TY - JOUR
T1 - Effects of a Community-Based Diabetes Prevention Program for Latino Youth with Obesity
T2 - A Randomized Controlled Trial
AU - Soltero, Erica G.
AU - Olson, Micah L.
AU - Williams, Allison N.
AU - Konopken, Yolanda P.
AU - Castro, Felipe G.
AU - Arcoleo, Kimberly J.
AU - Keller, Colleen S.
AU - Patrick, Donald L.
AU - Ayers, Stephanie L.
AU - Barraza, Estela
AU - Shaibi, Gabriel Q.
N1 - Funding Information:
Funding agencies: This research was funded by the National Institutes of Health/National Institute on Minority Health and Health Disparities (P20MD002316; U54MD002316). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health or the National Institute on Minority Health and Health Disparities. Drs. Soltero, Olson, and Shaibi were also supported by a grant from the National Institutes of Health/National Institute of Diabetes and Digestive and Kidney Disease (R01 DK10757901). Disclosure: The authors declared no conflict of interest.
Publisher Copyright:
© 2018 The Obesity Society
PY - 2018/12
Y1 - 2018/12
N2 - 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.
AB - 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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U2 - 10.1002/oby.22300
DO - 10.1002/oby.22300
M3 - Article
C2 - 30426694
AN - SCOPUS:85056416457
SN - 1930-7381
VL - 26
SP - 1856
EP - 1865
JO - Obesity
JF - Obesity
IS - 12
ER -