A multifaceted school-based intervention to reduce risk for type 2 diabetes in at-risk youth
| Autor: | Vanessa Jefferson, Margaret Grey, Marita G. Holl, Veronika Northrup, Sarah S. Jaser, James Dziura |
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| Rok vydání: | 2009 |
| Předmět: |
Male
Gerontology Health Knowledge Attitudes Practice medicine.medical_specialty Health coaching Adolescent Epidemiology education Directive Counseling Type 2 diabetes Article Body Mass Index law.invention Cohort Studies Randomized controlled trial law Intervention (counseling) Adaptation Psychological Humans Medicine Child Health Education School Health Services Preventive healthcare Self-efficacy business.industry Urban Health Public Health Environmental and Occupational Health medicine.disease Self Efficacy Diabetes Mellitus Type 2 Socioeconomic Factors Physical therapy Female business human activities Body mass index Cohort study |
| Zdroj: | Preventive Medicine. 49:122-128 |
| ISSN: | 0091-7435 |
| DOI: | 10.1016/j.ypmed.2009.07.014 |
| Popis: | Objective To evaluate the impact of a multifaceted, school-based intervention on inner city youth at high risk for type 2 diabetes mellitus (T2DM) and to determine whether the addition of coping skills training (CST) and health coaching improves outcomes. Method 198 students in New Haven, CT at risk for T2DM (BMI > 85th percentile and family history of diabetes) were randomized by school to an educational intervention with or without the addition of CST and health coaching. Students were enrolled from 2004 to 2007 and followed for 12 months. Results Students in both groups showed some improvement in anthropometric measures, lipids, and depressive symptoms over 12 months. BMI was not improved by the intervention. Students who received CST showed greater improvement on some indicators of metabolic risk than students who received education only. Conclusion A multifaceted, school-based intervention may hold promise for reducing metabolic risk in urban, minority youth. |
| Databáze: | OpenAIRE |
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