MESA is a multicenter project aiming to study subclinical cardiovascular disease and its progression to clinical disease among ethnic groups in several areas of the country. Sleep Heart Health Study vThe Sleep Heart Health Study explores the relation of sleep-related breathing disorders such as sleep apnea to CVD risk factors and rates. The goal of TRIM is to develop intervention methods for large, sustained weight losses, comparing the use of incentives to increase motivation, and the actual provision of recommended foods. This study examines the feasibility of weight gain prevention as an alternative public health approach to obesity. Pre-adolescents in California, Louisiana, Minnesota and Texas participate in the program aimed at improving eating, exercise, and smoking habits among 3rd through 5th graders.
Some schools participate in a correspondence program for children and parents.
Environmental change programs target the school lunch menu, smoking policies, and physical education curricula. Evaluation is conducted in 96 schools in four sites, including cholesterol measures, blood pressure, dietary, and physical activity assessments. Delay is defined as the interval between first recognition of symptoms and arrival at hospital. This study examined the feasibility and practicality of community-based public health interventions to reduce patient delay. The interventions include school curricula designed to teach skills to prevent weight gain through a healthy diet and regular physical activity, modification of school meals to lower fat and increase complex carbohydrates, and a family-based home component designed to reinforce and support the school program.