University of California
Agricultura y Recursos Naturales

Posts Tagged: Latino

Regresó la Conferencia del Agricultor Latino con más voces en español y nuevos bríos

El número de agricultores hispanos, dueños de pequeñas granjas crece...

Visita a varias granjas 2022
Visita a varias granjas 2022

Posted on Friday, December 2, 2022 at 9:25 AM
  • Author: Norma De la Vega

There is an urgent need for Latinos to participate in scientific careers

  Jesús Peña recently earned his doctoral degree in microbiology from the...

Posted on Tuesday, June 28, 2022 at 1:06 PM

Latino farmers face challenges and opportunities

Held entirely in Spanish, the 5th Latino Farmers Conference on Nov. 19 in Tulare County explored...

Posted on Friday, November 22, 2019 at 9:42 AM
  • Author: Ricardo Vela

Fatty liver disease strikes Latino children like a ‘silent tsunami’

Adrian Mejia and his mother, Saira Diaz, learned healthier eating habits through a study at the University of Southern California and Children’s Hospital Los Angeles. He gave up sugary drinks, lost some weight and joined a soccer team. Diaz joined the effort, losing 15 pounds and reducing her blood sugar. (Photo: Rob Waters for Kaiser Health News)

Saira Diaz uses her fingers to count the establishments selling fast food and sweets near the South Los Angeles home she shares with her parents and 13-year-old son. “There's one, two, three, four, five fast-food restaurants,” she says. “And a little mom and pop store that sells snacks and sodas and candy.” 

In that low-income, predominantly Latino neighborhood, it's pretty hard for a kid to avoid sugar. Last year, doctors at St. John's Well Child and Family Center, a nonprofit community clinic seven blocks away, became alarmed by the rising weight of Diaz's son, Adrian Mejia. They persuaded him to join an intervention study run by the University of Southern California and Children's Hospital Los Angeles (CHLA) that weans participants off sugar in an effort to reduce the rate of obesity and diabetes among children. 

It also targets a third condition fewer people have heard of: fatty liver disease.

Linked both to genetics and diets high in sugar and fat, “fatty liver disease is ripping through the Latino community like a silent tsunami and especially affecting children,” said Dr. Rohit Kohli, chief of gastroenterology, hepatology and nutrition at CHLA.

Recent research shows about 1 in 4 people in the U.S. have fatty liver disease. But among Latinos, especially of Mexican and Central American descent, the rate is significantly higher. One large study in Dallas foThe USC-CHLA study is led by Michael Goran, director of the Diabetes and Obesity Program at CHLA, who last year made an alarming discovery: Sugar from sweetened beverages can be passed in breast milk from mothers to their babies, potentially predisposing infants to obesity and fatty livers.

Called HEROES, for Healthy Eating Through Reduction of Excess Sugar, his program is designed to help children like Adrian, who used to drink four or more sugary drinks a day, shed unhealthy habits that can lead to fatty liver and other diseases.

Fatty liver disease is gaining more attention in the medical community as lawmakers ratchet up pressure to discourage the consumption of sugar-laden drinks. Legislators in Sacramento are mulling proposals to impose a statewide soda tax, put warning labels on sugary drinks and bar beverage companies from offering discount coupons on sweetened drinks.

“I support sugar taxes and warning labels as a way to discourage consumption, but I don't think that alone will do the trick,” Goran said. “We also need public health strategies that limit marketing of sugary beverages, snacks and cereals to infants and children.”

At Torrance Memorial Medical Center, Dr. Karl Fukunaga meets with a patient, Margarita Marrou, a retired medical clerk originally from Peru. She was diagnosed several years ago with a severe form of fatty liver disease and has cut down her sugar consumption and lost weight. (Photo: Rob Waters for Kaiser Health News)

William Dermody, a spokesman for the American Beverage Association said: “We understand that we have a role to play in helping Americans manage consumption of added sugars, which is why we are creating more drinks with less or no sugar.”

In 2016, 45 deaths in Los Angeles County were attributed to fatty liver disease. But that's a “gross underestimate,” because by the time people with the illness die, they often have cirrhosis, and that's what appears on the death certificate, said Dr. Paul Simon, chief science officer at the L.A. County Department of Public Health.

Still, Simon said, it was striking that 53% of the 2016 deaths attributed to fatty liver disease were among Latinos — nearly double their proportion of total deaths in the county.

Medical researchers consider fatty liver disease a manifestation of something called metabolic syndrome — a cluster of conditions that include excess belly fat and elevated blood pressure, blood sugar and cholesterol that can increase the risk of heart disease, stroke and diabetes.

Until 2006, few doctors knew that children could get fatty liver disease. That year Dr. Jeffrey Schwimmer, a professor of pediatrics at the University of California-San Diego, reviewed the autopsies of 742 children and teenagers, ages 2 to 19, who had died in car crashes or from other causes, and he found that 13% of them had fatty liver disease. Among obese kids, 38% had fatty livers.

After Schwimmer's study was released, Goran began using MRIs to diagnose fatty liver in living children.

A 2008 study by another group of researchers nudged Goran further. It showed that a variant of a gene called PNPLA3 significantly increased the risk of the disease. About half of Latinos have one copy of that high-risk gene, and a quarter have two copies, according to Goran.

He began a new study, which showed that among children as young as 8, those who had two copies of the risky gene and consumed high amounts of sugar had three times as much fat in their livers as kids with no copy of the gene. Now, in the USC-CHLA study, he is testing whether reduced consumption of sugar decreases the fatty liver risk in children who have the PNPLA3 gene variant.

At the start of the study, he tests kids to see if they have the PNPLA3 gene, uses an MRI to measure their liver fat and catalogs their sugar intake. A dietitian on his team educates the family about the impact of sugar. Then, after four months, they measure liver fat again to assess the impact of the intervention. Goran expects to have results from the study in about a year.

More recently, Goran has been investigating the transmission of sugar from mothers to their babies. He showed last year that in nursing mothers who drank beverages sweetened with high-fructose corn syrup — the primary sweetener in standard formulations of Coca-Cola, Pepsi and other sodas — the fructose level in their breast milk rose and stayed elevated for several hours, ensuring that the baby ingested it.

This early exposure to sugar could be contributing to obesity, diabetes and fatty livers, based on previous research that showed fructose can enhance the fat storage capacity of cells, Goran said.

In neighborhoods like South Los Angeles, where Saira Diaz and Adrian Mejia live, a lack of full-service markets and fresh produce makes it harder to eat healthily. “Access to unhealthy food options — which are usually cheaper — is very high in this city,” Derek Steele, director of health equity programs at the Social Justice Learning Institute in Inglewood, Calif., told Kaiser Health News.

The institute has started farmers markets, helped convert two corner stores into markets with healthier food options and created 109 community gardens on public and private lands in South L.A. and neighboring Inglewood, which has 125 liquor and convenience stores and 150 fast-food outlets.

At Torrance Memorial Medical Center, 10 miles down the road, Dr. Karl Fukunaga, a gastroenterologist with Digestive Care Consultants, said he and his colleagues are seeing so many patients with fatty liver disease that they plan to start a clinic to address it. He urges his patients to avoid sugar and cut down on carbohydrates.

Adrian Mejia and his mother received similar advice from a dietitian in the HEROES program. Adrian gave up sugary beverages, and his liver fat dropped 43%. Two months ago, he joined a soccer league.

“Before, I weighed a lot and it was hard to run,” he said. “If I kept going at the pace I was going, probably later in my life I would be like my [diabetic] grandma. I don't want that to happen.”

This KHN story first published on California Healthline, a service of the California Health Care Foundation.

Source: Published originally on USAToday.com, Fatty liver disease strikes Latino children like a ‘silent tsunami', by Rob Waters, Kaiser Health News, April 19th , 2019.

Posted on Monday, May 13, 2019 at 8:00 AM
  • Author: Rob Waters, Kaiser Health News

The importance of counting Latinos in the 2020 Census

No phrase better defines the American experience than the clear directive: No taxation without representation. With one set of words, a nation's value system is captured and guided into the future, giving every single resident a voice.

You'd think we would do everything in our power to protect and preserve that which makes just representation possible — like making sure the decennial census count is accurate, right?

Let's take a moment to look at lessons learned. When the British Parliament ruled this land and passed a series of taxes on stamps and sugar without consent, this phrase became the rallying call among colonists demanding fair political representation. Give us a seat at the table or forfeit your right to govern, it declared.

State Sen. Melissa Hurtado, D-Sanger, applauds during the swearing-in ceremony in Sacramento earlier this month. She was among a wave of Latino candidates who were elected to the statehouse. Community activist Christian Arana writes that the next challenge is ensuring Latinos are counted in the 2020 U.S. Census. JUAN ESPARZA LOERA FRESNO BEE FILE

We know what happened next. The movement led to a series of acts of resistance — from the Boston Tea Party to the First Continental Congress — and eventually transformed into the American Revolution, giving birth to the representative democracy we see today.

Yet here we are, 243 years later, with the United States of America bordering on reneging that sacrosanct American guarantee with an undercount of Latinos in the 2020 Census.

The U.S. Census is designed to count all residents regardless of where they live or how many people are in a given household. From that count, seats in the U.S. House of Representatives are apportioned to the states, and critical federal dollars are allocated for schools, hospitals and roads.

Clearly, the numbers matter, especially in California where billions of federal monies could be lost due to an inaccurate tally. In a state where Latinos make up nearly 40 percent of the population and contribute to its thriving economy, we need to get this right or the 2020 Census could shape up to be one of the most disastrous threats to our democracy since our founding.

A series of factors could be credited with a potential undercount. To start, this will be the first census to move online. An online census sounds ideal for reduced costs, but considering that only 54 percent of Latinos in California access the internet through broadband, compared to 69 percent of all Californians, this move will prove difficult for counting the Latino population.

The Trump administration's attempt to add a citizenship question to the census was dealt a legal blow this month when a U.S. district judge ruled adding such a question violates federal statute. But since the administration promises not to quit the threat to add the question, the mistrust that officials are breeding stands to scare immigrant and Latino communities from participating, which could lead to an even greater undercount of these populations and prevent states from their rightful share of representatives in the U.S. House.

This hits home hard in California, where more than 15 million Latinos work and live, including close to 3 million undocumented immigrants. Since California is the most populous state in the union, constitutionally speaking, it should also possess the maximum share of political representatives at the federal level. Because Latinos and immigrants were counted in the 2010 Census, California obtained the most number of members in the U.S. House at 53.

This seems like a big number, but even 10 years ago Latinos were undercounted, including more than 100,000 Latino children ages 0-4.

The Latino Community Foundation, a statewide foundation in California focused on unleashing the political power of Latinos, continues to call for a fair and accurate count of Latinos, and planning ways with like-minded groups to do so. LCF began in early 2018 to actively engage Latinos up and down the state with a roadmap to prepare for the 2020 Census.

California is also stepping up, issuing an application for community-based organizations to help conduct critical education and outreach for getting the census count right. Organizations must apply by Feb. 15 to be considered for dollars that both former Gov. Jerry Brown and current Gov. Gavin Newsom budgeted to achieve a successful count.

There is still hope in achieving a complete count, but time is getting tight. It's on us, the 57 million Latinos who live in this country and who are yearning to be politically represented.

Like our founding fathers who said that a true representative democracy derives from the will, and the taxes, of the people, it's time to view counting in the census as an act of resistance. For to resist, we must exist. The census is the mechanism to make sure all voices are represented.

Christian Arana is policy director with the Latino Community Foundation in San Francisco.

Source: Published originally on FresnoBee.com, The importance of counting Latinos in the 2020 Census, by Christian Arana , January 30, 2019.

Posted on Monday, April 15, 2019 at 7:05 AM
  • Author: The Fresno Bee by Christian Arana

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