Diabetes prevention in schools and communities

Elizabeth R. Pulgaron, Victoria L. Valledor, Katherine L. Aparicio, Alan M. Delamater

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

This chapter considers the issue of type 2 diabetes (T2D) prevention in children and adolescents. We first discuss the epidemiology and treatment issues for youth with T2D and then review risk factors for the development of T2D, including obesity, family history of T2D, ethnic minority status, and behavioral factors such as sedentary behavior, low levels of physical activity, and poor dietary intake. There are few examples of studies addressing the primary prevention of T2D in children, but available evidence indicates that school-wide programming emphasizing healthy lifestyle habits may reduce adiposity and fasting glucose. Considerably more research has addressed secondary prevention efforts by intervening with youth at high risk for T2D. A number of controlled studies provide evidence supporting the benefits of interventions to improve dietary habits, increase physical activity, and reduce weight in obese youth and consequently reduce metabolic risk factors for T2D such as insulin resistance. While interventions have been delivered mostly in school or community clinic settings, some have also taken place in homes. More studies are needed to examine the efficacy of interventions delivered via telehealth to reduce T2D risk. The available evidence is promising but mostly consists of relatively small studies with limited follow-up. More randomized controlled trials with larger study samples are needed to demonstrate the efficacy of programs to reduce T2D risk in children of various ethnicities.

Original languageEnglish (US)
Title of host publicationBehavioral Diabetes
Subtitle of host publicationSocial Ecological Perspectives for Pediatric and Adult Populations
PublisherSpringer International Publishing
Pages213-224
Number of pages12
ISBN (Electronic)9783030332860
ISBN (Print)9783030332846
DOIs
StatePublished - Jan 1 2020

Keywords

  • Adolescents
  • Behavioral interventions
  • Children
  • Obesity
  • Prevention
  • School-based interventions
  • Type 2 diabetes
  • Type 2 diabetes risk factors
  • Type 2 diabetes risk reduction

ASJC Scopus subject areas

  • Psychology(all)

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