多方面的以学校为基础的干预措施，以降低高危青少年 2 型糖尿病的风险。
A multifaceted school-based intervention to reduce risk for type 2 diabetes in at-risk youth.
机构信息
Yale University School of Nursing, New Haven, CT 06536, USA.
出版信息
Prev Med. 2009 Aug-Sep;49(2-3):122-8. doi: 10.1016/j.ypmed.2009.07.014. Epub 2009 Jul 28.
Abstract
OBJECTIVE
To evaluate the impact of a multifaceted, school-based intervention on inner city youth at high risk for type 2 diabetes mellitus (T2DM) and to determine whether the addition of coping skills training (CST) and health coaching improves outcomes.
METHOD
198 students in New Haven, CT at risk for T2DM (BMI>85th percentile and family history of diabetes) were randomized by school to an educational intervention with or without the addition of CST and health coaching. Students were enrolled from 2004 to 2007 and followed for 12 months.
RESULTS
Students in both groups showed some improvement in anthropometric measures, lipids, and depressive symptoms over 12 months. BMI was not improved by the intervention. Students who received CST showed greater improvement on some indicators of metabolic risk than students who received education only.
CONCLUSION
A multifaceted, school-based intervention may hold promise for reducing metabolic risk in urban, minority youth.
摘要
目的
评估多方面的、以学校为基础的干预措施对易患 2 型糖尿病（T2DM）的城市内青少年的影响，并确定是否增加应对技能培训（CST）和健康指导可以改善结果。
方法
198 名来自康涅狄格州纽黑文的学生有患 T2DM 的风险（BMI>第 85 百分位数和糖尿病家族史），按学校随机分为接受教育干预的组和接受教育干预加 CST 和健康指导的组。学生于 2004 年至 2007 年入组，并随访 12 个月。
结果
两组学生在 12 个月内的人体测量指标、血脂和抑郁症状都有一定程度的改善。干预措施并未改善 BMI。接受 CST 的学生在一些代谢风险指标上的改善大于仅接受教育的学生。
结论
多方面的、以学校为基础的干预措施可能有助于降低城市少数民族青少年的代谢风险。
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