Diabetes knowledge and physical activity increase through child to parent communication
DOI:
https://doi.org/10.17533/udea.penh.17874Keywords:
Type 2 Diabetes, insulin resistance, lifestyle, physical activity, children.Abstract
Type 2 Diabetes is a metabolic condition that occurs when impaired insulin effectiveness (insulin resistance) is accompanied by the failure to produce sufficient b cell insulin. Type 2 diabetes has increased dramatically in children and adolescents. There is a clear association between diabetes and lifestyle (i.e. nutrition, obesity and physical activity). Objective: To increase participants' knowledge about diabetes and the three keys to prevention: maintaining a healthy weight, being physically active, and eating a healthy diet. Other goals were increasing the physical activity (PA) of participants and determining if health messages delivered through child to parent communication were effective. Methods: The diabetes knowledge and physical activity intervention targeted 14 parents/guardians of second grade students. Once all baseline questionnaires were completed, a six week intervention utilizing one-page, colorful newsletters called «Pedometer Pete's Diabetes Prevention ACTION PLAN.» The Action Plan newsletters were sent home on a weekly basis with the second grade students. Newsletters were sent home including directions for parents encouraging them to read and return them to their child's teacher. Results: both pre and post questionnaires were completed by 14 subjects. Results from the intervention showed a significant increase (p<0.05) in total diabetes knowledge. There was a mean increase in the number of correct responses of 3.57 ± 3.20 from pre to post total diabetes knowledge scores. Results from the self-reported physical activity surveys showed a significant increase in moderate physical activity from a mean of 120 ± 64 to 234 ± 184(53) min/wk (p<0.05). Conclusion: This study showed that a six-week intervention study utilizing brief one-page, double-sided newsletters was effective in increasing total diabetes knowledge, parental physical activity and family physical activity. These results support the use of child to parent communication in delivering health messages and promoting behavior changes.Downloads
References
Porte D, Sherwing RS, Baron A. Ellenberg Rifrin’s diabetes mellitus. New York: McGraw-Hill; 2003.
American Diabetes Association. Economic costs of diabetes in the U.S. in 2002. Diabetes Care 2003;26:917-932.
Mokdad AH, Ford ES, Bowman BA. Prevalence of obesity, diabetes and obesity-related health risk factors 2001. JAMA 2003;289:76-79.
Alberti G. Type 2 diabetes in the young: the evolving epidemic: the international diabetes federation consensus workshop. Diabetes Care.2004;27:1798-1811.
American Diabetes Association. Pre-Diabetes. Retrieved January, 20, 2003. http://www.diabetes.org/main/info/pre-diabetes.jsp
American Diabetes Association. Type 2 diabetes in children and adolescents. Pediatrics. 2000;105:671-680
Sinha R, Fisch G, League B. Prevalence of impaired glucose toleranceamong children and adolescents with marked obesity. New EngJ Med 2002;346:81.
The diabetes control and complications trial research group. The effect of intensive treatment of diabetes on development and progression of long-term complications in insulin-dependent diabetes mellitus. New EngJ Med 1993;329:977-986.
UK Prospective Diabetes Study Group. Intensive blood-glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes (UKPDS 33). Lancet 1998;352:837-853.
American Diabetes Association. Economic consequences of diabetes mellitus in the U.S. in 1997. Diabetes Care 1998;21:296-309.
Hogan P. Dall,T Nikolov,P.. Economic cost of diabetes in the US in 2002. Diabetes Care 2003;26: 917-932.
Harris ML. Epidemiologic studies on the pathogenesis of non-insulin-dependen diabetes mellitus. Clin Invest Med 1995;18:231-239.
Center for Disease Control and Prevention. National diabetes fact sheet: general information and national estimates on diabetes in the United States 2000. Atlanta: US Department of Human Services; 2002.
Manson JE, Nathan DM, Krolewski AS. A prospective study of exercise and incidence of diabetes among US male physicians. JAMA 1992;268:63-67.
Flegel KM, Carroll MD, Ogden CL, Johnson CL. Prevalence and trends in obesity among US adults, 1999-2000. JAMA 2002;288:1723-1728.
Ogden CL, Flegel KM, Carroll MD, Johnson CL. Prevalence and trends in overweight among US children and adolescents, 1999-2000. JAMA 2002;288:1728-1732.
Young LR, Nestle M. The contribution of expanding portion sizes to the US obesity epidemic. Am J Public Health 2002;92:246-249.
US Department of Health and Human Services. Physical activity and health: a report of the surgeon general. Atlanta: National Center for Chronic Disease Prevention and Promotion;1996.
Aschner P. Diabetes trends in Latin America. Diabetes Metab Res Rev 2002;18:S27-S31.
Diabetes Prevention Study Group. Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance. N Engl J Med 2001;344:1343-1350.
Diabetes Prevention Program Research Group. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J Med 2002;346:393-403.
Pan XR, Li GW, Hu YH. Effects of diet and exercise in preventing NIDDM in people with impaired glucose tolerance. The Da Qing IGT and diabetes study. Diabetes Care 1997;20:537-544.
Eriksson F, Lindgarde F. Prevention of type 2 diabetes mellitus by diet and exercise. Diabetologia 1991;34:891-898.
Pierce M, Hayworth J, Warburton F, Keen H, Bradley C. Diabetes mellitus in the family: perceptions of offspring’s risk. Diabetic Med 1999;16:431-436.
Farmer AJ, Levy JC, Turner RC. Knowledge of risk of developing diabetes mellitus among siblings of type 2 diabetic patients. Diabetic Med 1999;16:233-237.
National Heart, Lung, and Blood Institute. Clinical guidelines on the identification evaluation, and treatment of overweight and obesity. 1998. http://www.nhlbi.nih.gov/guidelines/obesity/ob_exsum.pdf.
Nader PR, Sallis JF, Patterson TL. A family approach to cardiovascular risk reduction: results from the Sand Diego Family Health Project. Health Educ Q 1989;16:229-244.
Nader PR, Sellers DE, Johnson CC. The effect of adult participation in school-based family intervention to improve children’s diet and physical activity: the child and adolescent trial for cardiovascular health. Prev Med1996;25:455-464.
Edmundson E, Parcel GS, Feldman HA. The effects of the child and adolescent trial for cardiovascular health upon psychosocial determinants of diet and physical activity. Prev Med 1996;25:442-454.
Garcia AA, Villagomez ET, Brown SA. The Starr County diabetes education study: development of the spanish-language diabetes knowledge questionnaire. Diabetes Care 2001;24:16-21.
Brown SA, Garcia AA, Kouzekanani K, Hanis CL. Culturally competent diabetes selfmanagement education for Mexican Americans: the starr county border health initiative. Diabetes Care 2002;25:259-68.
McMurray SD, Johnson G, Davis S, McDougall K. Diabetes education and care management significantly improve patient outcomes in the dialysis unit. Am J Kidney Dis. 2002;40:566-75.
Jiang YD, Chuang LM, Wu HP, Shiau SJ, Wang CH, Lee YJ et al. Assessment of the function and effect of diabetes education programs inTaiwan. Diabetes Res Clin Pract 1999;46:177-82.
Miller CK, Edwards L, Kissling G, Sanville L. Evaluation of a theory-based nutrition intervention for older adults with diabetes mellitus. J Am Diet Assoc. 2002;102:1069-81.
Taylor-Davis S, Smiciklas-Wright H, Warland R, Achterberg C, Jensen GL, Sayer A. Responses of older adults to theory-based nutrition newsletters. J Am Diet Assoc 2000;100:656-64.
Pedersen AL, Lowry KR. A regional diabetes nutrition education program: its effect on knowledge and eating behavior. Diabetes Educ 1992;18:416-9.
Beebe C, O’Donnell M. Educating patients with type 2 diabetes. Nurs Clin North 2001;36:375-86.
Rickheim PL, Weaver TW, Flader JL, Kendall DM. Assessment of group versus individual diabetes education: a randomized study. Diabetes Care 2002;25:269-74.
Downloads
Published
How to Cite
Issue
Section
License
Derechos de autor 2024 Universidad de Antioquia
