New research directions on disparities in obesity and type 2 diabetes
Obesity and type 2 diabetes disproportionately impact U.S. racial and ethnic minority communities and low‐income populations. Improvements in implementing efficacious interventions to reduce the incidence of type 2 diabetes are underway (i.e., the National Diabetes Prevention Program), but challenge...
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| Published in | Annals of the New York Academy of Sciences Vol. 1461; no. 1; pp. 5 - 24 |
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| Main Authors | , , , , , , , , , , , , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
United States
Wiley Subscription Services, Inc
01.02.2020
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| Subjects | |
| Online Access | Get full text |
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| Abstract | Obesity and type 2 diabetes disproportionately impact U.S. racial and ethnic minority communities and low‐income populations. Improvements in implementing efficacious interventions to reduce the incidence of type 2 diabetes are underway (i.e., the National Diabetes Prevention Program), but challenges in effectively scaling‐up successful interventions and reaching at‐risk populations remain. In October 2017, the National Institutes of Health convened a workshop to understand how to (1) address socioeconomic and other environmental conditions that perpetuate disparities in the burden of obesity and type 2 diabetes; (2) design effective prevention and treatment strategies that are accessible, feasible, culturally relevant, and acceptable to diverse population groups; and (3) achieve sustainable health improvement approaches in communities with the greatest burden of these diseases. Common features of guiding frameworks to understand and address disparities and promote health equity were described. Promising research directions were identified in numerous areas, including study design, methodology, and core metrics; program implementation and scalability; the integration of medical care and social services; strategies to enhance patient empowerment; and understanding and addressing the impact of psychosocial stress on disease onset and progression in addition to factors that support resiliency and health.
This report discusses a workshop convened by the National Institutes of Health to understand how to (1) address socioeconomic and other environmental conditions that perpetuate disparities in the burden of obesity and type 2 diabetes; (2) design effective prevention and treatment strategies that are accessible, feasible, culturally relevant, and acceptable to diverse population groups; and (3) achieve sustainable health improvement approaches in communities with the greatest burden of these diseases. |
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| AbstractList | Obesity and type 2 diabetes disproportionately impact U.S. racial and
ethnic minority communities and low-income populations. Improvements in
implementing efficacious interventions to reduce the incidence of type 2
diabetes are underway (i.e., National Diabetes Prevention Program), but
challenges in effectively scaling-up successful interventions and reaching
at-risk populations remain. In October 2017, the National Institutes of Health
convened a workshop to understand how to (1) address socioeconomic and other
environmental conditions that perpetuate disparities in the burden of obesity
and type 2 diabetes; (2) design effective prevention and treatment strategies
that are accessible, feasible, culturally relevant, and acceptable to diverse
population groups; and (3) achieve sustainable health improvement approaches in
communities with the greatest burden of these diseases. Common features of
guiding frameworks to understand and address disparities and promote health
equity were described. Promising research directions were identified in numerous
areas, including study design, methodology, and core metrics; program
implementation and scalability; the integration of medical care and social
services; strategies to enhance patient empowerment; and understanding and
addressing the impact of psychosocial stress on disease onset and progression in
addition to factors that support resiliency and health. Obesity and type 2 diabetes disproportionately impact U.S. racial and ethnic minority communities and low‐income populations. Improvements in implementing efficacious interventions to reduce the incidence of type 2 diabetes are underway (i.e., the National Diabetes Prevention Program), but challenges in effectively scaling‐up successful interventions and reaching at‐risk populations remain. In October 2017, the National Institutes of Health convened a workshop to understand how to (1) address socioeconomic and other environmental conditions that perpetuate disparities in the burden of obesity and type 2 diabetes; (2) design effective prevention and treatment strategies that are accessible, feasible, culturally relevant, and acceptable to diverse population groups; and (3) achieve sustainable health improvement approaches in communities with the greatest burden of these diseases. Common features of guiding frameworks to understand and address disparities and promote health equity were described. Promising research directions were identified in numerous areas, including study design, methodology, and core metrics; program implementation and scalability; the integration of medical care and social services; strategies to enhance patient empowerment; and understanding and addressing the impact of psychosocial stress on disease onset and progression in addition to factors that support resiliency and health. Obesity and type 2 diabetes disproportionately impact U.S. racial and ethnic minority communities and low‐income populations. Improvements in implementing efficacious interventions to reduce the incidence of type 2 diabetes are underway (i.e., the National Diabetes Prevention Program), but challenges in effectively scaling‐up successful interventions and reaching at‐risk populations remain. In October 2017, the National Institutes of Health convened a workshop to understand how to (1) address socioeconomic and other environmental conditions that perpetuate disparities in the burden of obesity and type 2 diabetes; (2) design effective prevention and treatment strategies that are accessible, feasible, culturally relevant, and acceptable to diverse population groups; and (3) achieve sustainable health improvement approaches in communities with the greatest burden of these diseases. Common features of guiding frameworks to understand and address disparities and promote health equity were described. Promising research directions were identified in numerous areas, including study design, methodology, and core metrics; program implementation and scalability; the integration of medical care and social services; strategies to enhance patient empowerment; and understanding and addressing the impact of psychosocial stress on disease onset and progression in addition to factors that support resiliency and health. This report discusses a workshop convened by the National Institutes of Health to understand how to (1) address socioeconomic and other environmental conditions that perpetuate disparities in the burden of obesity and type 2 diabetes; (2) design effective prevention and treatment strategies that are accessible, feasible, culturally relevant, and acceptable to diverse population groups; and (3) achieve sustainable health improvement approaches in communities with the greatest burden of these diseases. Obesity and type 2 diabetes disproportionately impact U.S. racial and ethnic minority communities and low-income populations. Improvements in implementing efficacious interventions to reduce the incidence of type 2 diabetes are underway (i.e., the National Diabetes Prevention Program), but challenges in effectively scaling-up successful interventions and reaching at-risk populations remain. In October 2017, the National Institutes of Health convened a workshop to understand how to (1) address socioeconomic and other environmental conditions that perpetuate disparities in the burden of obesity and type 2 diabetes; (2) design effective prevention and treatment strategies that are accessible, feasible, culturally relevant, and acceptable to diverse population groups; and (3) achieve sustainable health improvement approaches in communities with the greatest burden of these diseases. Common features of guiding frameworks to understand and address disparities and promote health equity were described. Promising research directions were identified in numerous areas, including study design, methodology, and core metrics; program implementation and scalability; the integration of medical care and social services; strategies to enhance patient empowerment; and understanding and addressing the impact of psychosocial stress on disease onset and progression in addition to factors that support resiliency and health.Obesity and type 2 diabetes disproportionately impact U.S. racial and ethnic minority communities and low-income populations. Improvements in implementing efficacious interventions to reduce the incidence of type 2 diabetes are underway (i.e., the National Diabetes Prevention Program), but challenges in effectively scaling-up successful interventions and reaching at-risk populations remain. In October 2017, the National Institutes of Health convened a workshop to understand how to (1) address socioeconomic and other environmental conditions that perpetuate disparities in the burden of obesity and type 2 diabetes; (2) design effective prevention and treatment strategies that are accessible, feasible, culturally relevant, and acceptable to diverse population groups; and (3) achieve sustainable health improvement approaches in communities with the greatest burden of these diseases. Common features of guiding frameworks to understand and address disparities and promote health equity were described. Promising research directions were identified in numerous areas, including study design, methodology, and core metrics; program implementation and scalability; the integration of medical care and social services; strategies to enhance patient empowerment; and understanding and addressing the impact of psychosocial stress on disease onset and progression in addition to factors that support resiliency and health. |
| Author | Lindberg, Nangel M. Baskin, Monica L. Marrero, David G. Crespo, Carlos J. Tate, Deborah F. Shields, Alexandra E. Ladapo, Joseph A. Peek, Monica E. Haire‐Joshu, Debra Thornton, Pamela L. Gregg, Edward W. Araneta, Maria R. Heisler, Michele Garcia, David O. Chin, Marshall H. Mangione, Carol M. Groot, Mary Kumanyika, Shiriki K. Manson, Spero M. Hill‐Briggs, Felicia |
| AuthorAffiliation | 7. Oregon Health and Science University and Portland State University joint School of Public Health, Portland, OR 1. Division of Diabetes, Endocrinology, and Metabolic Diseases; National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), National Institutes of Health, Bethesda, MD 18. University of North Carolina Gillings School of Global Public Health, Chapel Hill, NC 19. David Geffen School of Medicine at the University of California, and UCLA Fielding School of Public Health, Los Angeles, Los Angeles, CA 14. Kaiser Permanente Center for Health Research, Portland, OR 12. Johns Hopkins School of Medicine and Welch Center for Prevention, Epidemiology & Clinical Research, Baltimore, MD 13. David Geffen School of Medicine at the University of California, Los Angeles, Los Angeles, CA 17. Harvard/MGH Center on Genomics, Vulnerable Populations, and Health Disparities, Mongan Institute, Mass. General Hospital and Department of Medicine, Harvard Medical School, Boston, MA 3. Epidemiolog |
| AuthorAffiliation_xml | – name: 14. Kaiser Permanente Center for Health Research, Portland, OR – name: 2. Drexel University Dornsife School of Public Health, Philadelphia, PA – name: 9. University of Arizona Mel and Enid Zuckerman College of Public Health, Department of Health Promotion Sciences, Tucson, AZ – name: 11. University of Michigan Medical School, Ann Arbor, MI – name: 12. Johns Hopkins School of Medicine and Welch Center for Prevention, Epidemiology & Clinical Research, Baltimore, MD – name: 5. University of Alabama at Birmingham Department of Medicine Division of Preventive Medicine, Birmingham, AL – name: 7. Oregon Health and Science University and Portland State University joint School of Public Health, Portland, OR – name: 19. David Geffen School of Medicine at the University of California, and UCLA Fielding School of Public Health, Los Angeles, Los Angeles, CA – name: 6. University of Chicago Medicine, Chicago – name: 16. University of Arizona Health Sciences, Phoenix, AZ – name: 1. Division of Diabetes, Endocrinology, and Metabolic Diseases; National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), National Institutes of Health, Bethesda, MD – name: 17. Harvard/MGH Center on Genomics, Vulnerable Populations, and Health Disparities, Mongan Institute, Mass. General Hospital and Department of Medicine, Harvard Medical School, Boston, MA – name: 15. Colorado School of Public Health, Aurora, CO – name: 13. David Geffen School of Medicine at the University of California, Los Angeles, Los Angeles, CA – name: 4. University of California San Diego Department of Family Medicine and Public Health, La Jolla, CA – name: 8. Indiana University School of Medicine, Indianapolis, IN – name: 18. University of North Carolina Gillings School of Global Public Health, Chapel Hill, NC – name: 10. Washington University in St. Louis, School of Medicine and The Brown School, St. Louis, MO – name: 3. Epidemiology and Statistics Branch, Division of Diabetes Translation, Centers for Disease Control and Prevention (CDC), Atlanta, GA. Current Affiliation: Imperial College London, School of Public Health, Epidemiology and Biostatistics, South Kensington Campus, London, UK |
| Author_xml | – sequence: 1 givenname: Pamela L. surname: Thornton fullname: Thornton, Pamela L. email: pamela.thornton@nih.gov organization: National Institutes of Health – sequence: 2 givenname: Shiriki K. surname: Kumanyika fullname: Kumanyika, Shiriki K. organization: Drexel University Dornsife School of Public Health – sequence: 3 givenname: Edward W. surname: Gregg fullname: Gregg, Edward W. organization: Centers for Disease Control and Prevention (CDC) – sequence: 4 givenname: Maria R. surname: Araneta fullname: Araneta, Maria R. organization: University of California, San Diego – sequence: 5 givenname: Monica L. surname: Baskin fullname: Baskin, Monica L. organization: University of Alabama at Birmingham – sequence: 6 givenname: Marshall H. surname: Chin fullname: Chin, Marshall H. organization: University of Chicago Medicine – sequence: 7 givenname: Carlos J. surname: Crespo fullname: Crespo, Carlos J. organization: Oregon Health and Science University and Portland State University Joint School of Public Health – sequence: 8 givenname: Mary surname: Groot fullname: Groot, Mary organization: Indiana University School of Medicine – sequence: 9 givenname: David O. surname: Garcia fullname: Garcia, David O. organization: University of Arizona Mel and Enid Zuckerman College of Public Health – sequence: 10 givenname: Debra surname: Haire‐Joshu fullname: Haire‐Joshu, Debra organization: Washington University in St. Louis, School of Medicine and the Brown School – sequence: 11 givenname: Michele surname: Heisler fullname: Heisler, Michele organization: University of Michigan Medical School – sequence: 12 givenname: Felicia surname: Hill‐Briggs fullname: Hill‐Briggs, Felicia organization: Johns Hopkins School of Medicine and Welch Center for Prevention, Epidemiology & Clinical Research – sequence: 13 givenname: Joseph A. surname: Ladapo fullname: Ladapo, Joseph A. organization: David Geffen School of Medicine at the University of California, Los Angeles – sequence: 14 givenname: Nangel M. surname: Lindberg fullname: Lindberg, Nangel M. organization: Kaiser Permanente Center for Health Research – sequence: 15 givenname: Spero M. surname: Manson fullname: Manson, Spero M. organization: Colorado School of Public Health – sequence: 16 givenname: David G. surname: Marrero fullname: Marrero, David G. organization: University of Arizona Health Sciences – sequence: 17 givenname: Monica E. surname: Peek fullname: Peek, Monica E. organization: University of Chicago Medicine – sequence: 18 givenname: Alexandra E. surname: Shields fullname: Shields, Alexandra E. organization: Harvard Medical School – sequence: 19 givenname: Deborah F. surname: Tate fullname: Tate, Deborah F. organization: University of North Carolina Gillings School of Global Public Health – sequence: 20 givenname: Carol M. surname: Mangione fullname: Mangione, Carol M. organization: David Geffen School of Medicine at the University of California, and UCLA Fielding School of Public Health, Los Angeles |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/31793006$$D View this record in MEDLINE/PubMed |
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| Keywords | disparities social determinants NIH NIDDK diabetes obesity |
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| License | 2019 New York Academy of Sciences. |
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| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23 The authors of this manuscript provided substantial contributions to its conception by submitting workshop presentations and data described in the manuscript. They also participated in the major revisions of the manuscript’s intellectual content and approved the final version of the submitted manuscript. P.L.T. and S.K.K. designed the manuscript and developed the initial draft; E.W.G. codrafted the epidemiology section; A.E.S. codrafted the psychosocial/socioecological stress section; M.E.P. and M.H.C. drafted Box 1; and D.H.-J. drafted Box 2. All authors contributed to the revision of Table 1. |
| OpenAccessLink | https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/nyas.14270 |
| PMID | 31793006 |
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| PublicationDate | February 2020 |
| PublicationDateYYYYMMDD | 2020-02-01 |
| PublicationDate_xml | – month: 02 year: 2020 text: February 2020 |
| PublicationDecade | 2020 |
| PublicationPlace | United States |
| PublicationPlace_xml | – name: United States – name: New York |
| PublicationTitle | Annals of the New York Academy of Sciences |
| PublicationTitleAlternate | Ann N Y Acad Sci |
| PublicationYear | 2020 |
| Publisher | Wiley Subscription Services, Inc |
| Publisher_xml | – name: Wiley Subscription Services, Inc |
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| Snippet | Obesity and type 2 diabetes disproportionately impact U.S. racial and ethnic minority communities and low‐income populations. Improvements in implementing... Obesity and type 2 diabetes disproportionately impact U.S. racial and ethnic minority communities and low-income populations. Improvements in implementing... Obesity and type 2 diabetes disproportionately impact U.S. racial and ethnic minority communities and low-income populations. Improvements in implementing... |
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| SubjectTerms | At risk populations Culture Diabetes Diabetes mellitus (non-insulin dependent) Diabetes Mellitus, Type 2 - diagnosis Diabetes Mellitus, Type 2 - epidemiology Diabetes Mellitus, Type 2 - psychology Disease disparities Empowerment Environmental conditions Ethnic groups Fairness Health disparities Health promotion Health services Healthcare Disparities Humans Low income groups Medicine Minority & ethnic groups Minority groups NIDDK NIH Obesity Obesity - epidemiology Obesity - psychology Populations Prevalence Prevention Program implementation Psychological stress Residence Characteristics Resilience social determinants Social interactions Social services Socioeconomic factors Translational Research, Biomedical |
| Title | New research directions on disparities in obesity and type 2 diabetes |
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