title: Effectiveness of a 12-week school-based educational preventive programme on weight and fasting blood glucose in "at-risk" adolescents of type 2 diabetes mellitus: Randomized controlled trial.
abstract: To assess the effectiveness of a 12-week school-based educational preventive programme for type 2 diabetes by change in weight and fasting blood glucose level in Jordanian adolescents. Sixteen percent of Jordanian adults have obesity-related type 2 diabetes and 5.6% of obese adolescents examined, however one-third unexamined. Rates in Arabic countries will double in 20 years, but this can be prevented and reversed by controlling obesity. A single-blinded randomized controlled trial was conducted in 2 unisex high schools in Irbid, Jordan, in 2012. Intervention and control participants, aged 12 to 18 years, were visibly overweight/obese. They were randomly allocated to the intervention (n = 205) or control (n = 196) groups. At-risk students were assessed before and after the 12-week intervention, for change in weight and fasting blood glucose level following preventive instruction and parent-supported changes. Mean age of participants was 15.3 years with equal percentages of both males (49.4%) and females. Post intervention, the intervention group, demonstrated statistically significant reductions: mean difference of 3.3 kg in weight (P < .000) and 1.36 mg/dL (0.075 mmol/L) in fasting blood glucose (P < .000). School-based early prevention intervention effectively reduced weight and fasting blood glucose in Jordanian at-risk adolescents.
authors.affiliation: Faculty of Nursing, Al-Zaytoonah University, Amman, Jordan.
authors.forename: Ayman
authors.initials: A
authors.lastname: Bani Salameh
authors.affiliation: Faculty of Nursing, Midwifery and Health, Jordan University of Science and Technology, Irbid, Jordan.
authors.forename: Nihaya
authors.initials: N
authors.lastname: Al-Sheyab
authors.affiliation: Department of Community Health Nursing, The University of Jordan, Amman, Jordan.
authors.forename: Mamdouh
authors.initials: M
authors.lastname: El-Hneiti
authors.affiliation: Department of Community Health Nursing, The University of Jordan, Amman, Jordan.
authors.forename: Abeer
authors.initials: A
authors.lastname: Shaheen
authors.affiliation: Faculty of Science, Health and Education, The University of the Sunshine Coast, Australia.
authors.forename: Leonie M
authors.initials: LM
authors.lastname: Williams
authors.affiliation: Charles Perkins Centre and Faculty of Nursing and Midwifery, The University of Sydney Australia.
authors.forename: Robyn
authors.initials: R
authors.lastname: Gallagher
mesh_terms: D000293:Adolescent; D000328:Adult; D001786:Blood Glucose / Q000378:metabolism*; D001835:Body Weight; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000209:etiology / Q000517:prevention & control*; D005215:Fasting; D005260:Female; D006266:Health Education; D006801:Humans; D007597:Jordan; D008297:Male; D009765:Obesity / Q000097:blood / Q000150:complications / Q000517:prevention & control*; D011314:Preventive Health Services; D016037:Single-Blind Method
chemical_list: D001786:Blood Glucose
keywords: adolescent; education; nurses; school; type 2 diabetes; weight