TY - JOUR
T1 - Changes in food choices of participants in the special diabetes program for Indians-diabetes prevention demonstration project, 2006-2010
AU - Teufel-Shone, Nicolette I.
AU - Jiang, Luohua
AU - Beals, Janette
AU - Henderson, William G.
AU - Acton, Kelly J.
AU - Roubideaux, Yvette
AU - Manson, Spero M.
N1 - Funding Information:
Funding for this project was provided by the IHS (HHSI242200400049C, S. Manson). Manuscript preparation was supported in part by American Diabetes Association (ADA no. 7-12-CT-36, L. Jiang) and the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) (1P30DK092923, S. Manson). We express our gratitude to the IHS as well as tribal and urban Indian health programs and participants involved in the Special Diabetes Program for Indians-Diabetes Prevention (SDPI-DP) Demonstration Project. All participating tribes, urban centers and/ or their respective research review boards reviewed and provided written consent for publication of this manuscript. Grant programs participating in the SDPI-DP Demonstration Project were the following: Confederated Tribes of the Chehalis Reservation, Cherokee Nation, Cheyenne River Sioux Tribe, Chickasaw Nation, Coeur d''Alene Tribe, Colorado River Indian Tribes, Colville Confederated Tribes, Southern Oregon Diabetes Prevention Consortium (Cow Creek Band of Umpqua Indians, Coquille Indian Tribe and Klamath Tribes), Fond du Lac Reservation, Gila River Indian Community, Haskell Health Center, Ho-Chunk Nation, Indian Health Board of Minneapolis, Urban Native Diabetes Prevention Consortium (Indian Health Center of Santa Clara Valley, Native American Rehabilitation Association of the Northwest and Hunter Health), Kenaitze Indian Tribe IRA, Lawton IHS Service Unit, Menominee Indian Tribe of Wisconsin, Mississippi Band of Choctaw Indians, Norton Sound Health Corporation, Pine Ridge IHS Service Unit, Pueblo of San Felipe, Quinault Indian Nation, Rapid City IHS Diabetes Program, Red Lake Comprehensive Health Services, Rocky Boy Health Board, Seneca Nation of Indians, Sonoma County Indian Health Project, South East Alaska Regional Health Consortium, South Central Foundation, Trenton Indian Service Area, Tuba City Regional Health Care Corporation, United American Indian Involvement, Inc, United Indian Health Services, Inc, Warm Springs Health & Wellness Center, Winnebago Tribe of Nebraska, Zuni Pueblo.
PY - 2015
Y1 - 2015
N2 - 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], highdensity 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.
AB - 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], highdensity 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.
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U2 - 10.5888/pcd12.150266
DO - 10.5888/pcd12.150266
M3 - Article
C2 - 26564009
AN - SCOPUS:84959018980
SN - 1545-1151
VL - 12
JO - Preventing Chronic Disease
JF - Preventing Chronic Disease
IS - 11
M1 - 150266
ER -