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
AU - Arcoleo, Kimberly J.
AU - Keller, Colleen S.
AU - Patrick, Donald L.
AU - Ayers, Stephanie L.
AU - Barraza, Estela
AU - Shaibi, Gabriel
N1 - 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 -