Impact of the Bienestar School-Based Diabetes Mellitus Prevention Program on Fasting Capillary Glucose Levels

摘要: 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 San Antonio, Tex. Participants Eighty percent participants were 94% from economically disadvantaged households. Baseline follow-up measures collected 1419 (713 706 control) 1221 (619 602 children, respectively. Intervention The Bienestar Health Program consists health class physical education curriculum, family program, school cafeteria an after-school club. objectives are to decrease dietary saturated fat intake, increase fiber activity. Main Outcome Measures primary end point was fasting capillary glucose level, secondary points percentage body fat, fitness intake. Fasting bioelectric impedance, modified Harvard step test, three 24-hour recalls, weight, height at baseline 8 months later. Results Children arm attended average 32 sessions. Mean levels decreased increased after adjusting for covariates (−2.24 mg/dL [0.12 mmol/L]; 95% confidence interval, −6.53 2.05 [–0.36 0.11 P = .03). Fitness scores ( .04) intake .009) significantly children Percentage .56) .52) did not differ between Conclusion This showed some positive results, but additional research is needed examine long-term benefits, translation, cost-effectiveness.