Reach-Out: A Family-Based Diabetes Prevention Program for African American Youth
Reach-Out: A Family-Based Diabetes Prevention Program for African American Youth
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DOI：
10.1016/s0027-9684(15)30290-x
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发表时间：
2011-03-01
影响因子：
3.3
通讯作者：
Chin, Marshall H.
中科院分区：
文献类型：
--
作者：
Burnet, Deborah L.;Plaut, Andrea J.;Chin, Marshall H.
Objective: To pilot test and assess the feasibility of a culturally grounded approach to adolescent overweight and diabetes prevention.Study Design: Reach-Out, a family-based nutrition and exercise program for overweight African American youth aged 9 to 12 years and their families, is led by lay health leaders and conducted in a community setting on Chicago's south side (Illinois). Age-appropriate interactive sessions focus on skills building, problem solving, and setting goals during 14 weekly sessions, with monthly meetings thereafter. Pre-post comparisons were made for 29 families (62 subjects) using physical (body mass index [BMI), blood pressure, waist circumference), biochemical (glucose, insulin, lipid levels) and behavioral data. Statistical analyses included mixed-effects linear models and logistic regression.Results: Children's Mean BMI z score fell from 2.46 at baseline to 2.33 at 14 weeks and 2.39 at 1 year (p =.02), while parents' BMI remained stable. Children reported increased walking (p = 0.07) and exhibited a corresponding rise in mean serum high-density lipoprotein cholesterol from 49.4 to. 54.2 (p < .001). Qualitative assessment showed that participants enjoyed the program but felt the program could be improved by making the sessions even more interactive.Conclusion: A community-based program for overweight minority youth and families can successfully address over-weight, with the potential to decrease diabetes risk in youth.
