Changes in Food Choices of Participants in the Special Diabetes Program for Indians–Diabetes Prevention Demonstration Project, 2006–2010

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Teufel-Shone, Nicolette I. ; Jiang, Luohua ; Beals, Janette ; Henderson, William G. ; Acton, Kelly J. ; Roubideaux, Yvette ; Manson, Spero M.
• Description:
  Introduction
  
  American Indians/Alaska Natives (AI/ANs) have a disproportionately high rate of type 2 diabetes. Changing food choices plays a key role in preventing diabetes. This study documented changes in the food choices of AI/ANs with diagnosed prediabetes who participated in a diabetes prevention program.
  
  Methods
  
  The Special Diabetes Program for Indians–Diabetes Prevention Demonstration Project implemented the evidence-based Diabetes Prevention Program (DPP) lifestyle intervention in 36 health care programs nationwide, engaging 80 AI/AN communities. At baseline, at 30 days post-curriculum, and at the first annual assessment, participants completed a sociodemographic survey and 27-item food frequency questionnaire and underwent a medical examination assessing fasting blood glucose (FBG), blood pressure, body mass index (BMI), low-density lipoprotein [LDL], high-density lipoprotein [HDL], and triglycerides. Multiple linear regressions were used to assess the relationship between temporal changes in food choice and other diabetes risk factors.
  
  Results
  
  From January 2006 to July 2010, baseline, post-curriculum, and first annual assessments were completed by 3,135 (100%), 2,046 (65%), and 1,480 (47%) participants, respectively. An increase in healthy food choices was associated initially with reduced bodyweight, BMI, FBG, and LDL and increased physical activity. At first annual assessment, the associations persisted between healthy food choices and bodyweight, BMI, and physical activity.
  
  Conclusion
  
  AI/AN adults from various tribal and urban communities participating in this preventive intervention made sustained changes in food choices and had reductions in diabetes risk factors. The outcomes demonstrate the feasibility and effectiveness of translating the DPP lifestyle intervention to community-based settings.
  
  
• Subjects:
  Adolescent Adult Aged Aged, 80 And Over Blood Pressure Body Mass Index Diabetes Mellitus, Type 2/ethnology Diabetes Mellitus, Type 2/prevention & Control Female Food Preferences/ethnology Humans Indians, North American/ethnology Life Style/ethnology Linear Models Lipoproteins, HDL/blood Lipoproteins, LDL/blood Male Middle Aged Motor Activity Multivariate Analysis Prediabetic State/prevention & Control Risk Factors Socioeconomic Factors Triglycerides/blood Young Adult

  More +
• Source:
  Prev Chronic Dis. 12.
• DOI:
  http://dx.doi.org/10.5888/pcd12.150266
• ISSN:
  1545-1151
• Pubmed ID:
  26564009
• Pubmed Central ID:
  PMC4651117
• Document Type:
  Journal Article
• Place as Subject:
  United States
• Volume:
  12
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:f0e41c86d59b6791a2ced4e143113dcc4cc75647e6cb736740c8fce368252cbc52fcc76ad9c408c1292e08470f62e106c211031e16191aa7beaa20a917691df9
• Download URL:
  https://stacks.cdc.gov/view/cdc/36141/cdc_36141_DS1.pdf
• File Type:
  [PDF - 436.97 KB ]