title: Interventions for improving metabolic risk in overweight Latino youth.
abstract: This review highlights various components of interventions that reduced obesity and type 2 diabetes risk factors among overweight Latino youth. A total of 114 overweight Latino adolescents completed one of four randomized controlled trials: 1) strength training (ST; boys only); 2) modified carbohydrate nutrition program (N); 3) combination of N+ST; or 4) N + Combination of Aerobic and ST (N+CAST; girls only). Measures included: strength by 1-repetition max, dietary intake by 3-d records, body composition by DEXA/MRI, glucose/insulin indices by oral and IV glucose tolerance tests. ST improved insulin sensitivity by 45% in Latino boys, and N, N+ST, and N+CAST improved glucose control in Latino boys and girls. The CAST approach reduced all adiposity measures by ∼3% in Latina girls. Participants who decreased added sugar, increased dietary fiber, and had increased parental attendance, regardless of intervention group, improved insulin action and reduced visceral adipose tissue. In conclusion, ST, CAST, and a modified carbohydrate nutrition program with separate parental classes were all successful components of the interventions that decreased obesity and related metabolic diseases.
authors.affiliation: Department of Preventive Medicine, Keck School of Medicine, University of Southern California, USA. jaimieda@usc.edu
authors.forename: Jaimie N
authors.initials: JN
authors.lastname: Davis
authors.forename: Emily E
authors.initials: EE
authors.lastname: Ventura
authors.forename: Gabriel Q
authors.initials: GQ
authors.lastname: Shaibi
authors.forename: Courtney E
authors.initials: CE
authors.lastname: Byrd-Williams
authors.forename: Katharine E
authors.initials: KE
authors.lastname: Alexander
authors.forename: Amanda K
authors.initials: AK
authors.lastname: Vanni
authors.forename: Mathew R
authors.initials: MR
authors.lastname: Meija
authors.forename: Marc J
authors.initials: MJ
authors.lastname: Weigensberg
authors.forename: Donna
authors.initials: D
authors.lastname: Spruijt-Metz
authors.forename: Michael I
authors.initials: MI
authors.lastname: Goran
mesh_terms: D000293:Adolescent; D003924:Diabetes Mellitus, Type 2 / Q000453:epidemiology; D004032:Diet; D015444:Exercise; D005260:Female; D006630:Hispanic or Latino / Q000208:ethnology*; D006801:Humans; D008297:Male; D050177:Overweight / Q000208:ethnology* / Q000378:metabolism* / Q000628:therapy; D016032:Randomized Controlled Trials as Topic; D055070:Resistance Training; D012307:Risk Factors
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