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Assessing health impacts of home food gardens with Wind River Indian Reservation families: protocol for a randomised controlled trial.

ABSTRACT: INTRODUCTION:This community-based participatory research, Growing Resilience, will be the first full-scale randomised controlled trial we have identified that is designed to evaluate impacts of home gardening on family health. It is based on observational studies suggesting home food gardening has myriad health benefits, Wind River Indian Reservation (WRIR) families' interest in home gardening and the need to end Native American health disparities with empowering, appropriate and effective health interventions. METHODS AND ANALYSIS:A total of 100 Native American families in WRIR who have not gardened recently but want to garden will be randomly allocated (1:1) to intervention (receiving 2?years of support designing, installing and maintaining a home food garden of at least 80 square feet (approximately 7 square meters) or to delayed-intervention control (receiving same gardening support after 2?years of data collection). Willing family members aged 5 and up will participate in data collection each February and August for 2 years, with blood, biometric and survey measures at each. The primary outcome is adult body mass index (BMI). Secondary outcomes include child BMI, and adult hand strength, self-reported physical and mental health, diabetes control and food security. Primary analysis will be intention to treat (ITT), using univariate and bivariate descriptive statistics followed by a mixed model to estimate the ITT effect of the intervention using analysis of covariance (ANCOVA) estimation. We will also examine treatment affects using a gardening fidelity measure, combined adult and child BMI outcomes using a lambda mu and sigma (LMS) Z-score reference data set and possible mechanisms of health impacts. ETHICS AND DISSEMINATION:This protocol was approved by the University of Wyoming Institutional Review Board (IRB) and the project's Community Advisory Board. De-identified data will be shared with each tribe, and results will be published in peer-reviewed journals, summarised for distribution in WRIR, and shared at a national event to be hosted in WRIR in 2020. TRIAL REGISTRATION NUMBER:NCT02672748; Pre-results.

SUBMITTER: Porter CM

PROVIDER: S-EPMC6500094 | biostudies-literature | 2019 Apr

REPOSITORIES: biostudies-literature

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Assessing health impacts of home food gardens with Wind River Indian Reservation families: protocol for a randomised controlled trial.

Porter Christine M CM Wechsler Alyssa M AM Naschold Felix F Hime Shawn J SJ Fox Lanae L

BMJ open 20190403 4

<h4>Introduction</h4>This community-based participatory research, <i>Growing Resilience,</i> will be the first full-scale randomised controlled trial we have identified that is designed to evaluate impacts of home gardening on family health. It is based on observational studies suggesting home food gardening has myriad health benefits, Wind River Indian Reservation (WRIR) families' interest in home gardening and the need to end Native American health disparities with empowering, appropriate and ...[more]

PMID: 30948560

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Project description:BackgroundHome food procurement (HFP) (i.e. gardening, fishing, foraging, hunting, backyard livestock and canning) have historically been important ways that people obtain food. Recently, some HFP activities have grown (e.g. gardening), while other activities (e.g. hunting) have become less common in the United States. Anecdotally, COVID-19 has sparked an increase in HFP evidenced by increased hunting licenses and shortages in seeds and canning supplies. HFP may have positive benefits for food security and diet quality, though research beyond gardening is especially limited in high-income countries.MethodsWe examine HFP activities since the COVID-19 pandemic began, and their relationship to food security and dietary quality using multivariable logit models and matching analysis with a statewide representative survey (n = 600) of residents of Vermont, United States.ResultsWe find 29% of respondent households classified as food insecure since COVID-19, and higher prevalence of food insecurity among those experiencing a negative job change since COVID-19, households earning less than $50,000 annually, Hispanic and multi-race respondents. Nearly 35% of respondents engaged in HFP activities since the COVID-19 pandemic began; the majority of those gardened, and more than half pursued HFP activities more intensely than before the pandemic or for the first time. Food insecure households were more likely to pursue HFP more intensely, including more gardening, fishing, foraging, and hunting. Respondents who were food insecure, Black, Indigenous, People of Color, those with a negative job disruption, and larger households all had greater odds of increased intensity of HFP during the COVID-19 pandemic. HFP was significantly associated with eating greater amounts of fruits and vegetables; however, this effect was only significant for food secure households.ConclusionOverall, these results suggest that HFP activities have increased since the start of the COVID-19 pandemic, and may be an important safety net for food insecure households. However, HFP for food insecure households does not translate into the same higher fruit and vegetable intake as found among food secure HFP households, suggesting this population may be trying to maintain intake, or that they may have potential important resource or technical assistance needs. Long-term, HFP activities may have important food security and diet quality impacts, as well as conservation implications, which should be more thoroughly explored. Regardless, the increased interest and intensity of HFP demonstrates opportunities for educational and outreach efforts.

Project description:The Congo River Basin, located in central Africa, is the second-largest river basin in the world, after the Amazon. It has a drainage area of approximately 3.7 M km2 and is home to 75 million people. A significant part of the population is exposed to recurrent floods and droughts, and climate change is likely to worsen these events. Climate change studies of the Congo River basin have so far focused on annual and seasonal precipitation, but little attention was paid to extreme climatic events. This study aims to assess future changes in rainfall-induced flash floods and drought regimes in the Congo basin from the present day to 2100, using four selected extreme climatic indices as proxies to these two natural disasters. The indices are the total annual precipitation (PCPTOT), the number of days where rainfall is above 20 mm (PCP20), the standardized precipitation index (SPI), and the standardized precipitation-evapotranspiration index (SPEI). The indices were calculated with the statistically downscaled output of eleven Regional Climate Models (RCMs) from the Coordinated Downscaling Experiment (CORDEX-AFRICA) under two Representative Concentration Pathways: RCP 8.5 (high emissions scenario) and RCP 4.5 (moderate emissions scenario). Precipitation and temperature simulated by the RCMs were statistically downscaled using quantile mapping, while wind speed, solar radiation, and relative humidity were projected using K-nearest neighbor downscaling. The evolution of the indices was then assessed between the reference period (1976-2005) and three future periods (2011-2040, 2041-2070, and 2071-2100). Multimodel average results suggest that (i) independently of the scenario and period, PCPTOT and SPI will increase in the north, east, and western extremities of the basin and decrease in the basin's center. (ii) The maximum increase (+ 24%) and decrease (- 6%) in PCPTOT were both projected under RCP 8.5 in the 2071-2100 period. (iii) PCP20 will increase independently of the period and scenario. Under RCP 8.5, in the 2071-2100 period, PCP20 will increase by 94% on average over the whole watershed. (iv) The SPEI results suggest that in all periods and scenarios, the rise in evapotranspiration due to higher temperatures will offset annual precipitation increases in the north, east, and western extremities of the basin. Increased evaporation will exacerbate the decrease in annual precipitation in the center, leading to increased drought frequency in the entire basin.Supplementary informationThe online version contains supplementary material available at 10.1007/s10584-022-03326-x.

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Assessing health impacts of home food gardens with Wind River Indian Reservation families: protocol for a randomised controlled trial.

Publications

Assessing health impacts of home food gardens with Wind River Indian Reservation families: protocol for a randomised controlled trial.

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