Effects of a community-based diabetes prevention program for latino youth with obesity: A randomized controlled trial
Open accessAbstract
Objective: This study examined the short‐ and long‐term effects of a community‐based lifestyle intervention among Latino youth with obesity. Methods: Latino adolescents (14‐16 years old) were randomized to a 3‐month lifestyle intervention (n = 67) or comparison control (n = 69) and followed for 12 months. The intervention included weekly nutrition and health classes delivered to groups of families and exercise sessions (3 days/week) delivered to groups of adolescents. Comparison youth received laboratory results and general health information. Primary outcomes included insulin sensitivity and weight‐specific quality of life (QoL) with secondary outcomes of BMI percentile (BMI%), waist circumference, and percent body fat. Results: At 3 months, youth in the intervention group exhibited significant increases in insulin sensitivity (P < 0.05) and weight‐specific QoL (P < 0.001), as well as reductions in BMI%, waist circumference, and percent body fat compared with controls. Increases in weight‐specific QoL and reductions in BMI% and percent body fat remained significant at 12 months (P < 0.001), while changes in insulin sensitivity did not. In a subsample of youth with prediabetes at baseline, insulin sensitivity (P = 0.01), weight‐specific QoL (P < 0.001), and BMI% (P < 0.001) significantly improved at 3 months. Conclusions: Lifestyle intervention can improve cardiometabolic and psychosocial health in a vulnerable population of Latino adolescents at high risk for developing type 2 diabetes.
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Parental involvement in diabetes care and monitoring improves adherence to treatment plans and glycemic control in childhood.
“Parental involvement in DM care and monitoring has been shown to improve adherencetotreatmentplans as wellasglycemiccontrol in childhood,1498–1500”
From American Association of Clinical Endocrinology Clinical Practice Guideline: Developing a Diabetes Mellitus Comprehensive Care Plan-2022 Update. (2022) · cites this paper as [1499]
The Intervention and Discussion sections (pages unavailable) describe family monitoring of lifestyle goals and parents’ role in supporting behavior change. They do not show that parental involvement in diabetes care improves treatment adherence or glycemic control: the Procedures section says youth with diabetes were excluded, and the Discussion reports no significant between-group difference in 2-hour glucose. (LLM, conf=0.86)
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- Authors
- Soltero, E. G., Olson, M. L., Williams, A. N., Konopken, Y. P., Castro, F. G., Arcoleo, K. J., Keller, C. S., Patrick, D. L., Ayers, S. L., Barraza, E., & Shaibi, G. Q.
- Affiliations
- Arizona State University (US)
- Phoenix Children's Hospital (US)
- University of Arizona (US)
- University of Rochester Medicine (US)
- University of Washington (US)
- Corresponding author
- Shaibi, Gabriel Q.
- ORCID
- Venue
- Obesity
- Publisher
- Wiley
- Published
- 2018-11-14
- Volume
- 26
- Issue
- 12
- Pages
- 1856-1865
- ISSN
- 1930-7381 (ISSN-L)
- 1930-739X
- PMC
- PMC6249045
- OpenAlex
- W2901302684
- Cited by
- 58
- References
- 45
- Citations by year
- 2026: 6 · 2025: 5 · 2024: 4 · 2023: 10 · 2022: 6 · 2021: 12 · 2020: 9 · 2019: 3 · 2018: 2 · 2017: 1
- FWCI
- 6.19
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Obesity (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Diabetes and Digestive and Kidney Diseases (R01DK10757901)
- National Institutes of Health
- National Institute on Minority Health and Health Disparities (P20MD002316, U54MD002316)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Keywords
- Latino adolescents, youth obesity, diabetes prevention, lifestyle intervention, community-based intervention, insulin sensitivity, prediabetes, type 2 diabetes risk, family nutrition education, physical activity, waist circumference, fat mass, cardiometabolic health
- MeSH terms
- Adolescent, Diabetes Mellitus, Type 2, Female, Hispanic or Latino, Humans, Male, Quality of Life, Pediatric Obesity
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