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Manuel Franco MD, PhD Associate Professor
Social and Cardiovascular Epidemiology Research Group
University of Alcalá, Spain
Adjunct Associate Professor
Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health
Jornada Informativa
ERC- Programa de Trabajo 2014
Experiencia de Exito
Starting Grant 2013
Manuel Franco MD, PhD Associate Professor
Social and Cardiovascular Epidemiology Research Group
University of Alcalá, Spain
Adjunct Associate Professor
Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health
Entorno Urbano y Salud Cardiovascular:
Proyecto Heart Healthy Hoods
European Research Council
Starting Grant 2013
Experiencia de Exito ERC
Starting Grant 2013
Esquema presentación
Perfil del Investigador e Importancia de la IDEA
Proyecto Starting Grant Heart Healthy Hoods
•Objetivos y Diseño
•Equipo actual y equipo a formar
Estudio Piloto
•Diseño
•Resultados
Consejos preparación propuesta
Presenter’s Name
Date
Consejos preparación propuestas ERC
1. IDEA INNOVADORA, IDEA INNOVADORA
(GET YOUR GURUS HELP !)
IMPACTO CIENTÍFICO Y SOCIAL EUROPEO
1. ELIGE Y CONOCE BIEN EL TRIBUNAL
1. SIMULACROS
2. STEP 2: MEJORAS EN EL CV Y PROYECTO
3. SÉ HUMILDE POR ESCRITO Y EN ENTREVISTA
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Date
Social and Physical Urban
Environment and Cardiovascular
Health: The Much Needed
Population Approach
Entorno Urbano Social y Físico y
Salud Cardiovascular: El necesario
enfoque poblacional
Proyecto Heart Healthy Hoods
Presentacion en Bruselas Mayo 2013
Manuel Franco MD, PhD
Profesor Epidemiología y Salud Pública
Universidades Alcalá y Johns Hopkins
Medical School in Madrid and Berlin
Johns Hopkins Bloomberg School of Public Health: Fulbright fellow (PhD and Postdoc). Currently Visiting Professor
Reintegration Grant: Marie Curie (FP7 PEOPLE) and Ramón y Cajal at the National Center for CV Research
Associate Professor at UAH
Social and Cardiovascular Epidemiology Research Group
http://www.uah.es/gi/ EPISOC-UAH
Presenter’s Name
Date
Does your neighborhood affect your health?
Large Social
Cardiovascular Health
Disparities Between
Neighborhoods
Hypertension
Prevalence in 12
Neighborhoods
in Madrid
How can we
prevent CVD?
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Date
Physical
Environment
Social
Environment
SOCIAL
EPIDEMIOLOGY
Studies social determinants of disease
Methodologies from Social Sciences and Public Health
Focus on population preventive approach
Addresses growing social inequalities in health
First cause of death in Europe (47% of all deaths in 2010)
Increasing prevalence (50 mill. patients in 2009 in Europe)
Rising social and economic costs (196 billion € in 2009)
Traditional medical preventive approaches are individual
Cardiovascular
Health
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Date
Physical
Environment
Social
Environment
Cardiovascular
Health
HEART
HEALTHY
HOODS Obesity
Physical
Activity
Diet
Physical Activity
Environment
Food
Environment
CVD
Smoking
Tobacco
Environment
Social and Physical
Environment
Individual
Cardiovascular Health
Alcohol
Environment
Heart Healthy Hoods Proposal
Main Goal
?
?
?
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Date
Heart Healthy Hoods Proposal
Overall Objectives
1. To study the impact of the social and physical
environment in terms of tobacco, alcohol, food and
physical activity on residents cardiovascular health
2. To provide scientific evidence for policy makers to
intervene at the population level to prevent the first
cause of death in Europe
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Date
1. To run a formative research phase using an
qualitative approach to identify and understand
the main features of the environment in relation
to CVD and the main pathways of this relation.
2. To develop a methodology based on state of the
art techniques to characterize the social and
physical urban environments in a systematic
and accurate fashion.
Heart Healthy Hoods Proposal
Secondary Objectives
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Date
3. To compare the already studied relation between
the urban environment and cardiovascular health in
the United States with this relation in Europe.
4. To evaluate naturally occurring changes
(natural experiments) such as public policy
interventions occurring during the time of the study
modifying the food and physical activity
environment.
Heart Healthy Hoods Proposal
Secondary Objectives
Presenter’s Name
Date
Study Setting
90 Madrid Neighborhoods
Study Area
Pilot Study Area
District Boundaries
City of Madrid
Municipal Boundaries
Neighborhood Bound.
Access to the
Integrated Primary
Care Health System
Database
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Date
Study Design
Baseline Visit
Cohort
Study
1st Database
Mining Whole
Population
Study
4 year
follow up
2,200 participants
Final Visit
Final Database
Mining 2 Million people
Environment
Tobacco
Alcohol
Food
Physical Activity
1st Assessment 2nd Assessment 90 Neighborhoods
Multilevel Association
Analysis
Entorno Urbano y Salud Cardiovascular:
Proyecto Heart Healthy Hoods
Esquema presentación
Proyecto HHH
•Objetivos y Diseño
•Equipo actual y equipo a formar
Estudio Piloto
•Equipo
•Diseño
•Trabajo Actual / Resultados
Convocatorias ERC
Presenter’s Name
Date
Barrios de Madrid según el Índice
de barrio mediano, que incluye
cuatro variables (edad;
envejecimiento; nivel educativo;
densidad).
Estudio Piloto Heart Healthy Hoods
Ciudad Lineal
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Date
Mapa físico de las 12 secciones
censales que componen el área de
estudio, situadas en el Distrito de
Ciudad Lineal, Madrid.
Estudio Piloto Heart Healthy Hoods
Ciudad Lineal
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Date
1.[Food Environment]
Food Stores, Food Markets and Healthy Food Availability in Comparable Neighborhoods in Madrid and Baltimore
2.[Physical Activity Environment]
Assessment of Walking and Cycling in the Streets of a European City: Physical and Omnidirectional Imagery Audits
3.[CVD Environmental Measures]
The Heart Healthy Hoods Pilot Study: Measuring the social and physical urban environment in relation with residents´ cardiovascular health.
Estudio Piloto Heart Healthy Hoods
Resultados
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Date
Estudio Piloto Heart Healthy Hoods
Food Environment Baltimore / Madrid
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Date
Estudio Piloto Heart Healthy Hoods
Medidas de las Calles y Parques
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Date
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Date
Midiendo el Entorno Urbano y ECV
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Date
Qualitative Research
María Sandín
University of Alcalá
Demography
Health Sociology
Jesús Rivera
University of Salamanca
Geography
Madrid Regional Government
Department of Geography
University of Alcalá
Equipo Multidisciplinar
IP: Manuel Franco, Epidemiología Social
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Date
Grupo de investigación actual y futuro
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Date
Social and Physical Urban Environment and Cardiovascular Health
The Much Needed Population Approach
Franco M, Bilal U, Orduñez P, Benet M, Morejon
A, Caballero B, Kennelly JF, Cooper RS.
BMJ 2013;346:f1515
Video Abstract
+
Editorial
Study data from:
• Individual participants
• Primary care registries
• Administrative data
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Date
Novel way of understanding cardiovascular health:
Social Science + High-Quality Health Data + Rigorous Design
I received the most appropriate training possible for this
innovative proposal in the thriving field of Social Epidemiology
Social impact: Results will provide relevant scientific evidence
to prevent 1st cause of death in Europe at the population level
Manuel Franco MD, PhD
Heart Healthy Hoods
Experiencia de Exito ERC
Starting Grant 2013
Esquema presentación
Perfil del Investigador e Importancia de la IDEA
Proyecto Starting Grant Heart Healthy Hoods
•Objetivos y Diseño
•Equipo actual y equipo a formar
Estudio Piloto
•Diseño
•Resultados
Consejos preparación propuesta
Presenter’s Name
Date
Consejos preparación propuestas ERC
1. CV DESTACA EXPERIENCIA INTERNACIONAL
Y EUROPEA ADEMÁS DE RAZONAR TUS
EARLY ACHIEVEMENTS, REMEMBER PANEL!
2. PROYECTO GROUND BREAKING, HIGH
RISK/HIGH GAIN, BUT FEASIBLE (GET YOUR
GURUS HELP !)
3. METODOLOGÍA MUY BIEN PERO SÉ
HUMILDE, TE PILLAN SIEMPRE
4. PREPARE INTERVIEW AS NEVER BEFORE !
Presenter’s Name
Date
Starting Grants: ideas innovadoras y la creación de nuevos equipos de investigación puntera
Muy Importante elegir bien el Tribunal (Panel) Life Science vs. Social Science and Humanities
Conocer muy bien a los Tribunales (Paneles) de las convocatorias anteriores
Preparar muchos y variados simulacros (4)
Mi grupo, CNIC, CSIC, UAH
Consejos preparación propuestas ERC
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Date
Be humble in written and interview fashion!
Impacto social y científico de vuestra propuesta
Impacto para toda la población Europea no sólo la madrileña, española, etc..
Consejos preparación propuestas ERC
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Date
Entorno urbano y salud en Madrid
Impacto Social del Estudio ERC
Resultados sobre los cuatro factores de riesgo de las Enfermedades Crónicas No Transmisibles:
Tabaquismo
Consumo nocivo de Alcohol
Sedentarismo
Mala alimentación
Los resultados ofrecen evidencias políticas relacionadas con la primera causa de muerte en Europa
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Proyecto Europeo Heart Healthy Hoods en los
medios de comunicación.
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Proyecto Europeo Heart Healthy Hoods en los medios de comunicación.
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Date
Proyecto Europeo Heart Healthy Hoods en los medios de comunicación.
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Date
Agradecimientos
Ana Diez-Roux, University of Michigan
Richard Cooper, Loyola University Chicago
Mariana Lazo, Johns Hopkins University
Usama Bilal, Julia Diez, Silvia Alfayate, Carlos
Martinez, Paco Bolumar, María Sandin, Angel
Asunsolo, Grupo Investigacion Epi Social y
Cardiovascular, Universidad de Alcalá
Sandra Fernandez, Maria Luisa Alegre
Vicerrectorado Investigación UAH
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Date
Agradecimientos
ERC Starting Grant 2013
The “2 Million Dollar Baby(s)”
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