@article{27986b40964147e293e8a0af698e0600,
title = "New research directions on disparities in obesity and type 2 diabetes",
abstract = "Obesity and type 2 diabetes disproportionately impact U.S. racial and ethnic minority communities and low-income populations. Improvements in implementing efficacious interventions to reduce the incidence of type 2 diabetes are underway (i.e., the National Diabetes Prevention Program), but challenges in effectively scaling-up successful interventions and reaching at-risk populations remain. In October 2017, the National Institutes of Health convened a workshop to understand how to (1) address socioeconomic and other environmental conditions that perpetuate disparities in the burden of obesity and type 2 diabetes; (2) design effective prevention and treatment strategies that are accessible, feasible, culturally relevant, and acceptable to diverse population groups; and (3) achieve sustainable health improvement approaches in communities with the greatest burden of these diseases. Common features of guiding frameworks to understand and address disparities and promote health equity were described. Promising research directions were identified in numerous areas, including study design, methodology, and core metrics; program implementation and scalability; the integration of medical care and social services; strategies to enhance patient empowerment; and understanding and addressing the impact of psychosocial stress on disease onset and progression in addition to factors that support resiliency and health.",
keywords = "NIDDK, NIH, diabetes, disparities, obesity, social determinants",
author = "Thornton, {Pamela L.} and Kumanyika, {Shiriki K.} and Gregg, {Edward W.} and Araneta, {Maria R.} and Baskin, {Monica L.} and Chin, {Marshall H.} and Crespo, {Carlos J.} and {de Groot}, Mary and Garcia, {David O.} and Debra Haire-Joshu and Michele Heisler and Felicia Hill-Briggs and Ladapo, {Joseph A.} and Lindberg, {Nangel M.} and Manson, {Spero M.} and Marrero, {David G.} and Peek, {Monica E.} and Shields, {Alexandra E.} and Tate, {Deborah F.} and Mangione, {Carol M.}",
note = "Funding Information: The workshop entitled Enhancing Opportunities in Addressing Obesity and Type 2 Diabetes Disparities was convened at the National Institutes of Health (NIH) in Bethesda, Maryland on October 24–25, 2017 to inform research opportunities for reducing disparities in these two conditions. The workshop was cosponsored by the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), the National Cancer Institute (NCI), and the NIH Office of Disease Prevention (ODP), and organized in coordination with representatives of six NIH Funding Information: cNational Institute of Diabetes and Digestive and Kidney Diseases; the National Cancer Institute; the NIH Office of Disease Prevention; National Heart, Lung, and Blood Institute; National Institute on Minority Health and Health Disparities; and NIH Office of Behavioral and Social Sciences Research. Funding Information: Additional substantial contributions to the development of this manuscript were made by Dr. Joseph Selby who provided a scientific presentation and contributed to rigorous participant deliberations at the workshop that informed Table 1. M. Austin Argentieri affiliated with the Harvard/MGH Center on Genomics, Vulnerable Populations, and Health Disparities assisted with coediting the psychosocial/socioecological stress section and technical editing. The authors wish to acknowledge the contributions of the NIDDK for initiating and co-funding the workshop effort, the trans-NIH workshop organizing committee for substantial contributions to the workshop program; and the National Cancer Institute Division of Cancer Control and Population Sciences, and the NIH Office of Disease Prevention for cosponsoring the workshop with travel support for presenters. The authors also acknowledge and appreciate contributions of Dr. Griffin Rodgers, director of the NIDDK, and Dr. Eliseo P{\'e}rez-Stable, director of the NIMHD, for their presentations to set the tone of the workshop deliberations.",
year = "2020",
doi = "10.1111/nyas.14270",
language = "English (US)",
volume = "1461",
pages = "5--24",
journal = "Annals of the New York Academy of Sciences",
issn = "0077-8923",
publisher = "Wiley-Blackwell",
number = "1",
}