Devika Krishnakumar, Danielle Hessler Jones, Michael B Potter
Self-Management Support Improves Diabetes Outcomes Without Exacerbating Inequities
Journal of the American Board of Family Medicine : JABFM
childhood obesity major public health problem united states particularly among american indian communities objective evaluate effectiveness schoolbased multicomponent intervention reducing percentage body fat american indian schoolchildren study randomized controlled schoolbased trial involving 1704 children 41 schools conducted 3 consecutive years 3rd 5th grades schools serving american indian communities arizona new mexico south dakota intervention 4 components 1 change dietary intake 2 increase physical activity 3 classroom curriculum focused healthy eating lifestyle 4 familyinvolvement program main outcome percentage body fat outcomes included dietary intake physical activity knowledge attitudes behaviors intervention resulted significant reduction percentage body fat however significant reduction percentage energy fat observed intervention schools total energy intake 24h dietary recall significantly reduced intervention schools energy intake direct observation motion sensor data showed similar activity levels intervention control schools several components knowledge attitudes behaviors also positively significantly changed intervention results document feasibility implementing multicomponent program obesity prevention elementary schools serving american indian communities program produced significant positive changes fat intake food healthrelated knowledge behaviors intense longer interventions may needed significantly reduce adiposity population