Bienestar: A Diabetes Risk‐Factor Prevention Program

Treviño, Robert P.; Pugh, Jacqueline A.; Hernández, Arthur E.; Menchaca, Velma D.; Ramirez, Robert R.; Mendoza, Monica

doi:10.1111/j.1746-1561.1998.tb07192.x

Cited by 65 publications

(63 citation statements)

References 25 publications

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“…This approach has proved beneficial in other school-based studies (Trevino et al, 1998;Sahota et al, 2001). Doak et al (2006) in their review of school-based interventions emphasized the importance of altering the social environment such as changing the school canteen for primary prevention of obesity in school children.…”

Section: Discussionmentioning

confidence: 99%

Effects of controlled school-based multi-component model of nutrition and lifestyle interventions on behavior modification, anthropometry and metabolic risk profile of urban Asian Indian adolescents in North India

et al. 2010

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Background/Objectives: To study the effectiveness of a multi-component intervention model of nutrition and lifestyle education on behavior modification, anthropometry and metabolic risk profile of urban Asian-Indian adolescents in North India. Subjects/Methods: Two schools matched for student strength and middle socioeconomic strata were randomly allocated to intervention and control group. Changes in nutrition-related knowledge, attitude, lifestyle practices, food frequency and body image of eleventh-grade students (15-17 years) in both schools were tested using a validated questionnaire. Anthropometric and biochemical measurements were made using standard methods. Segmental body composition analysis was carried out using an 8-electrode multifrequency bioelectrical impedance method of body fat estimation. Results: At 6 months follow-up, significant improvement in several domains of knowledge was observed in intervention children (n ¼ 99; males ¼ 60; females ¼ 39) as compared with control school children (n ¼ 102; males ¼ 61; females ¼ 41). In the intervention group, significantly lower proportion of children consumed aerated drinks (15.1%; Po0.001) and energy-dense unhealthy foods (8.9%; P ¼ 0.03), whereas significantly higher proportion brought tiffin (packed lunch) to school (14.9%; P ¼ 0.004) and brought a fruit in their tiffin (30.7%; Po0.001) as compared with the control group. Significant decrease in mean waist circumference (P ¼ 0.02, 95% confidence interval (CI) ¼ À2.43,À0.17), sagittal abdominal diameter (Po0.001, 95% CI ¼ À0.82,À0.09), waist-to-hip ratio (P ¼ 0.02, 95% CI ¼ À0.03,À0.004) and fasting blood glucose (P ¼ 0.05, 95% CI ¼ À0.09, 5.00) was seen in intervention as compared with control school children. Conclusions: Multi-component model of nutrition and lifestyle education was successful in improving the nutrition-related knowledge, eating habits and lifestyle practices, and resulted in beneficial changes in anthropometric and biochemical profiles of the Asian Indian adolescents. This model should be applied on countrywide basis to prevent obesity and diabetes.

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Section: Discussionmentioning

confidence: 99%

Effects of controlled school-based multi-component model of nutrition and lifestyle interventions on behavior modification, anthropometry and metabolic risk profile of urban Asian Indian adolescents in North India

et al. 2010

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“…Over a 10-year period (1998-2007), of 10 peer-reviewed studies evaluating dietary behavioral change in out-of-school programs in the United States, 9 evaluated short-term change (6)(7)(8)(9)(10)(11)(12)(13)(14)(15). Only one evaluated intake 4 months post-intervention, demonstrating possible lasting impact (10).…”

Section: Introductionmentioning

confidence: 99%

Impact of After-school Nutrition Workshops in a Public Library Setting

Freedman

Nickell

2010

Journal of Nutrition Education and Behavior

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Objective: To determine if after-school nutrition workshops conducted in public libraries were related to lasting changes in food choice. Methods: "Snack Smart" workshops, based on Social Cognitive Theory, were conducted in 8 branch libraries. Quasi-experimental design assessed changes in consumption of targeted foods by pretest, posttest and follow-up food frequency questionnaires designed by the authors, and analyzed using the Friedman test for repeated measures and Wilcoxon signed ranks. Results: In a convenience sample of 49 ethnically diverse children ages 9 to 14, intake of milk, vegetable, and water significantly increased at 3-week posttest (P < 0.05), but only water intake showed a significant change from pretest to follow-up 3 months later. Conclusions and Implications: This low intensity program did not produce lasting behavior change, as measured by changes in food frequency at 3 months post intervention. The study supports the need to critically evaluate out-of-school nutrition programs for lasting impact.

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“…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].…”

Section: Discussionmentioning

confidence: 83%

“…Some studies focused on an intervention that utilized a promotora or community-health worker only model [29]. Other studies focused their intervention on one specific form of activity, such as dance [27]; others used a combination of 2-3 activities [31,32]. One study included multiple components, including the environmental activity of a schoolbased committee, to assist with recommendations for improvements in nutrition and physical activity [33].…”

Section: Discussionmentioning

confidence: 99%

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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Bienestar: A Diabetes Risk‐Factor Prevention Program

Cited by 65 publications

References 25 publications

Effects of controlled school-based multi-component model of nutrition and lifestyle interventions on behavior modification, anthropometry and metabolic risk profile of urban Asian Indian adolescents in North India

Effects of controlled school-based multi-component model of nutrition and lifestyle interventions on behavior modification, anthropometry and metabolic risk profile of urban Asian Indian adolescents in North India

Impact of After-school Nutrition Workshops in a Public Library Setting

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

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