Prevention of type 2 diabetes in childhood.
The incidence of type 2 diabetes has increased dramatically in the past decade in Pima (Akimel O'odham) children, aged 5-17 years, living in the Gila River Indian Community (GRIC). As a result, a diabetes primary prevention program called Quest was implemented in 1996 at an elementary school in the GRIC for students in kindergarten and grades 1-2. The Quest program has four components: (1) biochemical and anthropometric assessments, (2) classroom instruction about diabetes, (3) increased daily physical activity at school, and (4) a structured school breakfast and lunch program. Preliminary results of the program indicate that the school provides a stable environment for behavior change and interventions that slow weight gain in early childhood.
Cook
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Gila River Indian Community, Department of Public Health, Sacaton, Arizona 85247, USA.
Hurley
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JS
D000293:Adolescent; D001130:Arizona; D015992:Body Mass Index; D002648:Child; D002675:Child, Preschool; D003920:Diabetes Mellitus / Q000517:prevention & control; D003924:Diabetes Mellitus, Type 2 / Q000453:epidemiology* / Q000628:therapy; D004035:Diet Therapy; D003927:Diet, Diabetic; D005081:Exercise Therapy; D005260:Female; D006801:Humans; D007198:Indians, North American; D008297:Male; D009765:Obesity; D012572:School Health Services