Aumento en el conocimiento acerca de la diabetes y de la actividad física a través de la comunicación transmitida por los niños a sus padres
DOI:
https://doi.org/10.17533/udea.penh.17874Palabras clave:
Diabetes mellitus, resistencia a la insulina, estilo de vida, actividad física, niñosResumen
Diabetes tipo 2 es una condición metabólica en la cual la insulina no actúa en forma efectiva (resistencia a la insulina) y es acompañada por una falla de las células beta del páncreas para producir suficiente insulina. La prevalencia de diabetes tipo 2 está creciendo en forma desproporcionada entre niños y adolescentes. Existe una clara asociación entre diabetes y estilo de vida (nutrición, obesidad y actividad física). Objetivo: Incrementar entre los participantes (14 padres/acudientes) el conocimiento acerca de la diabetes y los tres factores claves para prevenirla: mantener un peso saludable, estar físicamente activo y consumir una dieta adecuada. Además incrementar la actividad física de los participantes y determinar si los mensajes sobre salud transmitidos por los niños a sus padres fueron efectivos. Metodología: Estudio de intervención. 14 padres o acudientes de los niños de 2 grado completaron 2 cuestionarios pre y post. Durante las seis semanas de intervencion, se envió semanalmente a casa, con los niños participantes un boletín informativo llamado "Pedometer Pete's Diabetes Prevention ACTION PLAN". Este incluía direcciones para los padres o acudientes motivándolos a leerlas y devolverlas con los niños a la profesora. Resultados: 14 padres completaron los cuestionarios, el conocimientoacerca de la diabetes incrementó significativamente (p< 0.05), después de las seis semanas de intervención incrementó el promedio de respuestas correctas de 3.57 ± 3.20 entre el cuestionario pre y post. Actividad física moderada incremento significativamente en promedio de 120 ± 64 a 234 ± 184 (53 min/sem) (p<0.05). Conclusión: seis semanas de intervención demostró un significativo incremento en el conocimiento de los padres acerca de la diabetes y en la actividad física moderada.Descargas
Citas
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.
Descargas
Publicado
Cómo citar
Número
Sección
Licencia
Derechos de autor 2024 Universidad de Antioquia