Kittipong Sornlorm, Wor Mi Thi
Health literacy and high blood pressure among Myanmar migrant workers in Northeastern Thailand
PloS one
although schoolbased gardening programs children consistently shown improve dietary behaviors cluster randomized clinical trial rct evaluated effects schoolbased gardening intervention metabolic outcomes evaluate effects schoolbased gardening nutrition cooking intervention texas sprouts changes metabolic outcomes elementary schoolchildren study secondary analysis cluster rct conducted 3 years 2016 2019 lowincome elementary schools majority hispanic students greater austin texas area data analyzed january august 2022 texas sprouts 1 school year long 9 months consisted 1 garden leadership committee formation 2 025acre outdoor teaching garden 3 18 student gardening nutrition cooking lessons taught trained educators throughout school year 4 9 monthly parent lessons delayed intervention implemented following academic year received identical intervention following measures obtained baseline postintervention 9 months demographics via survey measured height weight body mass index parameters glucose insulin homeostatic model assessment insulin resistance lipid panel via optional fasting blood draw sixteen elementary schools randomly assigned either texas sprouts intervention 8 schools delayed intervention control 8 schools total 3302 children aged 712 years enrolled texas sprouts fasting blood samples obtained 1104 children 33 enrolled baseline final analytic sample included 695 children 307 boys 4417 mean se age 928 004 years 480 hispanic children 6902 452 6503 eligible free reduced lunch complete demographic data baseline postintervention 9month fasting blood draws compared control schools children texas sprouts schools 002 reduction mean hemoglobin a1c 95 ci 003014 p 005 640 mgdl reduction mean lowdensity lipoprotein cholesterol 95 ci 382897 mgdl p 048 intervention effects glucose insulin homeostatic model assessment insulin resistance lipid parameters cluster rct texas sprouts improved glucose control reduced lowdensity lipoprotein cholesterol highrisk youth findings suggest elementary schools incorporate gardenbased interventions way improve metabolic parameters children clinicaltrialsgov identifier nct02668744