Preliminary testing of a program to prevent type 2 diabetes among high-risk youth

Margaret Grey, Diane Berry, Maryanne Davidson, Pam Galasso, Elaine Gustafson, Gail D'Eramo Melkus

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
Pages (from-to)10-15
Number of pages6
JournalThe Journal of school health
Volume74
Issue number1
StatePublished - Jan 2004

Fingerprint

Type 2 Diabetes Mellitus
chronic illness
health behavior
parents
Health Behavior
Group
nutrition
Insulin Resistance
Body Mass Index
Parents
Insulin
food
Glucose
Food
stress management
Spirituality
nutrition education
Psychological Adaptation
Health
Feasibility Studies

ASJC Scopus subject areas

  • Nursing(all)
  • Public Health, Environmental and Occupational Health
  • Education

Cite this

Grey, M., Berry, D., Davidson, M., Galasso, P., Gustafson, E., & D'Eramo Melkus, G. (2004). Preliminary testing of a program to prevent type 2 diabetes among high-risk youth. The Journal of school health, 74(1), 10-15.

Preliminary testing of a program to prevent type 2 diabetes among high-risk youth. / Grey, Margaret; Berry, Diane; Davidson, Maryanne; Galasso, Pam; Gustafson, Elaine; D'Eramo Melkus, Gail.

In: The Journal of school health, Vol. 74, No. 1, 01.2004, p. 10-15.

Research output: Contribution to journalArticle

Grey, M, Berry, D, Davidson, M, Galasso, P, Gustafson, E & D'Eramo Melkus, G 2004, 'Preliminary testing of a program to prevent type 2 diabetes among high-risk youth', The Journal of school health, vol. 74, no. 1, pp. 10-15.
Grey, Margaret ; Berry, Diane ; Davidson, Maryanne ; Galasso, Pam ; Gustafson, Elaine ; D'Eramo Melkus, Gail. / Preliminary testing of a program to prevent type 2 diabetes among high-risk youth. In: The Journal of school health. 2004 ; Vol. 74, No. 1. pp. 10-15.
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