This subproject is one of many research subprojects utilizing the resources provided by a Center grant funded by NIH/NCRR. The subproject and investigator (PI) may have received primary funding from another NIH source, and thus could be represented in other CRISP entries. The institution listed is for the Center, which is not necessarily the institution for the investigator. We will survey the exercise and eating habits of the central Oklahoma Native American population recruiting participants through the Citizen Potawatomi Nation Health Center in Shawnee, Oklahoma. We will also measure a variety of blood values that are associated with the development of diabetes, obesity, and the metabolic syndrome, each being an independent predictor of cardiovascular risk. The data we collect will characterize this clinical population, determine the feasibility for further study and, ultimately, be used to plan an interventional trial to prevent the development of diabetes, obesity, and the metabolic syndrome. A.
Specific Aims I ntensive lifestyle modification and metformin have been shown to decrease the incidence of diabetes mellitus in a primarily Caucasian population. Such interventions have not been specifically tested in a Native American population. The Citizen Potawatomi Nation Health Complex in Shawnee, Oklahoma represents a fairly unique setting in which approximately ten-thousand Native Americans access health care or general fitness training. This represents an ideal clinical population in which to test interventions such as those mentioned above on Native Americans. However, in order to plan an intervention, the current exercise and dietary habits of the study population as well the baseline levels of a variety of biochemical markers must first be measured.
Specific aim #1 : Characterize the dietary and exercise habits and selected physical exam and biochemical predictors of cardiovascular risk in the Native Americans utilizing the Citizen Potawatomi Nation Health Services Clinic and Firelake wellness Center in Shawnee, Oklahoma.
Specific aim #2 : Establish feasibility of further study, especially in terms of recruitment, of this population.
Specific aim #3 : Formulate a recommendation for a practical and effective intervention to prevent obesity, diabetes, and the metabolic syndrome that can be tested in a future clinical trial.

Agency
National Institute of Health (NIH)
Institute
National Center for Research Resources (NCRR)
Type
General Clinical Research Centers Program (M01)
Project #
5M01RR014467-06
Application #
7378130
Study Section
Special Emphasis Panel (ZRR1-CR-8 (01))
Project Start
2006-03-01
Project End
2007-02-28
Budget Start
2006-03-01
Budget End
2007-02-28
Support Year
6
Fiscal Year
2006
Total Cost
$49,449
Indirect Cost
Name
University of Oklahoma Health Sciences Center
Department
Type
Schools of Medicine
DUNS #
878648294
City
Oklahoma City
State
OK
Country
United States
Zip Code
73117
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Kelly, Clare B; Hookham, Michelle B; Yu, Jeremy Y et al. (2018) Subclinical First Trimester Renal Abnormalities Are Associated With Preeclampsia in Normoalbuminuric Women With Type 1 Diabetes. Diabetes Care 41:120-127
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Arslanian, Silva; El Ghormli, Laure; Kim, Joon Young et al. (2018) The Shape of the Glucose Response Curve During an Oral Glucose Tolerance Test: Forerunner of Heightened Glycemic Failure Rates and Accelerated Decline in ?-Cell Function in TODAY. Diabetes Care :
Short, Kevin R; Pratt, Lauren V; Teague, April M (2018) A single exercise session increases insulin sensitivity in normal weight and overweight/obese adolescents. Pediatr Diabetes :
Kriska, Andrea; El Ghormli, Laure; Copeland, Kenneth C et al. (2018) Impact of lifestyle behavior change on glycemic control in youth with type 2 diabetes. Pediatr Diabetes 19:36-44
Kelly, Clare B; Hookham, Michelle B; Yu, Jeremy Y et al. (2018) Response to Comment on Kelly et al. Subclinical First Trimester Renal Abnormalities Are Associated With Preeclampsia in Normoalbuminuric Women With Type 1 Diabetes. Diabetes Care 2018;41:120-127. Diabetes Care 41:e102-e103
Gardner, Andrew W; Montgomery, Polly S; Wang, Ming et al. (2018) Predictors of health-related quality of life in patients with symptomatic peripheral artery disease. J Vasc Surg 68:1126-1134

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