This document discusses diabetes in the Native Hawaiian population and factors that have led to high rates of diabetes. It notes that Native Hawaiians are 3 times more likely than non-Hispanic whites to develop diabetes. Some key contributing factors identified include the loss of traditional lands and diet, a shift to less healthy imported foods, rising costs of healthcare, stress, and lack of education about traditional healthy lifestyles. The document advocates for culturally-relevant diabetes education programs, growing taro to encourage physical activity and return to traditional diets, and integrating taro into popular foods to increase consumption and health benefits.
Background research for my dissertation on retail food environments.
Presented at, "Building a Food Environment Community of Practice" workshop on November 16th and November 17th in Honolulu, Hawaii.
Integrating severe acute malnutrition into the management of childhood diseas...Malaria Consortium
Since December 2010, Malaria Consortium has been implementing an innovative approach to community management of severe acute malnutrition, together with an existing integrated community case management (ICCM) programme in South Sudan. This learning paper considers Malaria Consortium’s experience of this combined approach in a highly complex context and shows whether the management of severe acute malnutrition is an effective, acceptable and feasible component of ICCM programming.
Background research for my dissertation on retail food environments.
Presented at, "Building a Food Environment Community of Practice" workshop on November 16th and November 17th in Honolulu, Hawaii.
Integrating severe acute malnutrition into the management of childhood diseas...Malaria Consortium
Since December 2010, Malaria Consortium has been implementing an innovative approach to community management of severe acute malnutrition, together with an existing integrated community case management (ICCM) programme in South Sudan. This learning paper considers Malaria Consortium’s experience of this combined approach in a highly complex context and shows whether the management of severe acute malnutrition is an effective, acceptable and feasible component of ICCM programming.
Nutrition and Secondary Prevention: A public health projectdebbiewalkerr
Nutrition and Secondary Prevention: A public health project
University of Florida
Amarillys Alvarado-Sojo, Christie Champaign,
Kristin Miller, Debbie Walker, Chris Weiss
The Links Between the Neighborhood Food Environment & Childhood Nutrition ~ Prevention Institute, Oakland, California ~ For more information, Please see websites below:
`
Organic Edible Schoolyards & Gardening with Children =
http://scribd.com/doc/239851214 ~
`
Double Food Production from your School Garden with Organic Tech =
http://scribd.com/doc/239851079 ~
`
Free School Gardening Art Posters =
http://scribd.com/doc/239851159 ~
`
Increase Food Production with Companion Planting in your School Garden =
http://scribd.com/doc/239851159 ~
`
Healthy Foods Dramatically Improves Student Academic Success =
http://scribd.com/doc/239851348 ~
`
City Chickens for your Organic School Garden =
http://scribd.com/doc/239850440 ~
`
Huerto Ecológico, Tecnologías Sostenibles, Agricultura Organica
http://scribd.com/doc/239850233
`
Simple Square Foot Gardening for Schools - Teacher Guide =
http://scribd.com/doc/239851110
MALNUTRITION is more in India than in Africa . one in every three malnourished children in the world lives in India.
About 50% of all childhood death are because of malnutrition.
Prevalence of malnutrition among under five children of RukaminiNagar, BelgaumSawan Kumar
synopsis of prevalence of malnutrition among under five years children in Rukmini Nagar, Belgaum
Reaserche:- Mr. Sawan Kumar Yadav
Guide:- Dr. Mubashir Angolkar,
Coordinator and Assistant Professor
Department of Public Health,
J.N. Medical college, Belgaum, Karnataka, India
Presentation by Olivier Ecker at the event: “Tackling food security and nutrition in Egypt: challenges and opportunities” Launch of the findings from the Household, Income, Expenditure and Consumption Survey , Tuesday 21 May in Cairo, Egypt.
Severe Acute Malnutrition (SAM) and Nutrition Rehabilitation Centre (NRC)- Dr...Yogesh Arora
A presentation on severe acute malnutrition and nutritional rehabilitation center. Various preventive, promotive, and curative aspects of SAM are discussed in this presentation.
7CARBOHYDRATES IN THE HAITIAN COMMUNITYCarbohy.docxalinainglis
7
CARBOHYDRATES IN THE HAITIAN COMMUNITY
Carbohydrates in the Haitian Community, Risk Factors and the Need for Nutrition Education
Adalyne Pericles PA-C
Saint Francis University
MMS 513: Clinical Residency
February 28, 2016
Abstract
The Haitian population is growing in the Miami, little Haiti area with a current population of 31,832 as of 2011, an increased prevalence of obesity, diabetes and cardiovascular disease has been seen in the adult population of this community. The Haitian population of Little Haiti in Miami need to be educated about the positive effect of a diet rich in fruits, vegetables and healthy protein. Education on nutrition to include the guidelines stated by the United States Department of Agriculture (USDA). The focus on this paper will be on understanding the dietary behavior of Haitian immigrants, and the relationship between consumption of foods rich in carbohydrates and also explains the health benefits of adopting a healthy diet, to help decrease the risk of Diabetes and Cardiovascular diseases.
Haiti being a third world nations, is one the poorest countries in the world where natural resources such as food, water for proper nutrition is hard to fine, especially in the poorest population. In this country, the majority of the population develop food insecurity where individuals are relieved if they have to opportunity to feed themselves and would eat whatever is available in order to prevent death associated with malnutrition (Ramsey, R., Giskes, K., Turrell, G., & Gallegos, D., 2012). The most available and yet non-affordable foods are in the form of carbohydrates such corn, bread, and cane sugar; rice, pastas, cakes and colas are reserved to the wealthy and for special events. Here in the United States of America where food is abundant and available, they face culture shock where they change to a state of overeating of the foods that are culturally considered to be reserved for festivities in order to express their originality and identify (Azar, K. M., J., Chen, E., Holland, A. T., & Palaniappan, L. P., 2013). Food insecurity will lead to overconsumption of carbohydrates which leads to obesity, a major risk factor for cardiovascular diseases, diabetes and other diseases. This is why it is important to educate our patient and providers in this community and other small immigrant communities.
Literature review
Little Haiti’s population as of 2000, 3,365 and 1,983 residents, with 9,368 households, and 6,181 families residing in the neighborhood. There are 64.92% of this population is black or African American, 14.74%% Hispanic, and 4.78% White. This community is considered to have a low socioeconomic status with a median household income of $18,887
Investigating the relationships between food insecurity, socio-demographic and health factors as well as dietary intakes among adults in the this community is one of the most important aspects that will help understand the increase number.
Nutrition and Secondary Prevention: A public health projectdebbiewalkerr
Nutrition and Secondary Prevention: A public health project
University of Florida
Amarillys Alvarado-Sojo, Christie Champaign,
Kristin Miller, Debbie Walker, Chris Weiss
The Links Between the Neighborhood Food Environment & Childhood Nutrition ~ Prevention Institute, Oakland, California ~ For more information, Please see websites below:
`
Organic Edible Schoolyards & Gardening with Children =
http://scribd.com/doc/239851214 ~
`
Double Food Production from your School Garden with Organic Tech =
http://scribd.com/doc/239851079 ~
`
Free School Gardening Art Posters =
http://scribd.com/doc/239851159 ~
`
Increase Food Production with Companion Planting in your School Garden =
http://scribd.com/doc/239851159 ~
`
Healthy Foods Dramatically Improves Student Academic Success =
http://scribd.com/doc/239851348 ~
`
City Chickens for your Organic School Garden =
http://scribd.com/doc/239850440 ~
`
Huerto Ecológico, Tecnologías Sostenibles, Agricultura Organica
http://scribd.com/doc/239850233
`
Simple Square Foot Gardening for Schools - Teacher Guide =
http://scribd.com/doc/239851110
MALNUTRITION is more in India than in Africa . one in every three malnourished children in the world lives in India.
About 50% of all childhood death are because of malnutrition.
Prevalence of malnutrition among under five children of RukaminiNagar, BelgaumSawan Kumar
synopsis of prevalence of malnutrition among under five years children in Rukmini Nagar, Belgaum
Reaserche:- Mr. Sawan Kumar Yadav
Guide:- Dr. Mubashir Angolkar,
Coordinator and Assistant Professor
Department of Public Health,
J.N. Medical college, Belgaum, Karnataka, India
Presentation by Olivier Ecker at the event: “Tackling food security and nutrition in Egypt: challenges and opportunities” Launch of the findings from the Household, Income, Expenditure and Consumption Survey , Tuesday 21 May in Cairo, Egypt.
Severe Acute Malnutrition (SAM) and Nutrition Rehabilitation Centre (NRC)- Dr...Yogesh Arora
A presentation on severe acute malnutrition and nutritional rehabilitation center. Various preventive, promotive, and curative aspects of SAM are discussed in this presentation.
7CARBOHYDRATES IN THE HAITIAN COMMUNITYCarbohy.docxalinainglis
7
CARBOHYDRATES IN THE HAITIAN COMMUNITY
Carbohydrates in the Haitian Community, Risk Factors and the Need for Nutrition Education
Adalyne Pericles PA-C
Saint Francis University
MMS 513: Clinical Residency
February 28, 2016
Abstract
The Haitian population is growing in the Miami, little Haiti area with a current population of 31,832 as of 2011, an increased prevalence of obesity, diabetes and cardiovascular disease has been seen in the adult population of this community. The Haitian population of Little Haiti in Miami need to be educated about the positive effect of a diet rich in fruits, vegetables and healthy protein. Education on nutrition to include the guidelines stated by the United States Department of Agriculture (USDA). The focus on this paper will be on understanding the dietary behavior of Haitian immigrants, and the relationship between consumption of foods rich in carbohydrates and also explains the health benefits of adopting a healthy diet, to help decrease the risk of Diabetes and Cardiovascular diseases.
Haiti being a third world nations, is one the poorest countries in the world where natural resources such as food, water for proper nutrition is hard to fine, especially in the poorest population. In this country, the majority of the population develop food insecurity where individuals are relieved if they have to opportunity to feed themselves and would eat whatever is available in order to prevent death associated with malnutrition (Ramsey, R., Giskes, K., Turrell, G., & Gallegos, D., 2012). The most available and yet non-affordable foods are in the form of carbohydrates such corn, bread, and cane sugar; rice, pastas, cakes and colas are reserved to the wealthy and for special events. Here in the United States of America where food is abundant and available, they face culture shock where they change to a state of overeating of the foods that are culturally considered to be reserved for festivities in order to express their originality and identify (Azar, K. M., J., Chen, E., Holland, A. T., & Palaniappan, L. P., 2013). Food insecurity will lead to overconsumption of carbohydrates which leads to obesity, a major risk factor for cardiovascular diseases, diabetes and other diseases. This is why it is important to educate our patient and providers in this community and other small immigrant communities.
Literature review
Little Haiti’s population as of 2000, 3,365 and 1,983 residents, with 9,368 households, and 6,181 families residing in the neighborhood. There are 64.92% of this population is black or African American, 14.74%% Hispanic, and 4.78% White. This community is considered to have a low socioeconomic status with a median household income of $18,887
Investigating the relationships between food insecurity, socio-demographic and health factors as well as dietary intakes among adults in the this community is one of the most important aspects that will help understand the increase number.
Exploring Food Access and Health DisparitiesSarah Buila, Sou.docxmecklenburgstrelitzh
Exploring Food Access and Health Disparities
Sarah Buila, Southern Illinois University, Illinois, USA
Abstract: I joined the wellness committee at the counseling center where I worked. We talked about
how to increase our health habits and those of our co-workers. We organized lunch hour walking
parties, got group discounts at a health club and decided to have a potluck luncheon in order to share
our healthy recipes and sample the food. My co-workers talked about recipes that are low in fat, low
insaltandsugarless.Often thismeantartificialsweetenersandfatsubstituteswerepartof theirrecipes.
No one said anything about avoiding processed foods or eating less meat. No one said anything about
eating more fresh fruits and vegetables, whole grains or organic and locally grown foods. It was at
this very moment that I realized I was from a different planet. The planet I come from calls for a much
different diet. The planet that I’m from has poor and affluent people alike who are obese. While in
some parts of the world people are starving. Race, class, and gender influence health outcomes. What
we eat is influenced by outside factors and I see people getting further away from the source of all
food, theearth.Food isonecommondenominator inhealthdisparities.Onmyplanet therearedispar-
ities in access to healthy foods. Part of the solution is related to broadening awareness. Coming up
with solutions means coming up with new definitions about what is healthy food, and redefining our
roles as health care practitioners/world citizens. Could it be that there is a diet that is not only good
for you, but good for your global neighbors and the earth?
Keywords: Diet, Health Disparities, Food Access, Global Health
THIS PAPER EXPLORES the relationship between health outcome disparities andaccess to food prefaced on the principle that diet is one of the most important factorsimpacting health. It is not recent news that there are health disparities according to
racial/ethnic, gender, and socio-economic status. Much of the literature which ad-
dresses the problem of health disparities is focused on proving they exist. Identifying causes
for these disparities is a much more complicated endeavor. If we are going to close the gaps
between health disparities it is a worthwhile endeavor. Contributing to the difficulty in
identifying causes is the multifaceted nature of human health and the individual and varying
contexts which support (or don’t support) health and wellbeing. These facets include
heredity, access to health care and disease prevention, lifestyle, stress, and diet. The focus
of this article is on food and health conditions resulting from dietary choices and food
availability.
Health Disparities
Health disparities exist for many different vulnerable populations. Worldwide, poverty is a
significant indicator of health disparities. People who are poor experience a higher prevalence
of chronic disease, higher mortality rates, stress, and lower life expectancy .
Workshop 3: The Agriculture Nutrition Nexus and the Way Forward at The Caribbean-Pacific Agri-Food Forum 2015 (CPAF2015) taking place 2-6 November in Barbados with support from the Intra-ACP Agricultural Policy programme, organized in partnership with the Barbados Agricultural Society (BAS) and the Inter-American Institute for Cooperation on Agriculture (IICA). http://www.cta.int/en/news/caribbean-pacific-agri-food-forum.html
Research of different economic models and their viability to help improve foo...Calvin Korponai
The paper was written with the purpose to help eradicate the food desert in East Gainesville, in parternship with the Greater-Gainesville Food System Coalition, which is 1)a grassroots coalition of diverse local stakeholders who are working to improve our local food system for our larger community, 2) cooperative space where people representing different sectors of the food system can come together to collaborate, and 3) to focus on Food Access, Policy, and Economic Development
OVERWEIGHT AND OBESITY prevalence has increased substantially over the past decades, affecting 2.1 billion people worldwide and causing 3.4 million deaths globally.1 Currently, 42 million children are overweight or obese—the result of a staggering 47.1 percent rise in prevalence between 1980 and 2013.2 No longer exclusive to affluent societies, obesity has reached alarmingly high levels in many low- and middle-income countries (LMICs).3 In fact, the number of individuals who are overweight or obese (1.9 billion) has now surpassed the 794 million people who do not get enough calories.4 Nearly half of all overweight children under 5 years of age now live in Asia, and a further 25 percent are found in Africa.
GRANT PROPOSAL (2nd DRAFT) for GOHW Mobile Kitchen Program
Native Hawaiian Presentation
1. Diabetes in the
Native Hawaiian
population
Reclaiming traditions to
eradicate disease
By Nina Sayles, Liban Aden, Emmanuel Essien, Kevin Trotman
Food, Lifestyle, and Health
Justice Brandeis Semester
2015
July 24th, 2015
2. What is diabetes?
Chronic disease characterized by high levels
of glucose in the blood
23.6 million Americans are affected (~25% are
unaware)
Inadequate levels physical activity and poor
diet habits
4. Symptoms/Risk Factors
for Type 2 Diabetes
Symptoms include: Extreme thirst,
fatigue, slow wound healing, and
extreme hunger
Risk Factors→ Family history and
race/ethnicity
5. Prevalence of Obesity and Diabetes
● Obesity rates (for all Hawaiian residents)
increased from 10.7%-21.7% between 2004 and
2007
● Native Hawaiians are 3x more likely to develop
diabetes compared to other non-Hispanic whites
14. Loss of Land and Culture
“Culture commodified
along with the land,
so that it is largely
associated with the
tourism industry”
(Ferreira)
15. Native Hawaiian Diet
● High starch, high
fiber, low saturated
fat, low sodium and
cholesterol
● From the root to the
leaves, Native
Hawaiians utilized
taro for a variety of
food and medicinal
purposes
● 10% Fat
● 12-15% Protein
● 75-78% Carbohydrate
16. Loss of Native Food Sources
very healthy native diet
→ immigration and
assimilation → blends of
multiple oriental dishes
becoming modern
hawaiian food
18. Organizational Models
Waianae Diet Program
❏ Education
❏ Diet
Waltham Fields
❏ Youth Crew
Groundwork Lawrence
❏ Community
Involvement
❏ Small Scale and Large
Scale Impact
Joslin Initiatives
❏ Language and
translation
Waianae diet program, Hawaii Medical Journal, Vol. 53, May 1994
19. Culturally relevant diabetes education
Topics to include:
Source of diabetes
prevention
Nutritional facts and information
Cultural clarification:
There is no genetic predisposition to diabetes
Victim blaming must be eradicated
Western Medicine is not the only solution
The traditional Hawaiian diet has served
individuals well for centuries
20. Growing taro, cultivating an active lifestyle
Taro cultivation is hard, active work
A year-round youth crew, modeled after Waltham
Fields Community Farm’s would benefit
participants and the community
21. Opportunity for replication
While taro must be planted in a warm environment, the
moisture level can vary
Taro garden initiatives can be replicated in Hawaiian communities in
the lower 48, especially Florida, Texas, and California
(Map of the US with the states that
have significant
Native Hawaiian/Pacific Islander
populations according to the
Census Bureau)
http://minorityhealth.hhs.gov/omh/browse.aspx?lvl=3&lvlid=65
22. Reintegrating taro into the Hawaiian diet
Growing more taro benefits a few, serving
more taro benefits all
Taro must be integrated into popular venues such as
fast food and cafeterias to make the greatest
impact
Leadership and advocacy education for youth
crew
efforts to increase consumption of taro will result in
various life skills gained by youth volunteers
23. Spiritual Enlightenment
Often spiritual totality is disregarded as
being relevant to health
When somebody is spiritually unwell, they are likely
to be stressed
Stress plays a large role in blood pressure, health,
and diabetes risk
“[For Hawaiians,] Diet influences spiritual development. That’s just the
way it is.”
--Ferreira and Lang, 38
start with what/how natives used to eat (poi, taro, luau) (hunter/gatherer)
Action must be taken in order to turn knowledge into a product. We can use studies that prove reasons for diabetes to create solutions
Model Education and diet of the waianae diet program, expand the idea to include hands of cultivation of taro and native vegetables
A non-profit must exist to educate, create policy, and take action, which will be modeled off certain similar, successful programs and organizations
What is unique about the proposed organization is that it is all encompassing
--Diet modification is helpful, of course, but to increase activity en route to diet modification is the holy grail
--Education is important for understanding--If someone is being forced to do something, it is less likely that it will actually happen. When they know why they are being asked to change their diet, they will conform
Using the waianae program for results examples, we would not conduct anything so concentrated, only suggest plans to all in the public (via internet, etc. )
The Waianae diet program is a program that has already existed (no longer) to help hawaiians lose weight by suggesting a diet based primarily on the traditional Hawaiian diet
Not only did the waianae diet program urge participants to change their diets, but they included education sessions in the program which debunked myths, suggested solutions, and motivated participants
Education should exist in person for the general public in Hawaii and for more involved non-profit participants such as a youth crew (to be established, which I will explain in the next slide), and information should be provided online for out of state Hawaiian communities which have been largely ignored by cultural initiatives such as Joslin cultural initiatives
Guest speakers who should donate their time include Terri Shintani--highly regarded nutritionist who has dedicated his life to diet education among native hawaiians and who supports a revisit of traditional native diet, Claire Hughes of Waianae Diet Program
As it has been discussed, taro is an indispensable food sources for native Hawaiians, and policy and action should revolve around the crop in order to increase nutritional, spiritual, and lifestyle health.
a non profit must establish a community garden to grow taro, as well as other healthy, traditional plants and recruit young volunteers who will benefit from the hard, active work required to cultivate taro.
--Taro cultivation:
weeds must be controlled
Taro is mostly harvest by hand
Leaves and root are separated to serve two purposes
--The WFCF youth crew model would make a large impact on a select few (note: it is unfortunate that only a few youth will reap benefits each year, but the benefits would be tangible and and the small, concentrated focus would keep the org. on track in the first few years)
http://minorityhealth.hhs.gov/omh/browse.aspx?lvl=3&lvlid=65
While a non-profit would have the most impact on Native Hawaiians in Hawaii, and probably the most support, once there is an established method of using taro gardens as tools to eradicate diabetes, the methods can easily be replicated in Native Hawaiian communities around the country
reintegrating traditional foods will bear results, according to research done by the Waianae diet program http://articles.latimes.com/1992-03-29/local/me-196_1_native-hawaiian-deaths
http://www.papaolalokahi.org/wp-content/uploads/2014/10/shintani1999.pdf
--An exclusively traditional diet is clearly not possible. waianae diet program incorporated a transition diet which includes modern alternative to traditional foods (*these suggestions would prove beneficial in Lower 48 Hawaiian communities without access to all traditional foods) and make the program sustainable
--poi, an easy to make, long lasting dish, could easily be served in schools/fast food
--Hire professionals to work with youth crew to educate the public about the use of taro
--education to include workshops with chefs to integrate taro products/other traditional foods into menus
--Leadership/advocacy is not directly related to diabetes, but:
Those with good interpersonal and social skill are likely do better in school or in the workplace. Both education and income are seemingly linked to rates of diabetes, and therefore, when those involved in youth leadership grow up to be in a higher socioeconomic status than they may have been destined, their risk decreases
Taro is so important that it influenced spiritual health. Spiritualality is closely linked to stress, as incompletness may trigger stress and anxiety.
The indirect results of such a program would complete a trifecta of diabetes prevention--activity, diet, and spirit
--Hawaiians essentially worship Taro--myths/stories depict the plant as the first living thing, the nourishment that sustains all humans, the child of mother earth and father heaven, etc.
--One stories goes that taro is the physical/natural form of the Polynesian God Kane--God of Sunshine and fresh water
http://www.nytimes.com/2003/07/16/dining/poi-the-root-of-all-hawaii.html
http://www.hawaiihistory.org/index.cfm?fuseaction=ig.page&PageID=533
AT THE WAIANAE PROJECT:
--they greeted eachother in hawaiian to honor language and restore culture
--project publication identifies importance of restoration of culture=restoration of health
CONCLUSION:
Like model programs, this ‘low-tech’ low cost program, which uses volunteer labor, and prevents disease and hospital visits, is an upstream approach that will save money that would be spend on medical costs etc.