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Dietary Interventions to Advance Equity in Cardiometabolic Health

A special issue of Nutrients (ISSN 2072-6643). This special issue belongs to the section "Nutritional Epidemiology".

Deadline for manuscript submissions: 15 April 2025 | Viewed by 1232

Special Issue Editors


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Guest Editor
National Institutes of Health, National Heart Lung and Blood Institute, Division of Cardiovascular Sciences, U.S. Department of Health and Human Services, Bethesda, MD 20892, USA
Interests: nutrition equity; diet-related disparities; health disparities; cardiovascular disease; social and structural determinants of health

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Guest Editor
NIH Clinical Center, Bethesda, MD, USA
Interests: cooking behavior; community-based nutrition education interventions; biobehavioral interventions; health disparities; cardiovascular disease risk

Special Issue Information

Dear Colleagues,

Disparities in cardiometabolic diseases such as cardiovascular disease, diabetes, and obesity are pervasive in the U.S., with racial and ethnic minorities, those of lower socioeconomic status, and rural communities at greatest risk.

Diet is a key modifiable risk factor for these diseases and conditions, accounting for an estimated 11 million non-communicable diseases globally. As highlighted in the NIH Nutrition and Health Disparities Framework, nutrition and diet-related disparities, including cardiometabolic disease disparities, are driven by a multitude of factors (e.g., social and structural determinants) calling for the need for multi-level interventions. Example studies that are needed to promote healthy dietary behaviors in those most impacted by cardiometabolic diseases include: implementation science studies to scale up evidence-based interventions such as the DASH and Mediterranean diets; behavioral economic research to make the healthy choice the easier choice in a variety of food environments in at-risk communities; dietary interventions including culturally tailored programs; Food is Medicine initiatives; and food environment interventions.

This Special Issue calls for research highlighting a variety of dietary interventions to address disparities in cardiometabolic health and advance health equity spanning across the lifespan.

Dr. Alison Brown
Dr. Nicole Farmer
Guest Editors

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Keywords

  • health equity
  • health disparities
  • cardiometabolic diseases
  • cardiovascular diseases
  • diabetes
  • obesity
  • nutrition
  • diet
  • nutrition equity
  • nutrition interventions
  • dietary interventions

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Published Papers (1 paper)

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Research

19 pages, 265 KiB  
Article
Community-Engaged Approaches for Improving the Inclusion of Diverse Communities in a Nutrition Clinical Trial
by Mopelola A. Adeyemo, Jessica Trinh, Darian Perez, Estabon Bozeman, Ejiro Ntekume, Jachael Gardner, Gail Thames, Tiffany Luong, Savanna L. Carson, Stefanie Vassar, Keith Norris, Zhaoping Li, Arleen F. Brown and Alejandra Casillas
Nutrients 2024, 16(21), 3592; https://doi.org/10.3390/nu16213592 - 23 Oct 2024
Viewed by 804
Abstract
Background: Cardiometabolic disease (CMD) disproportionately affects African American/Black (AA) and Latino communities. CMD disparities are exacerbated by their underrepresentation in clinical trials for CMD treatments including nutritional interventions. The study aimed to (1) form a precision nutrition community consultant panel (PNCCP) representative of [...] Read more.
Background: Cardiometabolic disease (CMD) disproportionately affects African American/Black (AA) and Latino communities. CMD disparities are exacerbated by their underrepresentation in clinical trials for CMD treatments including nutritional interventions. The study aimed to (1) form a precision nutrition community consultant panel (PNCCP) representative of Latino and AA communities in Los Angeles to identify barriers and facilitators to recruitment and retention of diverse communities into nutrition clinical trials and (2) develop culturally informed strategies to improve trial diversity. Methods: A deliberative community engagement approach was used to form a PNCCP for the Nutrition for Precision Health (NPH) trial, part of the of the All of Us research initiative. The PNCCP included individuals that provide services for Latino and AA communities who met during 11 virtual sessions over 1 year. Discussion topics included enhancing recruitment and cultural acceptance of the NPH trial. We summarized CCP recommendations by theme using an inductive qualitative approach. Results: The PNCCP included 17 adults (35% AA, 47% Latino). Four thematic recommendations emerged: reducing structural barriers to recruitment, the need for recruitment materials to be culturally tailored and participant-centered, community-engaged trial recruitment, and making nutrition trial procedures inclusive and acceptable. We outlined the study response to feedback, including the constraints that limited implementation of suggestions. Conclusion: This study centers community voices regarding the recruitment and retention of AA and Latino communities into a nutrition clinical trial. It highlights the importance of community engagement early on in protocol development and maintaining flexibility to enhance inclusion of diverse communities in nutrition clinical trials. Full article
(This article belongs to the Special Issue Dietary Interventions to Advance Equity in Cardiometabolic Health)
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