Cardiovascular Diseases, Diabetes Mellitus, Dyslipidemias, Hypertension, Overweight and Obesity
Conditions
Brief summary
The purpose of this study is to evaluate the change in disease prevalence over time in impoverished urban communities in Lima, Peru.
Detailed description
The aim is to track the changes in disease prevalence of people living in impoverished urban communities in Lima over the next 10 years. Based on data collected in prior years and in an ongoing manner, Ohio University Global Health teams will be introducing interventions focused to positively impact disease states and trends in this population. The current focus is on chronic lifestyle related diseases and their precursors: cardiovascular disease, hypertension, dyslipidemia, diabetes, and overweight / obesity.
Interventions
BEHAVIORALLifestyle Modification
1. Community awareness: a) individuals will be made aware of their own chronic lifestyle diseases and risk factors b) communities will be made aware of their aggregated data concerning chronic lifestyle related diseases and risk factors. 2. Education for individuals and communities on the meaning of the lifestyle diseases and risk factors. a) individual and small group sessions explaining diseases and lifestyle measures that are helpful, b) community level education to tentatively include i) shopping guides and recipes, ii) urban gardening projects, iii) puppet shows and other community presentations, iv) literature and posters.
Sponsors
Ohio University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
12 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* minors age 12-17 presenting to the free community clinic, with a responsible adult who can give consent; minors will give assent. * consenting adults of any age who present to the clinic.
Exclusion criteria
* adults who are unable to give consent.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Triglycerides | periodically over 10 years | measured in percent via fingerstick capillary blood and portable analyzer |
| Systolic blood pressure | yearly for 10 years | measured with a manual sphygmomanometer in millimeters of mercury |
| Diastolic Blood Pressure | yearly for 10 years | measured with a manual sphygmomanometer in millimeters of mercury |
| glycosylated hemoglobin | periodically over 10 years | measured in percent via fingerstick capillary blood and portable analyzer |
| Total cholesterol | periodically over 10 years | measured in percent via fingerstick capillary blood and portable analyzer |
| Low-density lipoprotein cholesterol | periodically over 10 years | measured in percent via fingerstick capillary blood and portable analyzer |
| High density lipoprotein cholesterol | periodically over 10 years | measured in percent via fingerstick capillary blood and portable analyzer |
| Weight | yearly for 10 years | weight in kilograms will be utilized to determine body mass index |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Herth Hope Index | yearly for 10 years | validated survey utilized to evaluate level of hope for the future |
| Household hunger scale | yearly for 10 years | validated survey to measure food insecurity |
| Patient Health Questionnaire - 4 (PHQ-4) | yearly for 10 years | used to evaluate depression and anxiety |
| Exercise vital sign | yearly for 10 years | the minutes of exercise during the last week |
| 24 hour dietary recall | yearly for 10 years | report of all foods consumed in the last 24 hours, which will be utilized to determine the nutritional value of dietary intake |
| Perceived Stress Scale | yearly for 10 years | validated survey to evaluate level of stress |
Countries
United States
Outcome results
None listed