Development of a primary prevention program: insight gained in the Zuni Diabetes Prevention Program.
Development of a primary prevention program: insight gained in the Zuni Diabetes Prevention Program.
复制标题
制定初级预防计划:从 Zuni 糖尿病预防计划中获得的见解。
DOI:
10.1177/000992289803700211
复制
发表时间:
1998
影响因子:
1.6
通讯作者:
Ritenbaugh,CK
中科院分区:
文献类型:
--
作者:
Teufel,NI;Ritenbaugh,CK
Diabetes prevention programs are essential in Native American communities that are experiencing high rates of non-insulin dependent diabetes mellitus (NIDDM). These programs must be community based and supported in order to succeed. The Zuni Diabetes Prevention Program (Program) is a community-based primary prevention project designed to reduce the prevalence of diabetes risk factors among high-school-age youths. The Program strives to enhance knowledge of diabetes and to support increased physical activity, increased fruit and vegetable intake, and reduced soft drink consumption. The primary mechanisms of intervention are diabetes education, a school-based wellness center, supportive social networks, and modification of the food supply available to teens. Program evaluation uses a multiple cross-sectional model; assessment occurs at three points within the 4-year project. Midproject results indicate a significant reduction in soft drink consumption and an increase in glucose/insulin ratios, suggesting a decline in the inci dence of hyperinsulinemia.Clin Pediatr.1998;37:131-142