITIONAL INFORMATION ON
STRATEGIES THAT CAN HELP
COMMUNITIES MOVE CLOSER TO A
HEALTHIER EATING PATTERNS AND
INCLUDING DIVERSE NEEDS AND
PREFERENCES FOR THOSE IN THE
UNITED STATES.
AND FINALLY, ACKNOWLEDGEMENTS.
I JUST WANT TO GIVE A BIG THANKS
TO OUR TEAM AT ODPHP AND
COLLEAGUES AT USDA AND THE 2025
DIETARY GUIDELINES ADVISORY
COMMITTEE WHO PUT SO MUCH
THOUGHTFUL EFFORT INTO THEIR
EVIDENCE REVIEW.
THANK YOU SO MUCH.
>> THANK YOU FOR THE
PRESENTATION.
THE NEXT SPEAKER IS ALANNA
MOSHFEGH FROM THE FOOD SURVEYS
RESEARCH GROUP AND LEADS A
NATIONAL PROGRAM MONITORING FOOD
CONSUMPTION BEHAVIOR.
>> THANK YOU FOR THE NICE
INTRODUCTION.
GOOD AFTERNOON, EVERYONE OR GOOD
MORNING, GOOD EVENING, DEPENDING
ON YOUR TIME ZONE AND WELCOME ON
A FRIDAY FOR CONTINUING TO
PARTICIPATE IN THIS REALLY
IMPORTANT WORKSHOP.
I WANT TO THANK THE COMMITTEE
FOR INVITING ME TO TALK ABOUT
FOOD DATABASES AND DIVERSITY OF
FOODS.
WE HEARD A LOT ABOUT DIVERSITY
OF OUR POPULATION AND WONDERFUL
EXAMPLES YESTERDAY OF THE
RESEARCH STUDIES BEING DONE
TARGETING DIFFERS POPULATIONS.
SO I'M GOING TO FOCUS A BIT
DIFFERENTLY AND LOOK AT FOOD
DATA AND DATABASES TO ASSESS
NUTRIENT INTAKES OF FOODS.
I'M GOING USE THE DATABASE
THAT'S USED TO DETERMINE THE
NUTRIENT PROFILES.
OUR COUNTRY'S NATIONAL HEALTH
AND NUTRITION EXAMINATION
SURVEY, NHANES THAT'S THE FOOD
DATABASE FOR STUDIES.
THAT'S DONE BY THE DEPARTMENT OF
AGRICULTURE.
WE ALSO PROVIDE THE DIETARY
INTAKE METHOD THAT IS USED
WITHIN NHANES THE AUTOMATED
MULTIPLE PASS METHOD.
I HAVE NO FINANCIAL DISCLOSURES.
I PICKED USING THIS DATABASE
BECAUSE IT REFLECTS WHAT OUR
POPULATION REPORTS IN OUR
NATIONAL HEALTH SERVICE.
SO I THINK IT HAS A LOT OF VALUE
FOR THIS TYPE OF RESEARCH.
THEN I'LL GIVE AN OVERVIEW OF
THE FOOD AND NUTRIENT DATABASE
FOR STUDIES.
FOCUS IN ON THE ETHNIC CULTURAL
FOODS AND BEVERAGES REPRESENTED
IN FNDDS BASED ON WHAT IS
REPORTED BY THE RESPONDENTS
ACROSS NHANES AND ACCESS THIS IN
DBS BECAUSE IT'S PUBLICLY
AVAILABLE.
IT'S DATA USED TO DETERMINE
NUTRIENT INTAKES OF THE
24-RECALLS COLLECTED WITHIN
NHANES.
BECAUSE OF THAT IT HAS 65 VALUES
FOR THE NUTRIENTS REPORTED OUT.
IT CONTAINS FOODS AND BEVERAGES
BEFINED BY A CODE DETAILED
DESCRIPTIONS AS CONSUMED NOT RAW
PRODUCT.
THERE'S A PLETHORA OF PORTIONS
AND WEIGHTS AND THE NUTRIENT
PROFILES FOR EVERY FOOD AND
BEVERAGE.
NOW, IF YOU'VE BEEN A USER OF
THE DIETARY DATA OF NHANES
YOU'VE PROBABLY NOT FOUND IT
NECESSARY TO GO BACK AND LOOK AT
THE FOOD AND NUTRIENT DATABASE
FOR THE STUDIES.
AND THE NATIONAL DIETARY INTAKE
DATA FROM NHANES IS RELIEVED.
THE NUTRIENT DATA FOR THE
REPORTED FOODS AND BEVERAGES PER
INDIVIDUAL IN THE SURVEY ARE
ATTACHED RIGHT TO THAT DATA.
BUT MY DISCUSSION WILL GIVE YOU
MORE DETAILS ABOUT EACH OF THOSE
FOODS AND BEVERAGES.
THE FNDDS GIVES A GATEWAY TO
UNDERSTANDING MORE DETAILS ABOUT
MORE DETAILS WITHIN NHANES.
IT'S USED IN THE ONLINE DIETARY
RECALL METHODS DEVELOPED BY THE
NATIONAL CANCER INSTITUTE AS
WELL.
FOR FNDDS THERE'S A NEW VERSION
DEVELOPED AND RELEASED WITH EACH
TWO YEAR CYCLE OF NHANES.
AND THE UPDATES IN EACH OF THE
NEW VERSIONS IS IS BASED ON THE
CHANGES WE MAKE AND THE DIETARY
COLLECTION INSTRUMENT THAT'S
USED IN NHANES AS WELL AS NEW
FOODS REPORTED AND THE CHANGES
FOR THE NUTRIENT VALUES IN FNDDS
AND THAT'S THE FOOD DATA.
SO I'VE TALKED ABOUT FNDDS A BIT
AND ALSO ABOUT THE DIETARY
RECALL INSTRUMENT.
AND THESE ARE THE TWO PILLARS
FOR THE DIETARY INTAKE THAT
COMES NHANES YOU CAN LOOK AT THE
DETAILS OF THE FNDDS AND AMPM
AND OTHER SPORTING SYSTEMS THAT
GIVES US THE NHANES DIETARY
DATA.
FNDDS IS UPDATED EVERY THREE
YEARS.
I PUT THE LAST THREE PUBLICLY
AVAILABLE VERSIONS HERE ON THE
SLIDE, 15-16, 17-18, 19 -20.
SO FNDDS SPANS 20 YEARS TIME
FRAME OF FOODS AND BEVERAGES
REPORTED AND UPDATES TO THOSE
NUTRIENT VALUES.
CAN SEE OVER TIME WE ADDED NEW
CODES, WE DISCONTINUED CODES AND
I'M GOING TO TALK A LITTLE LATER
ABOUT THE RESOURCE THAT SHOWS
YOU WHAT WE DISCONTINUED, CODES,
FOODS AND BEVERAGES WE DROPPED
O
OUT.
MAINLY THE DROP OUTS IS
REFLECTING WHAT THE POPULATION
IS MORE USED TO IN THE FOOD
SUPPLY.
I WANTED TO MENTION A BIT ABOUT
WHERE WE GET THE NUTRIENT VALUES
TO POPULATE THESE FOODS IN
FNDDS?
AND THAT'S THROUGH USDA'S FOOD
DATA CENTRAL.
I HAVE GIVEN THE WEBSITE ADDRESS
FOR THAT.
THIS IS THE BASIC DATA,
ANALYTICAL DATA OF BASIC FOODS
GIVEN SO THE NUTRIENT VALUES.
WE USE DATA FROM FOOD DATA
CENTRAL TO POPULATE THE DATA IN
FNDDS.
WE DO THAT THROUGH WHAT WE CALL
A RECIPE CALCULATION PROCESS.
A THIRD OF THE FNDDS CODES ARE
MATCHED TO JUST ONE FDC CODE.
THE REMAINING TWO-THIRDS ARE
MATCHED TO TWO OR MORE CODES
THROUGH THE RECIPE CALCULATION
PROCESS.
SO THE PROCESS INCLUDES REALLY
THREE GENERAL STEPS.
SELECTING THE INGREDIENT FOR A
FOOD AND THEIR AMOUNTS.
APPLYING FACTORS REGARDING
NUTRIENT LOSS AND MOISTURE
ADJUSTMENT IF APPROPRIATE AND
SUMMING THE NUTRIENT VALUES AND
I HAVE A COUPLE MORE BULLETS
REGARDING THE RECIPE CALCULATION
PROCESS.
AS I SAID, FNDDS HAS 65
NUTRIENTS, ENERGY AND THE OTHER
COMPONENTS IN IT.
I DON'T EXPECT YOU TO BE ABLE TO
READ ALL THE NUTRIENTS BUT I
WANTED TO GIVE YOU A LOOK AT THE
EXTENSIVE DEPTH OF NUTRIENTS
THAT ARE ON EACH OF THESE 5,624
FOODS.
IN ADDITION, FOR EACH FOOD AND
BEVERAGE IN FNDDS, THERE'S A
NUMBER OF PORTION SIZES THAT ARE
USED IN THE SURVEY FROM CUP TO
MEDIUM SIZE AND NUTRIENT
PROFILES.
SO THERE'S A LOT OF DETAILED
INFORMATION TO HELP USERS NOT
ONLY WITHIN N HANES DATA BUT
OTHER USERS AS WELL FOR OTHER
STUDIES OR MEETING NUTRIENT
VALUES FOR FOODS.
SO PARTICULARLY FOR THIS
WORKSHOP.
HOW CAN I CHARACTERIZE IN THE
TIME I'VE GOT A BIT OF THE
ETHNIC CULTURAL FOODS THAT SIT
WITHIN FNDDS.
SO I AND A COUPLE OTHER STAFF AT
USDA IN THE FOOD SURVEYS
RESEARCH GROUP TOOK AN
ASSESSMENT AND DESIGNATED WHAT
WE THOUGHT WERE CULTURAL ETHNIC
FOODS.
AND OF COURSE, YESTERDAY
AFTERNOON WE LEARNED ABOUT THE
DEPTH OF HOW PEOPLE LOOK AT
DIVERSITY.
HOW PEOPLE LOOK AT THE CULTURE.
SO WE TOOK A FAIRLY BROAD VIEW
AND IN THAT LOOK WE CAME UP WITH
ABOUT WHAT WE'D SAY WERE FAIRLY
BROAD DESIGNATIONS OF CULTURAL
OR ETHNIC FOODS.
ABOUT 15%.
900 OR SO OF THE 5,000 PLUS
FOODS THAT SIT IN FNDDS.
THIS INCLUDED TRADITIONAL JEWISH
FOODS, NATIVE AMERICAN, PUERTO
RICAN, ASIAN, MEXICAN, ETCETERA.
WE DIDN'T INCLUDE MOST, QUOTE,
ITALIAN TYPE FOODS LIKE PIZZAS
AND PASTAS.
THEY'RE SO ENGRAINED ACROSS OUR
FOOD SUPPLY THAT PERHAPS THEY'RE
NOT CULTURAL OR ETHNIC FOODS.
AND ANOTHER MAY BE ITALIAN
HERITAGE PEOPLE IN THE AUDIENCE
THAT MAY HAVE A DIFFERENT
FEELING BUT THIS WAS JUST AN
INFORMAL LOOK.
SO WE MADE THOSE DESIGNATIONS
USING BOTH WHAT'S CALLED OUR
MAIN DESCRIPTION OF A FOOD AND
ADDITIONAL DESCRIPTIONS.
SO EVERY ITEM IN FNDDS HAS A
MAIN FOOD DESCRIPTION AND
PRIMARY DESCRIPTION OF AN ITEM
AS WELL A SISTER, BROTHER,
ADDITIONAL FOOD DESCRIPTION
THAT'S ITEMS ASSOCIATED WITH THE
SPECIFIC NAME FOOD DESCRIPTION
THAT SHARE THE SAME NUTRIENT
VALUES AND PORTION WEIGHTS AS
THE MAIN FOOD DESCRIPTION.
SO THE NEXT SLIDES WILL SHOW
SELECTIONS FROM THE BROAD VIEW
OF CULTURAL ETHNIC FOODS.
THIS SHOWS ABOUT 15 ITEMS I
SELECTED OUT JUST TO GIVE YOU AN
IDEA.
I'VE LISTED THE FOOD CODE WHICH
PROBABLY ISN'T IMPORTANT FOR
THIS PRESENTATION BUT THE MAIN
DESCRIPTION AS WELL AS THE
ADDITIONAL DESCRIPTION.
AS YOU LOOK AT HOW THESE FOODS
ARE DESCRIBED, YOU CAN SEE
THEY'RE BASED ON THE HEALTH OF
INTERVIEWERS AND CODERS TO
ATTACH THINGS TOO.
YOU CAN SEE RESPONDENTS MAY GIVE
ANOTHER NAME FOR A RAW PIECE
JICAMA.
I GREW UP IN THE MID WEST AND
I'M NORWEGIAN AND LAFFSA WAS AN
IMPORTANT PART OF WHAT I
CONSUMED.
I GUESS I THINK OF THAT AS
CULTURAL BUT I'M SO USED TO
EATING IT I THINK OF IT AS A
TYPICAL FOOD I HAVE.
I MARIED A MAN WHO IS PERSIAN
AND HIS FAMILY LOVES IT AND
THINK IT'S JUST A DIFFERENT TYPE
OF FLOUR AND THE NEXT SLIDE ARE
OTHER EXAMPLES AS WELL.
AND I PICKED UP PAN DOLCE AND
WHAT DOES THAT MEAN?
FAY RESPONDENT SAID PAN DOLCE
AND WE ASKED FOR MORE
INFORMATION THEY MAY SAY IT'S
PAN
SOMETHING I HAD AT SOMEONE'S
HOME AND YOU CAN SEE THE OTHER
CHARACTERIZATIONS OF PAN DOLCE
AND THE OTHER SELECTIONS OF
THOSE.
SO FNDDS IS A LARGE DATABASE AND
85 VARIABLES FOR THE 1920
VERSION.
HOW CAN I GET AT THIS.
IF YOU GO HERE CLICK ON
DOCUMENTATION DATABASE IN THE
BLUE BAR AND YOU'LL SEE THIS
PAGE COME UP.
NOW, THE BLUE ARROWS ON YOUR
LEFT SHOW YOU DOCUMENTATION,
LENGTHY DOCUMENTATION OF HOW WE
PUT IT TOGETHER AND RESOURCES WE
USE FOR PUTTING IT TOGETHER AND
DETAILS ABOUT FOODS THAT WE
DISCONTINUE AND WHY WE DID AND
IF WE MERGE THEM WITH ANOTHER
CODE OR NOT.
ON THE RIGHT, THE RED COLORED
ARROWS SHOW YOU HOW TO DOWNLOAD
COMPONENTS.
YOU CAN GET THE FULL DATABASE
THROUGH ACCESS SAS OR EXCEL.
WE ALSO BROKE UP COMPONENTS OF
THE DATABASE BY FIVE EXCEL
FILES.
YOU CAN SEE THOSE LISTED WHICH
ARE MORE MANAGEABLE FOR THOSE OF
US THAT AREN'T NECESSARILY DATA
SCIENTISTS TO LOOK AT COMPONENTS
WITHIN FNDDS AND THE BOTTOM GOLD
FRAMED IN RED IS THE WEBSITE
ADDRESS FOR THE FSRG SITE.
SO FNDDS SUPPORTS OUR NATIONAL
DIETARY SURVEILLANCE IN THE
UNITED STATES.
IT'S PUBLICLY AVAILABLE JUST
DOWNLOAD AND USE IT AS IS THE
DATA FROM FOOD DATA CENTRAL.
AND FNDDS IS BASED ON CURRENT
AND QUALITY FOOD DATA CENTRAL
ANALYTICAL COMPOSITION VALUES
WHICH ARE UPDATED AND ADDED TO
TWICE A YEAR SINCE ITS LAUNCH IN
2018.
AND REPRESENTS THE REPORTING OF
CULTURAL AND ETHNIC FOOD AND
BEVERAGES IN NHANES.
THANK YOU FOR THE OPPORTUNITY TO
TALK WITH YOU ABOUT FNDDS.
YOU CAN SEE MY E-MAIL.
PLEASE E-MAIL ME WITH QUESTIONS
IF WE DON'T GET TO THEM TODAY
AND I WANT TO ACKNOWLEDGE THE
FSRG STAFF THAT HELPED ME COUPLE
WITH THE BROAD VIEW OF CULTURAL
AND ETHNIC FOODS LISTED.
THANK YOU VERY MUCH.
NEXT SLIDE WILL BE FOR THE NEXT
PRESENTER.
>> THANK YOU.
OUR NEXT SPEAKER IS KATHERINE
TUCKER AND THE DIRECTOR FOR
POPULATION HEALTH AT U-MASS
LOWELL AND FOCUSES ON THE
DIETARY INTAKE AND CHRONIC
DISEASE INCLUDING HEART DISEASE
AND METABOLIC SYNDROME AS WELL
AS OSTEOPOROSIS.
AND SPECIAL EMPHASIS ON HEALTH
DISPARITY.
WELCOME DR. TUCKER.
THANK YOU, SO MUCH.
I'M EXCITED TO BE PART OF THIS
EXCITING WORKSHOP.
>> FIRST I WANT TO ACKNOWLEDGE
ALANNA'S WONDERFUL WORK WITH THE
NUTRIENT DATABASE.
IT'S THE BEST DATABASE IN THE
WORLD FOR FOOD COMPOSITION AND
KNOW THEY'VE BEEN ADDING DIVERSE
FOODS THAT ARE SO HELPFUL.
I'M GOING TO TALK ABOUT THE
CHALLENGES THOUGH WE HAVE
WONDERFUL DATABASES THERE'S
CHALLENGES OF INTAKE IN
POPULATIONS.
WE NEED VALID AND RELIABLE
NUTRIENT INTAKE TO UNDERSTAND
WHAT EACH GROUP IS EATING.
WE NEED USUAL INTAKE OVER TIME
IF WE'RE TRYING TO RELATE THAT
INTAKE TO LONG TERM CHRONIC
DISEASE RISK LIKE DIABETES AND
HYPERTENSION.
DIET PATTERNS DIFFER BY ONLY
NIFT -- ETHNICITY AND EXCITED
WE'RE GETTING A LARGE COALITION
OF PEOPLE INTERESTED IN THAT NOW
BECAUSE IT'S BEEN OVERLOOKED FOR
A LONG TIME.
IT ISN'T SIMPLE.
HERE'S THE TRADITIONAL METHODS
I'M SURE YOU'RE ALL FAMILIAR
WITH.
THERE'S DETAIL NEEDED TO
UNDERSTAND RECIPES AND THE
DIFFERENT SPECIFIC FOODS
CONSUMED THAT MAY BE
MISCLASSIFIED OTHER WISE.
IN LARGE STUDIES EVEN NHANES
DOESN'T CAPTURE THE INTAKE NOR
INDIVIDUAL WELL.
SO INDIVIDUALS CAN BE
MISCLASSIFIED AND WHEN YOU TRY
TO RELATE THEIR INTAKE TO
OUTCOMES LIKE HYPERTENSION OR
EVEN CHANGES IN AN INTERVENTION
IT TENDS TO ATTENUATE THE
MEASURES.
FOOD FREQUENCY QUESTIONNAIRES
ARE USED BECAUSE IT'S SOMETHING
YOU CAN ADMINISTER ONCE AND GET
A GOOD LONG-TERM ESTIMATE.
HERE'S AN EXAMPLE OF THE DAY TO
DAY VARIATION THAT CAN OCCUR OF
THREE WOMEN THAT WERE AT THE 10,
50th AND 90th PERCENTILE AND AT
ANY ONE POINT THEY COULD BE AT A
DIFFERENT TERTILE.
AND THE PROBLEM WITH THE 24-HOUR
RECALLS IT OVER ESTIMATES THE
RANGE AND OVER ESTIMATES HOW
MANY PEOPLE MAY BE LOW OR HIGH
IN A SPECIFIC NUTRIENT.
AND ATTENUATES REGRESSION
COEFFICIENTS.
IT'S A MAJOR ISSUE IN THESE
KINDS OF STUDIES.
SO AGAIN THERE'S MANY DAYS
ESTIMATED TO CAPTURE CERTAIN
NUTRIENTS PARTICULARLY THINGS
LIKE VITAMIN A IN SPECIFIC FOODS
AND THINGS LIKE PERHAPS CALCIUM
IN FEWER FOODS.
THE NCI APPROACH HELPS WITH
FIXING THE DISTRIBUTION BUT IT'S
STILL IMPORTANT FOR PEOPLE TO
REALIZE IT STILL DOES NOT
ACCURATELY CLASSIFY INDIVIDUALS
WHEN YOU'RE TRYING TO RELATE TO
OUTCOMES.
SO THE ADVANTAGES OF THE FOOD
FREQUENCY ARE THE SINGLE
ADMISSION AND IT USES PATTERN
MEMORY.
DISADVANTAGED AND THESE ARE A
BIG ONE FOR THE PURPOSE WE'RE
DISCUSSING HERE IS DEFINED FOOD
LIST.
WE CAN'T HAVE EVERY FOOD THERE
BECAUSE PEOPLE WILL GET FATIGUED
AND SO WE HAVE TO MAKE
SELECTIONS ON THAT FOODS LIST.
THE OTHER THING THAT'S VERY MUCH
UNDER APPRECIATED IS THE
RECIPES.
ASSUMPTIONS FOR RECIPES LIKE A
BEEF STEW OR A CHICKEN SOUP MAY
BE VERY DIFFERENT FOR DIFFERENT
ETHNIC GROUPS AND THAT WOULD NOT
BE CAPTURED.
SO IMPORTANTLY IF YOU'RE LOOKING
A DIVERSE GROUP AND DON'T HAVE
SOME OF THE FOODS ALANNA
HIGHLIGHTED THAT MAY BE WHAT
THEY EAT A LOT OF SUCH AS
PLANTAINS IN THE CARIBBEAN
GROUPS YOU WILL UNDERESTIMATE
INTAKE FOR THOSE GROUPS.
YOU'LL BE MISSING FOODS AND THAT
IS SYSTEMATIC.
ANY COMPARISONS BETWEEN THOSE
SUBGROUPS WILL NO LONGER BE
VALID.
THIS IS THE BIGGEST CHALLENGE WE
HAVE.
SO IN THIS CASE THIS CAN LEAD TO
SERIOUS BIAS IN MULTI-CULTURAL
STUDIES.
SO THIS COMPROMISES GROUPING OF
FOODS AS WELL.
FOR EXAMPLE WHEN WE HAVE OTHER
FOODS ON THE FOOD FREQUENCY
QUESTIONNAIRE THE DATA BEHIND
THE LIST IS GRAPES, PLUMS,
PEACHES, PINEAPPLE BUT MAY NOT
HAVE FOOD CONSUMED BY OTHER
GROUP.
THIS IS IMPORTANT VARIATION AND
WILL LEAD TO CONFOUNDING.
THE STANDARD PORTIONS ARE
ANOTHER PROBLEM.
EVEN SMALL, MEDIUM AND LARGE CAN
VARY WITH MANY GROUPS HAVING
LARGE PLATES OF RICE WHERE THE
STANDARD FOOD FREQUENCY MIGHT
EXPECT IT TO BE TWO-THIRDS OF A
CUP AND UNDERESTIMATE A HUGE
AMOUNT OF CALORIES.
THIS IS SHOWN IN SEVERAL THINGS
I'LL GO THROUGH QUICKLY.
WHEN COEFFICIENTS FOR THE
QUESTIONNAIRE WERE EXAMINED WHAT
YOU CAN SEE IS THEY ARE MUCH
LOWER FOR PARTICULARLY HISPANIC
GROUPS AND AFRICAN AMERICANS.
SOMETIMES AS LOW AS ZERO FOR VIT
MIN A FOR AFRICAN AMERICANS AND
IT'S LOW IN THE HISPANICS.
THIS SAY PROBLEM.
-- THIS IS A PROBLEM.
AND AGAIN THIS IS THE INSULIN
RESISTANCE ATHEROSCLEROSIS
STUDY.
MANY NUTRIENTS WERE MUCH LOWER
IN THEIR VALIDITY FOR RURAL
AFRICAN AMERICAN OR HISPANICS.
THIS IS LOOKING AT NOT ONLY
AGAINST RECALLS BUT CORRELATING
DIETARY INTAKES WITH PLASMA AND
IN THIS CASE WHAT YOU CAN ALSO
SEE FOR AFRICAN AMERICANS THE
VALIDITY IS MUCH LOWER.
WE FACED THIS WHEN WE WERE
DEVELOPING THE FOOD FREQUENCY
FOR PUERTO RICOS.
AND WE FOUND THERE WERE SEVERAL
FOODS THAT WERE MISSING OWN ANY
EXISTING FOOD FREQUENCIES THAT
NEEDED TO BE ADDED.
AND THE PROPORTION SIZES WE
CHECK FOR EACH FOOD AND THE
PORTION SIZES WERE RADICALLY
DIFFERENT FOR MANY FOODS AND
THAT NEEDED ADJUSTMENT.
AND HOW DO YOU DEVELOP A NEW
FOOD FREQUENCY QUESTIONNAIRE.
YOU REALLY NEED TO START WITH 24
HOUR RECALLS TO GET THE DETAILS,
RECIP
RECIPES AND SPECIFIC FOODS WITH
THEIR PORTION SIZES.
AND WE DID THIS WE STARTED WITH
THE BLOCK AND PUERTO RICAN FOODS
AND JUST BECAUSE SOMEONE ISN'T
IDENTIFIED AS PUERTO RICAN
DOESN'T MEAN THEY DON'T EAT THAT
WAY.
IT NEEDED TO BE COMBINED WITH
THE GENERAL BLOCK FOOD FREQUENCY
QUESTIONNAIRE.
IF WE TOOK THE ORIGINAL BLOCK
AND COMPARED IT TO 24-HOUR
RECALLS WE WERE SIGNIFICANTLY
UNDERESTIMATING.
YOU CAN SEE THE INTAKE OF THE
POPULATION BUT ONCE WE REVISED
THE FOOD FREQUENCY QUESTIONNAIRE
AND FIXED THE PORTION SIZES WE
WERE ABLE TO GET BACK TO THE
TRUE INTAKES.
THIS DEMONSTRATES FOR ENERGY
INTAKES.
IT WOULD HAVE BEEN MISCLASSIFIED
AND WOULD HAVE SAID THE HISPANIC
GROUP HAD SIGNIFICANTLY LOWER
ENERGY INTAKE THAN THE
NON-HISPANIC WHITES BECAUSE THEY
WERE MISSING FOOD.
THAT WAS NOT TRUE.
AND FOLATE, SAME THING.
HERE IT IS WITHOUT SPECIFICALLY
NOTING THE RECIPES.
THIS IS ONE THING I WANT TO
EMPHASIZE, HISPANICS RICE, BEANS
AND MIXED DISHES ARE PREPARED
VERY DIFFERENTLY THAN RICE FOR
EXAMPLE ON THE STANDARD
QUESTIONNAIRES.
THE PUERTO RICANS ALMOST ALWAYS
ADD OIL SO YOU'RE MISSING A LOT
OF FAT.
THE BEANS ALMOST ALWAYS HAVE
TOMATO SAUCE SO YOU'RE MISSING
LYCOPENE.
THIS IS WHAT WE FOUND WITH THE
LYCOPENE ONCE WE FIXED THE
RECIPES WE USED THE BIOMARKER.
WE ALSO CREATED A FOOD FREQUENCY
FOR THE SOUTHERN REGION IN THE
DELTA REGION.
YOU SEE THIS LONG LIST OF FOODS
MISSING AND EVEN LOOKING AT THE
REGIONS OF OUR COUNTRY SOME WILL
BE MISSING BISCUITS, CRACK
LINGS, CHICKEN AND DUMPLINGS AND
MUSTARD GREENS.
THE JACKSON HEART STUDY ASKED US
TO MODIFY THAT FOR THEIR USE
BECAUSE THEY NOTED AS WELL THE
STUDY WAS LESS VALID IN JACKSON
IN THE AFRICAN AMERICAN GROUP
THAN OTHER SITES.
HERE'S OUR VALIDATION STUDY IS
THAT SHOWED WE WERE ABLE TO DO
THAT.
THE ONE THING I WANT TO SAY
BEFORE THE CONCLUSION ABOUT
JACKSON THAT IS A GOOD EXAMPLE
IS IT'S THE ONLY STUDY WHERE
WE'VE SEEN FISH TO CORRELATE
NEGATIVELY WITH HEALTH.
WE LOOKED AT BIOMARKERS AND
OMEGA 3 FATTY ACIDS FOUND OUT
THE FISH MAINLY CONSUMED IS
FRIED CATFISH USUALLY PURCHASED
BATTERED AND FROZEN AND THE GOOD
FATS GO OUT IN THE DEEP FRYING
OIL.
IT GOES TO THE POINT IS IT'S NOT
AS SIMPLE AS MAKING
RECOMMENDATIONS EAT MORE FISH.
TO WORK WITH CERTAIN POPULATIONS
YOU NEED TO UNDERSTAND THE
SPECIFIC DIETARY PATTERNS AND
SPECIFIC SOURCES WITHIN THE FOOD
GROUPS AND THE QUALITY OF FOODS
WITHIN THE FOOD GROUPS.
WITH THAT I'D LIKE TO THANK YOU
FOR YOUR ATTENTION.
>> THANK YOU, DR. TUCKER.
OUR NEXT PRESENTATION IS BY
DR. STELA YI ON CHALLENGES AN
SOLUTIONS TOWARD MORE INCLUSIVE
DIETARY GUIDANCE AND RESEARCH
SPACE.
SHE'S A PROFESSOR AT THE
GROSSMAN SCHOOL.
SHE'S A RESEARCHER COMMITTED TO
ADVANCING HEALTH EQUITY AND
SOCIAL JUSTICE FOR ASIAN
AMERICANS AND OTHER IMMIGRANT
COMMUNITIES.
WELCOME, DR. YI.
>> HI, EVERYONE.
THANK YOU TO THE WORKSHOP
PLANNING COMMITTEE FOR THE
INVITATION TO PRESENT TODAY.
I'LL BE SPEAKING AS DR. FUNG
SAID ABOUT CHALLENGES AND
SOLUTIONS TOWARDS MORE INCLUSIVE
DIETARY GUIDANCE AND RESEARCH
SPACE.
MY TALK IS FRAMED AROUND THREE
KEY QUESTIONS.
HOW DO PEOPLE EAT.
WHO IS REPRESENTED OR NOT
REPRESENTED IN OUR NEW TRIGS
RECOMMENDATIONS AND RESEARCH?
HOW CAN WE APPROACH NUTRITION
RECOMMENDATIONS AND RESEARCH FOR
BROAD YET SPECIFIC AUDIENCES?
AND I WILL CLOSE WITH
RECOMMENDATIONS AND RESEARCH
GAPS.
TO PROVIDE A MORE IN DEPTH
ILLUSTRATION OF HOW
UNDERSTANDING THE ANSWERS CAN
LEAD TO MORE INCLUSIVE DIETARY
GUIDANCE AND SPACES I'LL DRAW
FROM ONE OF OUR CURRENTLY NIMHD
FUNDED PROJECTS OUR BASIS
PROGRAM ACROSS NINE FARM AND
COMMUNITY-BASED PARTNERS AND ONE
ELEMENTARY SCHOOL AND
CONSULTANTS SPECIALIZING IN
LANGUAGE JUSTICE AND SOCIAL
MARKETING AND IT IMPROVE DIET
FOR IMMIGRANT COMMUNITIES IN
SUNSET PARK BROOKLYN AND THE
PROGRAM IS DESIGN FOR ENGLISH,
MANDARIN CHINESE AND OTHER
SPEAKERS.
THE FIRST SPACE I'D LIKE TO
TOUCH ON IS UNDERSTANDING HOW DO
PEOPLE ACTUALLY EAT?
WE ARE GOOD AT ENUMERATING WHAT
PEOPLE EAT, HOW THE CONSUMPTION
PATTERNS MAY DIFFER FOR
DEMOGRAPHIC GROUPS AND HOW THE
PATTERNS ARE ASSOCIATED WITH
HEALTH OUTCOME.
WHAT WE HAVE LESS UNDERSTANDING
OF IS WHY PEOPLE EAT WHAT THEY
DO?
WHAT DRIVES THEIR FOOD CHOICES?
WHO DO THEY EAT WITH?
HOW IS THE FOOD PRESENTS AND
PREPARED AND WHAT ARE BARRIERS
AND ASSETS THAT CONTRIBUTE TO
HEALTH EATING HABITS?
THEY'RE ALL CAPTURED IN THE
NUTRITION HEALTH DISPARITIES
RESEARCH FRAMEWORK WE HEARD
ABOUT YESTERDAY IN SEVERAL
PRESENTATIONS AND THE FRAMEWORK
INCLUDES MULTIPLE DOMAINS AND
LEVELS OF INFLUENCE THAT COULD
GUIDE OUR IN QUERY TO
UNDERSTANDING HOW PEOPLE EAT AND
GAINING AN UNDERSTANDING INTO
HOW FOOD CHOICES ARE MADE COULD
GIVE US INSIGHT INTO HOW BEST TO
STRUCTURE NUTRITION
RECOMMENDATIONS AND
TRANSLATIONAL RESEARCH EFFORTS
TO BE MORE FEASIBLE, SUSTAINABLE
AND UNIVERSALLY APPEALING.
WE HEARD SO RICH EXAMPLES AND TO
ILLUSTRATE THE CONCEPTS A BIT
MORE I'M SHARING THEE
COMMENTARIES AND I'LL BRIEFLY
TOUCH ON KEY FINDINGS FROM EACH
WORK.
THERE WAS A COMMON DIETARY
RECOMMENDATIONS AND TO WHAT
EXTENT THE RECOMMENDATIONS ARE
POTENTIALLY CULTURALLY ADAPTABLE
AND WHAT WE FOUND IS THAT THE
DIFFERENT DIETARY
RECOMMENDATIONS DIFFER IN
ORIENTATION AND TEND TO HAVE A
REDUCTIONIST EMPHASIS ON
PHYSICAL HEALTH AND SET ASIDE
AVAILABLE RESOURCES AND HOW FOOD
IS PROCURED AND PREPARED OR
POTENTIALLY NOT HONOR EXISTING
PLANT-BASED OR OTHER SOCIAL AND
CULTURAL PRACTICES.
IN THE SECOND PIECE HOW
TRANSPORTATION IS A CENTRAL
DETERMINATE OF FOOD INSECURITY
AMONGST IMMIGRANT COMMUNITIES AS
IS IN ACCESS TO IN-LANGUAGE
RESOURCES AND LAST WEEK THERE
WERE AREAS IN WHICH WE MAY
CONSIDER MODIFYING METHODS TO
PROMOTE GREATER INCLUSIVITY OF
THE DIETARY EXPERIENCES OF
IMMIGRANT IN RESEARCH AND
IMMIGRANTS PRIORITIZE ETHNIC
FOOD OUTLETS, DIETARY BEHAVIOR
DIFFERENCES WITHIN FAMILIES OR
MEAL STYLES AND PATTERNS NOT
CURRENTLY RECOGNIZED IN
MAINSTREAM AREAS.
AND THE SECOND PACE I WANT TO
SPEAK ON IS REPRESENTATION.
WHO IS REPRESENTED OR NOT
REPRESENTED IN OUR NUTRITION
RECOMMENDATIONS OF RESEARCH.
NOW, WE DON'T HAVE A DEFINITIVE
SOURCE TO ANSWER THE SIGNIFICANT
RESEARCH GAP YET BUT HAVE AN
IDEA WHO THE FOLKS MAY BE.
THIS IS A NON-EXHAUSTIVE LIST OF
NUTRITION SOURCES AND START WITH
NHANES A MAJOR SOURCE OF
INFORMATION OF DIETARY
CONSUMPTION PATTERNS.
IT'S MADE GREAT STRIDES ADDING A
SAMPLE OF ASIAN AMERICANS AND
INITIATING OFFERING IN CHINESE,
KOREAN AND VIETNAMESE IN
ADDITION TO ENGLISH AND SPANISH.
ON CLOSER EXAMINATION THERE WERE
NON-ENGLISH SPEAKERS.
THIS IS PROBLEMATIC BECAUSE
NON-ENGLISH SPEAKING COMMUNITIES
TEND TO HAVE LESS FAVORABLE DIET
AND HEALTH OUTCOMES.
WE MAY BE UNDERESTIMATING
DISPARITIES IN THE MOST
VULNERABLE GROUPS BY UNDER
REPRESENTING THESE COMMUNITIES.
WITHIN NIH-FUNDED CARDIOVASCULAR
COHORT STUDIES WE HAVE LIMITED
REPRESENTATION OF MIDDLE EASTERN
AND ASIAN AMERICANS ESPECIALLY
FILIPINO AND VIETNAMESE
COMMUNITIES.
NIH FUNDED A NEW COORDINATING
CENTER TO ESTABLISH A
LONGITUDINAL COHORT OF ASIAN
AMERICAN, NATIVE HAWAIIAN AND
PACIFIC ISLANDERS DEMONSTRATING
THE COMMITMENT TO ADDRESS THIS
DEFINITE IN KNOWLEDGE.
WHO ELSE MIGHT BE UNDER
REPRESENTED.
A WORKSHOP DESCRIBES NIH-FUNDED
RESEARCH DISPARITIES AND FUTURE
EFFORTS CAN FOCUS ON ASIAN
AMERICAN AND MATERNAL
POPULATION.
AND LASTLY IN A REVIEW WE
CONDUCTED OF OVER 480
PEER-REVIEW ARTICLES UNDER
REPRESENTED COMMUNITIES INCLUDED
OLDER ADULTS AND AMERICAN
INDIANS AND ASIAN HAWAIIANS AND
AMERICAN ISLANDERS AND
REPRESENTING RESEARCH IN THE
LONGER TERM WILL BETTER REFLECT
WHAT DIVERSE COMMUNITIES EAT AND
THEREFORE SUBSEQUENT NUTRITION
GUIDANCE.
FOR THE THIRD SPACE I'D LIKE TO
DRAW BACK ON THE BASIS PROGRAM I
SHARED EARLIER AND THIS IS A
TABLE PART OF OUR PROCESS TO
HIGHLIGHT THE SIMILARITIES
ACROSS MEXICAN AND CHINESE
AMERICAN IMMIGRANT FAMILIES
PERTINENT TO IMPROVED DIET SUCH
AS THE IMPORTANCE OF FAMILY,
PARENTING STYLE OR THE ROLE OF
GRANDPARENTS AS PRIMARY
CAREGIVERS.
SUCH AN APPROACH THAT LEVERAGES
COMMONALITIES ACROSS GROUPS
WOULD PROVIDE EFFICIENCY IN
SCALE, IMPROVE GENERALIZABILITY
OF FINDINGS TO OTHER COMMUNITIES
AND PROMOTE CROSS-RACIAL
LEARNING.
OR WITH ANOTHER EXAMPLE, OUR
COMMUNITY PROGRAM WORKING IN
COLLABORATION WITH OUR COMMUNITY
PARTNERS WE CREATED THIS NAME
AND TAGLINE, KEEPING IN MIND
THEY WOULD NEED TO BE IN THE
FOUR LANGUAGES SPOKEN AMONG OUR
COMMUNITY MEMBERS AND THOUGH
THERE'S A BIT OF DISCREPANCY
ACROSS THE NAMES ALL VERSIONS
CONVERGE THE SAME BROAD
MESSAGING AND SPECIFIC ENOUGH TO
ALLOW FOR COMMUNITY MEMBERS TO
FEEL SEEN AND CONNECTED TO THIS
PROGRAM.
TO RECAP FIRST IN TERMS OF HOW
DO PEOPLE EAT, WHAT WE TEND TO
KNOW IS WHAT PEOPLE EAT AND
WITHIN DIFFERENT DEMOGRAPHIC
GROUPS.
WHAT WE DON'T KNOW IS WHAT
DRIVES THEIR FOOD CHOICES.
A RECOMMENDATION WOULD BE TO
CONDUCT NEW RESEARCH BY THE
DISPARITIES FRAME WORK TO GET A
MORE CLEAR SENSE OF THE
CONCEPTS.
WHO IS REPRESENTED?
WHAT WE KNOW IS LIMITED TO THOSE
THAT HAVE BEEN CAPTURED BY
EXISTING RESEARCH STUDIES AND
WHAT WE DON'T KNOW IS ABOUT
THOSE THAT ARE NOT REPRESENTED
IN THE CURRENT LITERATURE BASE.
SO TO THIS END I URGE FOR
CONTINUED PRIORITIZATION AND
INVESTMENT IN LONGITUDINAL
COHORT STUDIES AMONG LIMITED
ENGLISH PROFICIENT COMMUNITIES
AND ONE SIZE DOES NOT FIT ALL
BUT IS THERE UNIVERSAL MESSAGING
THAT WOULD ALLOW US TO BE BROAD
AND SPECIFIC.
THIS END WE SHOULD BE
IMPLEMENTING SCIENCE PRINCIPLES
AND FUND EFFORTS THAT EMPHASIZE
ACROSS RACIAL EFFORTS AND ACROSS
ALL THREE BUCKETS WHO SHOULD BE
CONSTRUCTING DIVERSE TEAMS
ACROSS THE FULL SPECTRUM OF
INVESTIGATOR, STAFF, STUDENTS,
PARTNERS, PRACTITIONERS AND
COMMUNITY MEMBERS TO BRING THEIR
LIVED EXPERIENCES TO THE TABLE.
TO CLOSE, RESEARCH GAPS INCLUDE
CHARACTERIZING WHO IS UNDER
REPRESENTED ALONG THE CONTINUUM
OF NUTRITION KNOWLEDGE AND
TRANSLATION.
WE ALSO NEED TO ELUCIDATE THE
DETERMINATES THAT DRIVE FOOD
CHOICES THROUGH A SYSTEMATIC
REVIEW OF RESEARCH IN TANDEM
WITH THE HEALTH OUTCOME REVIEWS
CURRENTLY CONDUCTED TO INFORM
THE DIETARY GUIDELINE AND ONCE
WE IDENTIFY THE PEOPLE WHO ARE
UNDER REPRESENTED IN NUTRITION
RESEARCH, A COORDINATED NATIONAL
QUALITATIVE EFFORT UTILIZING A
COMMON TOPIC GUIDE LEVERAGING
SOME OF THE RICH ACADEMIC
COMMUNITY PARTNERSHIP AND
TRUSTED NETWORKS THAT ALREADY
EXIST.
NEXT, WE SHOULD BE EXPLORING
WAYS WE CAN ADDRESS THE
REPRESENTATION OF OUR EXISTING
ROBUST NATIONAL SURVEY CAPTURE
DIETARY DATA LIKE APPLYING
INNOVATIVE TECHNIQUES.
AND LASTLY, WE SHOULD BE WORKING
NOT ONLY ACROSS MULTIPLE SECTORS
AS IS INCREASINGLY THE NORM BUT
CROSS-RACIALLY AND LEARNING FROM
EACH OTHER AND DOCUMENTING THE
BEST PRACTICES FOR EFFECTIVE
COLLABORATION.
I BELIEVE GAINING A BETTER
UNDERSTANDING OF THE EXISTING
GAPS WILL BE A STEP TOWARDS
CREATING A MORE EQUITABLE
DIETARY RESEARCH AND
PRACTICE-BASE AND LEAD TO
IMPROVEMENTS IN
NUTRITION-RELATED HEALTH
OUTCOMES.
THESE ARE MY ACKNOWLEDGEMENT AND
THANK YOU AND I LOOK FORWARD TO
THE Q&A.
>> THANK YOU, DR. YI.
I HOPE EVERYONE CAN HEAR ME I
HAD PROBLEMS WITH MY AUDIO AND
I'LL READ SOME QUESTIONS AND
THEY'RE COMBINED AND IN THE
MEANTIME IF YOU STILL HAVE
QUESTIONS PLEASE USE THE LIVE
FEEDBACK OPTION IN THE NIH
VIDEOCAST TO SUBMIT QUESTIONS.
SO LET'S GET STARTED.
THERE'S A FEW QUESTIONS ON
DATABASE AS WELL AS POLICY AS
WELL AS OBTAINING DIETARY
INTAKE.
I'M ACTUALLY GOING WITH THE
QUESTIONS THAT WAS FOR DIETARY
INTAKE.
AND IN SOME CULTURES THE EATING
HABIT IS YOU TAKE A PIECE AND
THEN ANOTHER AND YOU KEEP GOING.
IN THOSE CASES, IT MAY NOT WORK
WELL
OUR TOOLS ACROSS FREQUENCY, WE
SOMEHOW ADAPT TO TECHNOLOGY THAT
HELP US TO CAPTURE FOOD INTAKE
MORE ACCURATELY IN POPULATIONS
THAT WE ALL EAT DIFFERENTLY, HOW
WE EAT IS DIFFERENTLY.
ANY COMMENTS ABOUT THAT?
>> YES, THAT IS AN IMPORTANT
QUESTION.
I THINK IT'S BEEN UNDERSTUDIED.
HOWEVER, WHAT WE'VE DONE IN THE
PAST WE SEE RECIPE FOR THE FULL
PORTION THAT'S SERVED ON THE
TABLE AND THEN WE ASK PEOPLE TO
ESTIMATE WHAT PROPORTION OF THAT
DID YOU EAT RATHER THAN SAYING
HOW BIG WAS IT, YOU SAY DID YOU
EAT HALF, A QUARTER OF IT, A
SIXTH?
THAT WORKS WELL.
IN THE ASIAN POPULATION ANDEAST
ASIAN POPULATION, THESE ARE
REALLY IMPORTANT QUESTIONS.
>> ONE THING THAT CAME UP, WE
DON'T DO A FULL FOOD FREQUENCY
QUESTIONNAIRE WITH SOME ISSUES
THAT HAVE COME UP IN OUR PROGRAM
I MENTIONED IN MEASURING
VEGETABLE CONSUMPTION.
WHAT WE FOUND IS SIMILAR TO WHAT
YOU WERE ALLUDING TO, TERESA,
AND WHAT DR. YE WAS SAYING
YESTERDAY, THE AMERICAN CULTURE,
OTHERS TOO, VEGETABLES COOKED IN
MIXED DISHES, HARD TO ESTIMATE
HOW MUCH VERY -- VEGETABLE
YOU'RE EATING IF IT'S A MIXED
DISH WITH THREE VEGETABLES IN
IT.
THERE'S A GREAT PUBLICATION THAT
TALKS ABOUT THIS, THEY LOOKED AT
NHANES DATA AND FOUND MIXED
DISHES MADE UP VEGETABLE
CONSUMPTION OF ASIAN AMERICAN
GROUP AND HISPANIC GROUP MORE SO
THAN BLACK AND WHITE
COMMUNITIES.
AND SO THERE'S SOME EVIDENCE FOR
THAT.
I'M NOT AN EXPERT IN DIETARY
ANALYSIS OR DATA COLLECTION BUT
SOME OF THE WAYS WE COULD
IMPROVE IS THINK ABOUT WAYS
OTHER CULTURES AND COMMUNITIES,
OTHER COUNTRIES MEASURE DIETARY
INTAKE, RIGHT?
OR MAYBE ONE OF THE THINGS THAT
OUR GROUP HAD TALKED ABOUT WAS
POTENTIALLY ASKING THEM ABOUT
WHAT THEY PREPARED FOR DINNER
THAT NIGHT AND WHAT WAS ON THE
TABLE, RATHER THAN -- THAT
DOESN'T HELP YOU TO GET AT
INDIVIDUAL LEVEL CONSUMPTION BUT
AT LEAST THAT'S SORT OF GIVING
YOU ANOTHER DATA POINT TO
COMPARE AGAINST WHAT THEY ARE
TRYING TO ESTIMATE FROM THAT
WHOLE.
THOSE ARE SOME IDEAS.
WE COULD BE LEARNING FROM OTHER
COUNTRIES AND SHOULD BE TALKING
TO PEOPLE.
>> DOES ANYBODY HAVE ANY OPINION
ON USING PHOTOGRAPHS AND HOW
FEEDING BACK TO THE INVESTIGATOR
USING THAT TO ASSIST IN ACCURACY
OF RECALL?
IT'S NOT SO EASY BUT WHAT IS
YOUR OPINION ON THAT?
>> I'LL SAY SOMETHING ABOUT
THAT.
SEVERAL PEOPLE HAVE BEEN WORKING
ON THAT, AND ONE, FOR EXAMPLE,
HAD A CAMERA AROUND THEIR NECK
TO BE NON-CONSPICUOUS, TAKING
EVERY FEW MINUTES TAKING A
PICTURE.
OTHERS HAD PLACE MATS TO
STANDARDIZE THE SIZE OF THE
PLATE AND GET THE PORTION SIZE
ESTIMATED FROM THAT, WITH NEW
TECHNOLOGY THOSE THINGS ARE
GETTING BETTER.
THE TRUTH IS, YES, THEY CAN HELP
YOU WITH PORTION SIZE BUT THEY
ARE NEVER GOING TO GET THE WHOLE
THING.
FOR EXAMPLE, IF YOU SEE A GLASS
OF SODA, YOU DON'T KNOW IF IT'S
DIET SODA OR FULL SUGAR SODA.
I THINK PHOTOGRAPHS CAN BE
HELPFUL FOR PORTION SIZES.
BUT THAT'S THE EXTENT OF IT.
AND I WOULD SAY THE OTHER THING
IS THEY TAKE A LOT OF WORK.
IT'S NOT SIMPLIFYING THINGS.
ONCE YOU HAVE ALL THOSE
PICTURES, SOMETHING HAS TO GO
THROUGH THEM.
I KNOW THEY ARE WORKING MORE
WITH A.I. TO DO THAT.
BUT IT STILL TAKES A REAL PERSON
TO MAKE THE FINAL DECISION.
>> ONE QUICK QUESTION FOR DR.
TUCKER.
ONE OF OUR ATTENDEES WAS ASKING
ABOUT THE PUERTO RICAN
QUESTIONNAIRE.
FOR WHAT AGE GROUP WAS IT
DESIGNED?
>> YES, ABSOLUTELY.
IT'S AVAILABLE IN SPANISH AND
ENGLISH.
AND IT IS BEING USED BY SEVERAL
GROUPS.
AND IT WAS DESIGNED FOR ADULTS.
>> OKAY, GREAT.
THANK YOU.
THERE ARE A FEW QUESTIONS ABOUT
DATABASE IN TERMS OF UPDATING,
ADDING MORE CULTURE FOODS AND
EXPANDING AS WELL AS HOW THE
SCIENTIFIC COMMUNITY CAN HELP
YOU WITH EXPANDING THE DATABASE.
>> THANK YOU FOR THAT QUESTION.
IT'S SO IMPORTANT, PARTICULARLY
FOR THIS WORKSHOP.
LET ME FIRST ADDRESS HOW WE MAKE
DECISIONS OF WHAT TO ADD TO THE
FOOD AND NUTRIENT DATABASE FOR
DIETARY STUDIES.
FUNDAMENTALLY IT'S BASED ON NEW
FOODS THAT GET REPORTED IN THE
SURVEY.
AND IF REPORTED A NUMBER OF
TIMES, AS WELL AS IN COMBINATION
WITH THAT, DO WE HAVE THE
ANALYTICAL COMPOSITION DATA TO
CHARACTERIZE THE FOOD, BECAUSE
WE WANT TO BE SURE WE HAVE GOOD
NUTRIENT VALUES FOR FOODS
REREPORT IN NATURAL SURVEY WITH
SUCH IMPORTANT USES.
SO THAT'S BASICALLY HOW WE
DECIDE TO ADD NEW FOODS.
WE ALSO USE THE LOOKED AT THE
MARKETPLACE, VERY DIFFICULT TO
DO, BUT THAT IS HIGHLY TRENDING
IN THE MARKETPLACE.
NON-DAIRY BEVERAGE CHOICES ARE
AN AREA THAT'S JUST GROWN
TREMENDOUSLY.
AND WE'RE WORKING TO GET THOSE
TYPES OF BEVERAGES PUT INTO THE
DATABASE.
THE RECOMMENDATIONS THAT COME
FROM THE DIETARY GUIDELINES TO
MOVE MORE TO A PLANT-BASED DIET
VERSUS ANIMAL-BASED DIET
INFLUENCE US IN TERMS OF WHAT
SHOULD BE IN FNDDS.
NOW, HOW TO GET MORE ETHNIC
CULTURAL FOODS IN USDA
DATABASES, AND FOOD DATA CENTRAL
WHICH IS OUR BASIS FOR
COMPOSITION DATA, THERE'S A
PLACE WHERE YOU CAN SUBMIT
QUESTIONS ON THAT WEBSITE.
I WOULD ENCOURAGE YOU TO PUT IN
THE FOODS OR BEVERAGES YOU WOULD
LIKE TO SEE ANALYZED, AS WELL AS
UNDERSTANDING THE BASIS FOR OUR
FOUNDATION FOODS IN THAT
DATABASE.
DOING THE LABORATORY ANALYSIS OF
WHAT'S IN FOODS IS NOT AN
INEXPENSIVE ENDEAVOR.
WE ALWAYS HAVE TO SET
PRIORITIES.
BUT PUTTING YOUR IDEAS IN FDC AS
WELL AS E-MAILING ME, IF YOU'VE
GOT THINGS YOU WOULD LIKE TO SEE
MORE ANALYTICAL DATA ON, AND
WANT TO GET A REAL PERSON, I CAN
ARRANGE TO HAVE YOU MEET WITH
THE PEOPLE THAT WORK ON FDC AND
I WORK WITH IT AS WELL.
THERE'S A GREAT INTEREST IN OUR
CENTER FOR INCLUDING MORE
INDIGENOUS FOODS INTO FOOD DATA
CENTRAL.
SO, STAY TUNED OVER THE NEXT FEW
YEARS.
>> GREAT, THANK YOU.
WE'RE GETTING INTO OUR BREAK
TIME BUT I HAVE A QUESTION.
WHEN IT COMES TO HEALTH EQUITY
LENS OF THINGS, HOW WAS THE
ORDER OF YOUNG ADULTS FITTING
INTO THAT?
>> IT'S A GREAT QUESTION.
THE ADVISORY COMMITTEE IS
LOOKING ACROSS ALL AGES.
FROM INFANTS ALL THE WAY TO
OLDER ADULTS.
I THINK THE PERSON WHO ASKED THE
QUESTION IS LOOKING AT THE
SUBCOMMITTEES, WE HAVE ONE
COMMITTEE THAT'S LOOKING AT
PREGNANCY AND CHILDREN,
ADOLESCENTS.
BUT THE OTHER SUBCOMMITTEES ARE
LOOKING ACROSS THE LIFESPAN
INCLUDING ADULTS.
SO THANK YOU.
>> GREAT.
THANK YOU.
WE'RE GETTING INTO OUR BREAK
TIME.
WE DO HAVE MANY MORE PANELISTS
COMING UP, I WANT TO MOVE TO THE
BREAK NOW.
I'M SORRY I DIDN'T ADDRESS ALL
THE QUESTIONS.
CONTACT THE PANELIST SO WE CAN
GET YOUR QUESTIONS ADDRESSED.
THANK YOU SO MUCH FOR JOINING US
TODAY AND THANK YOU TO ESTEEMED
PANELISTS.
LET'S RECONVENE AT 1:30.
I'M PROGRAM DIRECTOR AT NCI
AND COMMITTEE MEMBER.
IT'S GREAT TO BE
HERE TODAY, I'M EXCITED TO SERVE
AS MODERATOR FOR THE FLASH TALK.
WE'LL HIGHLIGHT WORK OF TRAINEES
AND EARLY STAGE RESEARCHERS
DOING WORK AROUND
CULTURE-CENTERED DIETARY
INTERVENTION RESEARCH.
EACH SPEAKER WILL SPEAK FOR FIVE
MINUTES, FOLLOWED BY VERY BRIEF
TWO-MINUTE Q&A.
QUESTIONS WILL BE ASKED RIGHT
AFTER EACH TALK.
REMINDER, PLEASE SUBMIT
QUESTIONS DIRECTLY BY USING THE
SUBMIT LIVE FEEDBACK BUTTON IN
THE NIH VIDEOCAST DESCRIPTION.
VIA THE LINK.
WITH THAT LET'S GET STARTED.
FIRST PRESENTATION IS PERCEIVED
ACCEPTABILITY, BARRIERS,
FACILITATORS AND CULTURAL
RELEVANCE OF THREE DIETARY
PATTERNS IN THE 2020-2025 UNITED
STATES DIETARY GUIDELINES AMONG
AFRICAN AMERICAN ADULTS.
WELCOME AND THE FLOOR IS YOURS.
>> THANK YOU FOR THE
INTRODUCTION.
I'M HAPPY TO BE HERE.
SO MY PRESENTATION WILL BE
LOOKING AT A FOCUS GROUP STUDY
WITH AFRICAN AMERICAN ADULTS,
EXPLORING EXPERIENCES OF THE
U.S. DIETARY GUIDELINES.
NEXT SLIDE PLEASE.
THE GUIDELINES PROVIDE
INFORMATION AND ADVICE TO
AMERICANS ABOUT WHAT TO EAT TO
MEET NUTRIENT RECOMMENDATIONS
EMPHASIZING THREE DIETS.
ONE IS HEALTHY MEDITERRANEAN
STYLE PATTERN.
ONE IS HEALTHY VEGETARIAN STYLE
PATTERN.
AND ANOTHER IS HEALTHY
U.S.-STYLE EATING PATTERN.
NEXT SLIDE PLEASE.
WE KNOW THERE ARE RACIAL
DISPARITIES IN DIET QUALITY AND
AFRICAN AMERICAN ADULTS TEND TO
SCORE LOWER IN DIET QUALITY
COMPARED TO WHITE AMERICANS AND
OTHER MINORITY GROUPS.
WE KNOW THAT RESEARCH HAS BEEN
DRAWN FROM WHITE POPULATIONS
LARGELY, AND SO THERE'S BEEN
LIMITED RESEARCH WHETHER THESE
DIETS ARE ACCEPTABLE AND
CULTURALLY RELEVANT TO AFRICAN
AMERICAN POPULATIONS.
NEXT SLIDE PLEASE.
SO THE DIETARY GUIDELINES THREE
DIETS INTERVENTION WAS A
12-WEEK, PARTICIPANTS ASSIGNED
TO ONE OF THE THREE PATTERNS,
ALL MATERIALS IN THE
INTERVENTION USED MY PLATE AND
USDG MATERIALS WITH ZERO
CULTURAL TAILORING.
NEXT SLIDE PLEASE.
AND SO WE CONDUCTED FOCUS GROUPS
AFTER THE INTERVENTION, AND WE
WANTED TO UNDERSTAND BASICALLY
WHAT THEIR EXPERIENCES WERE WITH
THE THREE DIETS AND THE AIM WAS
TO USE FEEDBACK TO TAILOR A
YEAR-LONG INTERVENTION WITH THE
FEEDBACK WE GOT IN ORDER TO MAKE
IT CULTURALLY RELEVANT AND
ACCEPTABLE TO AFRICAN AMERICAN
ALSO PARTICIPATING IN THE STUDY.
THESE ARE SOME QUESTIONS WE
ASKED PARTICIPANTS.
SPECIFICALLY WE WANTED TO KNOW
WHAT WERE FACILITATORS AND
BARRIERS, WHAT WAS ACCEPTABILITY
OF THE DIETS, WHAT WAS THE
CULTURAL RELEVANCE OF THE DIETS,
AND TO KNOW ABOUT PARTICIPANTS'
RECOMMENDED CHANGES FOR USDG AND
NUTRITION INTERVENTION.
NEXT SLIDE.
SO WHEN IT CAME TO ACCEPTABILITY
OF THE USDG PARTICIPANTS
STRUGGLED WITH VEGETARIAN BUT
BETTER OUTLOOK WITH
MEDITERRANEAN, THE MOST EXCITING
FOR PARTICIPANTS.
HOWEVER THERE WAS SOME CONFUSION
ABOUT EXACTLY WHAT CONSTITUTED A
MEDITERRANEAN DIET.
AND WHEN IT CAME TO HEALTHY U.S.
DIET THIS HAD SOMEWHAT MORE
MIXED REVIEWS PRE AND POST
INTERVENTION, AND THIS STEMMED
FROM THE FACT SOMEWHERE IN THE
DIET ALREADY SIMILAR TO WHAT
THEY WERE EATING AND OTHERS
WANTED TO BRANCH OUT AND TRY
SOMETHING DIFFERENT.
NEXT SLIDE.
WHEN IT CAME TO BARRIERS TO
FOLLOWING ASSIGNED DIET, MEETING
DAIRY FOOD GROUP WAS DIFFICULT
FOR PARTICIPANTS.
A LOT REPORTED BEING LACTOSE
INTOLERANT WHICH CAN BE COMMON
AMONG AFRICAN AMERICANS, AND SO
MEETING THIS FOOD GROUP WAS
DIFFICULT.
UNDERCONSUMPTION CAN POSE HEALTH
RISKS DUE TO LACK OF CALCIUM AND
VITAMIN D.
FEED BACK WAS PARTICIPANTS
WANTED TO BE PROVIDED WITH
ALTERNATIVES.
>> ONE MINUTE REMAINING.
>> THANKS.
NEXT SLIDE PLEASE.
ANOTHER BARRIER MENTIONED BY
PARTICIPANTS RELATED TO THE
CHALLENGES POSED BY BEING THE
PRIMARY PREPARER OF THE
HOUSEHOLD, MOST PARTICIPANTS
WERE WOMEN AND IN CHARGE OF, YOU
KNOW, FOOD IN THE HOUSEHOLD.
AND SO THIS CAUSED A LOT OF
TENSION BETWEEN THEMSELVES WHO
WERE TRYING TO COOK AND EAT IN
LINE WITH DIETARY INTERVENTION
WHILE ALSO TRYING TO CATER TO
OTHER HOUSEHOLD MEMBERS THAT
MAYBE WEREN'T SO RECEPTIVE TO
THESE CHANGES, SO THIS WAS A BIG
BUSHED AS WELL FOR PARTICIPANTS.
NEXT SLIDE PLEASE.
AND ANOTHER PIECE OF FEEDBACK WE
GOT WAS A DESIRE TO SEE MORE
TRADITIONAL STAPLE ITEMS AND
RECIPES AS WELL AS FAMILIAR
SEASONINGS BUT THAT MODIFIED TO
BE HEALTHIER AND IN LINE WITH
DIETARY GUIDELINES.
NEXT SLIDE PLEASE.
AND SO THESE WERE SOME OF THE
MANY FINDINGS IN THE STUDY.
FULL STUDY IS UNDER REVIEW.
AND SO NEXT SLIDE PLEASE.
IF YOU HAVE ANY FURTHER
QUESTIONS FEEL FREE TO E-MAIL
ME.
THANK YOU SO MUCH.
AND A SHOUT OUT TO THE LAB AT
THE SCHOOL OF PUBLIC HEALTH.
>> THANK YOU FOR YOUR WONDERFUL
PRESENTATION.
GIVEN THE NATURE OF THE SESSION
WE'LL HAVE TIME FOR ONE OR TWO
QUESTIONS.
REMINDER TO ATTENDEES, SEND LIVE
FEEDBACK ON THE BOTTOM LEFT OF
THE SCREEN.
THANK YOU FOR THAT PRESENTATION.
>> THANK YOU.
>> LET'S SEE.
WE HAVE A COUPLE IN HERE.
HOW ARE PARTICIPANTS RECRUITED,
SOME FAMILY PREFERENCES, AGE
GROUPS, HOUSEHOLD TYPES?
>> YEAH, SO WE HAD TWO AMAZING
RECRUITERS WORKING FOR THE STUDY
WITH A LOT OF AVENUES TAKEN.
I KNOW A LOT OF THEM WENT TO
CERTAIN COMMUNITY EVENTS AND
SPECIFICALLY IN CHURCHES,
FESTIVALS, DIFFERENT EVENTS.
THERE WERE RADIO ADS
DISTRIBUTED, FLYERS, GENERAL
WORD OF MOUTH, A COMBINATION.
WE HAVE A GREAT RECRUITMENT TEAM
WORKING ON THAT.
>> THANK YOU FOR SHARING YOUR
INFORMATION.
PLEASE FEEL FREE TO REACH OUT
VIA HER CONTACT INFORMATION.
THANK YOU FOR THE WONDERFUL
PRESENTATION.
>> THANK YOU.
>> SECOND PRESENTATION, FOOD
COMES WITH A RICH BACKGROUND,
EXPLORING SOUTH ASIAN, EAST
ASIAN, SOUTHEAST ASIAN
PERCEPTIONS.
WELCOME.
THE FLOOR IS YOURS.
>> THANK YOU.
I'LL SHARE RESULTS FROM MY
QUALITATIVE STUDY WHERE I
EXPLORED SOUTH ASIAN, EAST
ASIAN, SOUTHEAST ASIAN PARENT
AND CAREGIVER PERCEPTIONS
REGARDING SCHOOL FOOD PROGRAMS
IN CANADA.
NEXT SLIDE.
I'D LIKE TO BEGIN WITH THIS
QUOTE FROM A MOTHER WHO HAD THE
OPPORTUNITY TO SPEAK WITH ME.
SHE SAID FOOD COMES WITH SUCH A
RICH BACKGROUND OF PEOPLE'S
HERITAGE AND CULTURE, I'D LIKE
FOR YOU TO THINK ABOUT THIS AS I
GO THROUGH MY PRESENTATION AND
DESCRIBE HOW PARENTS AND
CAREGIVERS ENVISION A
CULTURE-CENTERED SCHOOL FOOD
PROGRAM.
TO BEGIN, CANADA DOES NOT HAVE A
NATIONAL SCHOOL FOOD PROGRAM.
35% OF SCHOOLS OFFER SCHOOL FOOD
PROGRAM.
EXISTING PROGRAMS ONLY SERVE 22%
OF SCHOOL CHILDREN.
AS MIDDLE SCHOOL PROGRAMS HAVE A
WIDE RANGE OF BENEFITS, IT'S
IMPORTANT FOR SCHOOL FOOD
PROGRAMS TO BE CONNECTED AND
RESPECTFUL TO REFLECT DIVERSITY
IN FOOD CULTURES AND GEOGRAPHIES
ACROSS CANADA.
NEXT SLIDE.
SO TAKING THIS INTO
CONSIDERATION MY QUESTION WAS
WHAT ARE THE PERCEPTIONS AND
NEEDS OF SOUTH ASIAN, EAST
ASIAN, SOUTHEAST ASIAN PARENTS
AND CAREGIVERS IN THE GREATER
TORONTO AREA REGARDING CULTURAL
FEATURES OF SCHOOL FOOD
PROGRAMS.
I CONDUCTED A QUALITATIVE STUDY
WITH FOCUS GROUPS AND INTERVIEWS
IN THE GREATER TORONTO AREA.
SO I THOUGHT I WOULD SHARE FOUR
KEY TAKEAWAYS FROM CONVERSATIONS
ON WHAT A CULTURE-CENTERED
NATIONAL SCHOOL FOOD PROGRAM
COULD LOOK LIKE.
NEXT SLIDE.
THE FIRST KEY TAKEAWAY IS A
SENSE OF BELONGING, EMPHASIZING
HOW IMPORTANT IT IS FOR SCHOOL
FOOD PROGRAMS TO OFFER CULTURAL
FOOD TO MAKE STUDENTS FEEL
CONNECTED TO THE CULTURE THEY
BELONG TO AND IMPACT
RELATIONSHIP WAS THEIR OWN
CULTURAL FOOD AND CULTURE OF
OTHER STUDENTS.
PARTICIPANTS EMPHASIZE
APPRECIATION OF CULTURES TO
INCLUDE SCHOOL FOOD PROGRAM HOW
TO INTERCHANGE CULTURES THROUGH
FOOD.
BUILDING ON CONVERSATION
FOSTERING A SENSE OF BELONGING
AND CONNECTION, SURVEY FOUND
HALF OF THE PARTICIPANTS
DISAGREE OR STRONGLY DISAGREE
CHILDREN BROUGHT CULTURAL FOOD
TO SCHOOLS.
WE FOUND THAT MANY PARTICIPANTS
THOUGH WANTED KIDS TO BRING
CULTURAL FOOD TO SCHOOLS AND
THOUGHT IT WAS MORE NUTRIENT
DENSE COMPARED TO TYPICAL
CANADIAN FOODS THEY BOUGHT FOR
LUNCH.
WE SEE THIS REFLECTED IN THE
FIRST QUOTE HERE.
WE WITNESS THE CHALLENGE PARENTS
FACE WHEN TRYING TO INSPIRE
CHILDREN TO EMBRACE TRADITIONAL
CUISINE.
PARENTS HELD THE BELIEF
INTRODUCING DIVERSE FLAVORS IN
THE SCHOOL ENVIRONMENT COULD
POTENTIALLY AFFECT THEIR RANGE
FOR CULTURAL FOODS.
NEXT I'LL DISCUSS IMPORTANCE OF
MEANINGFULLY INCORPORATING
CULTURAL FOOD.
AND THIS IS EMPHASIZED BY A LOT
OF PARENTS, THEY WANTED TO SEE
DIVERSITY AND TO SEE ACTUAL
REPRESENTATION.
AS NOTED BY THIS PARTICIPANT, I
DON'T WANT TO SEE DIVERSITY THAT
IS REALLY APPROPRIATE, I WANT TO
SEE DIVERSITY WITH ACTUAL
REPRESENTATION, NOT CULTURAL
APPROPRIATION.
PARENTS AND CAREGIVERS WANT TO
SEE DIVERSITY BUT WITH ACTUAL
REPRESENTATION THROUGH FOSTERING
PARTNERSHIPS WITH LOCAL
BUSINESSES THAT PREPARE THESE
CULTURAL FOODS.
IN THIS EXAMPLE PARTICIPANT
TALKS ABOUT TIBETAN-OWNED
BUSINESS, INCORPORATING
TEACHINGS OF THE ORIGINS OF FOOD
AND TRADITIONS AND SPICES
INCORPORATED IN CULTURAL FOODS.
NEXT SLIDE.
SO THE LAST KEY TAKEAWAY IS THE
IMPORTANCE OF UNIVERSALITY TO
PROMOTE EQUITY, SO ALL STUDENTS
--
>> ONE MINUTE REMAINING.
>> THANK YOU.
IN THIS LAST QUOTE WE SEE
PARTICIPANT OF UNIVERSAL ACCESS
BY SAYING FINANCIAL NEED AND
FINANCIAL POSITION MIGHT CHANGE
IN THE FAMILY BECAUSE SOME GET
JOBLESS, SOME GET INTO JOBS.
SOME ARE EARNING WELL, SOME ARE
NOT EARNING THAT MUCH.
SO HERE SHE EMPHASIZES
REGARDLESS OF HOW MUCH FAMILIES
ARE EARNING CHILDREN SHOULD HAVE
ACCESS TO NUTRITION HEALTHY FOOD
AT SCHOOL.
SO IN SUMMARY, PARTICIPANTS
EMPHASIZED IMPORTANCE OF
CULTURE-CENTERED FOOD SCHOOL
PROGRAM FOSTERING A SENSE OF
BELONGING, ENCOURAGING
CONSUMPTION OF TRADITIONAL
FOODS, INCORPORATION TRADITIONAL
CULTURAL FOODS MEANINGFULLY AND
PROMOTES EQUITY THROUGH
UNIVERSAL ACCESS.
NEXT SLIDE.
AND I'D LIKE TO THANK EVERYONE
WHO MADE THIS PROJECT POSSIBLE
AND I'M HAPPY TO TAKE QUESTIONS.
THANK YOU.
>> THANK YOU FOR YOUR WONDERFUL
PRESENTATION.
A QUICK QUESTION.
BRIEFLY WHAT ARE SOME NEXT STEPS
YOU FEEL CAN FURTHER MOVE THESE
IMPORTANT CONVERSATIONS YOU'VE
SHARED AND CHANGES THE SCHOOL
FOOD PROGRAM FORWARD?
HOPING --
>> HOPING TO BUILD A FRAMEWORKS
IN CANADA, THAT'S BASED ON JUST
AVAILABLE LITERATURE, HOPING TO
BUILD ON THAT, USING
PERSPECTIVES OF PARTICIPANTS TO
CREATE THIS FOOD PROGRAM.
>> THANK YOU FOR SHARING.
>> THANK YOU.
>> WE'LL MOVE TO THE THIRD AND
FINAL SPEAKER, PRESENTING A
TALK, PLASMA LIPIDOMIC MARKERS
OF DIET QUALITY IN CORONARY
HEART DISEASE RISK IN AMERICAN
INDIANS, THE FLOOR IS YOURS.
>> THANK YOU FOR THE
INTRODUCTION.
THANK YOU FOR BEING HERE.
IT'S A HONOR TO BE PART OF THE
WORKSHOP, I'M FROM THE
UNIVERSITY OF FLORIDA.
TODAY I WILL SHARE THE FINDINGS
OF OUR STUDY PLASMA LIPIDOMIC
MARKERS OF DIET QUALITY AND
CORONARY HEART DISEASE RISK IN
AMERICAN INDIANS, STRONG HEART
FAMILY STUDY.
NEXT SLIDE PLEASE.
AMERICAN INDIANS HAVE A
DISPROPORTIONATELY HIGH BURDEN
OF CHD.
POOR DIET IS AN ESTABLISHED RISK
FACTOR, IT IS CRUCIAL TO
UNDERSTAND THAT AMERICAN INDIANS
HAVE UNIQUE FOOD CULTURE AND
HIGH RISK GROUP THAT REQUIRES A
SPECIAL CONSIDERATION.
NEXT SLIDE PLEASE.
IT IS THE STUDY OF LIPIDS IN THE
BIOLOGICAL SYSTEM IDENTIFYING
BIOMARKERS AND TO UNDERSTAND
DIET AND CHD RELATION.
SO THE QUESTIONS ARE WHAT ARE
THE GOOD BIOMARKERS OF DIET
QUALITY FOR AMERICAN INDIANS
USING A LIPIDOMICS APPROACH?
ALSO, CAN WE PREDICT CHD?
NEXT SLIDE PLEASE.
TO ANSWER THESE QUESTIONS WE USE
DATA FROM 1696 AMERICAN INDIAN
PARTICIPANTS FROM THE STRONG
HEART FAMILY STUDY, MEAN AGE
ABOUT 30 YEARS OLD, ABOUT 60%
WERE WOMEN.
ON THE RED SIDE IS TIMELINE OF
THE STUDY.
THE BASELINE BETWEEN 2001 AND
2003, WHEN THE LIPIDOMICS DATA
WAS COLLECTED, WE MEASURED OVER
1500 LIPIDS, AND DIET QUALITY
ASSESSED BY ALTERNATIVE HEALTHY
EATING INDEX, THE HIGHER THE
HEALTHIER.
FOLLOWING UP 18 YEARS, 147
PARTICIPANTS DEVELOPED INCIDENCE
CHD.
WE USED REGRESSION TO IDENTIFY
MARKERS OF AGI, COX MODEL TO
EXAMINE WHETHER IDENTIFIED
LIPIDS ARE ABLE TO PREDICT CHD.
NEXT SLIDE PLEASE.
AMONG THE OVER 1500 TESTED, 71
ASSOCIATED AFTER CORRECTION FOR
MULTIPLE TESTING, INCLUDING 23
KNOWN LIPIDS, NAMED LIPIDS SHOWN
IN FIGURE 2.
IN THE LEFT PANEL WE HAVE THE
REGRESSION COEFFICIENTS OF THE
23 KNOWN LIPIDS FOR AGI SCORE.
NEGATIVE COEFFICIENT MEANS THOSE
LIPIDS WERE NEGATIVELY
ASSOCIATED WITH DIET QUALITY AND
POSITIVE COEFFICIENT MEANS THAT
THOSE LIPIDS ARE POSITIVELY
ASSOCIATED WITH DIET QUALITY.
RED PANEL WE HAVE THE HAS OARED
RATIO OF 23 KNOWN LIPIDS FOR
INCIDENCE CHD.
FIVE BOLDED LIPIDS IN FIGURE 2
WERE SIGNIFICANTLY ASSOCIATED
WITH INCIDENCE CHD.
EACH STANDARD DEVIATION IN THE
LEVEL OF LIPIDS WAS ASSOCIATED
WITH 17 TO 23% INCREASED RISK OF
CHD.
NEXT SLIDE PLEASE.
FIGURE 3 SHOWS ASSOCIATION
BETWEEN IDENTIFIED LIPIDOMIC
MARKER OF AGI AND EACH OF THE 11
AHEI COMPONENTS.
THE MOVIE IDENTIFIED LIPIDS WERE
ASSOCIATED WITH CONSUMPTION OF
OMEGA-3 FATTY ACIDS,
UNDERSCORING THE IMPORTANCE OF
BENEFICIAL DIETARY FATS IN
MAINTAINING HEALTHY DIET.
NEXT SLIDE PLEASE.
THE MARKERS OF DIET QUALITY
INCLUDE ESTERS, PHOSPHOLIPID,
SOME OF THEM COME FROM
SUBSEQUENT RISK OF CHD.
UPON LOOKING TO THE LITERATURE
WE FOUND THAT MANY MARKERS WERE
PREVIOUSLY REPORTED --
>> ONE MINUTE REMAINING.
>> THANK YOU.
SOME OF THE LIPIDS WERE
INVERSELY AND CONSISTENTLY
ASSOCIATED WITH DIET QUALITY.
FOR EXAMPLE AC 18:0, CE 18:0,
SOME ASSOCIATED WITH DIET
QUALITY, ALSO SOME LIPIDS THAT
SHOW DIFFERENT DIRECTION OF
ASSOCIATION IN OUR STUDY VERSUS
PREVIOUS REPORTS, POSSIBLY DUE
TO UNIQUENESS OF THE AMERICAN
INDIAN COMMUNITIES.
WE ALSO REPORTED SOME NOVEL
FINDINGS REGARDING SOME
PHOSPHOLIPIDS ASSOCIATED WITH
LOWER AHEI SCORE, INCREASED RISK
OF CHD.
NEXT SLIDE PLEASE.
WE WOULD LIKE TO THANK
PARTICIPANTS, INDIAN HEALTH
SERVICE AUTHORITIES, TRIBAL
COMMUNITIES FOR THEIR
CONTRIBUTION.
NEXT SLIDE PLEASE.
HERE ARE THE REFERENCES.
THANK YOU FOR YOUR ATTENTION AND
YOUR INTEREST IN OUR STUDY.
AND I'LL BE HAPPY TO TAKE ANY
COMMENTS OR QUESTIONS YOU MAY
HAVE.
>> THANK YOU FOR YOUR WONDERFUL
PRESENTATION.
WE HAVE TIME FOR ONE QUICK
QUESTION.
DIFFERENT DIRECTIONS AND
ASSOCIATIONS COMPARED TO OTHER
STUDIES AND NEW FINDINGS FOR
SOME MARKERS.
HOW WOULD YOU INTERPRET
DIFFERENCES AND WHAT DO YOU
THINK NEXT STEPS ARE?
>> I THINK IT MIGHT BE UNIQUE
FOR THE NATIVE AMERICAN
COMMUNITIES BECAUSE THEY HAVE
UNIQUE CULTURE AND HIGH RISK
GROUP, SO THIS NEEDS FURTHER
INVESTIGATION BUT AS FOR NOW
WE'RE GOING TO REPORT THESE
FINDINGS AND HOPEFULLY WILL HAVE
OTHER RESEARCHERS THAT FOCUS ON
THE NATIVE AMERICAN COMMUNITIES
SO WE CAN GET MORE FINDINGS OUT.
>> THANK YOU FOR SHARING THAT.
THANK YOU FOR YOUR GREAT
PRESENTATION.
THIS IS THE END OF THE SESSION.
THANK YOU FOR THE AUDIENCE AND
SPEAKERS.
WISHING YOU ALL THE BEST WITH
FURTHER TRAINING AND RESEARCH
AND WE'RE EXCITED TO FOLLOW YOUR
WORK.
NOW WE'LL MOVE TO PANEL 6, I'LL
TURN THE MIC TO DR. ROBERT
KAPLAN, THE MODERATOR.
>> I STUDY CARDIOVASCULAR
DISEASE, DIABETES, OTHER
METABOLIC CONDITIONS.
I'M A PROFESSOR AT ALBERT
EINSTEIN COLLEGE IN NEW YORK
CITY, EXCITED TO BE THE
MODERATOR FOR THIS SESSION.
LET'S GO TO THE NEXT SLIDE WHERE
WE CAN SEE OUR SPEAKERS.
IT'S BEEN A TERRIFIC TWO-DAY
MEETING WITH A LOOK IN THE
COMMUNITY AND CLINICAL SETTINGS
IN THE KITCHEN, IN THE WORKINGS
OF GOVERNMENT AGENCIES, AND NOW
LOOKING INTO THE LABORATORY TO
REALLY THINK ABOUT THE FUTURE OF
DIETARY INTERVENTIONS, AND I
THINK IN THE BACK OF EVERYONE'S
MIND AS THEY HEAR TALKS TODAY IN
THIS SESSION WILL BE HOW MIGHT
THIS INFORMATION AFFECT HOW WE
DO DIETARY INTERVENTIONS IN THE
FUTURE.
SO, JUST A FEW HOUSEKEEPING
ISSUES, FOR THE AUDIENCE
MEMBERS, SUBMIT ANY QUESTIONS
YOU HAVE USING THE SUBMIT LIVE
FEEDBACK BUTTON IN THE
VIDEOCAST.
IF POSSIBLE, CLARIFY FOR US IN
YOUR NOTE WHICH PANELIST YOU
WISH TO DIRECT YOUR QUESTION TO.
AND FOR THE SPEAKERS, I'M GOING
TO REMIND YOU THAT YOU'LL HAVE A
TWO-MINUTE WARNING AND YOU ARE
IN CONTROL OF YOUR CAMERA ON AND
OFF.
SO YOU CAN BE ON CAMERA WHEN
YOU'RE SPEAKING, OFF CAMERA WHEN
YOU'RE NOT.
SO LET'S MOVE TO THE FIRST
PRESENTATION, DR. ROBINSON.
IDENTIFYING MICROBIALLY DERIVED
METABOLITES THAT REGULATE HOST
INFLAMMATION.
A POSTDOCTORAL RESEARCH FELLOW
IN THE SONNENBERG LAB AT
STANFORD, BUILDING ON BACKGROUND
IN THE BIOLOGY OF HOST
INFLAMMATION SHE'S EXPLORING
REGULAR REGULATION OF HOST
IMMUNITY IN CONTEXT OF
MICROBIOME.
THANK YOU.
>> THANK YOU FOR THE
INTRODUCTION.
AND TO THE ORGANIZERS FOR
PUTTING TOGETHER A BEAUTIFUL
WORKSHOP.
I WILL BE TALKING ABOUT HOW I'VE
IDENTIFIED METABOLITES, MDM,
MICROBIALLY DERIVED METABOLITES
THAT REGULATE HOST INFLAMMATION.
THIS BEAUTIFUL IMAGE WAS TAKEN
BY MY LAB A FEW YEARS AGO, OF
THE COLON, WE'RE SEEING UPPER
LEFT-HAND CORNER GUT MICROBIOME,
SEPARATED FROM HOST CELLS IN THE
BOTTOM RIGHT-HAND CORNER BY A
MUCOUS LAYER.
IN THE LAST 20 YEARS THE FIELD
HAS NOT ONLY UNDERSTOOD THE FACT
GUT MICROBIOME IS IMPORTANT FOR
DIGESTION, BUT ALSO IMPACTS
PHYSIOLOGY, BE IT NERVOUS
SYSTEM, METABOLISM,
INFLAMMATION.
NEXT SLIDE PLEASE.
SO HERE IS AN OVERVIEW.
AS WE SAW IN PREVIOUS SLIDE GUT
MICROBIOME IS DENSE.
IT IS COMPOSING OF TRILLIONS OF
MICROBES.
IN THE LAST HUNDREDS OF YEARS,
THERE'S BEEN A DOWN TICK IN THE
DIVERSITY OF OUR GUT MICROBIOTA.
WHAT I'M SHOWING IS THE FACT
THAT AS WE HAVE CHANGE IN
AGRICULTURE, INTRODUCTION OF
INDUSTRIALIZED FOOD AND OVERLY
PROCESSED AND SANITIZED FOOD
IT'S LED TO DECREASE IN
MICROBIOTA DIVERSITY, LESS
DIETARY FIBERS WE EAT, CONFIRMED
BY A NUMBER OF MOUSE STUDIES
FROM OUR LAB AND OTHERS.
AS WE SEE A DOWN TICK IN
MICROBIOTA DIVERSITY IN THE
INDUSTRIALIZED WORLD WE SEE
UPTICK OF A NUMBER OF CHRONIC
IMMUNE DISEASES THAT I'M SHOWING
IN A GRAPH TO THE RIGHT.
NEXT SLIDE PLEASE.
AND ONE WAY WE CAN COMBATED THE
DECREASE IN OUR MICROBIOTA
DIVERSITY IS DIETARY
INTERVENTION OR INTEGRATION OF
SPECIFIC SPECIES.
AND ONE WAY THAT OUR LAB WAS
TRYING TO SEE IF WE COULD
MODULATE OUR MICROBIOME AND
INCREASE MICROBIOTA DIVERSITY
WAS DOING A VERY SPECIFIC
DIETARY INTERVENTION WHERE WE
HAD PEOPLE INCREASE THEIR
DIETARY FIBER.
THIS WAS A STUDY THAT WAS
PUBLISHED IN 2021.
AND WHAT WAS DONE WAS WE HAD A
SMALL NUMBER OF PARTICIPANTS,
18, THAT INCREASED FIBER INTAKE
OVER A SPAN OF TEN WEEKS.
WE HYPOTHESIZED THIS WAS GOING
TO INCREASE THEIR MICROBIOTA
DIVERSITY, BUT WHAT WE FOUND WAS
THAT IT DID NOT AFFECT THE
DIVERSITY BUT IT DID AFFECT THE
FUNCTION OF YOUR MICROBIOME SO
WE SAW INCREASE OF KAZYMES AND
SHORT CHAIN FATTY ACIDS.
MORE INTERESTINGLY OUR CITY WAS
ONE OF THE FEW THAT NOT ONLY DID
MEASUREMENT OF METABOLITES AND
LOOKING AT MICROBES IN GUT
MICROBIOTA BUT WE ALSO WERE
INTERESTED IN YOUR IMMUNE
PROFILE.
SO ALONG WITH THOSE MEASUREMENTS
WE HAD A NUMBER OF DIFFERENT
WAYS OF ASSESSING YOUR BASELINE
INFORMATION, AND WE FOUND THAT
PARTICIPANTS THAT HAD LOW
MICROBIOTA DIVERSITY HAD
INCREASE OF INFLAMMATION BY
EATING MORE FIBER.
THOSE THAT HAD HIGH MICROBIOTA
DIVERSITY AT THE START OF THE
STUDY HAD DECREASE OF
INFLAMMATION AT BASELINE.
WHERE I CAME INTO PLAY WAS
TRYING TO FIGURE OUT ARE THERE
PARTICULAR METABOLITES THAT ARE
LEADING TO THIS CHANGE IN OUR
INFLAMMATION?
AND IN THE HOST.
NEXT SLIDE PLEASE.
SO TO ASSESS THIS, I WENT BACK
AND LOOKED AT OR METABOLOMICS
DATA AND IMMUNE PROFILING DATA.
AND I HAD A VERY SPECIFIC SET OF
CRITERIA.
I WANTED TO MAKE SURE
METABOLITES WERE PRODUCED BY
MICROBES, OF COURSE FOUND IN
EITHER STOOL SAMPLES, ALTERED BY
FIBER DIET STUDY OR INTERVENTION
AND SIGNIFICANTLY DIFFERENT
BETWEEN THIS LOW, MID, AND HIGH
INFLAMMATORY GROUP.
IN THE CENTER OF MY SLIDE I'M
SHOWING RELATIVE EXPRESSION OF
MY 17 CANDIDATES THAT I CAME TO
AT THE END OF THIS CRITERIA.
AND WHAT I'M SHOWING BOXED IN
YELLOW OR GOLD ARE METABOLITES
THAT I'M HYPOTHESIZING TO BE
ANTI-INFLAMMATORY.
I HYPOTHESIZE THIS BECAUSE THESE
ARE 12 METABOLITES THAT ARE
SIGNIFICANTLY HIGHER AND LOW
INFLAMMATORY GROUPS, MAYBE
IMMUNOMODULATORY AND DECREASING
INFLAMMATION.
WHEN THEY ARE DEEPER INTO OTHER
IMMUNE DATA THAT WE HAD FROM THE
STUDY I LOOKED AT MONOCYTE
INFLAMMATORY ACTIVITY AND TRIED
TO CORRELATE THAT WITH
EXPRESSION OF MY METABOLITES,
AND I FOUND THAT THERE WERE A
NUMBER OF METABOLITES THAT
NEGATIVELY CORRELATED, IMPORTANT
BECAUSE MONOCYTES ARE A CRITICAL
CELL TYPE, MAKE IMMUNE CELLS,
AND THESE ARE ROTATED IN THE
BLOOD AND DIFFERENTIATE INTO A
KEY CELL TYPE, A MACROPHAGE.
I DECIDED TO THEN USE
MACROPHAGES AS MY KEY CELL TYPE,
FOR A MODEL WHEN TESTING WHETHER
THESE METABOLITES WERE ACTUALLY
ANTI-INFLAMMATORY OR NOT.
NEXT SLIDE PLEASE.
SO HERE ARE THE VERY -- TWO
STRATEGIES THAT I --
>> TWO MINUTES REMAINING.
>> THANK YOU.
ONE WAS MEASURING TFN ALPHA,
ANOTHER NF-kappaB ACTIVATION.
AND I PRIMED WITH MA METABOLITE
AND STIMULATE WITH A PRO
INFLAMMATORY.
FIVE OF THE TWELVE NEGATIVE
IMPACTED TNF AL THAT
SIGNIFICANTLY.
WHEN LOOKING AT MOUSE AND HOW
MANY MACROPHAGES FOUND THERE
WERE THREE THAT OVERLAPPED,
CONSERVED IN NEGATIVE --
ANTI-INFLAMMATORY ABILITY AND
NOW DETERMINE IF TRUE FOR
NF-kappaB.
THESE THREE METABOLITES ALSO
DOWNREGULATED ACTIVATION OF
NF-kappaB BY USING AN
NF-kappaB REPORTER LINE AS
PERCENT FOLD CHANGE, RECEIVED
SIGNIFICANT DECREASE GFP BY
ADDITION OF ALL THREE OF MY
METABOLITES.
NEXT SLIDE.
APOLOGIES FOR MOVING QUICK WILL
YOU BUT GETTING THROUGH ALL
DATA.
BY USING DIETARY INTERVENTION
STUDY NOT ONLY MEASURED GUT
MICROBIOME, METABOLITES, ALSO
INCLUDING A NUMBER OF IMMUNE
PARAMETERS, I WAS ABLE TO
IDENTIFY A NUMBER OF MICROBIALLY
PRODUCED METABOLITES AND USED A
SPECIFIC MACROPHAGE SYSTEM TO
VALIDATE.
NEXT SLIDE.
FOR THE FUTURE I WANT TO FIGURE
OUT LIKE HOW EXACTLY MY
METABOLITES ARE FUNCTIONING,
LIKE WHAT IS THE MECHANISM OF
ACTION IN THE HOST, AND WANT TO
DETERMINE WHAT STRAINS PRODUCE
THESE METABOLITES, AND SEE IF
STRAINS AND METABOLITES ARE
PROTECTIVE IN MOUSE MODELS.
IN THE FUTURE WHEN IT COMES TO
THE FIELD, I THINK THERE'S
OPPORTUNITY FOR PARTNERING WITH
CLINICIANS TO HAVE A BETTER
UNDERSTANDING OF WHAT THE
BASELINE METABOLITE EXPRESSION
IS AND IMMUNE PROFILING USED IN
PEOPLE AND HAVING MORE DIETARY
INTERVENTION STUDIES WITH LARGER
GROUPS TO SAY ANYTHING ABOUT
DEMOGRAPHICS OF PARTICIPANTS.
NEXT SLIDE PLEASE.
WITH THAT I'D LIKE TO START OFF
WITH ACKNOWLEDGING THE ANCESTRAL
LAND THAT WAS AND CONTINUES TO
BE A GREAT IMPORTANCE TO THE
PEOPLE AND THANK JUSTIN
SONNENBURG FOR HELPING ME
DEVELOP THIS PROJECT TO WHERE IT
IS TODAY.
THANK YOU FOR LISTENING.
AND I LOOK FORWARD TO ANSWERING
ANY QUESTIONS YOU MAY HAVE.
>> THANK YOU, DR. ROBINSON.
FANTASTIC.
WE'LL MOVE TO OUR NEXT
PRESENTER.
LIPIDOMICS AND METABOLOMICS IN
NATIVE AMERICANS, ENDOWED CHAIR
AT UNIVERSITY OF FLORIDA,
DIRECTS CENTER FOR GENETIC
EPIDEMIOLOGY AND BIOINFORMATICS
AT UNIVERSITY OF FLORIDA.
RESEARCH INTERESTS LIE IN BROAD
AREAS OF GENETIC EPI,
STATISTICAL GENETICS, OMIC
SCIENCE AND PRECISION HEALTH FOR
AGING AND AGE RELATED DISORDERS
WITH FOCUS ON CARDIOVASCULAR
DISEASE, TYPE 2 DIABETES,
ALZHEIMER'S DISEASE.
WELCOME, DR. ZHAO.
>> THANK YOU.
GLAD TO BE HERE TODAY.
THANK YOU FOR THE INVITATION.
ALLOW ME TO SHARE SOME OF OUR
RECENT FINDING REGARDING
METABOLOMICS, LIPIDOMICS,
CARDIOMETABOLIC DISEASE IN
AMERICAN INDIANS.
I JUST WANT TO SAY NATIVE
AMERICANS ACTUALLY AMERICAN
INDIANS STRONG HEART STUDY, I
USE.
THANK YOU.
NEXT SLIDE PLEASE.
WE KNOW CARDIOMETABOLIC DISEASE,
DISORDERS INCLUDING
CARDIOVASCULAR DISEASE,
HYPERTENSION, OBESITY, CKD A
LOT.
AMONG THESE CARDIOVASCULAR
DISEASES IS NUMBER ONE CAUSE OF
MORTALITY WORLDWIDE.
KNOWN FACTORS ARE DYSLIPIDEMIA,
A MAJOR CONTRIBUTOR TO
CARDIOMETABOLIC DISEASE.
NEXT SLIDE PLEASE.
AND AMERICAN INDIANS SUFFER THE
HIGH RISK OF CARDIOMETABOLIC
DISORDERS, FOR INSTANCE OBESITY
IS 1.6 TIMES HIGHER THAN
NON-HISPANIC WHITES AND 2 TO 3
TIMES HIGHER, HEART DISEASE 20%
HIGHER THAN ALL U.S. RACES.
NEXT SLIDE.
AND IN STRONG HEART STUDY, WHICH
WAS 30 YEARS AGO, 1989, IT WAS A
STUDY FOUNDED BY NHLBI DESIGNED
TO MEASURE RESEARCH
CARDIOMETABOLIC RISK FACTORS IN
INDIANS.
STRONG HEART STUDY INCLUDE 13
TRIBES FROM THREE REGIONS, FROM
ARIZONA, OKLAHOMA, AND DAKOTA.
AND PARTICIPANTS REEXAMINED
EVERY FIVE YEARS, AND NOW THEY
HAVE OVER 33 YEARS.
ONE COMPONENT IS STRONG HEART
FAMILY STUDY, INITIALLY 2001,
FAMILY STUDY INCLUDE 3600
INDIANS FROM 94 EXTENDED
PEDIGREES, NOW HAVE OVER 20
YEARS OF FOLLOW-UP.
NEXT SLIDE.
WHEN WE TALK ABOUT STRONG HEART
STUDY WE HAVE FAMILY STUDY, SO
NOWADAYS WE ARE 57 OF THE STRONG
HEART STUDY.
NEXT SLIDES.
STRONG HEART STUDY HAS VERY RICH
CLINICAL DATA, SO, DEMOCRATIC,
DEMOGRAPHIC, CLINICAL
PHENOTYPES, CARDIOMETABOLIC
DISEASE TO HAVE VERY RICH LAB
RESULTS, IMAGING AND ANCILLARY
STUDY OF STRONG HEART STUDY ALSO
GENERATED VERY RICH MOLECULAR
AND OTHER BIOMARKER DATA FOR
CARDIOMETABOLIC DISEASE.
NEXT SLIDE PLEASE.
AND SO THE RESULTS I'M
PRESENTING TODAY ACTUALLY IS ONE
OF THE ANCILLARY STUDIES TO THE
STRONG HEART STUDY FOUNDED BY
NIDDK, AND WITH THIS STUDY WE
WERE ABLE TO GENERATE
LONGITUDINAL METABOLOMIC AND
LIPPED OMIC DATA IN THE STRONG
HEART FAMILY STUDY AND ACTUALLY
TWO TIMES METABOLOMICS AND
LIPIDOMIC DAD USING FASTING AT
TWO TIME POINTS, PHASE 5.
IN THE MIDDLE THE TIME, PHASE 7,
WE ACTUALLY MEASURED TWO
PLATFORMS USING GC-MS, ANOTHER
IS LIPIDOMICS BY LC/MS.
I WILL FOCUS ON LIPIDOMIC STUDY
TODAY.
NEXT SLIDE.
OBJECTIVE OF ANCILLARY STUDY TO
IDENTIFY NOVEL MARKERS
ASSOCIATED WITH CARDIOMETABOLIC
DISEASE.
AND WE ARE INTERESTED IN
EXPANDING TEMPORAL RELATIONSHIP
WITH CHANGE IN CARDIOMETABOLIC
DISEASE OVER TIME
CHANGE IN BLOOD METABOLITES.
NEXT SLIDE PLEASE.
SO LIPIDOMIC STUDY IS A SUBFIELD
OF METABOLOMICS, QUANTIFYING
HUNDREDS OR EVEN THOUSANDS OF
INDIVIDUAL LIPIDS IN BLOOD AND
TISSUE SAMPLES.
WE MEASURE LIPIDOMIC DATA USING
LC/MS IN 4,000 SAMPLES FROM TWO
TIME POINTS, PHASE 4 AND PHASE
5, SO THEN WE OBTAIN Q.C., 1542
SPECIES IN 14 CLASSES.
NEXT SLIDE.
SO, WITH THIS DATA WE DID
LIPIDOMIC STUDY AND ALSO
CARDIOMETABOLIC DISEASE AND HAVE
DONE A LOT OF ANALYSIS AND WE
HAVE IDENTIFIED LIPIDOMIC MARKER
FOR DIABETES, CVD, HYPERTENSION,
A LOT OF STUDY ONGOING.
I SEE YOU LOOKING AT LIPIDOMIC
AND OBESITY, OTHER CLINICAL
PHENOTYPES, AND ALSO WE ARE
LOOKING AT DIETARY QUALITY OF
CARDIOVASCULAR -- DIET QUALITY
AND METABOLIC AND LIPIDOMIC
MARKERS.
AND WE ARE ALSO INTERESTED IN
LOOKING AT MICROBIOME AND
METABOLOMICS WITH CARDIAC
DISEASE.
THIS SLIDE, RESEARCH FINDINGS,
WE IDENTIFY AMERICAN INDIANS
ACTUALLY FOUND THAT BASELINE
LIPID ASSOCIATED WITH RISK OF
DIABETES, AND PREDIABETES, FIVE
YEAR FOLLOW-UP.
>> TWO MINUTES REMAINING.
>> THANK YOU.
NEXT ONE.
AND THIS SHOWS VERY SPECIFIC
INDIVIDUAL LIPIDS THAT CAN
DIFFERENTIATE RISK OF DIABETES.
NEXT ONE.
AND WE USE LIPIDS CONSISTENT HOW
FIVE KNOWN LIPIDS AND WE FOUND
LIPID SCORE CAN SIGNAL INCREASE,
PREDICTION OF DIABETES BEYOND
TRADITIONAL RISK FACTORS.
NEXT SLIDE PLEASE.
AND LOOK AT TEMPORAL
RELATIONSHIP BETWEEN CHANGING
LIPIDS AND CHANGE IN CARDIO
METABOLICS, THIS SHOWS WITH
CHANGING LIPIDS, CHANGING IN
DIABETES-RELATED RISK, GLUCOSE,
AND YOU CAN SEE THAT MULTIPLE
DATA SPECIES CAN TRACK CHANGE.
NEXT ONE PLEASE.
AND WE ALSO VIEWED -- IDENTIFY
MARKERS THAT CAN PREDICT RISK OF
CHD IN AMERICAN INDIANS, ABLE TO
REPLICATE IN EUROPEAN COHORT AND
ALSO IDENTIFIED CHANGES IN
LIPIDS ASSOCIATED WITH
CARDIOMETABOLIC.
NEXT SLIDE PLEASE.
NEXT ONE.
AND THIS SLIDE SHOWS CLINICAL
ATTRIBUTES, CAN PREDICT
PROGRESSION OF SUBCLINICAL
DISEASE IN AMERICAN ENDS.
>> IF YOU COULD SUM UP SO WE
HAVE TIME FOR THE THIRD
PRESENTATION.
>> YES.
NEXT ONE.
NEXT ONE PLEASE.
SO LAST ONE I WANT TO TELL YOU
ABOUT THE MICROBIOME, ANCILLARY
STUDY, WE'RE GOING TO LINK
CARDIOMETABOLIC, METABOLIC AND
DIETARY, SO TWO ANCILLARY
STUDIES.
NEXT ONE PLEASE.
FINALLY I WANT TO THANK THE
PARTICIPANTS, FUNDING, TEAM AND
COLLABORATORS.
THANK YOU.
I'M HAPPY TO TAKE QUESTIONS.
>> THANK YOU SO MUCH.
I'M SORRY TO HAVE TO MOVE THINGS
ALONG.
I WANT TO GIVE THE THIRD
PRESENTER TIME AND TIME FOR
QUESTIONS, WE HAVE QUESTIONS
FROM THE AUDIENCE AS WELL AS
OTHERS.
>> THANK YOU.
>> THANK YOU SO MUCH.
OUR THIRD AND FINAL PRESENTATION
IS GUT MICROBIOME AND DIETARY
FIBER IN THE U.S. HISPANIC
LATINO POPULATION, AN ASSISTANT
PROFESSOR OF HUMAN NUTRITION,
UNIVERSITY OF NEW HAMPSHIRE,
STUDYING DIET, GUT MICROBIOME
AND HUMAN CARDIOMETABOLIC
HEALTH.
WE HAVE TO CATCH UP ON THE
SLIDES TO MOVE THEM FORWARD.
THANK YOU.
WITHOUT FURTHER ADO LET ME TURN
IT OVER TO DR. DOW.
>> THANK YOU VERY MUCH, DR.
KAPLAN.
I'M HONORED TO BE PART OF THIS
PANEL AND WORKSHOP.
THANK YOU TO THE ORGANIZERS.
NEXT SLIDE.
SO, TO START OFF WITH A LITTLE
BIT OF BACKGROUND WE KNOW THAT
THE GUT MICROBIOME PLAYS AN
IMPORTANT ROLE IN HUMAN
METABOLIC HEALTH, AND AT THE
SAME TIME IT IS IMPACTED BY
FACTORS AND EXPOSURES THAT
HUMANS ARE SUBJECTED TO
THROUGHOUT THEIR LIFETIME,
INCLUDING MEDICATION USE, MODE
OF DELIVERY UPON BIRTH,
GENETICS, SOCIAL NETWORKS, EVEN
PETS WE HAVE IN OUR HOUSEHOLD.
AND ALSO OUR BUILT ENVIRONMENT.
ONE OF THE MOST IMPORTANT
EXPOSURES OF THE GUT MICROBIOME
IS DIET.
NEXT SLIDE.
AND MY PARTICULAR INTEREST IS
VERY WELL ALIGNED WITH THAT OF
DR. ROBINSON, DIETARY FIBER,
FIBER-RICH FOODS.
NEXT SLIDE.
AND THIS FOCUS IS GIVEN THE FACT
THAT HIGHER INTAKES OF DIETARY
FIBER HAVE BEEN LINKED TO
PROTECTION AGAINST CARDIO
METABOLICS RISKS AND DISEASES,
AND THERE'S ALSO THIS KNOWLEDGE
NOW THAT FIBER IS NOT ONLY NOW
ISSUING HUMAN BEINGS BUT ALSO AN
ENERGY SOURCE FOR BACTERIA IN
OUR GUT.
BACTERIA FERMENT
>> WHICH HAVE A WHOLE ARRAY OF
DOWN STREAM AFFECTS ON HUMAN
HEALTH AND METABOLISM.
THAT INCLUDES POTENTIAL HUNGER
SIGNALLING AND INTERACTIONS WITH
THE IMMUNE SYSTEM AND MODULATION
OF INFLAMMATION.
THESE COMPONENTS ARE PART OF
WHAT WE KNOW AS THE
BI-DIRECTIONAL RELATIONSHIP
BETWEEN THE GUT AND BRAIN TERMED
THE GUT-BRAIN AXIS.
AND I'M LOOKING AT THIS IN UNDER
REPRESENTED POPULATIONS IN
RESEARCH.
ON THE RIGHT WE SEE A DIAGRAM
SHOWING VAST UNDER
REPRESENTATION OF MULTIPLE
POPULATIONS AROUND THE WORLD
MICROBIOME RESEARCH AND VAST
DISPARITIES IN VULNERABLE GROUPS
EVEN IN THE U.S.
IT'S IMPORTANT TO EVALUATE
MICROBIOME IN THE SPECIFIC
MANNER BECAUSE AS SEEN IN THE
DIAGRAM IN THIS ARTICLE
EXPOSURES SUCH AS STRUCTURAL
DISCRIMINATION AND ENVIRONMENTAL
PRESSURES THERE'S A PATHWAY
BETWEEN THESE AND ONSET OF
CHRONIC DISEASE AND THERE'S A
THOUGHT MICROBIOME MAYBE A
MEDIATOR IN THAT PATHWAY SO IT'S
IMPORTANT TO UNDERSTAND THIS
PATHWAY INCLUDING LATINOS IN THE
U.S.
ALSO ANOTHER REASON TO STUDY
MICROBIOMES IN UNDER REPRESENTED
POPULATIONS IS MIGRATION.
WE KNOW DURING THE FIRST TALK
THAT MICROBIAL RICHNESS HAS BEEN
COR
CORRELATED TO HEALTH AND THIS IS
FROM THE STUDY OF ATLANTAS FROM
KAPLAN AND COLLEAGUES AND SHOWS
INDIVIDUALS OF HISPANIC
BACKGROUNDS WHO MIGRATED TO THE
U.S. EARLIER IN LIFE WAS
ASSOCIATED WITH LOWER MICROBIAL
RICHNESS EVEN COMPARED TO
U.S.-BORN HISPANICS.
THERE'S A QUESTION WE DON'T
FULLY UNDERSTAND THE QUESTION OF
EXPOSURES TO NEWER ENVIRONMENTS
AND THE IMPLICATIONS THEY MAY
HAVE MORE MICROBIOME, DIET AND
HEALTH.
SO BACK TO FIBER, WE KNOW A
SMALL PORTION OF THE
U.S. POPULATION IS CONSUMING
SUFFICIENT FIBER ON A DAILY
BASIS BUT THERE ARE VAST
DISPARITIES WHEN WE LOOK AT THE
DATA BY INCOME LEVEL OR BY
RACIAL AND ONLY ETHNIC
BACKGROUND AND SEE HISPANIC
POPULATIONS ALONG WITH
NON-HISPANIC BLACK POPULATION
HAVE A LOW CONSUMPTION AND NOT
READING THE ADEQUATE INTAKE OF
FIBER ON A DAILY BASIS ON
AVERAGE.
IT'S IMPORTANT BECAUSE WE KNOW
OF THE ESCALATING INCIDENTS AND
PREVALENCE OF OBESITY AND OTHER
ASSOCIATED CONDITIONS IN THIS
POPULATION.
SO THIS INSUFFICIENCY OF FIBER
INTAKE I'VE SEEN IN MY OWN WORK.
I'VE BEEN STUDYING HISPANIC
POPULATIONS IN NEW HAMPSHIRE.
IT'S A STATE THAT'S EXPERIENCING
A GREAT DEMOGRAPHIC SHIFT WITH
RAPID GROWTH IN THE HISPANIC
POPULATION AND YET INSUFFICIENT
SUPPORT SYSTEMS TO MAINTAIN
HEALTHY NUTRITION FOR THIS
POPULATION.
WE SAW THAT THERE WAS A HIGH
PREVALENCE DURING I PHONE SURVEY
IN 2021 AND 2022, HIGH
PREVALENCE OF MARGINAL FOOD
INSECURITY AND REGARDLESS OF
FOOD START THE POPULATION THAT
WAS REACHING THE RECOMMENDED
INTAKE OF DIETARY FIBER AND
FIBER RICH FOODS WAS VERY LOW.
AND THIS LEADS ME TO A STUDY IN
MY LAB FIBER AND FOOD INSECURITY
RESEARCH STUDY OR FIRST AND THIS
IS A STUDY INFORMING OUR FUTURE
INTERVENTIONS WE'RE HOPING TO
CONDUCT IN THE STATE.
WE ARE RECRUITING IN THE
CROSS-SECTIONAL DESIGN HISPANIC
ADULTS ELIGIBLE FOR FOOD
ASSISTANCE AND WHO EITHER MAY OR
MAY NOT HAVE OVER WEIGHT AND
OBESITY.
AND GOING CLOCKWISE FROM THE
UPPER LEFT SQUARE YOU SEE THERE
WE'RE ASSESSING A VARIETY OF
OUTCOMES IN THIS POPULATION.
WE'RE LOOKING AT THE FOOD
ENVIRONMENT.
WE'RE LOOKING AT DIETARY INTAKE,
ACCULTURATION AND ALSO
COLLECTING AN EXTENSIVE AMOUNT
OF BIOLOGICAL AND CLINICAL DATA
SPECIFICALLY WHOLE GENOME
SEQUENCING OF STOOL SAMPLES TO
ANALYZE THE MICROBIOME AND
METABOLOMICS AN MIXED MEAL
TOLERANCE TEST TO LOOK AT
HORMONES IMPLICATED IN HUNGER
AND SATIETY AND INFLAMMATION.
BRIEFING, THIS IS THE KIND OF
LAYOUT THAT YOU CAN SEE HERE FOR
WHAT PARTICIPANTS EXPERIENCE
DURING OUR STUDY.
THIS IS A STOOL SAMPLE AND
ANSWER QUESTIONNAIRES, PROVIDE A
FASTING BLOOD SAMPLE AND THEN
COLLECT A SERIES OF BLOOD
SAMPLES OVER TWO HOURS AFTER
CONSUMPTION OF A STANDARD LIQUID
MEAL.
AND SO JUST TO SHOW YOU HERE
SOME PRELIMINARY DATA FROM OUR
OPTIMIZATION OF OUR ASSAYS TO
MEASURE THE GLUCOSE AND HORMONES
FOR MEASURING SATIETY AND
THERE'S GREAT INDIVIDUAL
VARIABILITY AND IT'S CONSISTENT
WITH OTHER STUDIES AND HOW WE
RESPOND TO FOOD AND HOPEFULLY
SOMETHING A GREATER KNOWLEDGE OF
THE MICROBIOME AND DIETARY
HABITS AND OUR FOOD ENVIRONMENT
WILL HELP UNDERSTAND THE
INTER-INDIVIDUAL VARIABILITY.
OTHER ASPECTS OF THE FIRST STUDY
INCLUDE ASSESSMENT OF THE
EXPERIENCE TO NUTRITION ACCESS.
WE WANT TO UNDERSTAND IF WE
RECOMMENDED INDIVIDUALS TO
INCREASE THEIR INTAKE OF FIBER
RICH FOODS IF IT'S EVEN
FEASIBLE.
HOW COULD WE DO THIS.
WE'RE LOOKING AT ACCESSIBILITY
AND AFFORDABILITY AND FIBER RICH
FOODS AND AT UNH WE'RE USING A
RICH DATA SET WHERE THEY MAPPED
AND CATEGORIZED FOOD RETAILERS
THROUGHOUT THE STATE AND WE'RE
EXPERIENCE FOOD RETAILER DENSITY
AROUND PARTICIPANTS' RESIDENTIAL
ADDRESSES.
FINALLY WE'RE COMBINING THIS
FROM DIFFERENT SECTOR AND FOOD
SYSTEMS AND COMMUNITY HEALTH AND
EDUCATION AND GAIN WHAT ARE
BARRIERS AND OPPORTUNITIES TO
PROMOTE NUTRITION AND
CONSUMPTION OF NUTRITIOUS FOODS
IN THESE POPULATIONS.
AND SO JUST TO CLOSE WITH SOME
RESEARCH GAPS AND OPPORTUNITIES.
I MAINTAIN THIS IMPORTANCE OF
ASSESSING POPULATION SPECIFIC
TRAITS OF THE GUT MICROBIOME AND
DIET AND BUILT ENVIRONMENT AND
UNDERSTANDING MECHANISTIC LINKS
WITHIN DIFFERENT CONTEXTS.
ALSO DOING FURTHER WORK TO
UNDERSTAND HOW OUR WORK COULD BE
FEASIBLE TO FUTURE INTERVENTIONS
AND THIS DEFINITELY REQUIRES
INTERDISCIPLINARY COLLABORATIONS
NOT ONLY BETWEEN SCIENTISTS BUT
WITH OTHER STAKEHOLDERS IN
NUTRITION.
I'D LIKE TO TALK ABOUT THE
MEMBERS MY LAB AND COLLABORATORS
AND FUNDING SOURCES.
THANK YOU VERY MUCH.
>> THANK YOU.
I'LL JUMP INTO QUESTIONS AND
ANSWERS BECAUSE WE HAVE ABOUT 10
MINUTES AND I HAVE GOOD AUDIENCE
QUESTIONS SO I'LL PRIORITIZE
THOSE I'LL START WITH OUR FIRST
SPEAKER.
THE QUESTION COMES FROM THE
AUDIENCE WONDERING HOW DO YOU
DISCERN BETWEEN METABOLITESES
AND THAT MAY BE MICROBIAL OR
HOST DERIVED AND THE QUESTION
COULD PERTAIN TO YOUR SPECIFIC
STUDIES AND MORE GENERAL
QUESTION OF HOW DO WE UNDERSTAND
WHAT IS THE SOURCE OF THESE
METABOLITES.
>> THE WAY I CALL THEM MICROB
MICROBIMICROB
MICROBIALLY DERIVED SOME CAN BE
FROM MICROBES AND SOME BY HOSTS
AND SOME PRODUCED BY MICROBES
SOLELY OR FOUND IN OUR FOODS.
SO THE FACT THAT MY METABOLITES
ARE ACTING ANTI-INFLAMMATORY OR
FOUND IN CERTAIN GROUPS DOESN'T
MEAN IT'S JUST A MICROBE AND
CERTAIN EXPERIMENTS I NEED TO DO
WITH MOUSE WORK AND THIS
PARTICULAR BACTERIA THAT MAY
PRODUCE MY METABOLITE WILL NEED
TO BE DONE SO SAY THE METABOLITE
IS FUNCTION FROM THE MICROBE.
>> THANK YOU.
OTHER AUDIENCE QUESTION AND THIS
MAY GO TO OTHER SPEAKERS WHO
PRESENTED ON HISPANIC OR
AMERICAN INDIAN POPULATION.
IF YOU HAVE ANY IDEAS BASED ON
YOUR STUDIES ON WHAT FOODS ON
THIS CULTURAL FOOD WAYS MAY BE
HIGH IN FIBER OR HAVE OTHER
BENEFITS BUT NOT TYPICALLY
CONSUMED ACROSS THE U.S. AND IF
THIS HAS IMPLICATIONS FOR
PICKING FOODS WITHIN A
PARTICULAR FOOD WAY OR CULTURE.
>> THANK YOU, I CAN START.
GREAT QUESTION AND ONE OF THE
PIECES OF DATA WE ARE COLLECTING
WITH OUR CROSS-SECTIONAL STUDY
IS AN ASSESSMENT OF PREFERRED
FOODS WITHIN FIBER-RICH GROUPS.
WE CAN ASK PARTICIPANTS ABOUT
THEIR FAVORITE LEGUMES, WHOLE
GRAINS, FRUITS AND VEGETABLES
AND IN EFFORT TO CONNECT WITH
LOCAL FOOD PRODUCERS WHICH IS
ONE OF THE PRIORITIES OF THE
SYSTEM IN WHICH WERE FUNDED BUT
ONE OF THE THINGS I WOULD LIKE
TO DO IS CONSIDERING THE FACT
THAT THE HISPANIC LATINO
POPULATION IS SO DIVERSE AND IN
ADDITION AS WE'VE LEARNED
YESTERDAY AND TODAY THERE'S THIS
VAST HETEROGENEITY IN
CHARACTERISTICS AND MOVE TOWARDS
AN INTERVENTION DESIGN TO TAKE
INTO ACCOUNT FOOD PREFERENCE AND
LOOKING WHETHER WE CAN OFFER
INDIVIDUALS DIFFERENT CHOICES
AND LET THEM DECIDE OFF THE
DIFFERENT FIBER-RICH CHOICES
WHICH ONES THEY'D LAKE TO
CONSUME.
I DON'T HAVE SPECIFIC FOODS IN
MIND.
>> THANK YOU.
ANY OTHER RESPONSES TO THAT
QUESTION BEFORE WE MOVE ON?
>> I'LL ASK MY OWN QUESTION FOR
THE TALK ON THE STRONG HEART
HEALTH STUDY WAS PRECEDED IN THE
FLASH TALKS PEOPLE SAW THE
INTERESTING FLASH TALK
PRESENTATION BY DR. WEN THAT
DESCRIBED DATA ON DIETARY
PATTERNS AND THE RELATIONSHIP
WITH BLOOD ME -- METABOLIC
MEASURES AND LIPIDOMIC FEATURES
AND YOU REFERRED TO THE HEART
STUDY, FAMILY STUDY.
ARE THERE GENETIC DRIVERS OR
FOODS THAT YOU FIND CAN BE
IMPORTANT TO PROMOTE HEALTHFUL
LIPID FRACTIONS OR PERHAPS
THERE'S SOME AVAILABLE
MEDICATIONS.
WILL IT LOOK AT THE AFFECT OF
STATIN USE OR OTHER CHOLESTEROL
MEDICATIONS?
AND
>> THEY FOUND LIPIDS AND EXAMINE
WHETHER THIS DIETARY-RELATED
QUALITY ASSOCIATED WITH LIPIDS
PATTERN ASSOCIATED TO
CARDIOVASCULAR DISEASE AND
DIABETES, HYPERTENSION WORK IS
STILL ONGOING.
IN TERMS OF NOT HAVING THE DATA
YET AND WE JUST STARTED WORKING
ON THIS TOPIC SO WE HOPE IS THAT
WE CAN FIND A PATTERN ASSOCIATED
WITH QUALITY AND LOOK AT
METABOLIC RISK.
>> THANK YOU.
THE NEXT QUESTION I'D BE
INTERESTED TO HEAR ALL PANELISTS
WEIGH IN ON THIS ISSUE AS I SAID
AT THE OUTSET WHAT WE HEARD IN
THIS PANEL MIGHT BE PROBABLY NOT
TODAY BUT DOING INTERVENTIONS
AND SOME DAY OUR KNOWLEDGE OF
DIET-RELATED MICROBIOME CHANGES
OR THE KNOWLEDGE OF LIPID
IMPLICATIONS AN IMPLEMENTATION
HAS COME UP AGAIN AND AGAIN AND
I'LL START WITH DR. ROBINSON,
HOW CAN WE USE WHAT WE'VE
LEARNED SO FAR ABOUT THE GUT
MICROBIOME ROLE IN NUTRITION AND
THE NEXT GENERATION OF MOUSE
STUDIES OR SOMETHING ABOUT
PRODUCTS AVAILABLE MARKETED TO
THE GENERAL POPULATION TO DO
STOOL ANALYSIS AND PURPORTS TO
HAVE SOME CLINICALLY RELEVANT OR
HEALTH RELEVANT INFORMATION.
HOW FAR ALONG OR CLOSE ARE WE TO
THAT AND WHAT ARE THE NEXT
STEPS?
>> GREAT QUESTIONS.
MY EXPERIENCE IS WET LAB SO WHEN
IT COMES TO PEOPLE AND US TODAY
I DON'T KNOW EXACTLY HOW FAR
AWAY IT IS BUT I HAVE A GUESS
WHEN IT COMES TO THE PRECISION
MEDICINE AND UNDERSTANDING WHAT
MICROBES ARE NEEDING WHAT
DIETARY FIBERS, WE'RE STILL
HANDFUL OF YEARS AWAY.
BUT WITH THE WAY AND IS THE WAY
WE EAT WE DON'T HAVE TO HAVE FDA
APPROVAL IF WE HAVE A STUDY THAT
DID IS DONE TO CHANGE PEOPLE'S
LIVES SOONER THAN LATER.
WHAT I'M WORKING ON IS TRYING TO
UNDERSTAND AND LOOKING AT
EVERYONE INCREASED AND THE WAY
THEY EAT DIETARY FIBER WAS
DIFFERENT.
THE STUDIES I'M WORKING ON IS
HAVING IT BE MORE NICHE AND IF
YOU INCREASE YOUR ORANGE FIBER
OR WHEAT FIBER, HOW'S IT AFFECT
THE MICROBIOTA AND WHAT SPECIFIC
BACTERIA ARE NEEDING THOSE
FIBERS TO THEN SURVIVE AND IF I
DO AND DO WE HAVE BENEFITS.
I HOPE THAT ANSWERS YOUR
QUESTION.
>> ARE YOU READY FOR PRIME TIME
LIPID OMICS?
HOW CAN WE USE IT?
TAKE YOUR EXAMPLE OF LIPIDEMIC
SCREENING IS THAT SOMETHING
PATIENTS CAN USE TO IMPROVE
THEIR HEALTH AND PREVENT DISEASE
AND UNDERSTAND THEIR RISK OR DO
WE NEED MORE RESEARCH.
>> GREAT QUESTION.
THAT'S THE AIM OF THE STUDY.
BASICALLY IN OUR STUDY WE HAVE A
LOT OF LIPIDS.
THE REASON WE CAN'T PREDICT
CARDIAC METABOLIC RISK BEYOND
THIS WE ARE STILL MORE STUDY AND
WE WANT TO DO CAUSAL INFERENCE
THE CAUSALITY BEFORE MOVING TO
CLINIC.
THAT'S OUR NEXT STEP.
THANK YOU VERY MUCH VERY GOOD
QUESTION.
>> DO YOU WANT TO WEIGH IN ON
THIS QUESTION?
>> I'LL BRIEFLY SAY I WARE
WE'RE FAR FROM A CLINICAL
APPLICATION BUT WE NEED TO
BETTER UNDERSTAND THE UNDERLYING
ACTS INFLUENCING INTERINDIVIDUAL
DIFFERENCES BETWEEN THE
POPULATIONS WE STUDY AND ALSO IN
ALIGNMENT WITH WHAT THE EARLIER
PRESENTATIONS DELIVERED.
WE ALSO I THINK IT WOULD BE
WORTHWHILE CONTINUING TO STUDY
HOW OUR MICROBIOME MAY PREDICT A
RESPONSE TO THAT INTERVENTION
THE INTERACTIONS BETWEEN
MICROBIOME AND DIET AND USE THAT
FOR PREDICTION OF RESPONSES.
>> THANK YOU TO THE PANELISTS
AND THOSE WHO SENT IN QUESTIONS
AND THANK YOU FOR VIEWING OUR
PANEL.
>> THANK YOU.
>> GOOD AFTERNOON AND WELCOME.
I'M THE BRANCH CHIEF FOR THE
CENTER FOR NUTRITION, POLICY AND
PROMOTION NUTRITION AT THE
USDA'S FOOD NUTRITION SERVICE.
AND I'VE ALSO SERVED ON THE
WORKSHOP PLANNING COMMITTEE.
IN MY ROLE I LEAD AN
INTERDISCIPLINARY TEAM OF
SCIENTIST WHO'S PRIMARILY WORK
ON THE INTERSECTION OF NUTRITION
SCIENCE AND POLICY FOR PROJECTS
INCLUDING FOOD PATTERN MODELLING
ANALYSIS TO SUPPORT THE WORK OF
THE DIETARY GUIDELINES ADVISORY
COMMITTEE AND THRIFTY FOOD PLAN
AND HEALTHY EATING INDEX AND
STRIVE FOR EQUITABLE
REPRESENTATION ACROSS OUR WORK
AND THANKFUL TO HAVE THE
OPPORTUNITY TO LEARN FROM THE
SPEAKERS CONTRIBUTING TO THE
WORKSHOP.
SIMILAR TO OUR LAST FLASH TALK
SESSION, THIS WILL HIGHLIGHT
EARLY CAREER RESEARCHERS AND
TRAINEES WORKING WITH AMERICAN
INDIAN AND LATINO POPULATIONS.
EACH SPEAKER WILL SPEAK ABOUT
FIVE MINUTES FOLLOWED BY A QUICK
TWO-MINUTE QUESTION AND ANSWER
TIME.
AGAIN, PLEASE SEND ANY QUESTIONS
USING THE SUBMIT LIVE FEEDBACK
BUTTON IN THE NIH VIDEOCAST
SYSTEM.
THE FIRST PRESENTATION IS BY
BRANDY MOSER ENTITLED GUT
MICROBIOME AND INFLAMMATION IN
NEW HAMPSHIRE BHUTANESE REFUGEE
ADU
ADULTS WITH HIGH BURDEN OF TYPE
2 DIABETES.
>> THERE'S A RELATIONSHIP
BETWEEN THE GASTROINTESTINAL
TRACT AND THE BRAIN AND MEDIATED
BY FACTORS LIKE LIFESTYLE
INCLUDING DIET AND FIBER INTAKE.
AND THIS AXIS ENCOMPASSES THREE
PRIMARY SYSTEMS INCLUDING THE
IMMUNE SYSTEM, ENDOCRINE SYSTEM
AND NERVOUS SYSTEM BUT FOR THE
PURPOSES OF THIS PRESENTATION,
I'LL BE FOCUSSING ON THE IMMUNE
SYSTEM SPECIFICALLY
INFLAMMATION.
WE'LL BE HIGHLIGHTING
LIPOPOLYSACCHARIDE.
YOU CAN SEE THE DEPICTION OF
LIPOPOLYSACCHARIDE.
PART OF THE BACTERIAL CELL WALL
AND CROSS THE INTESTINAL BARRIER
IN HUMANS AND INDUCE AN
INFLAMMATORY RESPONSE AND IT'S
POTENTIALLY LINKED TO LOW MANY
OF GRADE CHRONIC INFLAMMATION
SEEN IN LOW-GRADE INFLAMMATION
DISEASES WE'RE FOCUSSING ON
BHUTANESE REFUGEES THAT HAVE
MIGRATED TO NEW HAMPSHIRE.
OUR PRIMARY OBJECTIVES INCLUDED
ENCOMPASSING THE
CHARACTERIZATION OF THE GUT
MICROBIOME ASKING WHO IS THERE
AND THE COMPOSITION AND WHAT DO
THE BACTERIAL COMMUNITIES LOOK
LIKE AND WHAT DO THEY HAVE THE
POTENTIAL TO DO AND HOW IS THIS
RELATED TO GLYCEMIC STATUS AND
INFLAMMATION.
WE CONDUCTED THE STUDY AND
COLLECTED DATA FROM A PREVIOUSLY
COLLECTED DATA AT UNH AS A
CROSS-SECTIONAL STUDY THAT
INCLUDED 50 OF THESE BHUTANESE
ADULTS AND 92% HAD OVERWEIGHT OR
OBESITY AND MEASURED THE
LIPOSACCHARIDE PROTEIN AND USING
WHOLE GENOME SEQUENCES AND BIO
INFORMATIC PIPELINES.
TWO MAIN THINGS WE USED TO
ASSESS THE GUT MICROBIOME WERE
RICHNESS AND DIVERSITY.
THEY ENCOMPASS THE UNIQUE
BACTERIAL SPECIES AND
DISTRIBUTION.
HISTORICALLY HIGHER RICHNESS AND
DIVERSITY IS SEEN WITH GREATER
METABOLIC HEALTH CONSISTENT WITH
OUR STUDY.
WE SAW THOSE WITH LOWER RICHNESS
AND DIVERSITY WERE AMONG THOSE
WITH TYPE 2 DIABETES.
>> WE WANTED TO SEE WHAT DO THE
BACTERIA HAVE THE POTENTIAL TO
DO.
WE'RE HONING IN ON LPS BIO
SYNTHESIS PATHWAY AND WE LOOKED
AT GENES AND FOUND THE ABUNDANCE
RELATED WITH THE INFLAMMATORY
MARKERS.
WE SAW IT RELATED TO
INFLAMMATION AND DYSREGULATION
AND PROVIDES AN UNDERSTANDING OF
THE MECHANISMS BETWEEN THE GUT
MICROBIOME AND GLYCEMIC
IMPAIRMENT AND IN AN UNDER
REPRESENTED POPULATION AND
ADDRESSING PERMEABILITY TO
TARGET GLYCEMIC REGULATION.
AND THERE'S TOO MANY DIVERSE
POPULATION TO IMPLEMENT THESE.
A LOT OF THESE POPULATION
ASSOCIATION SPECIFIC.
I'M HAPPY TO TAKE ANY QUESTIONS.
THANK YOU.
>> WE HAVE A GROUP OF
PRESENTATIONS AND I'M WONDERING
THE NEXT STEPS IN THE DIETARY
INTERVENTIONS WHERE THERE ARE
OPPORTUNITIES.
WHERE DO YOU THINK YOU WOULD
PRIORITIZE THAT WORK GOING FOR
THIS PARTICULAR GROUP OF
INDIVIDUALS IN OUR POPULATION?
>> SO THIS PARTICULAR GROUP I
WAS NOT A PART OF THE ORIGINAL
STUDY BUT THERE'S THE ORIGINAL
STUDY INCLUDING THIS GROUP
LOOKED AT SNAP EDUCATION AND
WHETHER IT WAS EFFECTIVE ON THIS
POPULATION.
SO IT'S REALLY EXCITING TO SEE
WHERE THEY GO WITH THAT PROJECT
OF LOOKING AT POTENTIAL
INTERVENTIONS WITH THIS
POPULATION BUT SPECIFICALLY
LOOKING AT OUR PROJECT.
WE HAVEN'T HAD MANY TALKS ABOUT
INTERVENTIONS BASED ON FIBER BUT
FIBER OBVIOUSLY IS A HOT TOPIC
WHEN DISCUSSING GUT MICROBIOME
RESEARCH.
SO LOOKING AT POTENTIAL WAYS TO
INCREASE FIBER IN CULTURALLY
RELEVANT WAYS IN THE POPULATION.
>> THANK YOU.
OUR NEXT PRESENTATION IS BY
DR. BRUNELLE.
WELCOME, DALE.
>> HELLO.
I'M DALE BRUNELLE AT PNEUM RAN
RESEARCH CENTER.
I'LL BE PRESENTING RESEARCH THAT
I AND MY COLLEAGUES HAVE BEEN
DOING AND THE AFFECTS ON
INFLAMMATORY.
THE INFORMATION I'M PRESENTING
IS FROM A STUDY DONE WITH PREADD
-- ADIPOSITES.
AND BLACK CHOKE BERRY WAS
HISTORICALLY DISTRIBUTED AROUND
THE GREAT LAKES REGION.
AMERICAN INDIAN TRIBES HAVE USED
IT AS A TRADITIONAL FOOD AND A
MEANS TO PREVENT CHRONIC
DISEASES.
IT HAS ANTI-DIABETIC AND
ANTI-INFLAMMATORY PROPERTY BUT
THE MECHANISMS ARE UNCLEAR.
AND THE TRANSCRIPTION CAN BE
ACTIVATED BY A FATTY ACID.
THE CELL STUDY HAD FOUR
TREATMENTS.
WE HAD AND WE HAVE A
PRETREATMENT IN WHICH WE ADDED
CHOKE BERRY EXTRACT TO COLUMNS
TWO AND THREE AS THE PURPLE
CIRCLES AND IN THE TREATMENT WE
ADDED CHOKE BERRY EXTRACT AGAIN
IN COLUMNS TWO AND THREE AS WELL
AS THE ACID IN THREE AND FOUR
REPRESENTED BY THE GREEN CIRCLE.
AFTER TREATMENT WE EXTRACTED
DNA, RNA AND PROTEIN TO LOOK AT
THE PROMOTER REGION IL6 AND THE
HUMAN STUDY INVOLVED 46 AMERICAN
INDIAN PARTICIPANTS THAT
CONSUMED 100 MILLIGRAMS OF CHOKE
BERRY CHOICE PER DAY FOR SIX
WEEKS.
BEFORE TREATMENT AND AFTER
TREATMENT WE TOOK A BLOOD DRAW
AND EXAMINES THE IL6 EXPRESSION
TO DETERMINE INFLAMMATION.
AND ALSO AND THE PROMOTER
METHYLATION.
IT CAN AFFECT THE BINDING OF
TRANSCRIPTION FACTORS AND ONE
CPD SITE CAN AFFECT RNA
EXPRESSION.
HISTOMA ACETYLATION AFFECTS THIS
INCREASE.
THIS IS THE IL6 PROMOTER REGION.
THE HIGHLIGHTED NUCLEOTIDES ARE
THE SITES WE WERE LOOKING AT AND
THE NUMBERS LOOK AT THE
TRANSCRIPTION SITE WHERE THEY'RE
LOCATED.
THE BLUE HIGHLIGHTED REGION
NUCLEOTIDES PERTAIN TO THE HUMAN
STUDY.
THE HUAN PREADIPOCYTE STUDY
SHOWED IT REDUCED IL6 EXPRESSION
AND INCREASED METHYLATION AT THE
CPG SITE NEGATIVE 1AP.
THE HUMAN RESULTS INDICATE THE
CHOKE BERRY JUICE CONSUMPTION
REDUCED RNA EXPRESSION WHICH
MEANS THERE'S A REDUCTION IN
INFLAMMATION BUT HAD A DIFFERENT
METHYLATION AT NEGATIVE 227 A
DECREASE IN METHYLATION FROM
THAT TREATMENT.
IN CONCLUSION, CHOKE BERRY
EXTRACT ALLEVIATED INFLAMMATION
IN IL6 EXPRESSION OF THE HUMAN
PREADIPOCYTES.
THERE WAS NO AFFECT ON ACE
ACETYLATION BY CHOKE BERRY AND
SIX WEEK CONSUMPTION BY THE
AMERICAN INDIAN CONSUMPTION
ALLEVI
ALLEVIATED INFLAMMATION AND THE
EPIGENETIC MODIFICATIONS IN THE
AMERICAN INDIAN AND IN THE HUMAN
PREAD
PREADIPOCYTE CELLS WERE AFFECT
AND IT MAY BE A FEASIBLE DIETARY
SOLUTION TO REDUCE INFLAMMATION
CAUSED BY CHRONIC DISEASE AND
THE RESEARCH WAS FUNDED BY THE
NATIONAL INSTITUTES OF HEALTH
AND I'D LIKE TO THANK ALL
INVOLVED IN THE RESEARCH.
>> THANK YOU SO MUCH, DALE.
WE HAVE ONE QUESTION.
THAT IS HAVE THERE BEEN OTHER
STUDIES WITH CHOKE BERRY AND
OTHER BIOMARKERS SUCH AS LDL,
HDL OR TOTAL CHOLESTEROL?
>> THERE'S BEEN OTHER CHOKE
BERRY JUICE STUDIES WITH THOSE
OTHER BIOMARKERS AND THERE
HASN'T BEEN A STUDY WITH
AMERICAN INDIANS AS
PARTICIPANTS.
ADDITIONALLY, THIS STUDY WAS A
LITTLE LARGER THAN JUST THIS
PORTION I'M PRESENTING.
WE HAVE LOOKED AT THOSE LDLs AND
OTHER --
>> WELL, THANK YOU FOR SHARING
YOUR WORK WITH US.
OUR FINAL FLASH TALK
PRESENTATION IS DR. LOPEZ
ENTITLED ECANDO UNA MANO.
COMMUNITY FOOD AND NUTRITION
ASSISTANCE PROVIDERS PERCEPTIONS
OF THEIR ABILITY TO ADD EQUITILY
SERVE LOW-INCOME AND NON-ENGLISH
SPEAKING LATINO ADULTS IN U.S.
>> I'M HERE TO PRESENT A
RESEARCH STUDY THAT I DID
EARLIER THIS YEAR AS PART OF MY
DISSERTATION.
IT TRANSLATES TO PROVIDING A
HAN
HAND.
BEFORE PRESENTING THE RESULTS OF
THE RESEARCH STUDY ITSELF, IT'S
IMPORTANT TO GROUND OURSELVES IN
THE EXISTING LITERATURE FOR
BACKGROUND.
FOODIN SECURITY IS EXPERIENCED
WHEN A HOUSEHOLD DOES NOT HAVE
ACCESS TO FOOD, THAT MEANS
DIETARY NEEDS AND FOOD
PREFERENCES IN A SOCIALLY
ACCEPTABLE MANNER.
IT'S SORTED WITH AN INCREASED
RISK OF CHRONIC DISEASE AND
ALL-CAUSE MORTALITY.
WHEN CONSTANT LATINO ADULTS ARE
SIG NANIFICANTLY MORE LIKELY TO
EXPERIENCE FOOD INSECURITY AND
THE STUDY FOCUSES ON ONE OF
THOSE NON--TRADITIONAL DRIVERS.
AND 1.1% OF LATINO ADULTS SPOKE
A LANGUAGE OTHER THAN ENGLISH
AND 28% WERE NOT FLUENT IN
ENGLISH.
PRIOR SCHOLARSHIP INDICATES
AFTER ADJUSTING FOR STATUS
SPANISH SPEAKING INDIVIDUALS ARE
MORE LIKELY TO EXPERIENCE FOOD
INSECURITY COMPARED TO ENGLISH
SPEAKING COUNTERPARTS AND
THEY'RE LESS LIKELY TO
PARTICIPATE IN FOOD AND
NUTRITION ASSISTANCE PROGRAMS
AND REPORT RECEIVING LOWER
QUALITY FOOD ASSISTANCE AND WHEN
IT'S ADAPTED FOR LATINO ADULTS
SUCH AS IN THE PRESENCE OF A
TRANSLATOR THE BENEFITS ARE
TEMPORARY AND THEY DO NOT
IMPROVE THE LATINO ADULT'S FOOD
SECURITY IN THE LONG TERM.
PROVIDED THIS AND LEVERAGING THE
SOCIO LINGUISTS READING ON
LANGUAGE USE AND SOCIAL POWER
AND RESEARCH THIS AIMS TO
PROVIDE PERCEPTIONS OF LOW
INCOME AND NON-ENGLISH SPEAKING
ADULTS IN THE U.S. AND THE
ABILITY TO PROVIDE ADEQUATE FOOD
AND NUTRITION ASSISTANCE TO
THEM.
TO DO THIS CFNPs IN COMMUNITY
CENTERS AND COMMUNITY GARDENS
AND PUBLIC HEALTH DEPARTMENTS
AND FOOD BANK AND ANALYSIS WAS
USED TO ANALYZE ALL INTERVIEWS.
THREE OVERARCHING SOCIAL THEMES
WERE IDENTIFIED FROM THE
INTERVIEWS.
THESE WERE THE PRESENCE OF A
PROVIDER'S SOCIAL AUTHORITY IN
LATINO'S ADULTS INCREASED
FEELING OF OTHERNESS AND THE
DIMINISHED ABILITY TO
AUTHENTICATE FOOD AND NUTRITION
ASSISTANCE AND THEY SEE THEM AS
BARRIERS TO PROVIDE ADEQUATE
FOOD ASSISTANCE TO NON-ENGLISH
SPEAKING LATINO ADULTS.
IN TERMS OF SOCIAL AUTHORITY
THEY PERCEIVE THE LOW-INCOME AND
NON-ENGLISH SPEAKING LATINO
ADULTS FROM DISCORE DANT
PROVIDERS MAY NOT HAVE WHAT THEY
NEED TO CONTROL OF THEIR HEALTH
LEADING PROVIDERS THAT THE
LATINO ADULTS MAY BE APATHETIC
TOWARD THEIR FOOD SECURITY AND
HEALTH.
CFNPs PERCEIVE THE NON FEELING
OTHER HIGHLIGHT SOCIAL CULTURAL
DIFFERENCES BETWEEN THE ADULTS
AND PROVIDER.
STOPPING THEM FROM SEEKING FOOD
AND NUTRITION ASSISTANCE OR
CONTINUING TO SEEK THE
ASSISTANCE.
FINALLY, IF CFNP'S HAD A REPORT
TO PROVIDE ASSISTANCE TO
NON-ENGLISH SPEAKING LATINO
ADULTS AND IT WAS PERCEIVED THEY
MAY FIND IT DIFFICULT TO
VALIDATE OR CONFIRM FOOD AND
NUTRITION ASSISTANCE BEING
PROVIDED TO THEM.
IN CONCLUSION, THIS STUDY FOUND
THAT THERE IS NO QUICK FIX TO
ADEQUATELY PROVIDE FOOD AND
NUTRITION ASSISTANCE TO
NON-ENGLISH SPEAKING LATINO
INDIVIDUALS AND IT'S WARRANTED
BUT NOT ENOUGH.
THE INCREASED LIKELIHOOD OF
EXPERIENCING FOOD INSECURITY
AMONG NON-ENGLISH SPEAKING
LATINO ADULTS MAKES FOR THE
CONTINUED INEQUITIES AND UNEQUAL
ACCESS TO FOOD AND NUTRITION
ASSISTANCE.
WITH THAT THANK YOU ALL FOR
TAKING THE TIME TO LISTEN TO ME
AND ALSO FOR MY DISSERTATION
COMMITTEE FOR PROVIDING SUPPORT
FOR THIS RESEARCH AND THE
PROGRAM THAT HELPED FUND THE
PRESENT STUDY.
>> THANK YOU, DR. LOPEZ AND
CONGRATULATIONS ON THE RECENT
COMPLETION OF YOUR DOCTORAL
WORK.
WE'RE EXCITED TO FOLLOW YOUR
RESEARCH.
I'M AFRAID WE DON'T HAVE TIME
FOR QUESTIONS BEFORE OUR BREAK
SO TO KEEP ON SCHEDULE, WE WILL
TAKE A BRIEF BREAK.
THANK YOU FOR JOINING THIS FLASH
TALK SESSION AND PLEASE RETURN
AT 3:00 P.M.
WELCOME BACK FROM THE BREAK.
I HOPE YOU'RE ENJOYING THE
WORKSHOP.
WE'RE EXCITED TO WELCOME OUR
FEDERAL LEAGUES FROM USDA AND
CDC TO TALK ABOUT THE WORK
THEY'RE AGENCIES ARE DOING TO
ENSURE CULTURE ARE INTEGRATED UP
THEIR PROGRAMS.
WE HAVE DONNA JOHNSON BAILEY A
SENIOR ADVISORY FOR THE USDA
FOOD AND NUTRITION SERVICE.
THE CONSULTS ON PROJECTS THAT
AFFECT AREAS AND AFFECT FNS
PROGRAM AND HUMAN HEALTH S AND
MONITORS RULES REGULATED TO
NUTRITION POLICY.
WELCOME.
>> HELLO EVERYONE.
THANK YOU FOR THE OPPORTUNITY TO
SHARE SOME OF THE CURRENT
ACTIVITIES WITHIN USDA.
THE USDA FOOD AND NUTRITION
SERVICE FOCUSES ON IMPROVING
NUTRITION AMONG HOUSEHOLDS WITH
CHILDREN AND THOSE WITH LIMITED
INCOME.
WHILE MAJOR LEGISLATIVE CHANGES
HAVE AFFECTED THESE THE
FOUNDATION REMAINS THE MISSION
OF FNS IN PARTNERSHIP WITH STATE
AND TRIBAL GOVERNMENTS IS TO
REDUCE FOOD INSECURITY AND
HUNGER AND PROVIDE CHILDREN AND
THOSE WITH LIMITED RESOURCES
ACCESS TO FOOD AND HEALTHFUL
DIET AND NUTRITION IN A WAY THAT
SUPPORTS AGRICULTURE AND
INSPIRES PUBLIC CONFIDENCE.
USDA'S FOOD AND NUTRITION
SERVICE ADMINISTERS 16 PROGRAMS
THAT AFFECT THE LIVES OF
MILLIONS OF PEOPLE.
OVER THE COURSE OF THE TYPICAL
YEAR ABOUT 1 IN 4 PEOPLE IN THE
COUNTRY PARTICIPATES IN SNAP AND
EIGHT NUTRITION PROGRAMS SUCH AS
THE NATIONAL SCHOOL LUNCH
PROGRAM AND WIC.
WE'RE ALSO DEVELOPING THE
DIETARY GUIDELINES FOR AMERICANS
IN PARTNERSHIP WITH HHS WHICH
ARE USED TO INFORM PROGRAM
POLICY AND VARIOUS EDUCATION
INITIATIVES.
IN 2022 USDA CREATED AN EQUITY
COMMISSION.
THE COMMISSION PROVIDED
RECOMMENDED WHICH INCLUDES IN
ENHANCED RESEARCH AGENDA TO
UNDERSTAND DISPARITIES OF EQUITY
WITHIN FOOD SYSTEMS AND PROGRAM
OPERATIONS.
TO ACCOMPLISH FOOD AND NUTRITION
SECURITY GOALS, USDA RELIES ON
SOUND SCIENCE AND DATA ASSETS
INCLUDING THE FNS RESEARCH AND
ANALYSIS TEAMS AND THE USDA
RESEARCH EDUCATION AND ECONOMICS
MISSION AREAS.
FNS PLANS AND COORDINATES THE
AND EVALUATION ACTIVITIES
THROUGH THE DEVELOPMENT OF A
RESEARCH AND EVALUATION PLAN.
IT APPLIES AN EQUITY LENS TO
ENSURE SOCIO ECONOMIC AND
CULTURAL CONSIDERATIONS ARE
REFLECTED IN THE PROCESS.
BASED ON PRIORITIES OUTLINED IN
THE USDA STRATEGIC PLAN, FNS HAS
DEVELOPED AND IMPLEMENTED
NUMEROUS RESEARCH AND PROGRAM
STRATEGIES TO ADDRESS EQUITY AND
CULTURE.
THE OVER ARCHING PRIORITIES
INCLUDE STRENGTHENING HEALTHY
DIETARY HABITS, ENSURING
EQUITABLE AND CONSISTENT ACCESS
TO FNS PROGRAMS AND IMPROVING
RESULTS AND CONSUMER EXPERIENCES
AND ENSURING ACCOUNTABILITY TO
STAKEHOLDERS.
OVER THE PAST YEAR, FNS
PUBLISHED THE FIRST AGENCY
LEARNING AGENDA.
THEY'RE A NEW PART OF THE
RESEARCH PROCESS AND OFFER A
SYSTEMATIC APPROACH FOR
IDENTIFYING AND ADDRESSING
PRIORITY QUESTIONS RELEVANT TO
THE AGENCY.
QUESTIONS ARE DESIGN TO GUIDE
RESEARCH PLANNING AND FNS AND
THE NEXT SLIDES WILL TAKE A LOOK
AT SOME EXAMPLES OF HOW HEALTH
EQUITY AND CULTURE ARE REFLECTED
IN FNS RESEARCH.
THE LONGITUDINAL STUDY OF SNAP
HOUSEHOLD WILL MONITOR HOW
CHANGES IN SNAP POLICY AND
BENEFIT LEVELS AFFECT
PARTICIPATION STATUS, FOOD
PURCHASES AND DIET QUALITY AND
FOLLOW A REPRESENTATIVE SAMPLE
TO COLLECT DATA ANNUALLY
REGARDLESS OF SNAP PARTICIPATION
STATUS AND INCLUDE DATA ELEMENTS
SUCH AS FOOD PURCHASES, DIETARY
INTAKES, USE OF SNAP ED AND USE
OF OTHER ASSISTANCE PROGRAMS.
THE LIMITED ENGLISH PROFICIENCY
STUDY WILL GATHER DATA FROM ALL
53 SNAP AGENCIES AN THREE
TERRITORIES VIA A WEB-BASED
SURVEY, INTERVIEWS AND CASE
STUDIES TO FNS WITH FINDINGS IN
LIMITED PROFICIENCY ACCESS IN
SNAP.
THE NUTRITION COMPONENT OF SNAP
HAS BEEN USING AN EVALUATION
FRAMEWORK SINCE 2016 TO HELP
ASSESS OUTCOMES OF SNAP
INTERVENTIONS.
OUT OF 51 INDICATORS INCLUDED
FRAMEWORK, SEVEN PRIORITY
INDICATORS ARE USED FNS TO
UNDERSTAND PROGRAM OUTCOMES AND
THIS STUDY WILL EXAMINE
INTERVENTIONS THAT SUPPORT THE
PRIORITY INDICATORS, HOW
OUTCOMES ARE MEASURED AND THE
QUALITY OF DATA COLLECTED.
STUDIES IN DEVELOPMENT TO
SUPPORT CHILD NUTRITION PROGRAMS
INCLUDE THE PURCHASE STUDY AND
LAUNCHING THE CHARACTERISTIC
STUDY TO COLLECT BASELINE
DESCRIPTIONIVE DATA THROUGH A
NATIONALLY REPRESENTATIVE SURVEY
OF PARTICIPATING ADULT DAYCARE
CENTER TO BETTER UNDERSTAND THE
POPULATIONS AND FUNDING SOURCES
AND MEAL SERVICE AND COMMUNITY
PROGRAMMING.
RECIPE IS A PRIORITY FOR WIC
PROGRAM AND THE AGENCIES OFFER
BREAST FEEDING SUPPORT TO
MOTHERS AND UPDATE STATISTICS
AND BEST PRACTICES TO IMPROVE
BREAST FEEDING RATES AND ALSO
EXAMINE INEQUITIES IN ACCESS AND
DELIVERY OF WIC BREAST FEEDING
SUPPORT.
A STUDY TO EXAMINE PARTICIPATION
IN WIC AND PREVALENCE OF HEALTH
RISKS ASSOCIATE THE WITH
MATERNAL MORTALITY WILL USE DATA
FROM CDC AS A PREGNANCY RISK
ASSESSMENT MONITORING SYSTEM TO
LOOK AT CONDITIONS THAT INCREASE
THE RISK OF COMPLICATIONS DURING
PREGNANCY AND POSTPARTUM
PERIODS.
THE FINDINGS WILL INFORM ACTION
TO SUPPORT POPULATIONS AT
HIGHEST RISK FOR MATERNAL
MORBIDITY AND MORTALITY.
FNS CONDUCTS CONSUMER
COMMUNICATION RESEARCH RELATED
TO THE DEVELOPMENT OF MESSAGES
AND DIGITAL TOOLS AND OTHER
RESOURCES TO IMPROVE DIETARY
HABITS.
FNS HAS TRANSLATED MANY
NUTRITION EDUCATION RESOURCES
INTO SPANISH INCLUDING THOSE
AVAILABLE ON THE MY PLATE.gov
WEBSITE AND INCLUDES THE QUIZ,
PLANS, RECIPES, TIP SHEETS AND
GRAPHICS INCLUDING THE MY PLATE
ICON AVAILABLE IN 21 LANGUAGES.
MY PLATE IS ALSO ON INSTAGRAM TO
REACH MORE AUDIENCES WITH
HEALTHY EATING TIPS AND
INFORMATION.
SNAP ED PLAYS A CRITICAL ROLE IN
SUPPORTING NUTRITION EDUCATION
AND ISSUES ANNUAL GUIDANCE FOR
STATES TO ADVANCE FOOD SECURITY.
FNS HAS STRENGTHENED SNAP ED BY
INCREASING TECHNICAL SUPPORT
THROUGH THE NEW NUTRITION
EDUCATION BRANCH ESTABLISHED
LAST YEAR AND IMPLEMENTING THE
NEW NATIONAL PROGRAM EVALUATION
AND REPORTING SYSTEM AND PAYERS
LAUNCHED THIS YEAR AND ENSURING
EQUITY THROUGH PROGRAM ACCESS,
SERVICE DELIVERY AND CLARIFYING
EXPECTATION TO CONSULT WITH
TRIBAL ORGANIZING IN DEVELOPING
STATE SNAP ED PLANS.
OVER THE PAST YEAR CHILD
NUTRITION PROGRAMS HAVE
PUBLISHED AND UPDATE THE MEAL
STANDARDS AROUND INCREASED
ACCESS TO FOODS FOR TRIBAL
COMMUNITY AND EXPANDED
PROVISIONS GIVING HIGH-NEED
COMMUNITIES THE OPTION TO
PROVIDE SCHOOL MEALS TO STUDENTS
AT NO COST.
TO FURTHER SUPPORT THE POLICY
EFFORTS TEAM NUTRITION AND THE
EDUCATION AND TRAINING ARM OF
CHILD NUTRITION SUPPORTS THE
HEALTHY MEANS INCENTIVES
INITIATIVE WHICH CELEBRATES
SCHOOL FOOD AUTHORITIES THAT
MADE IMPROVEMENTS TO THE
NUTRITIONAL QUALITY OF THEIR
SCHOOL MEALS AND HAS AN
EXTENSIVE LIBRARY OF RESOURCES
TO PROMOTE HEALTHY, CULTURALLY
RELEVANT MEALS.
NUTRITION EDUCATION HAS ALWAYS
BEEN A CRITICAL PART OF THE WIC
PROGRAM AND THE WIC RESOURCE
PROGRAM PROVIDERS EFFORTS TO
OFFER CULTURALLY RELEVANT
RESOURCES.
TO SUPPORT WIC PROFESSIONALS
THERE'S A COOPERATIVE AGREEMENT
WITH THE NATIONAL INSTITUTE OF
FOOD AND AGRICULTURE TO DEVELOP
A NATIONAL WORKFORCE STRATEGY
FOR WIC AND SUPPORT THOSE
ELIGIBLE BUT NOT ENROLLED IN
WIC.
IF YOU ARE INTERESTED IN ANY OF
THE TOPICS MENTIONED HERE TODAY
I KNOW THEY'RE FLYING BY
INCLUDING THE NUMEROUS FUNDING
OPPORTUNITIES FOR RESEARCH,
PLEASE VISIT USDA WEB PAGES TO
LEARN MORE.
THANK YOU.
>> THANK YOU, DONNA.
NEXT SLIDE.
THAT WAS AN EXCELLENT OVERVIEW
AND IT'S EXCITING TO SEE THE
WORK BEING DONE TO ENSURE HEALTH
EQUITY WITHIN SNAP ED AND MY
PLATE TO MAKE IT MORE USER
FRIENDLY FOR THOSE OF DIFFERENT
CULTURAL BACKGROUNDS.
OUR NEXT PRESENTATION IS BY
DR. HARRIS WHO SERVES AS THE
SENIOR HEALTH SCIENTIST IN THE
DIVISION OF NUTRITION AND
PHYSICAL ACTIVITY IN THE CDC.
SHE'S LEAD FOR THE HEALTHY FOOD
ENVIRONMENTS TEAM IN THE OBESITY
PREVENTION AND CONTROL BRANCH.
>> I'M ALSO A MEMBER OF THE
WORKSHOP PLANNING COMMITTEE.
>> I'LL DISCUSS THE CULTURAL
CONSIDERATION TO ADDRESS HEALTHY
FOOD ENVIRONMENTS AND OUTLINE
THE MAIN FUNDING PROGRAMS FROM
OUR DIVISION AND BRIEFLY THOSE
FROM ONE SISTER DIVISION IN A
CHRONIC DISEASE CENTER THAT
SERVED TRIBAL NATIONS.
I WAS RECENTLY AT A MEETING AND
OVERHEARD A WOMAN TALKING WITH A
CARIBBEAN ACCENT SAY MY LOCAL
BODEGA STARTED CARRYING A
CERTAIN FOOD.
THIS REMINDS ME OF WHAT YOU
HEARD IN THE PRESENTATIONS IN
THE WORKSHOP THAT WE CAN DEVELOP
INTERVENTIONS WHICH INCREASE
ACCESS TO HEALTHY FOODS AND
BEVERAGES BUT IF THE FOODS
AREN'T WHAT PEOPLE ARE USED TO
AND WANT TO EAT OR DRINK THAN
OUR PROGRAMS ARE NOT HELPING
PEOPLE EFFECTIVELY.
WE KNOW DIFFERENCES IN SOCIAL
DETERMINATES OF HEALTH
CONTRIBUTE TO THE STARK AND
PERSISTENT CHRONIC DISEASE
DISPARITIES IN THE UNITED
STATES.
SYSTEMATICALLY LIMITING
OPPORTUNITIES FOR MEMBERS OF
SOME GROUPS TO BE HEALTHY.
CDC'S NATIONAL CENTER FOR
CHRONIC DISEASE PREVENTION AND
HEALTH PROMOTION TO ADDRESS THE
SOCIAL DETERMINATES OF HEALTH
TIED TO HYPERTENSION, HEART
DISEASE, TYPE 2 DIABETES AND
AFFECT THOSE MOST AFFECTED.
THE CHRONIC DISEASE CENTER
DEFINES FOOD AND NUTRITION
SECURITY AS HAVING RELIABLE
ACCESS TO ENOUGH HIGH-QUALITY
FOOD TO AVOID HUNGER AND STAY
HEALTHY.
THIS NOT ONLY INCLUDES THE
CONCEPT OF ENOUGH FOOD AND
HEALTH SECURITY AND ADDRESS THE
QUALITY OF FOOD FOR NUTRITION
SECURITY.
QUALITY IN THIS CONTEXT REFERS
TO FOODS THAT ALIGN WITH THE
DIETARY GUIDELINES FOR AMERICANS
AS WELL AS MEETS PEOPLE'S
PREFERENCES AND NEEDS FROM
CULTURAL OR OTHER PERSPECTIVES.
THE DIVISION OF NUTRITION AT CDC
ADDRESSES FOOD AND NUTRITION
SECURITY THROUGHOUT THE LIFE
SPAN WITH PRIORITY STRATEGIES
FOCUSSED ON SUPPORTING EATERS AT
THE EARLY STAGES OF LIFE THROUGH
ADULTHOOD.
AND POLICY, SYSTEMS AND
ENVIRONMENTAL STRATEGIES SO THAT
HEALTHIER CHOICES ARE EASIER TO
MAKE FOR COMMUNITY MEMBERS.
WE ANCHOR PROGRAMS IN HEALTH
EQUITY, SHARING CDC'S OVER ALL
VISION THAT ALL PEOPLE SHOULD
HAVE THE OPPORTUNITY TO AATTAIN
THE HIGHEST LEVEL OF HEALTH
POSSIBLE.
DNPAO HELPS LOCAL, STATE AND
TRIBAL ORGANIZATIONS AND
NATIONAL ORGANIZATIONS AND
UNIVERSITIES AND OTHER PARTNERS
TAKE ACTIONS THAT PROMOTE ACCESS
TO GOOD NUTRITION AND REGULAR
PHYSICAL ACTIVITY.
AS WE'RE AT THE END OF THE
PHYSICAL YEAR THIS WEEK, THE
CURRENT SET OF 71, COOPERATIVE
AGREEMENTS ARE REACHING THEIR
COMPLETION AND NEXT WEEK WE
WELCOME 74 NEW RECIPIENTS ACROSS
OUR FUNDING PROGRAMS WITH ACTIVE
ACRONYMS AND THAT SPAN, HOP AND
REACH.
THROUGH THE STATE PHYSICAL
ACTIVITY AND SPAN PROGRAM, DNPAO
FUNDS STATE LEVEL RECIPIENTS AND
LARGELY HEALTH DEPARTMENTS TO
IMPLEMENT EVIDENCE-BASED
STRATEGIES THAT SUPPORT GOOD
NUTRITION AND BREAST FEEDING AND
THERE'S 15 LAND GRANT UNIVERSITY
TO WORK WITH COMMUNITY EXTENSION
SERVICES TO PROMOTE GOOD
NUTRITION AND PHYSICAL ACTIVITY
IN COUNTIES WHERE MORE THAN 40%
OF THE ADULT POPULATION HAS
OBESITY LARGELY RURAL COUNTIES.
THROUGH THE ETHNIC AND RACIAL
APPROACHES TO COMMUNITY HEALTH
NOW IN THE 24th YEAR, IT FUNDS
40 STATE AND LOCAL ORGANIZATIONS
WORKING TO REDUCE HEALTH
DISPARITIES AMONG RACIAL AND
ETHNIC GROUPS IN COMMUNITIES
WITH HIGH RISK OR RATES OF
CHRONIC DISEASES.
RECIPIENTS PROMOTE BREAST
FEEDING, PHYSICAL ACTIVITY AND
INCREASE ACCESS TO HEALTH CARE
AND PREVENTIVE HEALTH SERVICES.
THIS SLIDE SHOWS THE NUTRITION
SPECIFIC EVIDENCE-BASED
STRATEGIES LEVERAGED BY SPAN,
HOP AND REACH PROGRAMS TO CREATE
HEALTHIER FOOD ENVIRONMENTS.
SOME OF OUR KEY STRATEGIES TO DO
THIS INCLUDE SUPPORTING PROGRAMS
AND HOSPITALS AND COMMUNITY
SETTINGS TO PROMOTE BREAST
FEEDING, IMPLEMENTING FOOD
SERVICE GUIDELINES TO PROMOTE
HEALTHY OPTIONS AND FOOD SERVICE
SETTINGS SUCH AS WORK SITES,
HOSPITALS AND FOOD PANTRIES.
PARTNERING WITH GROSS GROCERS
AND PRODUCE PRESCRIPTION
PROGRAMS TO ENABLE HEALTH CARE
PROVIDERS TO DISTRICT BENEFITS
TO PATIENTS LIVING WITH OR AT
HIGH RISK OF AFFECTED HEALTH
CONDITIONS TO PURCHASE FRUITS
AND VEGETABLES AT LITTLE TO NO
COST AND EDUCATION CENTER TO
ESTABLISH HEALTHY DIETARY
PATTERNS BY BRINGING LOCALLY
PRODUCED FOOD IN THE CLASSROOM
THROUGH FARM AND EARLY EDUCATION
PROGRAMS.
WORK OF THE HEALTHY FOOD
ENVIRONMENT TEAMS HELPS IDENTIFY
GUIDANCE TO TAILOR ACTIVITIES TO
MEET CULTURAL PREFERENCES OF THE
PRIORITY POPULATION.
IN OUR FOOD SERVICE GUIDELINES
TOOL KIT WE HAVE A PAGE DEVOTED
TO HELPING PUBLIC HEALTH
PROFESSIONALS UNDERSTAND THE
IMPORTANCE OF GUIDANCE HOW TO
SUPPORT THE CULTURAL PREFERENCES
IN FOOD SERVICE.
I'LL HIGHLIGHT THE WORK OF TWO
SPECIFIC REACH PROGRAMS AND
YOU'LL HEAR FROM A THIRD IN THE
UPCOMING PANEL.
THE FIRST IS MICHIGAN IN ENCLAVE
OF DETROIT AND THEY LACK ACCESS
TO PUBLIC FOODS AND 43% OF
RESIDENTS LIVE IN POVERTY.
SINCE 2019 THE REACH RECIPIENT
AT EASTERN MICHIGAN UNIVERSITY
PARTNERED WITH DETROIT
FRIENDSHIP HOUSE FOR ACCESS IN
THE LOCAL ASIAN COMMUNITY.
THERE WAS A NUTRITION POLICY FOR
THE CHOICE FOOD PANTRY AND
IMPLEMENTED THE SWAP PROGRAM IN
2022.
THERE'S FOOD PANTRY TO RANK
THEIR INVENTORY AND ALIGNS WITH
THE NUTRITION GUIDELINES FOR THE
CHARITABLE FOOD SYSTEM.
THE TRANSLATED SWAP SIGNS AND
MATERIALS INTO ARABIC AND OTHERS
TO MAKE THE INFORMATION
ACCESSIBLE TO CLIENTS.
THE REACH PROGRAM ALSO CREATED
FOOD SAFETY AND INTERCULTURAL
TRAININGS FOR STAFF AND
VOLUNTEERS.
AS A RESULT IT PROVIDES MEAT,
VEGETABLES, RICE AND FISH AND
PROVIDED FOOD BOXES IN 2023 FOR
CLIENTS WHO OBSERVED RAMADAN.
ANOTHER EXAMPLE COMES FROM
NAVAJO NATION.
IT'S AN AREA OF LOW POPULATION
DENSITY LIMITED INFRASTRUCTURE
AND HIGH POVERTY RATES LEADING
FAMILIES TO LACK ACCESS TO FOOD
THAT IS AFFORDABLE.
1 IN 5 ADULTS HAS DIABETES THE
FOURTH LEADING CAUSE OF DEATH ON
THE NAVAJO NATION.
THERE'S A NON-PROFIT
ORGANIZATION BASED IN NEW MEXICO
AND ARE PARTNERS IN HEALTH.
IN 2015 IT LAUNCH THE FRUIT AND
VEGETABLE CONSUMPTION PROGRAM TO
INCREASE CONSUMPTION.
IN THE NAVAJO PRESCRIPTION
PROGRAM A TEAM PROSCRIBES
VOUCHERS REDEEMABLE FOR FRUITS,
VEGETABLES AND FOODS AT
PARTICIPATING SUPER MARKETS AND
FARMERS MARKETS.
IN ADDITION THE PROGRAM PROVIDES
NUTRITION COACHING FOR FAMILIES.
THOUGH SOME OF THE FUNDED
RECIPIENTS DO SERVE TRIBAL
POPULATIONS OUR SISTER DIVISION
OF POPULATION HEALTH AND CHRONIC
DISEASE CENTERS PARTNER WITH
AMERICAN INDIAN AND ALASKAN
NATIVE COMMUNITIES TO PROMOTE
HEALTH AND REDUCE DISEASE AND
STRENGTHEN CULTURAL CONNECTIONS
TO PROMOTE WELLNESS AND CULTURAL
AND SOCIAL CONNECTEDNESS,
CONSUMPTION OF HEALTHY
TRADITIONAL FOODS AND INCREASED
PHYSICAL ACTIVITY IN
COMMUNITIES.
ONE PROGRAM IS AN INNOVATIVE
PROGRAM TO BUILD RESILIENCE AND
CONNECTION TO FAMILY, COMMUNITY
AND CULTURE.
THE COMMUNITIES HAVE ACTIVITIES
FOCUSSED ON MAKING CONNECTIONS
TO TRADITIONAL FOODS AND FOOD
WAYS.
THESE RANGE FROM PLANT IDENTITY
AND MAPPING, NATIVE LANGUAGE,
PLANTING, HARVESTING, PRESERVING
AND FOOD SHARING PROGRAMS.
ONE EXAMPLE OF A PROGRAM THAT
WOVE SEVERAL OF THESE ACTIVITIES
IS THE W OF BANAKI HEALTH AND
WELLNESS AND BROUGHT INTER
GENERATIONAL GROUPS TO GATHER
THIS TRADITIONAL FOOD AND
THERE'S INTERNS FROM THE TRIBE
TO DEVELOP EDUCATIONAL MATERIALS
INCLUDING NATIVE LANGUAGE AND
PREPARATION INSTRUCTIONS YOU CAN
SEE ON THE SLIDE.
I'D LIKE TO SHARE INFORMATION ON
HOW TO CONNECT WITH RESEARCHERS,
EVALU
EVALUATORS AND IT MAY BE OPEN TO
COLLABORATION WITH RESEARCHERS
AND EVALUATORS TO SHOW IMPACT OF
THEIR COMMUNITY NUTRITION WORK.
FOR EXAMPLE, SOME
COMMUNITY-BASED ORGANIZATIONS IN
REACH MAY BENEFIT FROM
PARTNERSHIP WITHIN THE ACADEMIC
RESEARCHER TO COLLABORATE ON
GRANT APPLICATIONS FOR FURTHER
FUNDING FOR IN DEPTH EVALUATION.
YOU CAN FIND AN OF ALL OF OUR
FUNDED RECIPIENTS ON THE WEBSITE
TO SEE THE GEOGRAPHIC LOCATIONS
WHERE THEY WORK.
IF YOU ARE INTERESTED IN
CONNECTING WITH OTHER
RESEARCHERS AND EVALUATORS
WORKING ON FOOD AND NUTRITION
SECURITY, CULTURAL FOODS AND
HEALTH EQUITY AND DNPAO FUNDS
THE FOOD EVALUATION NETWORK
COORDINATED BY THE UNIVERSITY OF
CALIFORNIA SAN FRANCISCO.
YOU CAN JOIN ONE OF THE 11 WORK
GROUPS IN RELEVANT TOPIC AREAS
FROM FOOD SECURITY TO RURAL FOOD
ACCESS TO FOOD SERVICE
GUIDELINES BY REACHING OUT TO
THE E-MAIL ADDRESS AT THE LINK
SHOWN HERE.
FINALLY, IF YOU'D LIKE TO KEEP
UPDATED ON HAPPENINGS, TAKE OUT
THE CELL PHONE NOW AND COPY THE
QR CODE TO TAKE YOU TO THE CDC
NEWS AND UPDATES PAGE FOR ALL
CDC NEWSLETTER SUBSCRIPTIONS.
AFTER YOU ENTER YOUR E-MAIL
ADDRESS, SCROLL THROUGH AND
SELECT OVERWEIGHT AND OBESITY TO
SIGN UP FOR THE DNPAO'S
NEWSLETTER.
THANK YOU FOR YOUR INTEREST IN
OUR WORK AT CDC AND WE'LL MOVE
ON TO THE NEXT PANEL.
>> THANK YOU FOR THE OVERVIEW.
I WANT TO THANK BOTH OUR
SPEAKERS FOR THE IMPORTANT WORK
THAT THEY DO AND WE'LL TAKE
QUESTIONS FOR DONNA AND DIANNE
DURING OUR PANEL 7 Q&A SESSION.
WE'LL TURN IT OVER TO OUR
MODERATOR FOR OUR NEXT PANEL WHO
WILL INTRODUCE PANEL 7.
WELCOME.
>> I DO WANT TO THANK OUR
WONDERFUL PRESENTATION FROM
DIANE AND DONNA AND WE'LL TAKE
QUESTIONS DURING THE PANEL 7 Q&A
QUEUE THOSE UP IN THE CHAT.
I'M BEEN A PLEASURE WORKING ON
THE PLANNING COMMITTEE AND PROUD
TO SERVE AS A PROD MODERATOR FOR
PANEL 7.
IT WILL HIGHLIGHT RESEARCH INTO
THE COMMUNITY THE BRIDGE TO
EVIDENCE INTO PRACTICE.
WE HAVE A GREAT LINEUP.
I WANT TO SAY IDENTIFY YOURSELF
AND THE PANELIST YOUR DIRECTING
QUESTIONS TO AND THAT INCLUDES
DIANE AND DONNA REGARDING THEIR
RESPECTIVE CDC AND USDA
PRESENTATIONS.
MY COLLEAGUE WILL BE HELPING
FILTER TODAY'S QUESTIONS AND
WE'LL GET START WITH THE FIRST
PRESENTATION AS NETTED BY DR.
STOTZ.
SHE'S A CERTIFIED DIABETES
EDUCATOR AND ADDRESSES FOOD
INSECURITY AND IMPACTING
DIABETES WITH AN EMPHASIS ON
HEALTH DISPARITY.
WELCOME.
I LOOK FORWARD TO LEARNING ABOUT
THE WORKSHOP.
>> THIS IS THE CORRECT TITLE.
THANK YOU FOR READING IT.
I'M GRATEFUL TO HAVE BEEN
INVITED FOR THIS OPPORTUNITY.
I HOPE YOU ALL HAD THE CHANCE TO
SEE PANEL 1 PRESENTATION
YESTERDAY THAT THE SOCIO
CULTURAL FACTORS SET UP MY
PRESENTATION TODAY.
I ALWAYS WANT TO START WITH
ACKNOWLEDGEMENTS INSTEAD OF
WAITING UNTIL THE END SO I DON'T
RUN OUT OF TIME.
THE WORK I'LL PRESENT TOOK A
VILLAGE.
I WANT TO THANK ALL THE FOLKS
LETS -- LISTED ON THIS SLIDE.
AND SO NUTRITION EDUCATION IS
ONE OF THE CORNERSTONES OF
DIABETES SELF-MANAGEMENT AND
CARE.
A HEALTHFUL DIET RICH IN FRUITS
AND WHOLE GRAINS AND TRADITIONAL
FOODS CAN REDUCE COMPLICATIONS
AND AND NUTRITION INFORMATION
CAN SUPPORT PEOPLE EATING
HEALTHY FOOD ON A BUDGET
MITIGATING FOOD INSECURITY.
SO RESEARCH SUPPORTS WHEN
NUTRITION EDUCATION IS TAILORED
TO THE SPECIFIC NEEDS OF A
PERSON, FAMILY OR COMMUNITY AND
CULTURALLY RELEVANTLY APPROACHES
ARE EMPLOYED THERE'S MORE
POSITIVE HEALTH OUTCOMES.
AND IT CREATED A CURRICULUM
ENTITLED WHAT CAN I EAT AND PA
PARTNERED WITH A COMMUNITY IN
ADAPTING THE THIS FOR THE
POPULATION WITH TYPE 2 DIABETES
AND WE TRANSLATED RESEARCH INTO
PRACTICE IN DEVELOPING THE
CURRICULUM.
YOU CAN SEE THE WONDERFUL
COMMUNITIES WE HAD THE
OPPORTUNITY TO COLLABORATE WITH
WHO PROVIDED THEIR FEEDBACK AND
RECOMMENDATIONS AT HOW TO ADAPT
THE ORIGINAL WHAT CAN I EAT
PROGRAM SPECIFICALLY FOR NATIVE
PEOPLE.
WITH EACH OF THESE COMMUNITIES,
WE WERE ABLE TO TALK TO PEOPLE
WHO HAVE TYPE 2 DIABETES, THEIR
FAMILY MEMBERS, HEALTH CARE
PROVIDERS WHO CARE FOR THEM,
PROGRAM ADMINISTRATORS AND
TRIBAL LEADERS.
BASED ON THE FINDINGS WE
REVIEWED THE EXISTING LITERATURE
GIVEN THERE'S QUITE A BIT OF
NUTRITION AND DIABETES EDUCATION
FOR AMERICAN INDIAN PEOPLE THAT
EXISTS.
WE CONDUCTED A HEALTH LITERACY
ASSESSMENT OF THE EXISTING
CURRICULUM AROUND THERE'S FOOD
PREPARATION AND FOOD WAYS AND
INTEGRATION OF STORY TELLING AND
SHARING AS A POWERFUL WAY OF
KNOWING DRAWING AND ACTIVITIES
AROUND ORIGINAL PHOTOGRAPHY
THROUGHOUT THE CURRICULUM.
WE DEVELOPED THE CURRICULUM IN
YEAR 2 AND PILOTED THE
EVALUATION BY DIFFERENT SITES.
YOU'LL NOTE GIVEN THE YEAR THAT
PILOT EVALUATION HAPPENED DURING
COVID SO LIKE MANY WE HAD TO
ADAPT OUR CRICK COLUMN AND PIVOT
FOR VIRTUAL OR ZOOM-BASED
DELIVERY.
SO IN THIS PILOT EVALUATION WE
ADDED ONE ADDITIONAL SITE.
THE ORIGINAL FOUR SITES REMAINED
WITH US AND ADDED THE AMERICAN
CHEROKEE HOSPITAL IN NORTH
CAROLINA.
SO WE EMPLOYED A RANDOMIZED
CONTROL TRIAL TO UNDERSTAND THE
IMPACTS OF THE WHAT CAN I EAT
CURRICULUM.
EVERYONE GOT ACCESS.
SOME WERE GIVEN ACCESS THREE
MONTHS INTO THE INTERVENTION
PERIOD AS THE WAIT LIST CONTROL.
I DON'T EXPECT YOU TO BE ABLE TO
READ ANYTHING ON THE SLIDES BUT
TO SHOW THE FINDINGS FROM THE
PILOT EVALUATION THE FIVE-SITE
PILOT EVALUATION WE PRESENTED AT
THE ADA SCIENTIFIC SESSIONS IN
2021.
ONE OF OUR KEY FINDINGS AS
LISTED HERE IN THE CENTER WAS
THAT THE VIRTUAL DIABETES
NUTRITION EDUCATION CLASSES
SHOWED AN INCREASE IN
SELF-EFFICACY FOR THE DIABETES
PLATE AND MAKING HEALTHFUL
CHOSES AND SELF-ADVOCACY IS KEY
FOR CHANGE.
AND ANOTHER POSTER AT THE SAME
SESSION SHOWED OUR QUALITATIVE
FINDINGS THE FOLKS THAT ENGAGE
IN THE CLASSES ON ZOOM LIKED THE
PEER-TO-PEER INTERACTION
OPPORTUNITIES.
AND PREFER THE NUTRITION
EDUCATOR WAS WELL VERSED ON
COMMUNITY-SPECIFIC CONTACTS.
WE ARE NOW IN A NEW ERA OF
EVALUATION.
THIS YEAR THROUGH SIX IS WHERE
WE'RE AT NOW.
THE LAST LINE ON THE GRAPHIC.
AND WE ADDED AN INTEREST IN FOOD
INSECURITY AND ALSO LOOKING AT
THE IN-PERSON CLASSES NOW THAT
IT'S SAFE TO DO SO AFTER THE
PANDEMIC.
SO IN THIS NEW EVALUATION OF THE
WHAT CAN I EAT CURRICULUM WITH
AN ADDED HEALTHY FOOD RESOURCE
WE'RE LOOKING AT MULTI-LEVEL
APPROACHES TO ADDRESS THE
MULTIPLE PATHWAYS WE KNOW FOOD
INSECURITY IMPACTS MORBIDITY AND
MORTALITY AND HOW NUTRITION
EDUCATION CAN HELP MITIGATE THE
IMPACTS FOOD INSECURITY.
SO THIS IN OUR STUDY DESIGN YOU
CAN SEE THIS AND THE LAST SLIDE
IS SWOOPED AROUND BY A COMMUNITY
ADVISORY BOARD WHICH WE HAVE IN
OF INFORMING EVERY STEP OF THE
WAY HOW TO IMPLEMENT THE PROGRAM
AND HOW TO EVALUATE THE PROGRAM
AND WE HAVE A WONDERFUL ROBUST
COMMUNITY BOARD LEADER THE
LIAISON BETWEEN THE RESEARCH
TEAM AND THE COMMUNITY ADVISORY
BOARD AND NOW WE'RE CONDUCTING A
THREE-ARM RANDOMIZED CONTROL
TRIAL LOOKING AT WHAT CAN I EAT
CLASSES PLUS A HEALTHY FOOD
RESOURCE AND HEALTH FOOD
RESOURCE ALONE WITH 0, 1, 3, 6
AROUND 9 MONTH FOLLOW-UPS FOR
THE RANDOMIZED ARMS.
SO CLOSING WITH RESEARCH GAPS
AND OPPORTUNITIES.
WE WANT IT KNOW WHAT THE
FINDINGS FROM THE CURRENT
RANDOMIZED CONTROL TRIAL TO
UNDERSTAND THE CHALLENGES AND
HOW FOOD INSECURITY AND DIABETES
EDUCATION COLLECTIVELY CAN HELP
PEOPLE WITH TYPE 2 DIABETES.
WE ALSO EVENTUALLY WANT TO
EVALUATE THIS WITH A
PEER-EDUCATOR MODEL.
WE KNOW NOT EVERY COMMUNITY HAS
ACCESS TO A DIETICIAN SO WE WANT
TO BE MINDFUL THAT WE'RE NOT
LIMITING WHO WE CAN SERVE BY
ACCESS TO THAT KIND OF HEALTH
PROFESSIONAL.
WE PROBABLY WANT TO ADD
ADDITIONAL CLASSES AND TOPICS.
FOLKS ARE ALREADY ASKING US AT
THE END WHAT'S NEXT AND WHAT CAN
WE LEARN NEXT WHICH IS EXCITING.
WE WANT TO AUGMENT WITH
TRADITIONAL FOOD AND NUTRITION
COOKING EDUCATION EXPERIENCES
AND ALSO THINK HOW CAN WE ADAPT
THE CURRICULUM FOR THOSE WHO
DON'T YET HAVE TYPE 2 DIABETES
AND HOPING TO PREVENT THIS IN
THEIR LIFE.
THIS IS MY CONTACT INFORMATION.
GRATEFUL TO HAVE BEEN INVITED TO
PRESENT TODAY AND WANT TO MAKE
SURE I THANK NHLBI AND ALL OF MY
COLLABORATORS WHO WERE LISTED ON
MY SECOND SLIDE.
THANK YOU SO MUCH.
>> THANK YOU, SARA.
THAT WAS A WONDERFUL AND CONCISE
PRESENTATION.
WE LOOK FORWARD TO QUESTIONS SO
PUT THEM IN THE QUESTION
FUNCTION SLOT AND THE NEXT TALK
IS CO-PRESENTED BIENI AND MAR
IS -- MARISSA BUILD MORE
INCLUSIVE CHARITABLE FOOD SYSTEM
IN NORTHWEST ARKANSAS.
I HAD THE PRIVILEGE TO GET TO
KNOW THIS TEAM AND PROJECT SO
EXCITED THEY WERE FEATURE D JENI
IS A FOOD SYSTEM SENIOR MANAGER
AT THE COMMUNITY HEALTH AND
RESEARCH CENTER AND HER WORK
PRIMARILY FOCUSES ON BUILDING
CONNECTIONS BETWEEN CULTURALLY
APPROPRIATE FOODS AND NUTRITION
EDUCATION AND SUSTAINABLE
AGRICULTURE AND MARISSA IS AT
THE UNIVERSITY OF ARKANSAS
MEDICAL COMMUNITY HEALTH AND
RESEARCH AND HER EXPERTISE IS IN
TEACHING OTHER HOW'S TO DEVELOP
THEIR QUALITATIVE SKILLS.
I'M VERY EXCITED TO HEAR YOUR
WORK TODAY.
>> HI, THANK YOU FOR THE
INTRODUCTION.
I'M JENNI AND I'M EXCITED TO
TALK WITH YOU ALL ABOUT A
PROJECT BEING IMPLEMENTED BY A
GROUP OF FOOD SYSTEM
PRACTITIONERS IN A NORTHWEST
PORTION OF ARKANSAS.
THIS IS MADE POSSIBLE BY THE
FUNDING BY THE WAL-MART
FOUNDATION.
I WANT IT START BY SHARING ABOUT
OUR OFFICE COMMUNITY HEALTH AND
RESEARCH.
IT'S A DIVERSE TEAM DEDICATED TO
WORKING WITH COMMUNITIES TO
CREATE A BETTER STATE OF HEALTH
FOR ALL.
AS LEADERS IN COMMUNITY ENGAGED
RESEARCH AND WE SEEK TO
UNDERSTAND THE NEEDS OF THE
COMMUNITY AND USE WHAT WE LEARN
TO CREATE IMPACTFUL PROGRAMS TO
CREATE MEANINGFUL LARGE SCALE
CHANGE OVER TIME.
SOUR OF
SO OUR OFFICE IS GUIDED BY
EXTENSIVE AND COMMUNITY
COLLABORATIVE PARTNERSHIPS AND
IT'S THE RESULT OF A LEARNING
PARTNERSHIP CALLED THE NORTHWEST
ARKANSAS FOOD INSECURITY
COMMUNITY OF PRACTICE.
I WANT TO CALL TO TO THE GOAL
AND HOW HEALTHY FOOD SHOWS UP IN
THE CHARITABLE FOOD SYSTEM AND
HOW IT'S REACHING IN WAYS THAT
IS CULTURALLY APPROPRIATE AND IT
INSPIRED OUR PROJECT WE'RE
PRESENTING TO YOU TODAY.
SS THERE'S THE COMMUNITY OF
PRACTICE MADE OF 23
ORGANIZATIONS AND SERVICE
PROVIDERS FROM DIFFERENT SECTORS
INCLUDING FOOD PANTRIES,
CULTURALLY SPECIFIC
ORGANIZATIONS AND HEALTH CARE
PROVIDERS TO NAME A FEW.
AND GUIDING THE COMMUNITY OF
PRACTICE WITH TWO ADVISORY
BOARDS, ONE A STAKEHOLDER
ADVISORY BOARD AND MADE UP OF
NORTHWEST ARKANSAS RESIDENTS WHO
HAVE SIGNIFICANT EXPERIENCE WITH
FOOD INSECURITY AND WHO
REPRESENT DIVERSE COMMUNITIES.
THEN THE NATIONAL ADVISORY BOARD
COMPRISED OF LEADERS IN FOOD
ACCESS AND INNOVATION AND WE
HAVE FACILITATION AND
EVALUATION.
SO BIG PART OF THIS COMMUNITY OF
PRACTICE IS THE CULTIVATION OF
NEW STRATEGIES.
THIS GRUP LEANED INTO THAT AND
WORKED TOGETHER TO SELECT AND
DESIGN THREE DIFFERENT PILOT
PROJECTS.
THIS PROCESS INCLUDED FEEDBACK
AND ALL THREE PROJECTS ARE BEING
IMPLEMENTED AND WE'RE FOCUSSING
ON THE CULTURAL FOOD PREFERENCE
PROJECT AND BUILDING THE
CAPACITY IN NORTHWEST ARKANSAS
TO SERVE CULTURALLY APPROPRIATE
FOODS FOR COMMUNITY.
THE FIRST STEP WAS TO CREATE
CULTURAL FOOD PREFERENCE LISTS
FOR USE BY COMMUNITY
ORGANIZATIONS AND I'LL HAVE
MARISSA TALK ABOUT THAT.
>> TO DEVELOP THE LISTS FIRST WE
CONDUCTED A LITERATURE REVIEW OF
NATIONAL BEST PRACTICES AS WELL
AS LOCAL REGIONAL DATA.
THE COMMUNITY OF PRACTICE
MEMBERS CHOSE THE LATINO
AMERICAN TO BE THE MAIN CULTURAL
COMMUNITIES WE FOCUSSED ON
BECAUSE THEY WERE THE TWO MOST
COMMON DIVERSITIES OF OUR SYSTEM
AND PARTNERED WITH ONE HISPANIC
AND ANOTHER THAT CONDUCTED
LISTENING SESSIONS WITH THE
MEMBERS OF THE CHARITABLE FOOD
SYSTEM.
THEY PURVIEWED THE LIST AND
PROVIDED FEEDBACK ON THE LIST
THEY'D LIKE TO SEE OFFERED AND
LOOKED AT HOLIDAYS AND RELIGIOUS
PRACTICES.
THIS CONTAINS INFORMATION ON THE
IMPORTANCE OF CULTURALLY
PREFERRED FOODS, THEY CONTAIN
SECTIONS ON PROCUREMENT,
DISTRIBUTION AND PREFERENCE
GUIDES WE JUST DISCUSSED AS WELL
AS EDUCATIONAL MATERIALS AND
RECIPES AND SIGNABGE.
YOU'LL SEE THE CULTURALLY
APPROPRIATE GROCERY STORES
PROVIDED BY USERS AND TRENDS
ACROSS THE COMMUNITIES TO HELP
GUIDE AGENCIES.
THE MAIN TAKEAWAY IN THE TRENDS
WAS PRIORITIZING FRESH FRUITS
AND VEGETABLES AND PROVIDING
SCRATCH COOKING ESSENTIALS LIKE
OILS AND YEAST.
THIS GIVES MORE ABOUT THE TOOL
KIT.
IT CONTAINS INFORMATION LIKE THE
PREFERENCE GUIDES.
AND SEE WHAT THE PAGES LOOK LIKE
AND INGREDIENTS FOR IMPORTANT
RELIGIOUS HOLIDAYS AND MEALS.
>> AFTER CONDUCTING THE
LISTENING SESSIONS WE SET OUT TO
IMPROVE CULTURAL FOOD OFFERINGS
AND TO DO THIS WE INCENTIVIZED
THREE FARMERS AND THREE
PROVIDERS TO USE THE TOOL KIT.
AND USE WHAT THEY LEARN TO
EITHER GROW AND DONATE OR
PURCHASE AND DISTRIBUTE
PREFERRED FOOD ITEMS WITHIN THE
CHARITABLE FOOD SYSTEM.
AND DATA COLLECTION EFFORTS TO
EVALUATE THE PROJECT AND ENHANCE
A WIDELY DISTRIBUTED FINAL TOOL
KIT.
>> IT'S THE NEXT FEW SLIDES
SUMMARIZE DATA FROM THE COHORT
MEETINGS, PARTNER INTERVIEWS AND
CLIENT SURVEYS.
THIS OUTLINES HOW GRANTEES USE
THE TOOL KIT.
FOR FARMERS MANY REPORTED IT TO
INTRODUCE NEW CROPS INTO THEIR
PRODUCTION PLAN LIKE GINGER,
MELONS AND SWEET CORN.
SOME FARMERS WERE ALREADY
PRODUCING MANY OF THE PREFERRED
FOODS SO THEY FOCUSSED ON
EXPANDING PLANTINGS TO INCREASE
YIELDS AND ALSO REPORTED BEING
MORE INTENTIONAL ABOUT
DISTRIBUTING CERTAIN FOODS TO
PARTNER SITES WITH THE MOST
VALUE.
FOR PROVIDERS, THEY USED THE
TOOL KIT TO PROCURE ITEMS LIKE
DRIED BLACK BEANS AND TUNA AND
COOKING STAPLES AND SOME
INCLUDED RECIPES WITH THE FOODS
DISTRIBUTE.
ONE PARTNER COLLABORATED TO
DISTRIBUTE PREFERRED FOODS AT
HISPANIC CHURCHES AND OTHER
REPORTED STRUCTURAL CHANGES TO
THEIR DISTRIBUTION MODEL BY
ADDING DEDICATED CULTURAL
SECTIONS WITHIN LANGUAGE
SIGNAGE.
>> THY INTEGRATED NEW ITEMS AND
FOUND THIGH WERE WELL RECEIVED
AND MOVING QUICKLY OFF THE
SHELVES AND THIS IS ALWAYS FRESH
PRODUCE AND MILK AND FLOUR.
THEY INCORPORATED OTHER WORK IN
THE COMMUNITY MEALS PROGRAMS AND
ON THE CHALLENGES SIDE YOU CAN
SEE THERE IS STILL A HIGH COST
OF FOOD, TROUBLE FINDING CERTAIN
ITEMS AND FOR FARMERS THERE'S
LIMITATIONS ON WHAT TO GROW IN
THE ARKANSAS CLIMATE
PARTICULARLY THE TROPICAL FRUIT
PREFERRED BY ONE COMMUNITY.
AND A LOT OF OUR AGENCY
COLLEAGUES WERE AFRAID FOCUSSING
ON SPECIFIC POPULATIONS WOULD
ALIENATE THE REST OF THEIR
CLIENTS AND THIS WAS NOT THE
CASE AND MANY SAID THEY'D
RECEIVE THE ITEMS RECEIVED AND
THE FOOD ITEMS WAS CORROBORATED.
AND ONE FINDING IS THEY ALL
WANTED TO SEE THINGS LIKE
TOILETRIES AND DIAPERS AND
THEY'RE EXPENSIVE FOR AGENCIES
TO BUY SO WE RECOMMEND THE
AGENCIES ADD THEM TO THE
DONATION LIST FOR THE FUTURE.
A GAP IN THE WORK WAS NOT HAVING
ENOUGH MARSHALLESE CLIENT
FEEDBACK SO IN THE FUTURE WE
WANT TO TARGET THIS AREA OF
OUTREACH AND WE DISCUSSED
SCALING AND EXPANSION WITH THE
REGIONAL FOOD BANK ON THE
PROCUREMENT SIDE AND EXPANDING
THE EDUCATIONAL COMPONENT FOR
FARMERS.
WE ALSO THOUGHT OF REPLICATING
THE WORK FOR OTHER COMMUNITIES
INCLUDING INTERNATIONAL STUDENT
POPULATION HERE AT THE
UNIVERSITY.
A LOT OF OUR WORK THINK ABOUT
MEDICALLY APPROPRIATE FOODS AND
THIS REPRESENT AS A GAP IN
KNOWLEDGE AND ONE AREA OF FUTURE
RESEARCH IS WORKING WITH OUR
UNIVERSITY TO DO WORK AROUND
CHRONIC DISEASE TO IMPLEMENT
MEDICALLY TAILORED INTERVENTIONS
IN THESE COMMUNITIES.
>> WE WANT TO THANK OUR
COMMUNITY OF PRACTICE MEMBERS
AND OUR FACILITATE OR.
>> THANK YOU.
I CAN ATTEST TO THE GREAT WORK
DEMONSTRATED BY THE
PRESENTATION.
THERE'S ALREADY QUESTIONS COMING
ONE I'LL ADDRESS IN THE Q&A AND
WE'LL GET TO DISCUSS IT DURING
THAT TIME BUT PLEASE ENTER YOUR
QUESTIONS.
AND WE'LL MOVE ON TO OUR NEXT
PRESENTATION.
HER PRESENTATION IS REGARDING
NEW YORK'S CARIBBEAN DIABETES
PREVENTION PROGRAM.
SHE'S DEDICATED TO ADDRESSING
HEALTH DISPARITIES AND
INEQUITIES IN THE NEW YORK UNDER
SERVED COMMUNITY USING
COMMUNITY-BASED PARTICIPATORY
RESEARCH.
I'M LOOKING FORWARD IT HEARING
ABOUT YOUR WORK.
>> THANK YOU SO MUCH FOR THE
INTRODUCTION.
I'M PLEASED TO BE HERE.
THE CONVERSATION IS INSPIRING
WHEN YOU OFTEN FIND YOU MAY BE
THE ONLY PERSON WHO MAY BE
EMBEDDED IN THE COMMUNITY AT THE
TIME.
AND I'M INSPIRED BY THE
PRESENTATION.
THERE'S THEORETICAL BACKGROUND
WE'VE USED AND I'LL DIVE INTO
HOW WE DID IT.
WE USED THE CDC DIABETES
PREVENTION PROGRAM CURRICULUM
FOR THE COMMUNITY IN NEW YORK
CITY.
WE DID THIS BECAUSE WE HAVE DONE
EPIDEMIOLOGICAL STUDIES BASED ON
TRUE DATA SETS UNIQUE TO NEW
YORK CITY.
AND MANY ARE IMMIGRANTS.
THIS IS A HUGE PART OF NEW YORK
CITY.
WE FOUND IN OUR DATA FROM AN
NHANES STUDY THE PREVALENCE OF
TYPE 2 DIABETES IS AROUND 31%
AND WE GOOD QUALITATIVE WORK
WHERE WE FOUND THE OPPORTUNITIES
TO ADDRESS RISK FACTORS IN
PHYSICAL ACTIVITY AND ADDRESSING
AND ACKNOWLEDGING THE STRESSFUL
LIVES OF BLACK IMMIGRANT
COMMUNITIES WITH MINORITY STATUS
AND ALSO BLACK PERSONS IN A
HIGHLY RACIALIZED CITY AND
ACKNOWLEDGE THE CULTURES OF
FAMILIES THAT HAVE CONNECTIONS
THAT LIVE PART OF THE TIME OTHER
PLACES AND HAVE TWO OR MORE
CULTURAL IDENTITIES.
AND THEN GROWING UP IN
MULTI-GENERATIONAL HOMES AND THE
DESIRE TO TURN THE TIDE IN TYPE
2 DIABETES BUT LACK OF HOW-TO
AND TO DO SOMETHING ABOUT THE
HIGH PREVALENCE AND RISK.
SO WE HEARD FROM MY CO-P.I.
YESTERDAY AND WE GATHERED ALMOST
EXCLUSIVELY STUDENTS OF
CARIBBEAN DESCENT DOING OUTREACH
AND CONDUCTING FOCUS GROUPS TO
HAVE A DEEPLY CULTURALLY
COMPETENT TEAM AND WORKED ON I
DIDN'T KNOW HOW TO DO LIKE
SOCIAL MEDIA AND PLAYED A BIG
ROLE IN TEXT EDITING AND IMAGE
PLACEMENT AND EDITING STORIES
AND WE CONVENED AN ADVISORY
BOARD.
WE'VE BEEN ROOTED IN THIS FOR
QUITE A WHILE HOW TO.
WE HIRED HEALTH PROFESSIONALS
AND MANY ARE ALUMNI AND 95% ARE
FORMER RESEARCH ASSOCIATES OR
STUDENT RESEARCHERS FROM MY LAB.
THEY'RE TRAINING IN THE
METHODOLOGIES AND AGAIN EMBEDDED
IN THE COMMUNITY.
THEY HAD GREAT CONNECTIONS FOR
RECRUITMENT AND FOCUS
RECRUITMENT AND INTERVENTION AND
HAVE REVIEWED ALL MATERIALS AND
RESEARCH PROTOCOL AND THAT HAS
BEEN A REALLY MEANINGFUL
PROCESS.
SO WE DID FOCUS AND WE PUT
FLYERS IN LAUNDROMATS AND
COMMUNITY LOCATIONS AND HANDED
THEM OUT TO FRIENDS AND FAMILY,
ETCETERA.
WE CONDUCTED FOCUS GROUPS VERY
-- VIA ZOOM BECAUSE OF COVID
AND WE HAD AT THE IDEA WE WOULD
DO A VIRTUAL PROGRAM BECAUSE
LIVING IN NEW YORK CITY IS
CHALLENGING.
AND THERE'S ADAPTATIONS AND
CULTURAL VALUES AND BELIEFS THAT
ARE ROOTED AND SOME OF THE
EXTERNAL AND INTERNAL BARRIERS
AND THE DICHOTOMOUS CULTURAL
CHALLENGES WE HAD TO KEEP
UNMIND.
WHAT WE FOUND IN TERMS OF
GUIDANCE AND THANK YOU FOR THE
SHOUT OUT EARLIER THIS PROGRAM
INCLUDED THINGS PEOPLE EAT AND
IDENTIFIED AND WE INCLUDE
CULTURALLY RELEVANT PHYSICAL
ACTIVITY IDEAS.
THE USUAL GOING TO THE GYM,
JOGGING, RUNNING, MARATHONING
DOESN'T RESONATE WITH THIS
COMMUNITY.
THERE'S A LOUD CALL FOR PEOPLE
TO LOOK LIKE CARIBBEAN PEOPLE
AND THEY'RE HIGHLY DIVERSE IN
TERMS OF PEOPLE'S ORIGIN AND WE
HAD TO THINK ABOUT REPRESENTING
THAT AS WELL.
WE HAD TO ADDRESS THE LACK OF
TIME TO EXERCISE AND SAFE
NEIGHBORHOODS AND THE
PROLIFERATION OF UNHEALTHY FOODS
AND CULTURAL FAMILY SOCIAL NORMS
THAT MAY MAKE IT DIFFICULT TO
MAKE CHANGES.
WE LOOKED AT THE GENERIC CDC
RECRUITMENT MATERIALS AND MOST
ARE TIED TO THE AMERICAN
POPULATION ON A WHOLE.
AND WE FOUND MOST LIVED IN
SUBURBIA AND IN WHOLE HOUSES AND
HAD FOOD ITEMS.
WE TALKED TO PEOPLE AND LISTENED
AND HEARD WHAT THEY SAID AND
THEY SAID THINGS LIKE SEEING MY
FLAG MADE ME FEEL SEEN AND
VALIDATED.
SO WE FOCUSSED ON THE THINGS
SAID IN THE FOCUS GROUPS THEIR
WORDS AND THAT HOW CAN YOU EAT
WHAT YOU LOVE AND STAY HEALTHY?
WITH MADE SOCIALLY
REPRESENTATIVE FLYERS FOR
DIFFERENT KINDS OF PEOPLE AND
REPRESENT PEOPLE THAT IS OF
GREAT DIVERSITY.
HERE'S AN EXAMPLE AND JUST THIS
MONDAY HAD A ZOOM SESSION FOR
IMPLEMENTATION OF THE PILOT WITH
FITNESS TRACKERS AND RECORDED
THE SESSIONS ON A PRIVATE
YOUTUBE SESSION SO THOSE WHO
MISSED THE SESSION COULD WATCH
AT A LATER TIME.
WE HAD PLAY LISTS FOR THE
SESSIONS.
WE ALWAYS OPEN THE SESSION WITH
A BEACH VIDEO FOR WELCOME AND
MEDITATION AND WE SET UP OUR
GROUP HIGHLY ACTIVE WITH
SESSIONS AND DANCE PARTIES IN
THE STREET.
IT'S BEEN QUITE LIVELY AND
ENCOURAGING FOR LIFESTYLE
COACHES AND WE HAVE INCENTIVES
FOR PEOPLE TO SHOW UP AN TO KEEP
THEM MOTIVATED.
AND THEN WE HANDED OUT GIFT
CARDS AND WE HAD PHONES FOR
CALLS AND CHECK-INS WITH
PARTICIPANTS AS RECOMMENDED.
SOME OF THE CHANGES OR TO ADD
FOODS BECAUSE MOST IMMIGRANT
COMMUNITIES TALK ABOUT
EXTENSIVELY EAT ALL KINDS OF
FOODS CARIBBEANS ALSO EAT PIZ
DID AND EAT POTAPOTATO.
WE HAD A COCKTAIL OF SUGGESTIONS
FOR FOOD.
SAME THING FOR BEVERAGES.
ONE OF THE THINGS THAT
PARTICIPANTS SAID NONE OF MY
DOCTORS SAID THE WORD OUTLOUD OF
THE FOODS THAT I REALLY LOVE
LIKE THIS SORRELL.
IT'S HIGH IN SUGAR AND
EQUIVALENT TO SODA BUT
RECOGNIZING FOODS THAT IMPORTANT
TO PARTICIPANTS.
IT WENT WELL.
WE HAD 19 PARTICIPANTS.
THEY COMPLETED THIS SESSION.
WE HAD SOME CHALLENGES SETTING
UP IN PEOPLE'S HOME BUT WE HAD
79% RETENTION AND WE DON'T YET
HAVE WEIGHT LOSS DATA TO SHARE.
THIS IS ALL PRELIMINARY ONE
THING THAT HAPPENED WAS THE
PARTICIPANTS ASK WE PLEASE,
PLEASE, PLEASE, CONTINUE.
THOUGH WE EXHAUSTED OUR FUNDING
WE'RE GOING TO CONTINUE THE
MONTHLY WORKSHOPS FOR THE NEXT
SIX MONTHS WITH THIS COHORT.
IN CLOSING I WANT TO THANK OUR
ADVISORY BOARD AND RESEARCHERS
WITHOUT WHOM I COULD NOT HAVE
DONE THIS.
WHAT WE HAVE DONE IN THE PROCESS
ALSO IS ENSURED OUR STUDENT
RESEARCHERS ARE NOW TRAINED AND
CERTIFIED LIFESTYLE COACHES SO
WHEN THEY WALK OUT OF HERE THEY
CAN ACTUALLY LEAD DIABETES
PREVENTION PROGRAMS.
I WANT TO THANK THE ORGANIZERS.
>> THAT WAS OUTSTANDING.
WE ARE TRYING TO EXPEDITE OUR
FLASH TALKS AND ENCOURAGE YOU TO
ASK QUESTIONS.
PLEASE PUT THEM IN THERE.
IF WE DON'T GET TO ALL TODAY
IT'S FOOD FOR THOUGHT FOR OUR
PRESENTERS AND OVER ALL WORKSHOP
WRITE UP AS WE GET TO THE
QUESTIONS YOU HAVE INCLUDING
ADHERENCE AND ENGAGEMENT ON EACH
SESSIONS.
NOW I HAVE THE HONOR TO
TRANSITION TO OUR NEXT
PRESENTER.
SHE'S GOING TO PRESENT ON THE
REACH LOWELL'S 2022 COMMUNITY
FOOD AND RESPONSIBLE FOR THE
LEADERSHIP, DIRECTION AND
EVALUATION OF THE PROGRAM AND
EMPHASIZES MEASURABLE OUTCOMES
USING DATA AND BEST PRACTICES.
WELCOME AND WE LOOK FORWARD TO
HEARING YOUR PRESENTATION.
>> THANK YOU.
WE ARE EXCITING TO SHARE OUR
COMMUNITY FOODS ASSESSMENT AND
THIS WAS A COLLABORATIVE EFFORT
WITH A COMMUNITY BASED
ORGANIZATION WE'LL TALK ABOUT
SHORTLY.
I WANTED TO GIVE YOU ALL
BACKGROUND ON WHAT THE CITY OF
LOWELL LOOKS LIKE AND IT'S
ALWAYS BEEN AN INTMMIGRANT CITY
AND YOU SEE HERE LOWELL IS NOW
HOME TO SOUTHERN AMERICAN
FAMILIES AND THESE ARE AREAS
WHERE HUMAN RIGHTS ARE IN
JEOPARDY.
HERE WE SEE 58% OF OUR TOTAL
POPULATION IS PART OF THE GLOBAL
MAJORITY BUT WE ALSO SEE WE HAVE
A HUGE POPULATION OF 28%
FOREIGN-BORN AND THE TOP FIVE
E-AMERICANING COUNTRIES RIGHT
NOW ARE FRUSTRATION, DEMOCRATIC
REPUBLIC OF CONGO, UGANDA AND
GUATEMALA AND HAITI.
AND THIS IS LOCATED INSIDE A
HISTORIC BUILDING.
USUALLY IT HAS TO DO WITH
IMMIGRATION AND THE DEFINITION
OF THE WORK WE DO IN OUR
COMMUNITY.
THAT BUILDING ON THE SCREEN IS
OUR BUILDING.
OUR MISSION IS TO PROVIDE CARE
OF QUALITY AND CULTURALLY
COMPETENT SERVICES TO REDUCE
HEALTH DISPARITIES AND EMPOWER
EACH INDIVIDUAL TO MAXIMIZE
THEIR OVER ALL WELL BEING.
SUSPECT THE LANDSCAPE OF WHO WE
SERVE AND WHY IT'S IMPORTANT OUR
PROGRAM IS AT THE HEALTH CENTER
WE SERVE ONE OUT OF TWO
RESIDENTS AT THE HEALTH CENTER.
WE SEE OVER 244,000 MEDICAL
VISITS OUR DEMOGRAPHICS ALIGN
WITH OUR COMMUNITY.
WE SEE 45% OF OUR PATIENTS SPEAK
A LANGUAGE OTHER THAN ENGLISH
AND THREE-FOURTHS ARE RACIALLY
DIVERSE AND I THINK ONE THING
THAT'S IMPORTANT WITH HAVING AN
ORGANIZATION LEADING THIS EFFORT
IS WE ARE COMMITTED TO SOCIAL
JUSTICE AND RACIAL EQUITY.
WE PASSED A RESOLUTION DECLARING
RACISM AS A PUBLIC HEALTH CRISIS
AND SPEAKS TO THE COMMITMENT WE
HAVE TO OUR COMMUNITY.
WE HAVE A COALITION MEMBER WHO
WORKED CLOSELY AT THE COMMUNITY
FOODS ASSESSMENT AND WE'RE A
FOOD JUSTICE ORGANIZATION WHO'S
MISSION IS TO IMPROVE PHYSICAL
HEALTH AND INCREASE ACCESS TO
LOCALLY GROWN FOOD EDUCATION.
THE MISSION IS TO EXPAND AND
EMPOWER AND CATALYZE FOOD ACCESS
AND EMPOWER COMMUNITIES.
THERE'S' QR CODE ON THE SCREEN
TO LEARN MORE ABOUT THE AMAZING
ORGANIZATION.
SO REACH LOWELL IS FUNDED BY THE
CENTER FOR DISEASE CONTROL AND
OUR GOAL IS TO ELIMINATE
DISPARITIES AS IT RELATES TO
DIABETES.
WE DO THIS BY PRIORITIZING
SYSTEMS-LEVELS INTERVENTION AND
COMMUNITY-WIDE INTERVENTION AND
EVIDENCE-BASED ACTIVITIES.
AND WE CAN'T DO THIS ALONE.
WE WORK WITH A NUMBER OF
PARTNERS, A WRAP-AROUND SERVICE
AGENCY AND PLANNING AND
DEVELOPMENT AND OUR COMMUNITY
HEALTH NETWORK AREA JSI WHO
WORKS AS OUR EVALUATOR AND OTHER
WRAP AROUND SERVICES WORKING
WITH THE POPULATION.
THESE ARE OUR PARTNERS.
WE DO OUR WORK INFORMING
STRATEGIES.
TODAY WE'LL BE FORCUSSING ON OU
NEW -- NUTRITION.
AND WE LOOKED AT OUR BUILT
ENVIRONMENT IN PHYSICAL ACTIVITY
THAT IS DONE IN OUR COMMUNITY.
WE ARE ALSO IN OUR COVID-19
PROMOTION ACTIVITIES.
WE AND GATHERING LESSONS LEARNED
AND WE LOOKED AT BOTH STRATEGIES
AND HAVE A SUSTAINABLE PLAN.
IS THIS EVALUATE THE FOOD SYSTEM
IN LOWELL AND WE GATHERED
PRIMARY SOURCES AND WE LOOKED AT
ADDITIONAL DATA THROUGH THE END
OF 2021 AND WROTE OUR REPORT IN
THE EARLY 20 TE.
-- 2022 AND WE COLLECTED DATA
AND SURVEYS FROM RESIDENTS,
EMERGENCY FOOD PROVIDERS AND
PRODUCERS.
.
WE HAVE FOCUS GROUPS AND
INVENTORIES OF FOOD RETAILERS.
WE WORKED WITH OVER 50 LOCAL
ORGANIZATIONS TO MAKE SURE WE
HAD OUTREACH.
PEOPLE SUPPORT ADMINISTRATIVE
SURVEYS AND ORGANIZING FOCUS
GROUPS.
THE METHODS WERE FOCUSSED ON
RECEIVING DATA FROM COMMUNITIES
THAT HAVE BEEN HISTORICALLY
INCLUDED FROM RESOURCES AND
INFORMING DATA AND INCLUDING AND
NOT LIMITED TO IMMIGRANT AND
REFUGEES AND BIPOC COMMUNITIES.
THANK YOU FOR BEARING WITH ME
GUYS.
I DON'T KNOW WHAT HAPPENED BUT
I'M SO THE PURPOSE OF THE CFA IN
LOWELL IS TO UNDERSTAND WHAT
FOOD SECURITY PROGRAM IS WORKING
IN LOWELL AND WHAT NEEDS TO BE
IMPROVED AND GUIDE POLICIES AND
STRATEGIES AND WE WERE ABLE TO
GET TO KNOW WHAT FOOD HAS HAD A
SUPPORTIVE POSITIVE HEALTH
OUTCOMES AND CULTURALLY
CONNECTED DESIRABLE FOODS AND
INCLUDE AFFORDABLE, FRESHNESS
AND TIME AND WE MADE SURE OUR
PRIORITY POPULATION WAS THE
INFORMATION WAS GATHERED FROM
PRIORITY POPULATION ESPECIALLY
BECAUSE THESE POPULATIONS
INTERACT WITH OUR FOOD SYSTEM
THE BEST.
WE ALSO MADE SURE WE WERE ABLE
TO ALSO INCLUDE FARMERS, FOOD
MANUFACTURERS AROUND FOOD
INSTITUTIONS AN RETAILERS.
WE WANTED TO MAKE SURE WE
MIRRORED THE DEMOGRAPHICS OF OUR
COMMUNITY MEMBERS AND HAD IT
TRA
TRANSLATED IN FIVE LANGUAGES AND
A LOT OF OUR PEOPLE DON'T
SPEAK -- ONLY SPEAK THEIR
LANGUAGE VERBALLY AND DO NOT
READ OR WRITE THEIR LANGUAGE.
SO WE LEARNED A LOT OF ABOUT OUR
COMMUNITY.
WE KNOW A BARRIER WAS FOOD
AFFORDABILITY AND THERE WERE
BARRIERS LIKE TIME, LACK OF
TRANSPORTATION AND INTEREST OF
AREAS WERE FOOD EDUCATION AND
AGRICULTURE.
WE KNEW THAT OUR FOOD SYSTEM IN
LOWELL NEEDED TO HAVE ADEQUATE
AVAILABILITY OF FRESH PRODUCE
AND FREE FOOD BENEFITS AND
BENEFIT PROGRAMS AND PROGRAMS
THAT CANNOT SERVE THE ENTIRE
POPULATION WERE ACTUALLY THINGS
LIKE BENEFITS.
SO HERE ARE OUR CFA INFO
GRAPHICS ON THE FINDINGS AND WE
HAD TO TAKE ACTIONS AND ALSO
HAVE A QR CODE FOR THE PROCESS
OF THE RECOMMENDATION AREAS HERE
AND FEEL FREE TO SCAN THAT TO
GET A DEEPER DIVE.
HERE'S OTHER CATEGORIES WITH
DATA WE FOUND HIGHLIGHTED IN THE
PROGRAM.
SOME SOLUTIONS HERE AFTER A
WHILE AND AFTER DIGESTING THE
FINDINGS, WE HAVE EIGHT MEMBERS
NOW FOCUSSING ON AFFORDABILITY
AND EDUCATION AND AGRICULTURE
FROM TWO MARKETS.
WE INCREASED OTHER MARKETS TO
SIX AND INCREASED OUR CSA
MEMBERSHIP TO 200.
WE WERE ALSO ABLE TO WORK ON
ADOPTING THREE ACRES OF NEW
URBAN AGRICULTURE LAND TO FOCUS
ON EDUCATION.
AS WE LEARNED OUR COMMUNITY
NEEDS TO BE INFORMED ABOUT THE
FOOD BENEFITS AND HOW TO ACCESS
THEM.
WE TRIED TO DO EDUCATION AROUND
STORING FOOD AND HAVING IT
AVAILABLE AND MAKING THAT
INTENTIONAL AND ALSO HAVING
RECIPES AVAILABLE.
CONNECT WITH US.
THANK YOU FOR BEARING WITH ME.
I DON'T KNOW WHAT HAPPENED TO MY
THROAT.
THAT'S MY CONTACT INFORMATION IF
YOU HAVE QUESTIONS.
THANK YOU, GUYS.
>> WE'VE ALL BEEN THERE
ESPECIALLY AS WE WRAP UP ON A
FRIDAY.
PARTICIPANTS ARE HAVING TO
REALLY CONDENSE INFORMATION IN A
SHORT PERIOD OF TIME BUT WITH
YOU HAVE ONE MORE SPEAKER BEFORE
WE TRANSITION.
WE HAVE A BELIEVE TIME FOR A
COUPLE Q&A.
AS LISTED HERE REACH OUT TO OUR
SPEAKERS, PUT YOUR QUESTIONS IN
AND WE'LL MAKE SURE YOU HAVE
ANSWERS.
WE'LL HAVE BRIEF TIME BEFORE WE
TRANSITION TO THE FLASH TALK.
I WANT TO INTERDUST -- INTRODUCE
OUR LAST SPEAKER HIGHLIGHTI IIN
TRANSLATION OF RESEARCH INTO
PRACTICE.
HER PRESENTATION WILL FOCUS ON
TEACHING KITCHEN AND
CULTURE-CENTERED DIETARY
INTERVENTION.
SHE'S A STAFF SCIENTIST AT THE
NIH CLINICAL CENTER AND THE
ACTING SECTION CHIEF OF THE
DIETARY BEHAVIORS AND BIO SOCIAL
HEALTH SECTION WITHIN THE
TRANSLATIONAL BIO BEHAVIORAL AND
HEALTH DISPARITIES BRANCH.
HER RESEARCH FOCUSES ON THE
PSYCHO-SOCIAL OUTCOMES OF HEALTH
BEHAVIORS, MICROBIOME RELATED
MECHANISMS OF HEALTH DISPARITIES
AND TODAY'S PRESENTATION WILL
FOCUS ON THE ROLE OF COOKING
INTERVENTION AND DIETARY
BEHAVIORS IN CARDIOVASCULAR
OUTPUT.
WELCOME.
>> THANK YOU FOR THE
INTRODUCTION.
I'M PRIVILEGED TO BE HERE AND
ROUND OUT THE END OF PANEL 7.
WE KNOW DIET IS A KEY MODIFIABLE
RISK FACTOR FOR DISEASE
PREVENTION.
IT'S NOT EASILY IMPLEMENTED.
AS THIS FIGURE SHOWING NHANES
FIGURE IN WHICH WE SEE A HEALTHY
DIET CONTINUES TO BE THE LEAST
PREVALENT HEALTH PROMOTING
LIFESTYLE CHASE AMONG
U.S. ADULTS AND SINCE 2008 HAS
BEEN JOINED BY THE CORRESPONDING
OF MAINTAINING A HEALTHY WEIGHT.
AND REASONS FOR US TO REALLY
FOCUS ON THE CULTURAL RELEVANCE
OF THE HEALTHY DIET WILL ONLY
CONTINUE TO BECOME MORE RELEVANT
AS THE U.S. CONTINUES TO HAVE AN
INCREASING NUMBER OF THE
POPULATION WHO ARE U.S.-SCITIZES
BUT NOT U.S. BORN AND
INCREASING ACCULTURATION USE OF
ENGLISH IN THE HOME AND LIFE IN
THE U.S. AND AMONG THOSE
NON-U.S. BORN WE CAN SEE THE
MORE ACCULTURATION THERE'S LESS
INTAKE OF UNPROFESSOR
UNPROCESSED FOOD AND THE MORE
ACCULTURATION THE MORE INTAKE OF
PROCESSED FOODS AS SEEN ON THE
RIGHT.
AND AS HAS BEEN DISCUSSED OVER
THE PAST TWO DAYS, DIET IS
GREATLY INFLUENCED BY MULTIPLE
FACTORS INCLUDING PSYCHOLOGICAL,
SOCIO ECONOMIC, ENVIRONMENTAL
AND CULTURAL.
WE KNOW THAT FOODS AND MEALS
PROVIDE A WAY TO SHOW CASE
STORIES AND TRADITIONS
REPRESENTATIVE OF FOOD WASTE AND
HERITAGE AND TODAY I'LL
HIGHLIGHT HOW CULINARY EDUCATION
WIN WITHIN TEACHING KITCHEN CAN
HAVE BEHAVIORS WHILE CONSIDERING
CULTURAL RELEVANCE.
WHAT IS A TEACHING KITCHEN?
IT'S A LEARNING LABORATORY FOR
LIFE SKILLS AND ADVOCATING
INDIVIDUAL TO EAT, MOVE, COOK
AND THINK ON EDUCATION AND FOOD
AND DIET AND THERE'S COMPONENTS
INCLUDING MINDFULNESS TECHNIQUES
AND HANDS-ON CULINARY
INSTRUCTION.
THE GOAL IS OFTEN NOT TO REPLACE
CULTURAL FOODS BUT TO ENHANCE
AND INTRODUCE NUTRITION
EDUCATION ON USING ONE'S OWN
CULTURAL FOODS WE DON'T ASK
PEOPLE TO SWAP OUT WHAT THEY ARE
TRADITIONALLY USED TO AS MUCH AS
WE INTRODUCE IN EDUCATION THAT
CAN ENHANCE THEIR HEALTH.
THE IMPORTANCE ON CULINARY
SKILLS IN TEACHING CONDITIONS
CANNOT BE UNDER STATED.
THE LINK BETWEEN CUISINE AND
CULTURE AS WE TALKED ABOUT IN
THE PAST TWO DAYS CAN BE
HIGHLIGHTED THROUGH CULINARY
INSTRUCTION.
IT PROVIDES A PATHWAY TO
INTRODUCING RECIPE AND DIET
FLEXIBILITY.
THE CULTURAL CENTERED COMPONENTS
OF THIS CAN INCLUDE ATTENTION TO
PARTICULAR FLAVOR AND FOOD TYPE
PREFERENCES, RECIPES THAT
COMBINE FLAVOR ELEMENTS AND
MEALS THAT REPRESENT ONE'S
CULTURE AND DISCUSSIONS ON MEAL
CYCLES OR HOW MEALS ARE USED TO
REPRESENT ORDINARY OR
CELEBRATORY OCCASIONS.
AND WE HAVE LOOK AT EATING TIMES
AND FREQUENCIES SUCH AS OTHER
DIETARY BEHAVIORS.
PERSONAL TRAITS SOMEONE MAY HAVE
OUTSIDE THEIR ONLY NICK IDENTITY
CULTURE AND AND IN PARTICULAR
WHEN WE ARE THINKING ABOUT FOOD
AND CULTURE WE NEED TO CONSIDER
MULTIPLE RELATIONSHIPS IN
MATERIALS OF ROLES SUCH AS THE
CARETAKER, IF A PERSON IS A
PARENT OR IF THEY'RE A MEMBER OF
A PARTICULAR END -- GENDER OR
SOCIAL GROUP WITHIN A CULTURE.
FURTHER CULTURE AS WE ALL KNOW
CAN BE INFLUENCED BY BOTH
STRUCTURE AND AGENCY.
WHERE STRUCTURE REPRESENTS THE
ENVIRONMENTAL STRUCTURES SUCH AS
FOOD ENVIRONMENT BUT CAN ALSO
INCLUDE THE STRUCTURE OF A
PERSON'S FAMILY OR INDIVIDUAL
ROUTINE AND AGENCY CAN REPRESENT
THEIR ABILITY TO MAKE PRACTICAL
AND NORMATIVE CHOICES IN
RESPONSE TO REAL TIME SITUATIONS
SUCH AS SELF-EFFICACY EXPRESSED
IN EARLIER PRESENTATIONS IN
ADDITION TO FOOD SKILLS.
SO WITHIN TEACHING KITCHEN
PROGRAMS, WE'RE LOOKING TO
ADDRESS FOOD IN CUISINE AND
CULTURE AND LOOKING FOR WAYS TO
ADDRESS AGENCY AS WELL AS THE
CONTEXTUAL CONSIDERING PEOPLE'S
STRUCTURE AND THEIR ACCESS TO
DIFFERENT FOOD TOPOLOGIES SUCH
AS CONVENIENCE STORES OR LOCAL
FARMERS MARKETS AND WORKING WITH
LOCAL ADVOCACY GROUPS AND FOOD
BANKS AND INTERVENTIONS AND
SINCE THE COVID PANDEMIC WE HAVE
ABLE TO THINK ABOUT
NON-TRADITIONAL AND DIVERSE
SETTINGS SUCH AS MOBILE TEACHING
KITCHEN AND POP-UP KITCHEN IN
ORDER TO PROVIDE CURRICULUM.
AS I MENTIONED WITH THE PANDEMIC
WE SOUGHT OUT DIFFERENT
NON-TRADITIONAL SETTINGS AND
MOST IMPORTANTLY THESE
NON-TRADITIONAL SETTINGS HAVE
INCLUDED VIRTUAL TEACHING
KITCHEN IN WHICH WE HAVE
CONVERTED ZOOM ROOMS INTO
CHEF-LED KITCHEN FOR PEOPLE TO
LEARN HOW TO IMPLEMENT RECIPES
OR NUTRITION EDUCATION WITHIN
THEIR HOMES AND ALLOW FOR
REAL-TIME IMPLEMENTATION OF
THEIR PANTRIES AS WELL THEIR
FAMILY AND PERSONAL FLAVOR
CHOICES.
SO NOW I'LL DISCUSS TWO TEACHING
KITCHEN PROGRAMS THAT EXEMPLIFY
THE ABILITY TO PROVIDE
CULTURE-CENTERED INTERVENTIONS
AND INCORPORATING CONSIDERATIONS
OF AGENCY AND ENVIRONMENTAL
STRUCTURE.
THE FIRST IS A STUDY IN
PHILADELPHIA CONDUCTED AT THE
LIBRARY OF PHILADELPHIA IN
COLLABORATION WITH THE PHILLY
AUTISM PROJECT AT DREXEL
UNIVERSITY AND MY TEAM AT NIH.
THE PROGRAM IS CALLED COOKING
WITH CONFIDENCE.
IT'S A SIX-WEEK COOKING
INTERVENTION FOR LOW-INCOME
YOUNG ADULTS LIVING ON THE
AUTISM SPECTRUM.
THIS ALLOWS FOR THE DELIVERY OF
CLASSES TO REMAIN WITHIN THE
COMMUNITY WITHIN LIBRARY CENTERS
AND THERE'S A FOCUS NOT ON
PARTICULAR FOODS OR PARTICULAR
DIETARY PATTERN BUT EXPERIENTIAL
LEARNING IN OUR CLASSES TO
EXPAND DIETARY CHOICES RELATED
TO FOOD TEXTURE.
SOME OF THE INITIAL PRE AND POST
RESULTS WE HAVE SHOW IMPROVEMENT
ON SELF-EFFICACY AND BECAUSE WE
HAVE A FOCUS ON EXPERIENTIAL
LEARNING WE WANT TO LOOK AT
FOCUS FOR FUTURE INTERVENTIONS
SUCH AS KNIFE SKILLS WITHIN THE
TARGET GRUP.
TARGET GROUP.
ANOTHER TEACHING KITCHEN EXAMPLE
OUR TEAM AT NIH LEADS IS CALLED
DC COOKS.
IT EVALUATES THE PROGRAM ON
CARDIOVASCULAR RISK FACTOR
REDUCTION FOR AFRICAN AMERICANS
LIVING WITHIN WASHINGTON, D.C.
AND THE KEY PART OF THIS STUDY
IS THAT WE WERE NOT JUST
CULTURALLY SENSITIVE TO
TRADITIONAL AFRICAN AMERICAN
FOODS BUT ALSO CULTURALLY
SPECIFIC TO THE RESIDENTIAL AREA
OF THE PARTICIPANTS.
SO FOR EXAMPLE WE PARTNERED WITH
A NON-PROFIT FOOD BANK
ORGANIZATION IN ORDER TO
IDENTIFY HOW TO PROVISION FOODS
FOR OUR VIRTUAL CLASSES.
AND THEN WE ALSO IDENTIFIED A
CHEF INTERVENTIONIST SELECTED
FROM THE NEIGHBORHOOD AND THEN
HAVE WORKED CONTINUALLY AND
GUIDED BY OUR ADVISORY BOARD.
THEN LASTLY WITHIN THE STUDY WE
ADHERE TO THE IDEA OF DIET
FLEXIBILITY AND VIRTUAL
SETTINGS.
THE RECIPES EMPHASIZE THE FOOD
GROUPS INSTEAD OF SPECIFIC FOODS
AND THE ABILITY FOR OUR
PARTICIPANTS TO SUBSTITUTE OR
ADD IN FROM THEIR OWN PANTRY AND
IDENTIFY IF THE RECIPES WORK FOR
THEIR FAMILIES, TRADITION AND
CULTURE.
AND SO TO CONCLUDE THERE'S STILL
SIGNIFICANT GAPS THAT NEED TO BE
ADDRESSED IN TERM OF PROVIDING
CULTURALLY CENTERED DIETARY
INTERVENTIONS.
FOR ONE IN THE INTEREST OF TIME
I'LL HIGHLIGHT A COUPLE.
IN TERMS OF GENERAL RESEARCH
GAPS THERE'S STILL AN OVER ALL
LACK OF INFORMATION AT THE
EPIDEMIOLOGICAL LEVEL REGARDING
CULTURE-CENTERED QUESTIONS ON
MEAL PREPARATION AND DIETARY
BEHAVIOR.
WITH THE LACK OF DATA THERE'S
LESS INFORMATION TO GUIDE
TEACHING KITCHEN PROGRAMS.
IN TERMS OF METHODOLOGICAL GAPS
THERE'S NOT ENOUGH ATTENTION ON
MECHANISMS THAT LED TO DIET
QUALITY CHANGES AND THAT ALLOW
PEOPLE TO RETAIN A CULTURALLY
CENTERED DIET AND LASTLY IN
TERMS OF GENERAL KNOWLEDGE GAPS
HOW CAN WE PROMOTE INCLUSION OF
BIOMARKERS AND PSYCHOSOCIAL
VARIABLES WITHIN TEACHING
KITCHEN PROGRAMS SO WE CAN ALLOW
FOR THE TRANSLATION FOR CLINICAL
OUTCOMES THAT ARE REPRESENTED IN
THE HEALTH DISPARITIES.
AND WITH THAT I'LL END MY TALK
THERE.
I TRIED TO STAY WITHIN TIME.
>> THANK YOU.
AND WE HAVE A GRACE OF A
FIVE-MINUTE PERIOD TO WRAP UP
AND THEN TRANSITION TO FLASH
TALKS.
AND THEY'RE WORK IS TRANSLATED
INTO IN THE COMMUNITIES THEY
HIGHLIGHTED.
>> I'VE BEEN IN THE INVENTION
SPACE FOR A VERY LONG TIME.
AND IT'S WONDERFUL TO SEE HOW
DIFFERENT METHODOLOGIES HAVE
PROGRESSED AND ADVANCED.
HOW MUCH THEY'VE BEEN ACCEPTED
BY WIDER ACADEMIC AUDIENCES AND
I THINK THE BIGGEST AHA IS
ADDRESSING BEHAVIORS AND
INFLUENCE THE OUTCOME OF THE
DIVERSE COMMUNITY WE SERVE.
WE CERTAINLY HAVE WORK BEFORE US
FOR YEARS TO COME AND IT'S
ENCOURAGING THERE'S SO MANY
YOUNG PEOPLE WILLING AND ABLE TO
PARTICIPATE IN THE WORK AND
COMMIT TO MAKING CHANGE.
IT'S BEEN VERY GRATIFYING TO
PARTICIPATE IN THIS CONFERENCE.
>> I THINK THAT WAS A GREAT
SUMMARY OF THE TWO-DAY WORKSHOP
IN WHOLE.
DIANE, I'LL GO TO YOU.
>> THANK YOU.
WE'RE AT THEN OF OUR FIVE-YEAR
COOPERATIVE AGREEMENT.
WE'RE STARTING TO REALLY BE ABLE
TO DEVELOP THE SUCCESS STORIES
AND HEAR WHAT THE FIVE-YEAR
INVESTMENT OF TIME, MONEY AND
LOVE TO THE WORK FROM ALL OF US
FROM THE STAFF AND DNPO TO THE
STAFF IN THE RECIPIENT GROUPS
AND COMMUNITIES THEY SERVE.
IT'S AN EXCITING TIME AND WE'RE
JUST ABOUT TO LAUNCH ANOTHER SET
OF FIVE YEAR COOPERATIVE
AGREEMENTS AND GET TO KNOW A
WHOLE NEW SET OF RECIPIENTS.
IT'S A GREAT TRANSITION TIME AND
THE JOY IS IN SEEING THE
CULMINATION OF THE LAST FIVE
YEARS AND LAUNCHING INTO THE
NEXT FIVE YEARS.
>> WHAT BRINGS ME TODAY IS ONE
THE PROGRAM THAT PEOPLE WANT
MORE.
AND I HEARD IT FROM OTHER
PROGRAMS ALSO I THINK THERE'S A
DEEP NEED NOT BEING MET BECAUSE
PEOPLE HAVE ANOTHER PLACE TO GO
TO SO WHAT WAS THE SILVER LINING
OF THE PANDEMIC WAS THAT
EVERYBODY OR MOST PEOPLE GOT
USED TO DOING THINGS ONLINE AND
REALIZED THEY CAN GO HOME AND
PUT ON THEIR PAJAMA PANTS AND
COULD STILL DO SOMETHING FOR
THEIR HEALTH.
AND WE'RE ON THE RIGHT TRACK
WITH WHAT WE HAVE DONE SO FAR
WE'RE GOING TO TACKLE FOOD
ACCESS IN KIND AND COOKING AND
ALL OF THE ABOVE AND
RESTAURANTS.
>> LOOKS LIKE YOU'RE DOING AN
OUTSTANDING JOB BUILDING THE
PIPELINE.
>> I'D LIKE TO SAY AS AN
EVALUATOR I GET TO TALK DIRECTLY
WITH A LOT OF THE AGENCIES WE
WORK WITH.
THERE'S A WAY OF INTERACTING AND
HAVING CONVERSATIONS AT
CULTURALLY APPROPRIATE GROCERY
STORES AND TRYING TO ENGAGE.
>> THE DIRECT FEEDBACK FROM
CLIENTS AND NEIGHBORS ACCESSING
THE CHARITABLE FOOD SYSTEMS ARE
RECEIVING FOODS THEY LIKE AND
ARE FAMILIAR WITH AND FEEL HEARD
AND SEEN AND SOMETHING THEY'VE
BEEN LOOK FOR A LONG TIME AND
PLEASED AND SATISFIED.
>> AND YOU GUYS HAVE QUESTIONS
AND ANYTHING FROM DR. FARMER OR
ANYONE.
>> WHEN WE TALK TO THE COMMUNITY
AND THEY ASK FOR MORE PROGRAMS
LIKE OTHER SPEAKERS HAVE SAID.
THE MOST IMPORTANT THING IS THEY
DEMAND MORE VEGETABLES AN IT'S
WILL THE PART OF THE JOY.
>> I THINK FOR US IT'S HOW WE'RE
ADDRESSING THE RECOMMENDATION
AREAS AND FROM THE EXPANSION
FROM TWO TO SIX AND NOW THE
MOBILE MARKETS AND HOURS ARE
BEING EXTENDED BRINGS ME THE JOY
OF THE IMPACT ON THE COMMUNITY.
>> GREAT IT SEE THE FEDERAL
SUPPORTS AND NON-GOVERNMENT
SUPPORTS MAKING THE PROJECTS
HAPPEN.
I GREATLY APPRECIATE THE PANEL'S
WORK TO BRING EVIDENCE INTO
PRACTICE AND WITH THAT I'LL
TRANSITION TO OUR MODERATOR TO
KICK OFF THE FLASH TALKS.
>> I'M A SENIOR SCIENTIST AND
POLICY ADVISER IN CDC.
I WORK ON ALMOST EVERYTHING IN
NUTRITION WHERE SCIENCE AND
POLICY INTERSECT AND SERVED ON
THE COMMITTEE FOR THE WORKSHOP.
I'LL BE THE MODERATOR FOR THE
FINAL FLASH TALK PRESENTATION.
EACH SPEAKER WILL SPEAK ABOUT
FIVE MINUTES FOLLOWED BY A
TWO-MINUTE AND SUBMIT QUESTIONS
IN THE LIVE FEEDBACK BUTTON IN
THE NIH VIDEOCAST.
OUR FIRST PRESENTER WILL PROMOTE
HEALTH EQUITY THROUGH CULTURALLY
APPROPRIATE INTERVENTIONS
SUPPORTING INDIVIDUALS WITH
HIGHER TENSION.
>> THANK YOU ALL FOR THIS
WONDERFUL PROGRAM TODAY.
I AM AN ASSISTANT PROFESSOR AT
ST. KATHERINE UNIVERSITY WORKING
AS A HEALTH EQUITY FELLOW WITH
C2 DREAM.
THANK YOU FOR HOLDING ME
ACCOUNTABLE AS A WHITE
PRESENTING WOMEN LEADING A
RESEARCH PROJECT RELATED TO FOOD
ACCESS IN AN IMMIGRANT HISPANIC
LATINO POPULATION.
I BELIEVE CULTURALLY APPROPRIATE
FOODS IS A RIGHT WE SHOULD ALL
HAVE REGARDLESS OF RACE AND
ETHNICITY.
I RECOGNIZE FOR ME FOOD IS A
PASSION AND FOOD CHOICE SAY
PRIVILEGE BUT WHEN INDIVIDUALS
LACK ACCESS TO THIS NECESSITY
AND AFFECTS OF OTHER DIMENSIONS
OF HEALTH CAN ENSUE.
THE DIETARY APPROACHES TO STOP
HYPERTENSION OR THE DASH EATING
PLAN IS KNOWN TO REDUCE BLOOD
PRESSURE AND OTHER FACTORS AND
RECOMMENDS FOUR TO FIVE SERVES
OF FRUITS AND VEGETABLE AND
WHOLE GRAINS AND LEGUMES AND
FISH AND POULTRY.
GUIDANCE FAVORS DIETARY PATTERNS
OF WHITE AFFLUENT INDIVIDUALS
UNDERMINING BARRIERS SIUCH AS
COST AND AVAILABILITY AND
THERE'S INTERVENTIONS AS WE'VE
SEEN IN THE WORKSHOP AND
PROVIDING EQUITY IN
CARDIOVASCULAR DISEASE
TREATMENT.
THE PROJECT AIMED TO MEASURE THE
EFFECT OF IMPROVED ACCESS TO
FRUITS AND VEGETABLES AND CARDIO
METABOLIC EFFECTS SUCH AS
SYSTOLIC AND DIASTOLIC BLOOD
PRESSURE AND WAIST CIRCUMFERENCE
AND POPULATION DIAGNOSED WITH
HYPERTENSION.
OUR STUDY USED A PHASED MIXED
METHOD APPROACH AND A DASH BOX
AND FOLLOWED BY AN INTERVIEW TO
GATHER FEEDBACK ON THE DASH BOX
CONTENTS AND THEN THOSE TWO
PHASES INFORMED PILOT TESTING
FOR THE OPEN CLINICAL TRIAL
INCLUDING DISTRIBUTION OF THE
DASH BOX SUPPORTED BY CHRONIC
DISEASE MANAGEMENT.
WE UTILIZED A LITERATURE
INFORMED SURVEY FOR THOSE WHO
SELF-IDENTIFIED AS HISPANIC OR
LATINO FOR THE DASH MEAL KIT
DESIGN.
WE DEVELOPED SIX FRUIT AND
VEGETABLE BOXES IN PREFERENCED
FROM TE SURVEY AND A KIT THAT
INCLUDED RICE, MASA FLOUR AND
FOOD INSECURITY WAS OVER 46%
HIGHER THAN THE NATIONAL
AVERAGE.
THE FRUITS AND VEGETABLES WERE
DISPLAYED.
AND INTERVIEWS GAINED INSIGHTS
ON PREFERENCES.
DATA SHOWED THAT TAY WERE
CONSUMING TWO AND A HALF SERVES
OF FRUITS AND VEGETABLES A DAY
FALLING SHORT OF THE GUIDELINES.
PARTICIPANTS PICKED BOX A AS
THEIR FIRST PREFERENCE AND FOUR
THEMES EMERGED RELATED TO
PREFERENCES NOTING THEY WANTED
ALL FRESH ITEMS AND BARRIERS
SUCH AS MONEY, TIME AND
TRANSPORTATION THAT MAKE IT
DIFFICULT TO OBTAIN FRUITS AND
VEGETABLES AND INDIVIDUALS
SHOWED ACKNOWLEDGE OF COOKING
PRESERVATION AND PORTION SIZE
EDUCATION WAS STILL NEEDED.
AND SOME WERE NOT ABLE TO
PARTICIPATE IN THE PROCUREMENT
OF THE MEALS AND PARTICIPANTS
FOUND A DECREASE IN STRESS FOR
OBTAINING INGREDIENTS FOR THE
PROGRAM AND THERE'S COMPLIANCE
AND SATISFACTION.
AND DEVELOP CULTURALLY
APPROPRIATE NUTRITION
INTERVENTION MEET DIETARY
RECOMMENDATIONS FOR INDIVIDUALS
MANAGING CHRONIC DISEASE TO
EFFECTIVE DO THIS THROUGH A DASH
EATING PLAN AND INCREASE ACCESS
TO FOOD AND VEGETABLES AND FOOD
SECURITY AS WELL AS CHRONIC
DISEASE MANAGEMENT.
THIS WORK SUGGEST AS A
CULTURALLY APPROPRIATE DASH BOX
MAY BE AN INVENTION TO LOWER
BLOOD PRESSURE FOR HISPANIC OR
LATINO INDIVIDUALS WITH
HYPERTENSION.
I WELCOME ANY QUESTIONS.
DO WE HAVE TWO MINUTES FOR
QUESTIONS?
>> I SEE RIGHT HERE SOMEONE
WROTE IN IS THERE THE
POSSIBILITY FOR A LARGER TRIAL?
>> THAT'S THE HOPE.
THIS PROJECT WAS FUNDED AS A
PILOT STUDY THROUGH A P50
CENTER.
THAT'S MY GOAL.
TO TRY TO EXPAND THIS TO A
LARGER TRIAL AND A LARGER SPACE
KNOWING THAT COMMUNITY-BASED
PARTICIPATORY RESEARCH PRACTICES
HAVE SUPPORTED THE INTERVENTION.
>> I BELIEVE WE ONLY HAVE TIME
FOR ONE QUESTION EACH.
>> THE NEXT SLIDE ARE MY
ACKNOWLEDGEMENTS.
THANK YOU.
>> AND WE'LL HAVE A PRESENTATION
ON PERCEIVED FACILITATORS AND
BARRIERS TO IMPLEMENTING
CULTURALLY INCLUSIVE DIETS INTO
HOSPITAL AND LONG-TERM CARE
FACILITIES.
WELCOME.
>> GOOD AFTERNOON AND THANK YOU
FOR THE OPPORTUNITY TO PRESENT
MY WORK TODAY ON PERCEIVED
FACILITATORS AND BARRIERS TO
IMPLEMENTING CULTURALLY
INCLUSIVE DIETS IN HOSPITAL
LONG-TERM CARE FACILITIES AS
PART OF THE INSPIRING WORKSHOP
WITH INTERESTING AND INNOVATIVE
WORK.
I'D LIKE TO ACKNOWLEDGE THE FUND
FROM THE UNIVERSITY OF ILLINOIS
THAT SUPPORTED THIS WORK WITH MY
COLLABORATORS AT ILLINOIS AS
WELL AS THE UNIVERSITY OF
CHICAGO.
AND LONG-TERM CARE IS
INCREASINGLY UTILIZED FOR ADULTS
OF COLOR AS WELL AS OLDER
IMMIGRANT AND ETHNIC MINORITY
ADULTS FACE DISPARITIES IN TERMS
OF EXPERIENCING WORSE HEALTH
OUTCOMES, LOWER LEVELS OF SOCIAL
ENGAGEMENT AND POORER QUALITY OF
CARE IN THE INSTITUTIONAL
SETTINGS SUCH AS HOSPITALS AND
LONG-TERM CARE ENVIRONMENTS.
BUT RESEARCH AND RELATED EFFORTS
TO IMPROVED CULTURAL INCLUSIVITY
IN LONG-TERM CARE SPECIFICALLY
HAVE EXCLUDED CONSIDERATION OF
DIET.
WE SET OUT TO IDENTIFY THE
FACILITATORS AND BARRIERS TO
IMPLEMENTING THESE TYPE OF
CULTURALLY INCLUSIVE FOODS
INCLUDING LONG-TERM CARE
SETTINGS AS WELL AS HOSPITALS.
WE CONDUCTED AN ONLINE
NATIONWIDE CROSS-SECTIONAL
SURVEY BETWEEN JUNE AND OCTOBER
OF 2022 WITH 118 REGISTERED D
DIETICIANS AND OF OUR FINAL
SAMPLE OF 118, 37% WORKED IN A
LONG-TERM CARE FACILITY.
AND IMPLEMENTED CULTURALLY
INCLUSIVE DIETS AND WHAT THEY
BELIEVED WERE THE TOP THREE
BARRIERS.
AND THERE WERE 106 RESPONDENTS
AND THE LIST OF BARRIERS ARE ON
THE LEFT AND THE BARS REFLECT
THE PERCENTAGE RESPONDENTS
REPORTING EACH BARRIER.
THE BLUE BAR THERE WAS STAFF
CULTURAL KNOWLEDGE AND AWARENESS
AND THE SECOND MOST COMMON WAS
THE COST OF INGREDIENTS.
THEY DISCUSSED COLLABORATION AND
DIVERSITY AND DESCRIBED
PARTNERSHIPS WITH SPECIALTY
SCORES AND ETHNIC FOOD VENDORS
WITH CONSISTENT EFFORTS TO
SOLICIT PATIENT FEEDBACK AND
IDEAS TO DEMONSTRATE A DEMAND
FOR CHANGE WITHIN THESE
FACILITIES.
AND THAT WOULD DRIVE THE NEED
FOR ADDRESSING CHANGE.
OUR STUDY SUGGESTIONS THREE
PRIORITIES IN MOVING THE NEED
TOWARDS CULTURALLY INCLUSIVE
FOODS AND FIRST IS POLICIES THAT
PROVIDE CLEAR GUIDANCE ON HOW TO
INCORPORATE CULTURALLY INCLUSIVE
FOOD IN LONG-TERM CARE AND
THEY'RE CONVEYED EFFECTIVELY AND
CLERL TO STA-- CLEARLY IT STAFFD
A WILLINGNESS TO CHANGE AMONG
STAFF AND THE THIRD IS PATIENT
ENGAGEMENT AND LEARNING FROM
CULTURALLY DIVERSE PATIENTS AND
WHAT FOODS ARE IMPORTANT TO THE
HEALING PROCESS CRITICAL TO
IMPROVING AWARENESS AMONG
PERSONNEL IN THE FACILITIES.
THIS STARTS WITH ASKING S AND
SOLICITING FEEDBACK AND FINDING
INNOVATIVE WAYS TO SERVE
CULTURALLY RELEVANT FOODS IN
HEALTH CARE FACILITIES.
THANK YOU VERY MUCH AND HERE'S
MY CONTACT INFORMATION AND I
WELCOME ANY QUESTIONS IF WE HAVE
TIME.
>> THERE'S WILLINGNESS TO EAT
DIFFERENT KINDS OF FOODS AND
THERE'S AN ASSUMPTION THAT
RESIDENTS MAY NOT BE OPEN TO
TRYING NEW CULTURALLY DIVERSE
FOODS AND WE NEED TO ASK
PATIENTS TO UNDERSTAND AND
REMOVE THE BIASES AT THE
ADMINISTRATIVE LEVEL.
>> THE NEXT SPEAKER IS
DR. LORA.
>> THANK YOU FOR THE
INTRODUCTION.
I LOOK FORWARD TO TALKING WITH
YOU ABOUT QUALITATIVE FINDINGS.
ACCORDING TO THE CENSUS DATA
LATINOS REPRESENTATIVE THE
POPULATION AND THEY'RE AT 45%
COMPARED TO MEN FROM OTHER
RACIAL GROUPS IN THE UNITED
STATES.
IN THE D.C. AREA HISPANICS ARE
23%.
YET HISPANIC MEN ARE REPRESENTED
IN THE WEIGHT MANAGEMENT TRIAL.
FOR INSTANCE, IT'S RECOGNIZED
CONSUMPTION OF HEALTHY FOODS ARE
LINKED TO DECREASED DIET AND THE
U.S. BASIS STUDIES HAVE ASSESSED
UNDERSTANDING OF THE MEANING OF
HEALTHY EATING AND DECISIONS.
THERE'S PERCEPTIONS OF HEALTHY
EATING AMONG MIDDLE AGED CENTRAL
AMERICAN MEN WITH OVERWEIGHT OR
OBESITY.
WE CONDUCTED IN DEPTH INTERVIEWS
WITH MEN LIVING IN THE D.C. AREA
AND PARTICIPATION
[INDISCERNIBLE] PARTICIPANTS HAD
A SCORE.
PERCEPTIONS OF HEALTHY EATING.
HAVING A BALANCED DIET,
PREPARING HOMEMADE MEALS AND
EATING FOODS IN LOW FAT, SUGAR
AND SODIUM AND NOT HAVING
DISEASES.
FOR EXAMPLE, EATING HEALTHY IS
FOR STARTERS HAVING FOODS.
AND REGULATING THE AMOUNT OF
FOOD PARTICIPANTS EAT AS ENGAGED
IN HEALTHY EATING.
[INDISCERNIBLE] MEN HAD A GOOD
UNDERSTANDING OF WHAT HEALTHY
EATING WAS.
REDUCING PORTION SIZES
PREFERRING TO CONSUME CULTURALLY
TRADITIONALLY HEALTHY FOODS IN
THE U.S.
AND WE HAVE CHALLENGES IN
MANAGING THE POPULATION.
AND WE HAVE VARIETAL FACTORS IN
WEIGHT MANAGEMENT AND
INTERVENTION.
PARTICULAR CONSIDERATIONS
CAPITALIZING ON INTEGRATING
CLOSE FAMILY MEMBERS.
THANK YOU.
I'M HAPPY TO TAKE QUESTIONS.
>> THANK YOU.
WE'RE EXCITED TO FOLLOW YOUR
RESEARCH CAREER.
SO I HAVE ONE QUESTION FOR YOU,
YOU DISCUSSED SEVERAL ISSUES OR
RAISED FACILITATORS TO HEALTHY
EATING.
WERE SPECIFIC ONES THAT STOOD
OUT AS CRITICAL FOR ACHIEVING
SUCCESS?
>> CAPITALIZING ON THE
UNDERSTAND MEN HAVE ON CERTAIN
CONDITIONS THAT ARE RELATED TO
OBESITY AND UNDERSTANDING
HEALTHY EATING.
IT'S IMPORTANT.
SOMETIMES IN THE LITERATURE WE
FIND SOME POPULATIONS HAVE AN
UNDERSTANDING OF HEALTHY EATING.
WE UNDERSTOOD AND IT'S IMPORTANT
TO INCORPORATE THE INTERVENTION.
>> THANK YOU.
THANK YOU ALL FOR JOINING US
TODAY.
AGAIN THANK YOU FOR OUR
EXCELLENT SPEAKERS FOR THEIR
RESEARCH AND AS WE NEAR THE DAY
I'LL END IT TO THE WORKSHOP
CO-CHAIRS TO WRAP UP THE
WORKSHOP.
>> THANK YOU.
>> THANK YOU EVERYONE FOR
ATTENDING TODAY.
IT WAS AN EXCELLENT PRESENTATION
WE SAW THROUGHOUT THE DAY.
WE WON'T WRAP UP WHAT HAPPENED
YESTERDAY BUT WANTED TO GO OVER
AND HIGHLIGHT THE PANELS.
IF YOU MISSED DAY ONE MAKE SURE
TO GO BACK AND VIEW THE
RECORDING WHEN IT'S AVAILABLE
BECAUSE YESTERDAY WAS AN
EXCELLENT GROUP OF
PRESENTATIONS.
>> WE HEARD THE CHALLENGES AND
OPPORTUNITIES TO DEVELOP THE
DIETARY GUIDELINES.
HEARD ABOUT THE PROCESS TO
CREATING THE DIETARY GUIDELINES
AND FROM THE BEGINNING TO END
AND THE THREE STEPS FROM DATA
ANALYSIS AND HOW CULTURAL FOODS
ARE INCLUDED AND INCLUDING THE
PROCESS AND ABOUT ALL THE
DIFFERENT DATABASES AND
PROCESSING USDA DATABASE TO
INCLUDE CULTURAL FOODS AND THE
CHALLENGE OF INCLUDING THE RIGHT
DIETARY DATA TO CAPTURE THE
NUANCES OF THE CULTURAL FOODS
INCLUDING RECIPES AND PORTION
SIZES.
LASTLY THE STUDY ON ACCESS
THROUGH SYSTEM SOLIDARITY AND
WHY WE NEED TO PAY ATTENTION IN
THE DIFFERENCES AND FIND
SIMILARITIES ACROSS THE
DIFFERENT CULTURES AND LASTLY IN
PANEL SIX AN INTERESTING SHIFT
ABOUT LEARNING THE MECHANISMS
FROM MICROBIOMES AND THE
IMPORTANCE OF FIBER.
WE HEARD ABOUT THE IMPORTANCE OF
FIBER IN THE METH LOGICAL
MECHANISMS AND ONE IMPORTANT
POINT I THINK WE ALL HEARD ABOUT
THROUGH THE DIFFERENT TALKS NOT
FORGETTING ABOUT THE SOCIAL
DETERMINATES OF HEALTH AS WE
CONSIDER THE BIOLOGICAL
MECHANISMS AS WELL.
>> EXCELLENT.
WE ALSO HAD OUR FLASH PANELS
TODAY WHICH TALKED ABOUT CULTURE
AND OUR DIET AND HOW IT IMPACTS
OUTCOMES FROM CELL TO SOCIETY.
IT WAS A GOOD BREADTH OF
PRESENTATIONS.
IN THE FLASH TALKS REPRESENT THE
TOP NINE SCORING ABSTRACTS OUT
OF 38 SUBMISSIONS TO
REPRESENTING THE UP AND COMING
RESEARCH IN CULTURALLY CENTERED
DIETARY INTERVENTIONS.
WE HEARD FROM THE DIVISION OF
NUTRITION AND PHYSICAL ACTIVITY
AT THE CDC AND HAD OUR PANEL 7
WHY PROVIDED EXAMPLES HOW TO
TRANSLATE CULTURAL INTERVENTIONS
AND HOW TO TRANSLATE THE
DIABETES, NUTRITION EDUCATION
CURRICULUM FOR AMERICAN INDIANS
AND HEALTHY FOOD ACCESS IN
ARKANSAS AND THE PREVENTION
PROGRAM FOR BLACK CARIBBEAN
COMMUNITIES IN NEW YORK CITY AND
THE AMAZING WORK WITH CULTURALLY
TAILORED NUTRITION PROGRAM AND
THE ROLE TEACHING KITCHEN CAN
PLAY IN DELIVERING CULTURALLY
CENTERED TEACHING INTERVENTIONS.
IF YOU'RE A REGISTERED DIETICIAN
HOPING TO GAIN CPU CREDITS FOR
THIS WE'RE WAITING ON APPROVAL
SO CHECK THE WEBSITE AND THERE'S
E-MAILS THERE FOR ALISON AND
TANYA TO REACH OUT TO FOR
UPDATES ON HOW TO GET
CERTIFICATES AND CREDIT FOR
THAT.
WE ALSO WANT TO THANK THE
PLANNING COMMITTEE FOR THE
AMAZING WORK.
THEY MET WEEKLY AND HAD LOTS OF
FEEDBACK AND THEY DID AN AMAZING
JOB SUGGESTING SPEAKERS AND
EVERYONE HAS A DEEP INTEREST IN
THE TOPIC AND IT'S BEEN A
PLEASURE TO WORK WITH EVERYONE
ON THIS.
AND LASTLY I WANT TO THANK OUR
SUPPORTERS, SPONSORS AND OTHER
FEDERAL PARTNERS.
THIS WAS A TRANS-FEDERAL SESSION
WE HAD.
MANY DIFFERENT AGENCIES
COLLABORATING AND IT WAS
EXCITING TO BE A PART OF THIS.
THANKS EVERYONE FOR JOINING US.
WE WOULD LIKE FEEDBACK ON THE
TWO-DAY WORKSHOP SO YOU CAN SCAN
THIS QR CODE AND COMPLETE A
SURVEY TO GIVE US FEEDBACK AND
IT WILL BE IN THE CHAT BOX AS
WELL.
SO THANKS EVERYONE FOR ATTENDING
THIS SESSION ON BEHALF OF ALL
THE PANELISTS AND JOSIE AND I AS
CO-CHAIRS AND THE MODERATORS AND
SPEAKERS.
WE APPRECIATE YOU ALL ATTENDING
TODAY AND WE HOPE EVERYONE HAS A
WONDERFUL WEEKEND.
THANK YOU.