Cardiovascular disease and risk factors in three Alaskan Eskimo populations: the Alaska-Siberia project

Ebbesson, Sven O. E.; Adler, Amanda I; Risica, Patricia Markham; Ebbesson, Lars O.E.; Yeh, Jeunliang; Go, Oskar T; Doolittle, W. Alan; Ehlert, Gary; Swenson, Michael; Robbins, David C.

doi:10.3402/ijch.v64i4.18014

Cited by 39 publications

(31 citation statements)

References 34 publications

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“…Culturally safe care to improve the healthcare experience of Indigenous peoples has been recommended and attempted in multiple countries, including Canada, Guatemala, Australia, Mexico, and the United States of America 70,71,[76][77][78][79][80][81][82][83][84][85] . Some of these initiatives have resulted in reports of positive patient experiences, but futher areas of improvement have been identified to increase respect of Indigenous peoples and recognition of traditional knowledge [86][87][88][89] .…”

Section: Discussionmentioning

confidence: 99%

Canadian Indigenous Womens Perspectives of Maternal Health and Health Care Services: A Systematic Review

Sharma¹,

Kolahdooz²,

Launier³

et al. 2016

Divers Equal Health Care

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Development of policies and interventions to address health disparities between Indigenous and non-Indigenous populations requires a comprehensive understanding of Indigenous people's experiences and perspectives of healthcare services. We systematically reviewed the published literature on Canadian Indigenous women's experiences and perspectives of maternal healthcare during pregnancy, childbirth, and the postpartum period. Major bibliographic databases (including PubMed, CINAHL, EMBASE, SCOPUS, and SSCI) were searched for published studies (1990( -March 2015 in English. Reference lists of identified articles were searched to identify additional articles. 92 articles were retrieved for further review, of which 16 studies were included: 8 on maternal healthcare and/or medical evacuation; 3 on gestational diabetes mellitus; 3 on the impact of policies on maternal health; and 2 on maternal weight changes and/or breastfeeding. The included studies described 1043 participants: Indigenous peoples (n=918) and non-Indigenous peoples (n=125) who were mothers or pregnant women (n=814), healthcare providers or workers in a health-related field (n=132), and fathers, Elders, or other community members (n=97). Availability of healthcare resources, healthcare services' consideration of socio-economic or lifestyle barriers to health, and the impact of colonization on interactions with healthcare providers were main factors that impacted Indigenous women's maternal health experiences. Medical evacuation was often due to limited maternity care options available in remote communities, and was associated with emotional, physical, and financial stress. This review highlights the importance of consistent health policies and practices for maternal health in Canada and providing culturally safe and patient-centered maternity healthcare services within indigenous communities.

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Section: Discussionmentioning

confidence: 99%

Canadian Indigenous Womens Perspectives of Maternal Health and Health Care Services: A Systematic Review

Sharma¹,

Kolahdooz²,

Launier³

et al. 2016

Divers Equal Health Care

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“…This nutrition transition is associated with greater, often excessive, intake of refined carbohydrate and fat and insufficient intake of many nutrients (e.g. dietary fibre, folate, potassium, vitamins A, B6, and D), leading to a double burden of under-nutrition and over-nutrition (46,63,(68)(69)(70)(71)(72)(73)(74)(75)(76)(77)(78) . Moreover, food security presents a growing issue, particularly for traditional foods, as climate change alters the physical landscape and poverty rates among the Aboriginal populations remain high (46,(79)(80)(81)(82)(83)(84)(85)(86)(87)(88) .…”

Section: Proceedings Of the Nutrition Societymentioning

confidence: 99%

Development and use of FFQ among adults in diverse settings across the globe

Sharma

2011

Proc. Nutr. Soc.

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In nutritional epidemiology, development of valid dietary assessment instruments specific to populations in diverse settings is of paramount importance. Such instruments are essential when trying to characterise dietary patterns and intake, investigate diet-disease associations, inform and evaluate nutrition interventions, assess nutrient-gene interactions, conduct cross-country comparison studies and monitor nutrition transitions. The FFQ is a relatively inexpensive tool for measuring long-term dietary intake for large populations and for allowing researchers to track dietary changes over time. However, FFQ must be population specific to capture the local diet and available foods. Collecting 24-h dietary recalls and utilising community feedback to build the FFQ ensures that a culturally appropriate instrument is developed. This article presents several examples describing FFQ development and utilisation in different settings globally. In the Canadian Arctic, FFQ were developed and utilised to inform and evaluate a communitybased intervention programme, characterise the diet and track dietary changes occurring among Inuit and Inuvialuit, populations experiencing rising rates of chronic disease and likely to be extremely vulnerable to the potential effects of climate change. Another example is an FFQ developed to assess sodium intake and evaluate a sodium reduction trial in a high-risk population in Barbados. An example is provided from Brazil, where an FFQ was developed to assess associations between diet, heterocyclic aromatic amines and colorectal adenoma among Japanese Brazilians and to conduct cross-country comparisons. These and other case studies highlight the diversity in dietary intake between populations and the need for FFQ to be developed to capture this diversity. FFQ: Nutritional epidemiology: Interventions: Multi-ethnic populations Dietary assessment methodologiesIn nutritional epidemiology, a variety of different approaches can be used to measure food and nutrient intakes in individuals and populations. These range from relatively simple techniques such as 24-h dietary recalls, estimated or weighed food records, narrative diet histories and FFQ, to the more complex biochemical approach of measuring static or functional markers of nutrient intake in blood, urine or other biological samples. The selection of a dietary assessment methodology depends on the population under investigation and typically involves a compromise between the desired level of accuracy and organisational or financial constraints (1) . Biochemical markers of nutrient intake, while arguably more objective than other methods, are used infrequently outside of small validation or pilot studies due to their high cost and logistical requirements (2) . Food records and 24-h dietary recalls are expensive and

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“…Early on, we verified general perceptions that CVD and DM have increased rapidly since the 1960s, when the prevalence of DM was less than 0.2% and heart disease less than 2% (85,86). Our comparable screenings in the Norton Sound region in 1992 and 1994 showed a prevalence of 8% and 15% respectively (56,65). In one ethnic group, 44% of women ≥55 years of age had abnormal glucose tolerance (DM, 19% + IGT, 25%).…”

Section: Diabetes (Dm)mentioning

confidence: 69%

“…We focused on this ethnic group because of our plans to study related groups in Siberia with Academician Nikitin. This was followed by another NIH grant to study the prevention of DM (50)(51)(52)(53)(54)(55)(56)(57)(58)(59)(60)(61)(62)(63)(64)(65)(66)(67). That study is referred to as the Alaska Siberia Project (ASP).…”

Section: Diabetes (Dm)mentioning

confidence: 99%

“…I also collaborated with KV Danilenko and AA Putilov on melatonin and its role in seasonal affective disorders, fatigue and immune function (42)(43)(44)(45)(46)(47)(48). V Cherapanova worked with R Elsner on the diving reflex (49) and Y Nikitin and Shubnikov worked with me and other members of the Alaska team on diabetes (DM) and cardiovascular disease (CVD) (50)(51)(52)(53)(54)(55)(56)(57)(58)(59)(60)(61)(62)(63)(64)(65)(66)(67)(68)(69). The Genetics of Coronary Artery Disease (GOCADAN) study evolved from the ASMRP and continues to this day (70)(71)(72)(73)(74)(75)(76)(77)(78)(79)(80)(81)(82)(83)(84).…”

Section: Introductionmentioning

confidence: 99%

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The legacy of the Alaska Siberia Medical Research Program: a historical perspective

Ebbesson

2011

International Journal of Circumpolar Health

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Background. The Alaska Siberia Medical Research Program was established at the University of Alaska (UA) at a time when there was no research funded by the National Institutes of Health (NIH) that was concerned with Alaska Native health issues. The program grew out of a dire need for an understanding of the apparently rapidly growing health problems in the Native community. The initial plan included the following objectives. Objectives. The objectives are to develop a self-sustaining infrastructure for biomedical research by gaining support from Alaska Natives, UA, national political leaders, NIH and the Russian Academy of Medical Science (RAMS); to identify researchers committed to helping Alaska Natives; to develop meaningful, Native-driven participatory research; to carry out necessary research to form the foundation for future research; and to develop circumpolar collaborations. Results. The objectives were achieved because of the extraordinary and cheerful contributions by all participants in the program. The collaborative research resulted in some 70 published manuscripts identifying and characterizing research-neglected health problems. Unique risk factors for diabetes, cardiovascular disease, alcoholism and seasonal affective disorders were characterized and institutionalized prevention programs were established. The effort of the program led to U.S. Congressional action establishing the University of Alaska as a minority institution, leading to the funding of a variety of successful NIH-funded research centres and programs at the university that are concerned with Native health problems. Conclusion. A small, visionary investment by the University of Alaska for establishing the program led to a co-operative effort by the UA, RAMS, Alaska Native Health communities and the NIH that resulted in the development of self-sustaining medical research efforts in Alaska and Siberia. The program spawned pilot studies, leading to NIH-funded research that has provided fundamental insights into the etiology of health problems and their reduction by research-based intervention and prevention programs.

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Cardiovascular disease and risk factors in three Alaskan Eskimo populations: the Alaska-Siberia project

Abstract: Recent changes in lifestyle and diet of Alaskan Eskimos, leading to obesity, hypertension, insulin resistance and DM, contribute to an increased risk for cardiovascular disease.

Cited by 39 publications

References 34 publications

Canadian Indigenous Womens Perspectives of Maternal Health and Health Care Services: A Systematic Review

Canadian Indigenous Womens Perspectives of Maternal Health and Health Care Services: A Systematic Review

Development and use of FFQ among adults in diverse settings across the globe

The legacy of the Alaska Siberia Medical Research Program: a historical perspective

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