A multifaceted school-based intervention to reduce risk for type 2 diabetes in at-risk youth

Grey, Margaret; Jaser, Sarah S.; Holl, Marita G.; Jefferson, Vanessa; Dziura, James; Northrup, Veronika

doi:10.1016/j.ypmed.2009.07.014

Cited by 38 publications

(45 citation statements)

References 35 publications

(34 reference statements)

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“…These results are partially shared in the literature [18,[27][28][29][30]. One school-based program among Mexican-American youth at risk for T2DM, similar to this study, shows the importance of creating a comprehensive network of activities in the classroom, the home, and the school environment, with these schools having youth with improved physical fitness and reduced body fat [31].…”

Section: Discussionsupporting

confidence: 80%

“…One school-based program among Mexican-American youth at risk for T2DM, similar to this study, shows the importance of creating a comprehensive network of activities in the classroom, the home, and the school environment, with these schools having youth with improved physical fitness and reduced body fat [31]. Another study among Latino and African youth at risk for T2DM utilized a schoolbased program that included nutrition and physical activity education and coping skills training found decreases in BMI, plasma glucose and depression [30]. Additional school-based intervention studies with youth in grades 2-4 showed similar post-intervention results of youth in the intervention group, with statistically significant relative decreases in BMI [18,27]; however, the studies showed no changes in PE class attendance [18,28].…”

Section: Discussionsupporting

confidence: 67%

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A Comprehensive School Health Program to Reduce Disparities and Risk for Type 2 Diabetes in Overweight At-Risk Youth

Wright

Norris²,

Giger

2012

Endocrinol Metabol Syndrome

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With the significant increase in the number of racial/ethnic minority youth with obesity and type 2 diabetes mellitus (T2DM), effective approaches are urgently needed. Although previous school-based studies have demonstrated that programs combining environmental, behavioral and educational components can be successful in preventing cardiovascular disease in youth such studies have not focused on youth at higher risk for T2DM-inner city, racial/ ethnic minority youth. Engaging in regular physical activity is widely accepted as an effective preventative measure for a variety of obesity-related chronic diseases including diabetes and metabolic syndrome. Disparities exist where racial/ethnic minority and low-income youth do not meet these physical activity recommendations. Schools, through the provision of culturally and developmentally appropriate healthy lifestyle programs, have the power to decrease body mass index (BMI) and increase physical activity, especially for racial/ethnic, inner-city at youth at risk for T2DM. The present clustered, randomized controlled trial study utilized a community-based participatory research approach to evaluate the impact of a family-centered, culturally sensitive, comprehensive school health program, called Kids N Fitness © , on BMI z-scores and physical activity behaviors of the youth participant from baseline to the 12-month followup among a sample of Mexican-American, inner-city elementary school youth (N = 97) in Los Angeles County at risk for T2DM. Results: Youth who participated in the KNF © program had significant decreases in BMI (p = 0.05), BMI body mass index z-scores (p = 0.03), vigorous daily physical activity (p = 0.01) and PE class attendance (p = 0.02) from baseline to the 12 month follow-up. Conclusions: These results suggest that a culturally appropriate, comprehensive school health program may have promise for decreasing BMI and BMI z-scores and increasing activity in this high risk sample. Clinicians and teachers can incorporate the approaches used in this study to reduce the risk of T2DM in youth at risk. Comprehensive school health programs and prevention of T2DMGiven the rapid rise in obesity among youth, researchers have focused on developing comprehensive programs with the goal of reducing or preventing increases in BMI. A Cochrane review of 64 randomized clinical interventions designed to treat obesity in youth concluded that behavior lifestyle interventions had a significant effect on reducing BMI in youth up to 12 months post-intervention, noting that the most effective interventions combined dietary, physical activity and behavioral components [12]. Schools serve as an excellent venue to provide students with the opportunity for daily physical activity and to teach the importance of regular physical activity and a healthy diet in order to build skills that support active lifestyles [13][14][15] and decrease their risk for T2DM. Schools have access to school nurses who can provide screening, counseling and continuum of care [13][14][15]. In co...

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Section: Discussionsupporting

confidence: 80%

Section: Discussionsupporting

confidence: 67%

A Comprehensive School Health Program to Reduce Disparities and Risk for Type 2 Diabetes in Overweight At-Risk Youth

Wright

Norris²,

Giger

2012

Endocrinol Metabol Syndrome

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“…46 Although there have been few large-scale studies of type 2 diabetes prevention or management in youths with the exception of the TODAY study, 47 our group recently conducted a smaller efficacy trial of a multifaceted, school-based intervention (nutrition and physical activity education and coping skills training) aimed at prevention of type 2 diabetes in a high-risk, minority population (n = 198, 55% African-American, 42% Hispanic) of adolescents at risk for type 2 diabetes by virtue of obesity and family history of diabetes. 48 In this study, schools were randomized to two intervention groups to avoid individual contamination: educational intervention with or without the addition of coping skills training and health coaching. Students were followed for 12 months.…”

Section: Evidence For Coping Skills Training With Children and Adolesmentioning

confidence: 99%

Coping Skills Training for Youths With Diabetes

Grey¹

2011

Diabetes Spectrum

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The ability to self-manage diabetes is crucial for youths with type 1 diabetes and for the prevention of type 2 diabetes. However, such abilities are based not only in education but also in the acquisition of behavioral skills that assist with the application of such knowledge. This review describes a series of studies on a cognitive behavioral intervention called coping skills training, which is designed to enhance youths' ability to manage diabetes. Margaret Grey, DrPH, RN, FAAN Coping Skills Training for Youths With DiabetesDuring the past 20 years, results of several major trials have demonstrated that intensive management of type 1 and type 2 diabetes can delay or prevent the onset and progression of many complications of the disease.

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“…The HEALTHY Study Group (12) , aplicó en 42 escuelas, una estrategia multidisciplinaria que incluía los componentes de nutrición, conocimientos y habilidades, comunicación y marketing social; obteniendo reducciones significativas de indicadores metabólicos como obesidad/sobrepeso (p=0,03) o glicemia e insulina sérica (p=0,04). Asimismo, Grey et al (11) , implementaron también un programa educativo integral, que agregaba clases de estrategias de afrontamiento de problemas y consejería telefónica a la intervención educativa habitual, para la prevención de la diabetes mellitus tipo 2 en 198 estudiantes con una edad promedio de 12 años, y factores de riesgo como obesidad o sobrepeso.…”

Section: Discussionunclassified

“…Al ser la obesidad y sobrepeso, los factores de riesgo modificables más importantes para la aparición de DM2 en niños, es importante desarrollar programas educativos que incidan en el control del peso corporal y la adopción de estilos de vida saludables (10) . Experiencias anteriores en otros países han tenido efectos contradictorios, probablemente debido al uso incorrecto de los componentes encargados de la modificación sostenible de conductas de riesgo (11,12) . Uno de estos componentes es la educación para la salud, la cual aborda, además de la transmisión de la información, el fomento de la motivación, las habilidades personales y la autoestima, necesarias para adoptar medidas destinadas a mejorar la salud (13) .…”

Section: Introductionunclassified

Efecto de un programa educativo en el nivel de conocimiento sobre diabetes mellitus 2 en niños de una institucion educativa de Lima

Jara¹,

Arellano²

2017

Rev. per. med. integr.

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Objetivo. Determinar el efecto de un programa educativo sobre el nivel de conocimientos en laprevención de la diabetes mellitus tipo 2 en niños del nivel primario de una institución educativa enLima. Materiales y métodos. Estudio cuasiexperimental pre post de un solo grupo. Se incluyerona 113 niños del cuarto y quinto grado de primaria, en una institución educativa en Lima Norte.Se aplicó un programa educativo multicomponente para prevención de diabetes mellitus tipo 2que abarcó cuatro dimensiones: información de la enfermedad, actividad física, prevención dela obesidad y alimentación saludable. Se midió el nivel de conocimientos antes y después de laintervención mediante un cuestionario validado, clasificando esta variable en alto, medio ybajo. Resultados. Se encontraron diferencias significativas en las medias de los puntajes de lasdimensiones: Información de la Enfermedad (p<0,001), Actividad Física (p=0,017) y AlimentaciónSaludable (p<0,001). El porcentaje de respuestas adecuadas disminuyó en dos de tres preguntasde la dimensión Actividad Física. Antes del programa educativo, el 66,3% de los estudiantespresentaba un nivel de conocimiento medio de la prevención de la diabetes; mientras que, despuésdel programa educativo, 70,8% de los evaluados presentó un nivel alto. Conclusiones. La aplicacióndel programa educativo “Desde niños, juntos contra la diabetes” aumenta el nivel de conocimientosobre la prevención

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A multifaceted school-based intervention to reduce risk for type 2 diabetes in at-risk youth

Cited by 38 publications

References 35 publications

A Comprehensive School Health Program to Reduce Disparities and Risk for Type 2 Diabetes in Overweight At-Risk Youth

A Comprehensive School Health Program to Reduce Disparities and Risk for Type 2 Diabetes in Overweight At-Risk Youth

Coping Skills Training for Youths With Diabetes

Efecto de un programa educativo en el nivel de conocimiento sobre diabetes mellitus 2 en niños de una institucion educativa de Lima

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