TY - JOUR
T1 - Effects of a Culturally Grounded Community-Based Diabetes Prevention Program for Obese Latino Adolescents
AU - Shaibi, Gabriel
AU - Konopken, Yolanda
AU - Hoppin, Erica
AU - Keller, Colleen S.
AU - Ortega, Rocio
AU - Castro, Felipe
N1 - Funding Information:
The project was funded by the ASU Southwest Interdisciplinary Research Center through a grant from the National Institutes of Health, National Center on Minority Health and Health Disparities (P20MD002316).
Funding Information:
We are grateful to the families who participated in the ELSC-DPP and the promotoras (Saray Gordillo, Elva Madrid, and Elvia Madrid) who served as a critical link between the participants and the research team. We thank the administrative directors of our community partners (Janice Ertl, RN, MHSA, Virginia G. Piper Medical & Dental Clinic, and Jeff Myers, Lincoln Family YMCA) for their support and encouragement and Cecilia Chapman, RD, CDE, for her help developing the program. Dr Shaibi completed this work as part of an Early Career Faculty Fellowship in health disparities research with the ASU Southwest Interdisciplinary Research Center an Exploratory Center of Excellence for Health Disparities Research and Training.
PY - 2012/7
Y1 - 2012/7
N2 - Purpose The purpose of this study was to test the feasibility and preliminary effects of a culturally grounded, community-based diabetes prevention program among obese Latino adolescents. Fifteen obese Latino adolescents (body mass index [BMI] percentile = 96.3 ± 1.1, age = 15.0 ± 0.9 years) completed a 12-week intervention that included weekly lifestyle education classes delivered by bilingual/bicultural promotoras and three, 60-minute physical activity sessions per week. Participants were assessed for anthropometrics (height, weight, BMI, and waist circumference), cardiorespiratory fitness, physical activity/inactivity, nutrition behaviors, and insulin sensitivity and glucose tolerance by a 2-hour oral glucose tolerance test. The intervention resulted in significant decreases in BMI z score, BMI percentile, and waist circumference; increases in cardiorespiratory fitness; and decreases in physical inactivity and dietary fat consumption. In addition to these changes, the intervention led to significant improvements in insulin sensitivity and reductions in 2-hour glucose levels. These results support the feasibility and efficacy of a community-based diabetes prevention program for high-risk Latino youth. Translational approaches that are both culturally grounded and biologically meaningful represent a novel and innovative strategy for closing the obesity-related health disparities gap.
AB - Purpose The purpose of this study was to test the feasibility and preliminary effects of a culturally grounded, community-based diabetes prevention program among obese Latino adolescents. Fifteen obese Latino adolescents (body mass index [BMI] percentile = 96.3 ± 1.1, age = 15.0 ± 0.9 years) completed a 12-week intervention that included weekly lifestyle education classes delivered by bilingual/bicultural promotoras and three, 60-minute physical activity sessions per week. Participants were assessed for anthropometrics (height, weight, BMI, and waist circumference), cardiorespiratory fitness, physical activity/inactivity, nutrition behaviors, and insulin sensitivity and glucose tolerance by a 2-hour oral glucose tolerance test. The intervention resulted in significant decreases in BMI z score, BMI percentile, and waist circumference; increases in cardiorespiratory fitness; and decreases in physical inactivity and dietary fat consumption. In addition to these changes, the intervention led to significant improvements in insulin sensitivity and reductions in 2-hour glucose levels. These results support the feasibility and efficacy of a community-based diabetes prevention program for high-risk Latino youth. Translational approaches that are both culturally grounded and biologically meaningful represent a novel and innovative strategy for closing the obesity-related health disparities gap.
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U2 - 10.1177/0145721712446635
DO - 10.1177/0145721712446635
M3 - Article
C2 - 22585870
AN - SCOPUS:84863998043
SN - 0145-7217
VL - 38
SP - 504
EP - 512
JO - The Diabetes Educator
JF - The Diabetes Educator
IS - 4
ER -