Take the Diabetes Health Pump Survey
See What's Inside
Read this FREE issue now
For healthcare professionals only
  • 12 Tips for Traveling With Diabetes
See the entire table of contents here!

You can view the current or previous issues of Diabetes Health online, in their entirety, anytime you want.
Click Here To View

See if you qualify for our free healthcare professional magazines. Click here to start your application for Pre-Diabetes Health, Diabetes Health Pharmacist and Diabetes Health Professional.

Learn More About the Professional Subscription

Free Diabetes Health e-Newsletter
Latest
Popular
Top Rated
Fasting Glucose Archives
Print | Email | Share | Comments (0)

Community-based Obesity and Type 2 Diabetes Prevention Programs for Children


Feb 4, 2012

Due to the rising rates of diabetes and other chronic diseases related to obesity, children are expected to have a shorter lifespan than their parents for the first time in modern history. One in every three children aged two to 19 years is overweight or obese, and one-third of all children born in the year 2000 are expected to develop diabetes during their lifetime.

Overweight and obese children are at higher risk of reduced academic performance, lower self-esteem, and higher incidences of depression. They are also more likely to become obese adults with an increased risk for many diseases, including type 2 diabetes, heart disease, some forms of arthritis, and several types of cancer.

Research suggests that low-income communities of color have the highest risk of developing these diseases. Due to greater inherited risk, African-American and Latino children have an up to eight-fold higher risk of developing obesity and diabetes than Caucasians. Low socioeconomic status further increases the risk.

Interventions that prevent obesity and diabetes are vital in preserving a future for ourselves, our children, and our families. Our recently completed project, Taking Action Together, aimed to reduce the rate of type 2 diabetes in overweight African-American children. Our secondary goal was to promote general health by improving nutrition, increasing physical activity, and building strong self-esteem.

The program was developed in collaboration with experts in nutrition, exercise physiology, medicine, public health, psychology, education, and cultural sensitivity. Principal Investigator Professor Sharon E. Fleming received funding from USDA CSREES grants, the Agriculture Experiment Station, and the YMCA.

Our targeted populations reside in some of the poorest neighborhoods in the cities of Oakland and Richmond, California. In these areas, 80 to 96 percent of the population are African American and Latino, and 75 to 100 percent are socially disadvantaged children who qualify for school lunch programs and whose parents did not finish high school. Additionally, up to 75 percent are overweight or obese and at high risk of developing type 2 diabetes.

We worked with overweight, African-American, inner-city Oakland children, ages nine to 11 years, and their families. The program, delivered in partnership with the YMCA, provided a two- week camp followed by weekly (child) and monthly (family) sessions that included hands-on and interactive activities regarding nutrition education, physical activity promotion, and self-esteem and self-efficacy building. The program was well received by participating children, their families, and program staff members. It appears to be sustainable and transferable to other ethnic groups and community settings.

The program successfully increased insulin sensitivity in participating boys, thereby reducing their progression toward type 2 diabetes. After one year of intervention, treatment boys showed a drop in insulin resistance, fasting glucose, and fasting insulin compared to control boys (results published in the Journal of Pediatric Endocrinology & Metabolism). Rates of attendance strongly influenced efficacy, suggesting that more frequent programming may result in significant improvements in girls as it did in boys. Improvements in insulin sensitivity were related to increased activity in boys and to reductions in sugar intake in girls. In comparison to children in the control group, children in the treatment groups showed stronger self-esteem, more positive behavioral characteristics, and less depression, anxiety, and hyperactivity.

Due to the alarming statistics in the communities we studied, it is imperative to develop targeted and culturally sensitive programs that can reduce or eliminate obesity and type 2 diabetes. A program such as Taking Action Together, which targets nutrition, physical activity and self-esteem, can be a useful tool for community-based after-school health programs. More information about this project can be found at http://www.clinicaltrials.gov/ct2/show/study/NCT01039116.


Categories: African-American Children, Chronic Diseases, Cultural Sensitivity, Diabetes, Diabetes, Fasting Glucose , Insulin Resistance, Insulin Sensitivity, Latino, Obesity, Overweight, Reduced Academic Performance, Self-Esteem, Shorter Lifespan, Socially Disadvantaged, Taking Action Together, Type 2 Diabetes, Type 2 Issues



You May Also Be Interested In...


Comments


Add your comments about this article below. You can add comments as a registered user or anonymously. If you choose to post anonymously your comments will be sent to our moderator for approval before they appear on this page. If you choose to post as a registered user your comments will appear instantly.

When voicing your views via the comment feature, please respect the Diabetes Health community by refraining from comments that could be considered offensive to other people. Diabetes Health reserves the right to remove comments when necessary to maintain the cordial voice of the diabetes community.

For your privacy and protection, we ask that you do not include personal details such as address or telephone number in any comments posted.

Don't have your Diabetes Health Username? Register now and add your comments to all our content.

Have Your Say...


Username: Password:
Comment:
©1991-2014 Diabetes Health | Home | Privacy | Press | Advertising | Help | Contact Us | Donate | Sitemap

Diabetes Health Medical Disclaimer

The information on this site is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images, and information, contained on or available through this website is for general information purposes only. Opinions expressed here are the opinions of writers, contributors, and commentators, and are not necessarily those of Diabetes Health. Never disregard professional medical advice or delay seeking medical treatment because of something you have read on or accessed through this website.