title: Effect of the EnBalance, a culturally and language-sensitive diabetes education program, on dietary changes and plasma lipid profile in Hispanic diabetics.
abstract: OBJECTIVE: To assess the effects of a language-sensitive diabetes education program on dietary changes and plasma lipid profiles.  METHOD: Hispanic participants (n=13 males and 18 females, mean age = 54.00 + 10.68 years) participated in a 3-month health education study. Spearman correlation coefficients were used to evaluate correlations between dietary intake and laboratory measurements.  RESULTS: There were significant decreases in serum total cholesterol (-16.07 mg/dl, P= 0.035), HDL cholesterol (-3.23 mg/dl, P = 0.01), LDL cholesterol (-11.71 mg/dl, P = 0.013) and dietary cholesterol (-79.22 mg, P = 0.03). No significant mean change was observed in triglyceride and total cholesterol/HDL ratio. There was also a reduction in body mass index (BMI) (-0.15 kg/m(2), P = 0.40), fasting glucose (-3.90 mg/dl, P = 0.43) and dual energy X-ray absorptiometry (DXA) total fat (-0.50, P = 0.97). Although not statistically significant, saturated fatty acids (-4.90 g, P = 0.19), polyunsaturated fatty acids (-3.31g, P = 0.11), and carbohydrate (-44.82 g, P = 0.22), decreased after three months.  CONCLUSION: There were significant improvements in dietary intake and serum lipids after a three-month culture-specific diabetes education program.
authors.affiliation: Loma Linda University, School of Public Health, Department of Epidemiology and Biostatistics, Loma Linda, CA, USA.
authors.forename: E
authors.initials: E
authors.lastname: Ojo
authors.forename: L
authors.initials: L
authors.lastname: Beeson
authors.forename: E
authors.initials: E
authors.lastname: Shulz
authors.forename: A
authors.initials: A
authors.lastname: Firek
authors.forename: M
authors.initials: M
authors.lastname: De Leon
authors.forename: H
authors.initials: H
authors.lastname: Balcazar
authors.forename: Z
authors.initials: Z
authors.lastname: Cordero-Macintyre