OHSU Bob And Charlee Moore Institute For Nutrition & Wellness
O R E G O N H E A LT H & S C I E N C E U N I V E R S I T YOHSU Bob and Charlee Moore Institutefor Nutrition & WellnessAnnual Report 2019–2020Changing the way we thinkabout food — the health of thenext generation depends on it.
ContentsDirector’s message 2About the Moore Institute 4Nutrition Oregon Campaign 5Focus on education 8Focus on research 10International collaborations 12Communicating DOHaD 13Spreading the word 14Steering committee 16Organizational structure 17Financial overview 17Accomplishments 18Director’s MessageLooking ahead 19No one could have anticipated thetumultuous events that we’ve collectivelyexperienced this year. From a globalpandemic, to nationwide protests for racial justice,to climate-driven wildfires across the west—all ofwhich are laying bare the stark economic, healthand educational inequities among Americans.It has been difficult to focus on daily work withthe bombardment of bad news and months ofuncertainty. However, many scientists have cometo recognize that issues related to nutrition needto be addressed during our current health crisis.Failing to prioritize food security now will leadto even greater schisms in health and economicoutcomes in the future. It’s a vicious cycle thatcannot be broken without the focused attentionfrom government, business, non-profits and socialservice agencies.2BOB AND CHARLEE MOORE INSTITUTE FOR NUTRITION & WELLNESS
The COVID-19 pandemic has been hardest oncommunities of color, resulting in many newsarticles about why this is so. This has allowedmany voices, including the Moore Institute, todraw attention to how social determinants ofhealth have had an impact on the health of thesecommunities over generations, and how thatmakes these communities more vulnerable forcomplications from infectious diseases as well.In fact, the chronic conditions that are associatedwith poor nutrition and maternal stress in earlylife comprise the list of underlying conditionsthat predispose people to hospitalization anddeath from COVID-19.We are following the lead of OHSU leadershipin examining how we can play a role in not justhighlighting how nutrition and toxic stress resultin inequities for communities of color, but alsohow to take the next step and become an antiracist institution. We developed a statementagainst racism that we shared broadly, andproduced an article for our quarterly newsletteron how racism impacts health.We’ve also been further developing ourrelationships with national organizations like theCenter for Science in the Public Interest (CSPI),1,000 Days and No Kid Hungry because we realizethat working together makes us stronger andprovides a much bigger platform.The Nutrition Oregon Campaign has been growingsteadily across the state. We added an easternOregon hub that covers 12 counties in conjunctionwith the Eastern Oregon Healthy Living Alliance.We have interest from another county in finalizinga hub agreement this coming year. The work inthe hubs continues to grow even as the pandemichas spread. We currently have four regional hubs,each with their own local liaison, advisory groupand shared goal related to the Nutrition OregonCampaign goal of ending chronic disease, butspecific to the needs of their community.A N N U A L R E P O R T 2 0 19–2 0 2 0While many of our events and conferences wereput on hold, we are making plans for a virtualNutrition Consortium this winter and the secondnational Nutrition in Pregnancy Conference inWashington, D.C. next year.The Moore Institute’s Alaska Native Health andWellness Research Center is highly active eventhough OHSU leaders are not yet allowed to visitrural communities due to the COVID-19 crisis. Thecenter has recently applied for funds to supporta project that will determine the role of stressand nutrition on epigenetically driven healthoutcomes in the placenta and offspring of AlaskaNative women and children.Without the work of the dedicated MooreInstitute team, none of this would be possible.And in these uncertain times, their work ismore important than ever. I also must celebratethe vision of Bob and Charlee Moore and theirgenerous support of the institution. The MooreInstitute would not exist without it. I hope thatas I write this next year, our world will be in ahealthier place than it is today.Kent Thornburg, Ph.D.M . LO W EL L ED WA R D S EN D O W ED C H A I RP R O F E S S O R O F C A R D I OVA S C U L A R M E D I C I N ED I R EC TO R , O H S U B O B A N D C H A R L E E M O O R EINSTITUTE FOR NUTRITION & WELLNESSD I R EC TO R , C E N T E R F O R D E V E LO P M E N TA L H E A LT H ,O H S U K N I G H T C A R D I OVA S C U L A R I N S T I T U T E ,SCHOOL OF MEDICINE3
About the Moore InstituteMission StatementThe OHSU Bob and Charlee Moore Institutefor Nutrition & Wellness was created after anextraordinary act of generosity from Bob and CharleeMoore who formed a partnership with OHSU toconfront one of the biggest contributors to the rise ofchronic disease: poor nutrition.At the OHSU Bob and Charlee Moore InstituteThe Moore Institute’s central commitment is to reducethe prevalence of chronic diseases across the lifespanin current and future generations by promotinghealthy, nutrient-rich diets based on wholesome foodsduring pregnancy and lactation, and in infancy andearly childhood.and lactation, and in infancy and earlyThe scientific cornerstone of the Moore Institute is adiscipline in which OHSU has been internationallyrecognized for decades: The Developmental Origins ofHealth and Disease, or DOHaD, which illustrates theimportant relationships between maternal prenataldiet, fetal health and adult onset disease.The Moore Institute intends to exert a far-reachingand long-lasting impact on the health and wellbeing of people of all ages by addressing the complexclinical and social factors related to and arising frompoor nutrition.4for Nutrition & Wellness we believe thatreducing the prevalence of chronic diseasesthroughout life starts by promoting healthy,nutrient-rich diets based on wholesomefoods — before conception, during pregnancychildhood. We support this in current andfuture generations by offering programs that: Educate through professional training andcommunity outreach. Conduct research through human andcommunity-oriented clinical, basic andtranslational science. Provide clinical care through thedevelopment of new preventive measuresand treatments. Address public policy issues to promoteimproved nutritional health in the community.BOB AND CHARLEE MOORE INSTITUTE FOR NUTRITION & WELLNESS
Nutrition Oregon CampaignAddressing nutrition and chronic disease risk atthe community levelThe Moore Institute, in collaboration with like-mindedorganizations and communities across the state,developed the Nutrition Oregon Campaign to addressthe underlying systemic conditions that contribute toincreased chronic disease risk. No one simple solutionexists to reduce rates of chronic disease. The manycontributing factors are complex and intertwined.Likewise, no single organization has the perspective,resources or capacity to address this complexityalone. It requires multiple organizations from publicand private sectors working collaboratively toward ashared vision for change.Regional hubs provide local engagementRegional hubs are established in communities thatare interested in engaging on a deeper level with thescience of DOHaD. Each hub has one or two campaignliaisons and a dedicated local leadership team thatdevelops a community-specific goal related to thecampaign’s broad vision of ending chronic disease.The Moore Institute provides the infrastructureto support systemic thinking about roots causes ofchronic disease and provides hubs access to resources,scientific information, coordination with other hubsand development of common evaluation measures.There are currently four regional hubs, covering 14Oregon counties, with a fifth in discussion.That’s why we’re building a network of connectedcommunities that can work collaboratively acrossthe state to eliminate chronic disease before itstarts. The result is a statewide network groundedin the science of DOHaD with the OHSU MooreInstitute as the backbone organization that providesthe infrastructure to coordinate, convene and buildmomentum. Monica Cuneo, M.P.H., the campaigndirector, has provided able leadership in developingthe Nutrition Oregon Campaign.A N N U A L R E P O R T 2 0 19–2 0 2 05
Building anetworkof connectedcommunitiesCLA T S O P C O U N T YPORTLANDTHE DALLESPENDLETONTILLAMOOKYAMHILLCOUNTYNEWPORTL A G R A N DEB A K ER C I T YCORVALLISBENDCommunity involvementO NT A R I ONutrition Oregon Campaign HubNutrition Oregon Campaign VisitCO O S B A YNutrition ConsortiumCommunity Events andSpeaking EngagementsEastern Oregon Partnership (EOHLA)EASTERN OREGONPARTNERSHIP (EOHLA)MEDFORDKLAMATH COUNTYClatsop County HubOntario HubGoal: By 2031, all people in Clatsop County will befood-secure by having access to nutritious food.Through collaborations among multi-sectoralsystems of care, we will create a culture thatsupports maternal and infant health. At the sametime, we will ensure mothers and children have theresources and education necessary to access healthyand nutritious food for themselves and their families.Goal: All people in the Western Treasure Valleyhave access to what they need to enjoy a healthyand nutritious diet. We commit to 100 percent ofcommunity members being food secure by 2030.Campaign liaisonLindsay Grosvenor, R.D.VALLEY FAMILY HEALTH CARE , ONTARIO HEALTH CENTERCampaign liaisonsEastern Oregon HubNorma HernandezGoal: We commit to reducing rates of foodinsecurity and diet related disease amongstchildren and adults in Eastern Oregon by 2030.To accomplish this, we envision a regionalenvironment where all East Oregonians haveaccess to enough high-quality food, have a safe andaffordable place to live, and live in an environmentwhere they have what they need to thrive.WIC COORDINATOR, CLATSOP COUNTYKayla WarnerOREGON STATE UNIVERSITY EXTENSION SERVICE SNAP-ED COORDINATORKlamath County HubGoal: We commit to Klamath County having thelowest rates of low birth weight babies in thestate, decreasing the rate from eight percent to fivepercent—or lower—by 2030.Campaign liaisonKelsey MuellerPOLICY MANAGER, HEALTHY KLAMATH6Campaign liaisonsJohn V. Adams, M.A.EXECUTIVE DIRECTOR, EOHLAMeghan Chancey, M.P.H.PROGR AM COORDINATOR, EOHLABOB AND CHARLEE MOORE INSTITUTE FOR NUTRITION & WELLNESS
Recent activityInput from community leadersAs part of the process to develop a shared purpose and goal, allhub leadership teams have been conducting interviews withleaders from key sectors to socialize the campaign’s work intheir communities and gain buy-in from key community leaders.Feeding the communityLeaders in the Ontario hub coordinated three emergency fooddistribution events, issuing over 530 food boxes filled withfresh, frozen and dry foods. Not only did this help to increasethe community’s access to healthy food, it served as a practiceemergency preparedness exercise, in the event that a mass fooddistribution becomes necessary. OHSU News published an articleabout their work and campaign liaison Lindsay Grosvenor, R.D.,appeared on OPB’s Think Out Loud radio program.Affordable housing policyThe Ontario hub leadership team worked to understandbest practices for housing RFPs and establish relationshipswith developers and city planners to meet their goal ofintegrating food security strategies within all new, affordableFundingThe Moore Institute is continuallyraising funds for the management ofthe campaign. We also work directlywith the regional hubs to support theirefforts to raise funds for communitybased projects and to support theorganizational work they do for thecampaign. The campaign’s primaryfunding sources include: Ford Family Foundation Maybelle Clark Macdonald Fund Bob’s Red Mill Juan Young Trust Bob Moore Rose E. Tucker Charitable Trusthousing developments. They held a series of conversationswith Northwest Housing Alternatives to influence currentdevelopment plans and convened a work group to explore acommunity kitchen project.Mutual aid during a pandemicThe Eastern Oregon Healthy Living Alliance (EOHLA), thebackbone organization of the Eastern Oregon hub, submitteda proposal to the Oregon Community Foundation for resourcesto meet emerging pandemic food-related needs by establishinga mutual aid network, funding veggie prescriptions andproviding resources for Eastern Oregon local communityadvisory councils (LCACs). EOHLA also launched the EasternOregon Mutual Aid Network website, intended to bring togetherlocal resources and support to community members andorganizations for mutual benefit.Developing common evaluation measuresWe are interested in understanding the impact of the campaign’swork statewide. We’ve been working with an evaluationconsultant to develop shared metrics for evaluating the progressand impact of the Nutrition Oregon Campaign within the hubsand across the state.A N N U A L R E P O R T 2 0 19–2 0 2 07
Esteemed champion of social determinants ofhealth and equity visitsCamara Jones, M.D., Ph.D., M.P.H., visited OHSUto deliver the Mark O. Hatfield lecture in January.The lecture focused on “Achieving Health Equity:Tools for a National Campaign against Racism”and made clear the connection between racismand poor health. During her time at OHSU shevisited the OHSU Moore Institute and had a livelydiscussion about the importance of the MooreInstitute’s work.Camara Jones visitKent Thornburg, Ph.D., ScarlettHopkins, RN, M.A., Camara Jones, M.D., Ph.D.,M.P.H., Liana Haywood, M.P.H., Bert Boyer, Ph.D.L E F T TO R I G H T :Focus on educationA key part of the Moore Institute’smission is to share the science ofDOHaD. We do this by developingcurriculum for individuals of all ages,working to incorporate the scienceinto required educational standardsand by inspiring the next generationto carry the message forward.8Mentoring the next generationAs part of an academic institution, mentoringstudents is built into our DNA. We believe thatincluding students in the work of the MooreInstitute not only exposes them to the science ofDOHaD, but also helps to infuse the importanceof this work into the next generation of healthcare providers, researchers and public healthprofessionals. In the past year we hosted twostudents receiving a master’s degree in publichealth and two students completing their dieteticinternships, as well as two recent graduatesinterested in community coalition development.BOB AND CHARLEE MOORE INSTITUTE FOR NUTRITION & WELLNESS
Nutrition in a BoxNutrition in a Box is a self-contained nutrition curriculum for students infourth through eighth grades developed by the Moore Institute. It consistsof interactive stations that guide students through educational games andactivities that support the current USDA Dietary Guidelines. This year weworked with the Oregon State University (OSU) Supplemental NutritionAssistance Program Education (SNAP-Ed) program to conduct an evaluationof the curriculum in select schools across Oregon. The evaluation helped usbetter understand children’s nutritional health literacy needs at differentages. To meet those needs, one of our dietetic interns developed languagerecommendations and a glossary of nutritional terms with definitions thatare appropriate for our target ages.Developing web-based, continuing medical education curriculumThe Moore Institute recognizes that the science of DOHaD is only now beingadded into medical school curriculum. Most healthcare providers whograduated more than five years ago had little to no training in nutrition andits role in chronic disease risk during pregnancy and early life. The MooreInstitute’s Healthcare Provider Education Committee is working to fill thisgap in education by developing an online continuing education module. Thecurriculum for the module was developed by the committee, which includesfaculty from the Schools of Dentistry, Nursing and Medicine - includingFamily Medicine, Obstetrics & Gynecology, Neurology, Medicine, KnightCardiovascular Institute and Preventive Medicine. The module will be housedon the OHSU website and targeted toward internal and local providers first.In 2019 we were funded for the technical development of the module. Thisyear, we worked with a dietetic intern to research best practices for onlinecontinuing education, and develop a timeline and roadmap for developing theonline module.Nutrition in Pregnancy ConferenceIn 2019 we hosted the first national Nutrition in Pregnancy conference inWashington, D.C. to launch discussions about the need for specific nutritionguidelines for women before and during pregnancy and lactation. Weapplied for and received funding from the Vitamix Foundation to hosta spring 2020 conference. However, due to the COVID-19 pandemic, wepostponed the event until fall 2021.A N N U A L R E P O R T 2 0 19–2 0 2 09
Focus on researchThe strong base of research at OHSU looking into thebiological origins of chronic disease helped launchthe Moore Institute. Now, the Moore Institute and itscollaborators are involved in carrying that researchfrom the bench into the community.Early life nutrition part of NIH research planThe nation’s leading scientific research organization,the National Institutes of Health (NIH), includedthe role of nutrition during pregnancy and earlylife in their 2020–2030 nutrition research strategicplan. This is the first time it’s ever been included.The DOHaD field has grown rapidly since the early1990s when David Barker, M.D., Ph.D., FRCOG, firstintroduced the hypothesis that nutrition beforebirth is associated with risk of dying from heartdisease as an adult. Barker and Moore Institutedirector Kent Thornburg, Ph.D., visited NIH officialson several occasions emphasizing the need fornutrition research in early development to betterunderstand the roots of the U.S. obesity and diabetesepidemic. The Moore Institute has continued toadvocate for the NIH to prioritize nutrition research.Moore Institute provides input on USDADietary GuidelinesFor the first time, the 2020–2025 USDA DietaryGuidelines will include a section specific topregnant women and children from birth to24-months. The Moore Institute submitted publiccomments based on the findings from our 2019Nutrition in Pregnancy Conference to the DietaryGuidelines Advisory Committee. Following therelease of the committee’s scientific report, theMoore Institute again submitted formal comments.Both times we have worked in conjunction with theCenter for Science in the Public Interest (CSPI) toensure broad consensus among leading voices inprenatal and early life nutrition.10BOB AND CHARLEE MOORE INSTITUTE FOR NUTRITION & WELLNESS
Alaska Native Health and Wellness Research Center (ANHWRC) establishes Scientific Advisory CommitteeThe ANHWRC is designed to bring scientiststogether to assist in studies that will benefit thehealth of the Native people of Alaska.This year the Center established a ScientificAdvisory Committee to advocate for the Center andprovide scientific accountability.The scientific committee is separate from theexisting Tribal Oversight Committee, whichevaluates their continued partnership with Yup’ikpeople, including data and sample stewardship,data sharing policies and practices, return of resultsand priority setting.A N N U A L R E P O R T 2 0 19–2 0 2 0The ANHWRC research team has been workingremotely since travel to the Yukon-KuskokwimDelta region of SW Alaska was suspended due to thepandemic.The Center is also working to expand itscollaborative network, to involve additional OHSUfaculty in research activities.11
International CollaborationsMoore Institute director speaksat Qatar ConferenceIn early 2020, Moore Institute director KentThornburg, Ph.D., traveled to Doha, Qatar for theMaternal and Child Health (MCH) Symposium. Theconference advanced Qatar’s 2018–2022 NationalHealth Strategy prioritizing he
POLICY MANAGER, HEALTHY KLAMATH Ontario Hub Goal: All people in the Western Treasure Valley have access to what they need to enjoy a healthy and nutritious diet. We commit to 100 percent of . leaders from key sectors to socialize the campaign’s work in their communities and gain buy-in from key community leaders.
135,369 patients and 23,428 OHSU members tested. The COVID-19 Connected Care Center hotline answered 86,420 incoming phone calls and managed 165,445 test results. 11 million was raised by the OHSU Foundation specific to OHSU's COVID-19 response. 379 COVID-19 research projects reviewed and approved by the COVID-19 Research Taskforce .
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Faculty Coordinator, OHSU Department of Dermatology Resident Research Rotation (2004- 2011) Member, OHSU Department of Dermatology Executive Committee (2004-2011) Founder and Director, OHSU Center of Excellence for Psoriasis and Psoriatic Arthritis (CEPPA) (2006-2011) Invited ad hoc member, OHSU
Faculty Coordinator, OHSU Department of Dermatology Resident Research Rotation (2004-2011) Member, OHSU Department of Dermatology Executive Committee (2004-2011) Founder and Director, OHSU Center of Excellence for Psoriasis and Psoriatic Arthritis (CEPPA) (2006-2011) Invited ad hoc member, OHSU
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