Purpose This study was designed to assess the feasibility of culturally and language-sensitive diabetes education as a way to increase physical activity and to improve health/diabetes management in a group of Spanish-speaking Hispanics in the Inland Empire region of Southern California. Methods En Balance is a culturally sensitive diabetes education program designed for Spanish-speaking Hispanic adults. The 3-month educational intervention assessed 16 males and 23 females living in Riverside and San Bernardino counties of Southern California. Baseline and 3-month evaluations of physical activity were assessed using the validated Arizona Activity Frequency Questionnaire. Results After 3 months on the En Balance program, there was a significant increase in moderate intensity physical activity energy expenditure (M = 368 ± 894 kcal/day, P < 0.01) and high intensity physical activity energy expenditure (M = 405 ± 2569 kcal/day, P = 0.05) compared to baseline and significant reductions in A1C (−0.90%, P = 0.01), total cholesterol (−13.44 mg/dl, P = 0.01), LDL cholesterol (−10.28 mg/dl, P = 0.03), and waist circumference (−1.52 cm, P = 0.04). Conclusion En Balance program resulted in significant mean increases in both moderate and high intensity physical activity energy expenditure among this group of Hispanic diabetic participants, indicating that despite a general pattern of low physical activity in this group, an intervention that stresses both nutrition and exercise in culturally sensitive ways can positively impact participant’s physical activity levels as well as impact nutritional changes.
ObjectiveTo assess the effect of ‘En Balance’ on blood sugar control and physical activity.MethodsHispanic subjects (n=16 males, 23 females) participated in a 3 month education intervention with baseline and three month assessments of physical activity using the Arizona Activity Frequency Questionnaire. Paired sample t‐tests were used to assess mean changes in physical activity energy expenditure, blood samples, anthropometric measures, and body composition using fan beam dual X‐ray absorptiometry (DXA); Hologic Discovery A (software v. 12.6).ResultsAfter 3 months, there was a significant increase in moderate intensity physical activity energy expenditure (μ=368±894 kcal/day, p<.01) and high intensity physical activity energy expenditure (μ=405±2569 kcal/day, p=.05) compared to baseline, and significant reductions in hemoglobin A1c (−0.90%, p=.01), total cholesterol (−13.44 mg/dl, p=.01), LDL cholesterol (−10.28 mg/dl, p=.03) and waist circumference (−1.52 cm, p=.04).ConclusionCulturally sensitive diabetes education led to significant improvements in moderate and high intensity physical activity energy expenditure and glucose control in this population of Hispanics with diabetes.Funded by: NIH award 5P20MD001632
O: To evaluate the effect of self‐efficacy on diet, blood glucose and plasma lipids among Hispanics with diabetes.M: Thirty four subjects (9 M & 25 F), ages 39 ‐ 69 years, participated in a 3‐month follow‐up study. "My Family Habits" questionnaire assessed changes in dietary self‐efficacy. Wilcoxon's Signed Rank and Pairedt‐Tests assessed changes between baseline and follow‐up and Spearman's correlation assessed associations between self‐monitored dietary intake and laboratory measurements.R: In all subjects, there was a significant increase in self‐efficacy in choosing foods labeled low sodium, sodium free or no salt added (p=0.031), filling salt‐shakers with a mixture of herbs and spices (p=0.018), choosing fruits and vegetables instead of high fat foods (p=0.0198), and baking instead of frying fish (p=0.0084). After three months, HbA1c (p=0.0027), plasma total cholesterol (p=0.0006), plasma LDL cholesterol (p=0.0009), and blood glucose (p=0.0043), were inversely associated with choosing fruits and vegetables instead of high fat foods. A negative correlation was observed between plasma total cholesterol (p=0.012) and reading labels to choose foods lower in calories.C: After a three‐month culturally and language‐sensitive diabetes education program, subjects with improved dietary choices had lower HbA1c, total cholesterol, LDL cholesterol and blood glucose.
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