Coordinated Approaches to Strengthen State and Local Public Health Actions to Prevent Obesity, Diabetes, and Heart Disease and Stroke

Rutledge, Gia E.; Lane, Kimberly; Merlo, Caitlin; Elmi, Joanna

doi:10.5888/pcd15.170493

Cited by 22 publications

(21 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…While the concept mapping process aided in developing a shared vision among HHI stakeholders, how that vison would be realized was informed by CDC best practices [4] and social ecological theory. The socio-ecological model informed program development, shaped evaluation questions and metrics, and encouraged community partners see how policy, system, and environment affected community health [30].…”

Section: Resultsmentioning

confidence: 99%

“…A culture of health Systematic investment in the prevention of chronic diseases is critical for healthy communities and for containing health systems costs [1][2][3][4]. As our understanding of chronic disease prevention improves, it is increasingly clear that a combined lifecourse and social ecological approach is necessary to improve community health [5,6].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The Healthy Hawai‘i Initiative: insights from two decades of building a culture of health in a multicultural state

et al. 2020

View full text Add to dashboard Cite

Background: The Healthy Hawai'i Initiative was created in 2000 with tobacco settlement funds as a theory-based statewide effort to promote health-supporting environments through systems and policy change. Still active today, it is imbedded explicitly in a multi-sectoral, social ecological approach, effectively striving to build a culture of health before this was the name for such an ambitious effort. Methods: From interviews with key informants, we analyze two decades of the Healthy Hawai'i Initiative (HHI) in the context of the Robert Wood Johnson Foundation (RWJF) Culture of Health Action Framework (CHAF). We list HHI accomplishments and examine how the Initiative achieved notable policy and environmental changes supportive of population health. Results: The Healthy Hawai'i Initiative started with an elaborate concept-mapping process that resulted in a common vision about making "the healthy choice the easiest choice." Early on, the Initiative recognized that making health a shared value beyond the initial stakeholders required coalition and capacity building across a broad range of governmental and nonprofit actors. HHI coalitions were designed to promote grassroots mobilization and to link community leaders across sectors, and at their height, included over 500 members across all main islands of the state. Coalitions were particularly important for mobilizing rural communities. Additionally, the Initiative emphasized accessibility to public health data, published research, and evaluation reports, which strengthened the engagement to meet the shared vision and goals between diverse sector partners and HHI. Over the past two decades, HHI has capitalized on relationship building, data sharing, and storytelling to encourage a shared value of health among lawmakers, efforts which are believed to have led to the development of health policy champions. All of these factors combined, which centered on developing health as a shared value, have been fundamental to the success of the other three action areas of the CHAF over time. Conclusions: This evidence can provide critical insights for other communities at earlier stages of implementing broad, diverse, multifaceted system change and fills a key evidence gap around building a culture of health from a mature program in a notably multicultural state.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Healthy Hawai‘i Initiative: insights from two decades of building a culture of health in a multicultural state

et al. 2020

View full text Add to dashboard Cite

show abstract

“…20) Physical inactivity is reportedly associated with the risk of progression to chronic diseases including obesity, prediabetes, T2DM, coronary heart disease, and RA. 15,21,28) Conversely, physical activity reduces proinflammatory markers by IL-6 production, hence inhibiting chronic disease development. 24,30) It induces IL-10-mediated anti-inflammatory response and IL-1ß inhibition.…”

Section: Discussionmentioning

confidence: 99%

Physical Activity and Prevalence of Rheumatoid Arthritis in Korean Adults with Prediabetes in the 2009-2013 National Health Cohort Study

Sin

2019

Korean J Clin Pharm

View full text Add to dashboard Cite

Prevalence of rheumatoid arthritis (RA) in patients with type2 diabetes mellitus (T2DM) and prediabetes was known to be higher than that of general population, 1-5) further increasing its risk for disease prevalence among adults with advanced age, 6-7) long disease duration, 6-7) and poor glycemic control. 1-2) RA is an autoimmune disease that causes chronic inflammation in the area surrounding musculoskeletal or synovial joints and connective tissues. 1-3,7-8) T2DM is significantly associated with bone, cartilage, ligament, and tendon damage. 2-3) RA development results from a multifactorial interaction of genes and the environment, including the abnormal response of anti-citrullinated protein antibodies (ACPAs) to antigens. These interactions result in synovial inflammation, bone, cartilage, and tissue damage, composed of pro-inflammatory cytokines. 4-5,8-9) Pro-inflammatory cytokines 5,9) such as interferongamma (IFN-γ), interleukin (IL)-1ß, IL-2, IL-5, IL-7, IL-8, and TNF-α, granulocyte macrophage-colony stimulating factor (GM-CSF), are also known to be high in overweight patients with prediabetes. [4][5]9) With biological pharmacotherapies, modifiable behavior such as physical activity has been shown to induce the antiinflammatory myokine IL-6, 10) which induces the release of ABSTRACT Background: Rheumatoid arthritis is highly prevalent in overweight patients with type 2 diabetes mellitus and can be reduced by physical activity via altered proinflammatory parameters. However, the association between the frequency of physical activity and the prevalence of rheumatoid arthritis in prediabetic patients remains unclear and was evaluated in this study. Methods: Utilizing the Korean National Health Insurance Sharing Service database, 58,391 adults, who met the research criteria and underwent a general medical check-up between 2009 and 2013, were selected for this study. To analyze the data, a logistic regression with a proc survey logistic procedure was used. Results: The study revealed that the cumulative rheumatoid arthritis prevalence was lower in prediabetic patients compared to that in the control group (OR, 0.64; 95% CI, 0.483-0.840; p=0.001). More frequent physical activity (>3 days/week) was significantly associated with a reduced rheumatoid arthritis prevalence in both groups (OR, 0.28; 95% CI, 0.039-0.521; p=0.044 vs. OR, 0.15; 95% CI, 0.063-0.237; p=0.007). Additionally, a 3.8-fold higher risk of rheumatoid arthritis development was observed in prediabetic adults with less frequent baseline physical activity (≤2 days/week). Overall, in prediabetes, the prevalence of rheumatoid arthritis was associated with the frequency of physical activity and not with the fasting plasma glucose levels. Conclusion: More frequent physical activity is associated with a low risk of developing rheumatoid arthritis in prediabetic patients. Thus, further studies are needed to confirm the clinical outcomes of frequent physical activity in rheumatoid arthritis prevention and control.

show abstract

“…Physical inactivity can increase the risk for progression of prediabetes to type 2 diabetes ( 6 ). Increasing physical activity and weight loss are recommended as parts of self-management strategies for type 2 diabetes prevention ( 7 ).…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Arthritis Among Adults with Prediabetes and Arthritis-Specific Barriers to Important Interventions for Prediabetes — United States, 2009–2016

Sandoval-Rosario¹,

Nayeri²,

Nmd³

et al. 2018

MMWR Morb. Mortal. Wkly. Rep.

View full text Add to dashboard Cite

Coordinated Approaches to Strengthen State and Local Public Health Actions to Prevent Obesity, Diabetes, and Heart Disease and Stroke

Cited by 22 publications

References 14 publications

The Healthy Hawai‘i Initiative: insights from two decades of building a culture of health in a multicultural state

The Healthy Hawai‘i Initiative: insights from two decades of building a culture of health in a multicultural state

Physical Activity and Prevalence of Rheumatoid Arthritis in Korean Adults with Prediabetes in the 2009-2013 National Health Cohort Study

Prevalence of Arthritis Among Adults with Prediabetes and Arthritis-Specific Barriers to Important Interventions for Prediabetes — United States, 2009–2016

Contact Info

Product

Resources

About