Preliminary testing of a program to prevent type 2 diabetes among high-risk youth
Preliminary testing of a program to prevent type 2 diabetes among high-risk youth
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DOI：
10.1111/j.1746-1561.2004.tb06595.x
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发表时间：
2004-01-01
影响因子：
2.2
通讯作者：
Melkus, G
中科院分区：
文献类型：
--
作者：
Grey, M;Berry, D;Melkus, G
2型糖尿病在青少年中呈上升趋势，其中少数族裔青少年风险最高。这项初步研究测试了以学校为基础的预防青少年2型糖尿病的可行性。41名参与者（年龄12.6 +/- 1.1岁，63%为女性，51%为非裔美国人，44%为西班牙裔，5%为白种人）被随机分为两组。实验组和对照组均接受营养教育和运动训练。实验组还接受了应对技能训练。收集的数据包括身体质量指数（BMI）、胰岛素抵抗、饮食摄入（24小时食品召回）、自我效能感（健康行为问卷）、活动量（修订Godin-Shepard活动调查）和父母健康促进行为（健康促进生活方式问卷III）。基线BMI范围从27到53 (M=36.2 +/- 6.0), 95% （n = 39）在口服葡萄糖耐量试验中表现出胰岛素抵抗或糖尿病前期。12个月后，实验组表现出改善日常食物选择（p = 0.1）和增加饮食知识（p = 0.3）的趋势。他们还表现出较低的血糖（p = .07）和胰岛素水平（p = .2）。实验组父母表现出更好的健康责任感（p = .03），更健康的营养选择（p = .05），改善的压力管理技能（p = .05），增加的活动（p = .2）和增加的灵性（p = .2）。数据显示，为多民族青少年量身定制的学校项目可能会成功地帮助这些青少年增加活动，改善营养状况，稳定葡萄糖和胰岛素代谢，也可能有效地改变父母的健康行为。
Type 2 diabetes is increasing among youth, with minority youth at highest risk. This preliminary study tested the feasibility of a school-based program to prevent type 2 diabetes in youth at risk. Forty-one participants (age 12.6 +/- 1.1 years; 63% female, 51% African American, 44% Hispanic, and 5% Caucasian) were randomly assigned to one of two groups. Both the experimental and control groups received nutrition education and exercise training. The experimental group also received coping skills training. Data collected included body mass index (BMI), insulin resistance, dietary intake (24-Hour Food Recall), self-efficacy (Health Behavior Questionnaire), activity (Revised Godin-Shepard Activity Survey), and parents' health promoting behaviors (Health Promoting Lifestyle Profile III). At baseline BMI ranged from 27 to 53 (M=36.2 +/- 6.0), and 95% (n = 39) demonstrated insulin resistance or pre-diabetes on an oral glucose tolerance test. After 12 months, the experimental group showed trends in improved usual food choices (p = .1) and increased dietary knowledge (p = .3). They also demonstrated lower glucose (p = .07) and insulin levels (p = .2). Experimental group parents demonstrated improved health responsibility (p = .03), healthier nutrition choices (p = .05), improved stress management skills (p = .05), increased activity (p = .2), and increased spirituality (p = .2). Data suggest a school-based program tailored to multiethnic youth may prove successful in helping these youth increase activity, improve nutrition status, and stabilize glucose and insulin metabolism, and also may be effective in changing parent health behavior.