BIENESTAR: A SCHOOL BASED DIABETES PREVENTION PROGRAM

BIENESTAR：基于学校的糖尿病预防计划

• 批准号: 6524406
• 负责人: Roberto Treviño-Peña
• 金额: $ 42.09万
• 依托单位: SOCIAL AND HEALTH RESEARCH CENTER
• 依托单位国家: 美国
• 财政年份: 2000
• 资助国家: 美国
• 起止时间: 2000-09-30 至 2004-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6524406
• 关键词: Mexican Americans; behavioral /social science research tag; blood glucose; clinical research; diabetes education; diabetes risk; diet; disease /disorder onset; disease /disorder prevention /control; education evaluation /planning; health behavior; human subject; human therapy evaluation; middle childhood (6-11); noninsulin dependent diabetes mellitus; nutrition related tag; obesity; physical fitness; urban poverty area

The Third (1988-1994) National Health and Nutrition Examination Survey reported that Mexican-American adults had higher age- and sex- standardized prevalence of diagnosed and undiagnosed diabetes and other U.S. racial/ethnic populations. Recently investigators have reported the increasing frequency of type 2 diabetes in Mexican-American youth. Diabetes risk factors also have been identified in non-diabetic Mexican- American youth. Since diabetes is highly prevalent in Mexican-American adults, diabetes is increasing in Mexican-American youth and diabetes risk factors are more common in Mexican-American children, a prudent measure would be to explore health education programs aimed at preventing diabetes in this population at risk. We propose an intervention, the Bienestar health program, a school-based risk factor prevention program that targets 4th grade Mexican-American children residing in poor neighborhoods. The Bienestar health program's learning activities are based on Social Cognitive Theory. Learning activities were developed for the four social systems that conceptually should have the most influence on children's health behaviors-parents, school classroom, school cafeteria and after school care. The San Antonio Independent School District will be the host for the intervention and the University of Texas at San Antonio division of education, and the University of Texas Health Science Center at San Antonio (Department of Pediatrics, Division of Endocrinology and South Texas Health Research Center) will be collaborators in the implementation and evaluation of the intervention. For this study the hypothesis is that children exposed to Bienestar intervention will significantly reduce their risk factors for developing diabetes compared to children in schools not yet receiving the intervention. If differences exist, the study will examine if diabetes risk factors differences are maintained over time (3 years post-intervention). Study outcomes will be behavioral and biological endpoints. Behavioral outcomes will be percent body fat, dietary fat intake, fruit and vegetable intake and physical fitness. Biological outcomes will fasting capillary glucose levels. Ultimately, we would like to delay or prevent the onset of type 2 diabetes.

第三次（1988-1994）全国健康和营养检查调查报告称，墨西哥裔美国成年人和其他美国种族/族裔人群的诊断和未诊断糖尿病的年龄和性别标准化患病率较高。最近，研究人员报告称，墨西哥裔美国青年患 2 型糖尿病的频率不断增加。在非糖尿病墨西哥裔美国青年中也发现了糖尿病危险因素。由于糖尿病在墨西哥裔美国人成年人中非常普遍，糖尿病在墨西哥裔美国青年中也正在增加，而糖尿病危险因素在墨西哥裔美国儿童中更为常见，因此谨慎的措施是探索旨在预防该人群糖尿病的健康教育计划风险。我们提出了一项干预措施，即 Bienestar 健康计划，这是一项以学校为基础的风险因素预防计划，针对居住在贫困社区的四年级墨西哥裔美国儿童。 Bienestar 健康计划的学习活动以社会认知理论为基础。针对概念上对儿童健康行为影响最大的四个社会系统——父母、学校教室、学校食堂和课后托管——开发了学习活动。圣安东尼奥独立学区将作为干预的东道主，德克萨斯大学圣安东尼奥分校教育部和德克萨斯大学圣安东尼奥健康科学中心（儿科、内分泌科和南德克萨斯健康研究中心） ）将成为实施和评估干预措施的合作者。本研究的假设是，与尚未接受干预的学校儿童相比，接受 Bienestar 干预的儿童将显着降低患糖尿病的风险因素。如果存在差异，该研究将检查糖尿病危险因素差异是否随着时间的推移（干预后 3 年）保持不变。研究结果将是行为和生物学终点。行为结果包括身体脂肪百分比、膳食脂肪摄入量、水果和蔬菜摄入量以及身体健康。生物学结果将影响空腹毛细血管血糖水平。最终，我们希望延缓或预防 2 型糖尿病的发病。