Slowing the rate of increase in type 2 diabetes nationally is one of the most urgent health problems we face. Worst affected are minority populations such as the Mexican American population along the US/Mexico border, where rates have doubled over the last two decades (now over 20% of all adults). Even in children we find rates much higher than nationally of overweight and other predictors of early onset type 2 diabetes. The rate of increase shows no sign of slowing. It is difficult, therefore, to overstate the urgency of addressing effective measures to prevent diabetes in minority populations. This proposal builds on the research opportunities established in the Hispanic Health Research Center of the Lower Rio Grande Valley through NCMHD Project EXPORT (MD000170 P20). This Center of Excellence application aims to 1) understand the changes proximal to the development of overt diabetes, 2) understand the mental health impact of diabetes and the potential for early intervention, 3) utilize the strong ? family unit in the Mexican American population to reduce the risk of obesity and diabetes in children through parental intervention, and 4) understand how to use the successful technique of behavioral journalism and the media to change diet and physical activity behavior at the population level. The scientific focus of the Center of Excellence is thus to conduct research on the physiologic progression to diabetes and its complications among Mexican Americans, and to develop diabetes prevention strategies and test innovative approaches to effective interventions in a minority population severely affected by type 2 diabetes. We intend our Center of Excellence to be a collaborative resource for diabetes and its complications in Mexican Americans providing critical cultural understanding and appropriate tools for epidemiological, intervention, and physiologic research. The proposed Center of Excellence on Diabetes in Americans of Mexican Descent proposes an administrative core, a research core including three research projects and two pilot studies, a training core and a community engagement core. ? ? ? ?

Agency
National Institute of Health (NIH)
Institute
National Institute on Minority Health and Health Disparities (NIMHD)
Type
Exploratory Grants (P20)
Project #
2P20MD000170-06
Application #
7304008
Study Section
Special Emphasis Panel (ZRG1-DIG-B (52))
Program Officer
Tabor, Derrick C
Project Start
2003-03-03
Project End
2013-02-28
Budget Start
2008-04-01
Budget End
2009-02-28
Support Year
6
Fiscal Year
2008
Total Cost
$1,326,250
Indirect Cost
Name
University of Texas Health Science Center Houston
Department
Public Health & Prev Medicine
Type
Schools of Public Health
DUNS #
800771594
City
Houston
State
TX
Country
United States
Zip Code
77225
Rianon, Nahid; Ambrose, Catherine G; Buni, Maryam et al. (2018) Trabecular Bone Score Is a Valuable Addition to Bone Mineral Density for Bone Quality Assessment in Older Mexican American Women With Type 2 Diabetes. J Clin Densitom 21:355-359
Watt, Gordon P; Lee, Miryoung; Pan, Jen-Jung et al. (2018) High Prevalence of Hepatic Fibrosis, Measured by Elastography, in a Population-Based Study of Mexican Americans. Clin Gastroenterol Hepatol :
Diniz, Breno S; Fisher-Hoch, Susan; McCormick, Joseph (2018) The association between insulin resistance, metabolic variables, and depressive symptoms in Mexican-American elderly: A population-based study. Int J Geriatr Psychiatry 33:e294-e299
Wu, Shenghui; Fisher-Hoch, Susan P; Reininger, Belinda M et al. (2018) Association between fruit and vegetable intake and symptoms of mental health conditions in Mexican Americans. Health Psychol 37:1059-1066
Perales, Joseph; Reininger, Belinda M; Lee, MinJae et al. (2018) Participants' perceptions of interactions with community health workers who promote behavior change: a qualitative characterization from participants with normal, depressive and anxious mood states. Int J Equity Health 17:19
Heredia, Natalia I; Lee, MinJae; Mitchell-Bennett, Lisa et al. (2017) Tu Salud ¡Sí Cuenta! Your Health Matters! A Community-wide Campaign in a Hispanic Border Community in Texas. J Nutr Educ Behav 49:801-809.e1
Wu, Shenghui; McCormick, Joseph B; Curran, Joanne E et al. (2017) Transition from pre-diabetes to diabetes and predictors of risk in Mexican-Americans. Diabetes Metab Syndr Obes 10:491-503
Gill, Clarence; Vatcheva, Kristina P; Pan, Jen-Jung et al. (2017) Frequency of Nonalcoholic Fatty Liver Disease and Subclinical Atherosclerosis Among Young Mexican Americans. Am J Cardiol 119:1717-1722
Heredia, Natalia I; Lee, MinJae; Reininger, Belinda M (2017) Exposure to a community-wide campaign is associated with physical activity and sedentary behavior among Hispanic adults on the Texas-Mexico border. BMC Public Health 17:883
Case, Kathleen R; Pérez, Adriana; Saxton, Debra L et al. (2016) Bullied Status and Physical Activity in Texas Adolescents. Health Educ Behav 43:313-20

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