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Prev Med. 2009 Aug-Sep;49(2-3):122-8. doi: 10.1016/j.ypmed.2009.07.014. Epub 2009 Jul 28.

A multifaceted school-based intervention to reduce risk for type 2 diabetes in at-risk youth.

Author information

  • 1Yale University School of Nursing, New Haven, CT 06536, USA. margaret.grey@yale.edu

Abstract

OBJECTIVE:

To evaluate the impact of a multifaceted, school-based intervention on inner city youth at high risk for type 2 diabetes mellitus (T2DM) and to determine whether the addition of coping skills training (CST) and health coaching improves outcomes.

METHOD:

198 students in New Haven, CT at risk for T2DM (BMI>85th percentile and family history of diabetes) were randomized by school to an educational intervention with or without the addition of CST and health coaching. Students were enrolled from 2004 to 2007 and followed for 12 months.

RESULTS:

Students in both groups showed some improvement in anthropometric measures, lipids, and depressive symptoms over 12 months. BMI was not improved by the intervention. Students who received CST showed greater improvement on some indicators of metabolic risk than students who received education only.

CONCLUSION:

A multifaceted, school-based intervention may hold promise for reducing metabolic risk in urban, minority youth.

PMID:
19643125
[PubMed - indexed for MEDLINE]
PMCID:
PMC2753673
Free PMC Article
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