Risk factors for type 2 diabetes in a sixth- grade multiracial cohort: the HEALTHY study.
OBJECTIVE
HEALTHY is a 3-year middle school intervention program designed to reduce risk factors for type 2 diabetes. The prevalence of diabetes risk factors at baseline in a cohort of 6,358 sixth-grade students is reported.


METHODS
Forty-two schools at seven U.S. sites were randomly assigned to intervention or control. Students participated in baseline data collection during fall of 2006.


RESULTS
Overall, 49.3% of children had BMI >or=85th percentile, 16.0% had fasting blood glucose >or=100 mg/dl (<1% had fasting blood glucose >or=126 mg/dl), and 6.8% had fasting insulin >or=30 microU/ml. Hispanic youth were more likely to have BMI, glucose, and insulin levels above these thresholds than blacks and whites.


CONCLUSIONS
Sixth-grade students in schools with large minority populations have high levels of risk factors for type 2 diabetes. The HEALTHY intervention was designed to modify these risk factors to reduce diabetes incidence.
Kaufman
Francine R
FR
Hirst
Kathryn
K
Linder
Barbara
B
Baranowski
Tom
T
Cooper
Dan M
DM
Foster
Gary D
GD
Goldberg
Linn
L
Harrell
Joanne S
JS
Marcus
Marsha D
MD
Treviño
Roberto P
RP
D000293:Adolescent; D044383:Black People / Q000706:statistics & numerical data; D001786:Blood Glucose / Q000032:analysis; D015992:Body Mass Index; D002648:Child; D015331:Cohort Studies; D003924:Diabetes Mellitus, Type 2 / Q000453:epidemiology* / Q000235:genetics; D005215:Fasting; D005260:Female; D006801:Humans; D007328:Insulin / Q000097:blood; D008297:Male; D009679:Nuclear Family; D050177:Overweight / Q000453:epidemiology*; D011627:Puberty / Q000502:physiology; D044469:Racial Groups; D016032:Randomized Controlled Trials as Topic; D012307:Risk Factors; D014481:United States / Q000453:epidemiology; D044465:White People / Q000706:statistics & numerical data; D001741:Black or African American
D001786:Blood Glucose; D007328:Insulin