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Low level of returning participants year by year.
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The purpose of this study is to evaluate the change in disease prevalence over time in impoverished urban communities in Lima, Peru.
The aim is to track the changes in disease prevalence of people living in impoverished urban communities in Lima over the next 10 years.
Based on data collected in prior years and in an ongoing manner, Ohio University Global Health teams will be introducing interventions focused to positively impact disease states and trends in this population.
The current focus is on chronic lifestyle related diseases and their precursors: cardiovascular disease, hypertension, dyslipidemia, diabetes, and overweight / obesity.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Lifestyle Intervention | Experimental | Impoverished communities in Lima, Peru will be offered free medical clinics. Four communities have been chosen initially for focus over the following 10 years. These communities will be made aware of their risk for chronic lifestyle related diseases. In conjunction with the communities, specific interventions focused on a plant-based diet, physical activity, stress management and control of unhealthy habits will be devised. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Lifestyle Modification | Behavioral |
|
| Measure | Description | Time Frame |
|---|---|---|
| Weight | weight in kilograms will be utilized to determine body mass index | yearly for 10 years |
| Systolic blood pressure | measured with a manual sphygmomanometer in millimeters of mercury | yearly for 10 years |
| Diastolic Blood Pressure | measured with a manual sphygmomanometer in millimeters of mercury | yearly for 10 years |
| glycosylated hemoglobin | measured in percent via fingerstick capillary blood and portable analyzer | periodically over 10 years |
| Total cholesterol | measured in percent via fingerstick capillary blood and portable analyzer | periodically over 10 years |
| Low-density lipoprotein cholesterol | measured in percent via fingerstick capillary blood and portable analyzer | periodically over 10 years |
| High density lipoprotein cholesterol | measured in percent via fingerstick capillary blood and portable analyzer | periodically over 10 years |
| Triglycerides | measured in percent via fingerstick capillary blood and portable analyzer |
| Measure | Description | Time Frame |
|---|---|---|
| Herth Hope Index | validated survey utilized to evaluate level of hope for the future | yearly for 10 years |
| Household hunger scale | validated survey to measure food insecurity |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| David S Drozek, DO | Ohio University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ohio University | Athens | Ohio | 45701 | United States |
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| ID | Term |
|---|---|
| D002318 | Cardiovascular Diseases |
| D003920 | Diabetes Mellitus |
| D006973 | Hypertension |
| D050171 | Dyslipidemias |
| D050177 | Overweight |
| D009765 | Obesity |
| ID | Term |
|---|---|
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D004700 | Endocrine System Diseases |
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|
| periodically over 10 years |
| yearly for 10 years |
| Patient Health Questionnaire - 4 (PHQ-4) | used to evaluate depression and anxiety | yearly for 10 years |
| Exercise vital sign | the minutes of exercise during the last week | yearly for 10 years |
| Perceived Stress Scale | validated survey to evaluate level of stress | yearly for 10 years |
| 24 hour dietary recall | report of all foods consumed in the last 24 hours, which will be utilized to determine the nutritional value of dietary intake | yearly for 10 years |
| D014652 | Vascular Diseases |
| D052439 | Lipid Metabolism Disorders |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D001835 | Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |