BIENESTAR: A SCHOOL BASED DIABETES PREVENTION PROGRAM

BIENESTAR：基于学校的糖尿病预防计划

• 批准号: 6660311
• 负责人: Roberto Treviño-Peña
• 金额: $ 43.86万
• 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/6660311
• 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年）国家健康和营养检查调查报告说，墨西哥裔美国人的年龄和性别标准化的诊断和未诊断糖尿病和其他美国种族/民族人口的年龄和性别标准化率更高。最近，研究人员报告说，墨西哥裔美国人青年中2型糖尿病的频率不断增加。在非糖尿病墨西哥裔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的成年人中非常普遍，因此墨西哥裔美国人青年的糖尿病正在增加，而糖尿病的危险因素在墨西哥裔美国儿童中更为常见，谨慎的措施将是探索旨在预防这种人群中糖尿病的健康教育计划。我们提出了一项干预措施，即Bienestar Health计划，这是一项基于学校的预防危险因素计划，该计划针对居住在贫困社区的墨西哥裔美国儿童的四年级。 Bienestar Health计划的学习活动基于社会认知理论。学习活动是针对四个社会系统开发的，这些社会系统在概念上应该对儿童的健康行为 - 父母，学校教室，学校自助餐厅和学后护理产生最大的影响。圣安东尼奥独立学区将成为圣安东尼奥教育部的干预和德克萨斯大学圣安东尼奥大学（内分泌学和南德克萨斯健康研究中心）的主持人。在这项研究中，与尚未接受干预的学校相比，接触Bienestar干预的儿童将大大降低患糖尿病的危险因素。如果存在差异，研究将检查糖尿病是否会随着时间的流逝而维持差异（干预后3年）。研究结果将是行为和生物学终点。行为结果将是体内脂肪，饮食脂肪摄入，水果和蔬菜摄入量和身体健康的百分比。生物学结果将禁食毛细血管葡萄糖水平。最终，我们想延迟或防止2型糖尿病的发作。