Cited by 124Obesity, Physical Activity, DietSchool Health and Nursing EducationPhysical Activity and Health

Impact of the Bienestar School-Based Diabetes Mellitus Prevention Program on Fasting Capillary Glucose Levels: A Randomized Controlled Trial

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Treviño, Roberto P., Yin, Zenong, Hernandez, Arthur, Hale, Daniel E., Garcia, Oralia A., Mobley, Connie·2004·Archives of Pediatrics & Adolescent Medicine

Abstract

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.

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  1. [3]Hale DE, Danney MM. Non-insulin dependent diabetes in the Hispanic youth [abstract] Diabetes. 1998;47:A82. [Google Scholar]

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Authors
Treviño, R. P., Yin, Z., Hernandez, A., Hale, D. E., Garcia, O. A., & Mobley, C.
Affiliations
  • Social and Health Research Center (US)
  • Augusta University (US)
  • The University of Texas at San Antonio Health Science Center (US)
  • Pennsylvania State University (US)
Venue
Archives of Pediatrics & Adolescent Medicine
Published
2004-09-01
Volume
158
Issue
9
Pages
911
ISSN
1072-4710 (ISSN-L)
OpenAlex
W2046532683
Cited by
124
References
67
Citations by year
2026: 2 · 2025: 3 · 2024: 1 · 2023: 3 · 2022: 1 · 2021: 3 · 2020: 2 · 2019: 1 · 2018: 7 · 2017: 9 · 2016: 7 · 2015: 10 · 2014: 8 · 2013: 14 · 2012: 6
FWCI
4.41
Type
journal article
Language
en
Open access
Locations
  • Archives of Pediatrics and Adolescent Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institutes of Health
  • National Institute of Diabetes and Digestive and Kidney Diseases (R01DK059213)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
  • Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
  • Health Sciences › Medicine › Physiology › Physical Activity and Health
Keywords
diabetes prevention, school-based health programs, Mexican American children, low-income children, dietary fiber intake, saturated fat intake, physical activity, physical fitness, body fat percentage, health education curriculum, family programs
MeSH terms
Blood Glucose, Child, Child Welfare, Diabetes Mellitus, Dietary Fiber, Family Characteristics, Fasting, Female, Follow-Up Studies, Humans, Male, Physical Fitness, School Health Services, Texas, Program Evaluation, Biomarkers, Mexican Americans

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