OBJECTIVE: To evaluate the impact of a school-based diabetes mellitus prevention program on low-income fourth-grade Mexican American children. DESIGN: A randomized controlled trial with 13 intervention and 14 control schools. SETTING:Elementary schools in inner-city neighborhoods in San Antonio, Tex. PARTICIPANTS: Eighty percent of participants were Mexican American and 94% were from economically disadvantaged households. Baseline and follow-up measures were collected from 1419 (713 intervention and 706 control) and 1221 (619 intervention and 602 control) fourth-grade children, respectively. INTERVENTION: The Bienestar Health Program consists of a health class and physical education curriculum, a family program, a school cafeteria program, and an after-school health club. The objectives are to decrease dietary saturated fat intake, increase dietary fiber intake, and increase physical activity. MAIN OUTCOME MEASURES: The primary end point was fasting capillary glucose level, and the secondary end points were percentage of body fat, physical fitness level, dietary fiber intake, and dietary saturated fat intake. Fasting capillary glucose level, bioelectric impedance, modified Harvard step test, three 24-hour dietary recalls, weight, and height were collected at baseline and 8 months later. RESULTS: Children in the intervention arm attended an average of 32 Bienestar sessions. Mean fasting capillary glucose levels decreased in intervention schools and increased in control schools after adjusting for covariates (-2.24 mg/dL [0.12 mmol/L]; 95% confidence interval, -6.53 to 2.05 [-0.36 to 0.11 mmol/L]; P =.03). Fitness scores (P =.04) and dietary fiber intake (P =.009) significantly increased in intervention children and decreased in control children. Percentage of body fat (P =.56) and dietary saturated fat intake (P =.52) did not differ significantly between intervention and control children. CONCLUSION: This intervention showed some positive results, but additional research is needed to examine long-term benefits, translation, and cost-effectiveness.
RCT Entities:
OBJECTIVE: To evaluate the impact of a school-based diabetes mellitus prevention program on low-income fourth-grade Mexican American children. DESIGN: A randomized controlled trial with 13 intervention and 14 control schools. SETTING: Elementary schools in inner-city neighborhoods in San Antonio, Tex. PARTICIPANTS: Eighty percent of participants were Mexican American and 94% were from economically disadvantaged households. Baseline and follow-up measures were collected from 1419 (713 intervention and 706 control) and 1221 (619 intervention and 602 control) fourth-grade children, respectively. INTERVENTION: The Bienestar Health Program consists of a health class and physical education curriculum, a family program, a school cafeteria program, and an after-school health club. The objectives are to decrease dietary saturated fat intake, increase dietary fiber intake, and increase physical activity. MAIN OUTCOME MEASURES: The primary end point was fasting capillary glucose level, and the secondary end points were percentage of body fat, physical fitness level, dietary fiber intake, and dietary saturated fat intake. Fasting capillary glucose level, bioelectric impedance, modified Harvard step test, three 24-hour dietary recalls, weight, and height were collected at baseline and 8 months later. RESULTS:Children in the intervention arm attended an average of 32 Bienestar sessions. Mean fasting capillary glucose levels decreased in intervention schools and increased in control schools after adjusting for covariates (-2.24 mg/dL [0.12 mmol/L]; 95% confidence interval, -6.53 to 2.05 [-0.36 to 0.11 mmol/L]; P =.03). Fitness scores (P =.04) and dietary fiber intake (P =.009) significantly increased in intervention children and decreased in control children. Percentage of body fat (P =.56) and dietary saturated fat intake (P =.52) did not differ significantly between intervention and control children. CONCLUSION: This intervention showed some positive results, but additional research is needed to examine long-term benefits, translation, and cost-effectiveness.
Authors: Kirsten A McAuley; Sheila M Williams; Jim I Mann; Ailsa Goulding; Alex Chisholm; Noela Wilson; Gretchen Story; Rebecca T McLay; Michelle J Harper; Ianthe E Jones Journal: Diabetes Care Date: 2002-03 Impact factor: 19.112
Authors: Jennifer C Lovejoy; Steven R Smith; Catherine M Champagne; Marlene M Most; Michael Lefevre; James P DeLany; Yvonne M Denkins; Jennifer C Rood; Johannes Veldhuis; George A Bray Journal: Diabetes Care Date: 2002-08 Impact factor: 19.112
Authors: David J A Jenkins; Cyril W C Kendall; Livia S A Augustin; Margaret C Martini; Mette Axelsen; Dorothea Faulkner; Edward Vidgen; Tina Parker; Herb Lau; Philip W Connelly; Jerome Teitel; William Singer; Arthur C Vandenbroucke; Lawrence A Leiter; Robert G Josse Journal: Diabetes Care Date: 2002-09 Impact factor: 19.112
Authors: Mary Shaw-Perry; Charlotte Horner; Roberto P Treviño; Erica T Sosa; Irene Hernandez; Abhishek Bhardwaj Journal: J Natl Med Assoc Date: 2007-04 Impact factor: 1.798
Authors: Shahid Choudhry; Lori McClinton-Powell; Marla Solomon; Dawnavan Davis; Rebecca Lipton; Amy Darukhanavala; Althera Steenes; Kavitha Selvaraj; Katherine Gielissen; Lorne Love; Renee Salahuddin; Frank K Embil; Dezheng Huo; Marshall H Chin; Michael T Quinn; Deborah L Burnet Journal: Prog Community Health Partnersh Date: 2011
Authors: Roger Zoorob; Maciej S Buchowski; Bettina M Beech; Juan R Canedo; Rameela Chandrasekhar; Sylvie Akohoue; Pamela C Hull Journal: Contemp Clin Trials Date: 2013-04-26 Impact factor: 2.226
Authors: Y Wang; L Cai; Y Wu; R F Wilson; C Weston; O Fawole; S N Bleich; L J Cheskin; N N Showell; B D Lau; D T Chiu; A Zhang; J Segal Journal: Obes Rev Date: 2015-04-20 Impact factor: 9.213
Authors: Rector Arya; Vidya S Farook; Sharon P Fowler; Sobha Puppala; Geetha Chittoor; Roy G Resendez; Srinivas Mummidi; Jairam Vanamala; Laura Almasy; Joanne E Curran; Anthony G Comuzzie; Donna M Lehman; Christopher P Jenkinson; Jane L Lynch; Ralph A DeFronzo; John Blangero; Daniel E Hale; Ravindranath Duggirala; Vincent P Diego Journal: Genet Epidemiol Date: 2018-02-20 Impact factor: 2.135
Authors: Gary D Foster; Barbara Linder; Tom Baranowski; Dan M Cooper; Linn Goldberg; Joanne S Harrell; Francine Kaufman; Marsha D Marcus; Roberto P Treviño; Kathryn Hirst Journal: N Engl J Med Date: 2010-06-27 Impact factor: 91.245
Authors: R P Laursen; L Lauritzen; C Ritz; C B Dyssegaard; A Astrup; K F Michaelsen; C T Damsgaard Journal: Eur J Clin Nutr Date: 2014-12-10 Impact factor: 4.016