The objective of our T32 training grant entitled """"""""Integrated Cardiovascular Epidemiology Fellowship"""""""" is to rigorously train physicians and behavioral scientists in epidemiologic and behavioral research methods focused on preventing cardiovascular diseases by a) providing trainees with an integrated, comprehensive, and intensive 2-year research training experience in cardiovascular disease prevention and/or behavioral medicine, b) linking trainees with highly experienced and dedicated mentors who will supervise the research experience and evaluate their progress and 3) providing instruction to these trainees on multiple related components of the research process, including didactic coursework on epidemiology and /or behavioral medicine, protection of human subjects in research, confidentiality requirements, elements of appropriate and unbiased analysis of data, and, after the completion of training, finding the appropriate venue to utilize their skills. This program began in 2007 with a broadly defined focus on epidemiology and prevention. Over the last four years we have learned that while all trainees are focused on prevention, some have primarily an epidemiologic focus and others are more interested in behavioral medicine in the prevention of cardiovascular diseases. In order to fully accommodate trainees with these different interests, we propose to expand the number of positions in the program from four to eight, and to expand the leadership of the program to two co-directors, one of whom has extensive research experience and a training record in cardiovascular epidemiology, while the other has a similar depth of research and training experience in cardiovascular behavioral medicine. The two co-directors for this renewal proposal are faculty in the Division of Preventive Medicine in the Department of Family and Preventive Medicine in the University of California, San Diego School of Medicine. To achieve this objective, faculty for this renewal proposal have been recruited not only from this Division but from several other divisions in the Department of Family and Preventive Medicine, as well as from other Departments in the School of Medicine, including Medicine and Psychiatry. Similarly, faculty have been recruited from the San Diego State University Graduate School of Public Health, which has teaching programs in both epidemiology and health behavior. In addition, the University of California and San Diego State University jointly sponsor two doctoral programs closely linked to this proposal: Public Health (with concentrations in Epidemiology and Health Behavior) and Clinical Psychology.

Public Health Relevance

This T32 renewal proposal is relevant to public health since cardiovascular diseases remain the leading cause of morbidity and mortality in developed countries and the etiology of these diseases is multifactoral. Lifestyle factors, including physical inactivity, poor diet and smoking, account for more than 50% of the burden of cardiovascular disease morbidity and mortality. This program trains pre- and post-doctoral fellows to become researchers to address the epidemiology of cardiovascular disease as well as behavioral factors related to cardiovascular disease.

National Institute of Health (NIH)
National Heart, Lung, and Blood Institute (NHLBI)
Institutional National Research Service Award (T32)
Project #
Application #
Study Section
NHLBI Institutional Training Mechanism Review Committee (NITM)
Program Officer
Silsbee, Lorraine M
Project Start
Project End
Budget Start
Budget End
Support Year
Fiscal Year
Total Cost
Indirect Cost
University of California San Diego
Family Medicine
Schools of Medicine
La Jolla
United States
Zip Code
Mongraw-Chaffin, Morgana; Kanaya, Alka M; Kandula, Namratha R et al. (2017) The relationship between anthropometry and body composition from computed tomography: The Mediators of Atherosclerosis in South Asians Living in America Study. Ethn Health 22:565-574
Boutelle, Kerri N; Knatz, Stephanie; Carlson, Jordan et al. (2017) An Open Trial Targeting Food Cue Reactivity and Satiety Sensitivity in Overweight and Obese Binge Eaters. Cogn Behav Pract 24:363-373
McCurley, Jessica L; Crawford, Margaret A; Gallo, Linda C (2017) Prevention of Type 2 Diabetes in U.S. Hispanic Youth: A Systematic Review of Lifestyle Interventions. Am J Prev Med 53:519-532
McCurley, Jessica L; Gutierrez, Angela P; Gallo, Linda C (2017) Diabetes Prevention in U.S. Hispanic Adults: A Systematic Review of Culturally Tailored Interventions. Am J Prev Med 52:519-529
Remigio-Baker, Rosemay A; Allison, Matthew A; Forbang, Nketi I et al. (2017) Race/ethnic and sex disparities in the non-alcoholic fatty liver disease-abdominal aortic calcification association: The Multi-Ethnic Study of Atherosclerosis. Atherosclerosis 258:89-96
Thomas, Isac C; McClelland, Robyn L; Michos, Erin D et al. (2017) Density of calcium in the ascending thoracic aorta and risk of incident cardiovascular disease events. Atherosclerosis 265:190-196
Remigio-Baker, Rosemay A; Hayes, Donald K; Reyes-Salvail, Florentina (2017) The Relationship of Adverse Childhood Events to Smoking, Overweight, Obesity and Binge Drinking Among Women in Hawaii. Matern Child Health J 21:315-325
Mongraw-Chaffin, Morgana; LaCroix, Andrea Z; Sears, Dorothy D et al. (2017) A prospective study of low fasting glucose with cardiovascular disease events and all-cause mortality: The Women's Health Initiative. Metabolism 70:116-124
Mongraw-Chaffin, Morgana; Foster, Meredith C; Kalyani, Rita R et al. (2016) Obesity Severity and Duration Are Associated With Incident Metabolic Syndrome: Evidence Against Metabolically Healthy Obesity From the Multi-Ethnic Study of Atherosclerosis. J Clin Endocrinol Metab 101:4117-4124
Camacho, Álvaro; McClelland, Robyn L; Delaney, Joseph A et al. (2016) Antidepressant Use and Subclinical Measures of Atherosclerosis: The Multi-Ethnic Study of Atherosclerosis. J Clin Psychopharmacol 36:340-6

Showing the most recent 10 out of 107 publications