Preventing Chronic Disease | Using a Participatory Research Approach in a School-Based Physical Activity Intervention to Prevent Diabetes in the Hualapai Indian Community, Arizona, 2002–2006 - CDC
Using a Participatory Research Approach in a School-Based Physical Activity Intervention to Prevent Diabetes in the Hualapai Indian Community, Arizona, 2002–2006
Nicolette I. Teufel-Shone, PhD; Michelle Gamber, DrPH, MPH; Helen Watahomigie; T. J. Siyuja Jr; Laurie Crozier; Sandra L. Irwin, MPH
Suggested citation for this article: Teufel-Shone NI, Gamber M, Watahomigie H, Siyuja TJ Jr, Crozier L, Irwin SL. Using a Participatory Research Approach in a School-Based Physical Activity Intervention to Prevent Diabetes in the Hualapai Indian Community, Arizona, 2002–2006. Prev Chronic Dis 2014;11:130397. DOI: http://dx.doi.org/10.5888/pcd11.130397
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.PEER REVIEWED
Abstract
Introduction
In the United States, type 2 diabetes has reached epidemic proportions among indigenous people. Community-based participatory research offers American Indian communities and university partners an opportunity to integrate skills in community action and systematic inquiry to develop locally acceptable primary prevention interventions to combat diabetes risk factors. The Hualapai Tribe and the University of Arizona designed, implemented, and assessed a school-based physical activity intervention to reduce diabetes risk factors among youth.
In the United States, type 2 diabetes has reached epidemic proportions among indigenous people. Community-based participatory research offers American Indian communities and university partners an opportunity to integrate skills in community action and systematic inquiry to develop locally acceptable primary prevention interventions to combat diabetes risk factors. The Hualapai Tribe and the University of Arizona designed, implemented, and assessed a school-based physical activity intervention to reduce diabetes risk factors among youth.
Methods
During a 2-year period, trained community members led in-school physical activity classes 2 times per week among students in grades 3 through 8. Body mass index (BMI), fitness measures, and fasting blood glucose level were measured on 6 occasions. Descriptive statistics and t tests were used to assess change in outcome measures.
During a 2-year period, trained community members led in-school physical activity classes 2 times per week among students in grades 3 through 8. Body mass index (BMI), fitness measures, and fasting blood glucose level were measured on 6 occasions. Descriptive statistics and t tests were used to assess change in outcome measures.
Results
Of the more than 100 youth who took part in the physical activity classes for 2 years, 71 youth (38 male, 33 female) participated in 3 or more data collection sessions. Over time, the percentage of youth with a high fasting blood glucose level of more than 125 mg/dL decreased concurrently with significant improvements in fitness measures. However, BMI increased in both male and female participants. The high number of youth who missed more than 3 data collection sessions was attributed to poor school attendance and tardiness.
Of the more than 100 youth who took part in the physical activity classes for 2 years, 71 youth (38 male, 33 female) participated in 3 or more data collection sessions. Over time, the percentage of youth with a high fasting blood glucose level of more than 125 mg/dL decreased concurrently with significant improvements in fitness measures. However, BMI increased in both male and female participants. The high number of youth who missed more than 3 data collection sessions was attributed to poor school attendance and tardiness.
Conclusion
Classes led by lay physical activity leaders can affect diabetes risk factors in youth. Incongruous health and fitness outcomes suggest that one indicator does not adequately define the risk profile; BMI alone may not be sufficient as a measure of diabetes risk in youth.
Classes led by lay physical activity leaders can affect diabetes risk factors in youth. Incongruous health and fitness outcomes suggest that one indicator does not adequately define the risk profile; BMI alone may not be sufficient as a measure of diabetes risk in youth.
Acknowledgments
This work was supported through a NIH-NIGMS Native American Research Center for Health grant (6U269400011) awarded to the Inter-Tribal Council of Arizona. The authors acknowledge the youth, parents, and guardians of the Peach Springs Elementary School who participated in this project and the Hualapai Tribal Council who approved the public dissemination of the outcomes. The authors thank Tara Chico, MPH, for her assistance in editing this manuscript.
Author Information
Corresponding Author: Nicolette I. Teufel-Shone, PhD, Mel and Enid Zuckerman College of Public Health, University of Arizona, PO Box 245209, Tucson, AZ 85724. Telephone: 520-626-9676. E-mail: Teufel@email.arizona.edu.
Author Affiliations: Michelle Gamber, University of Arizona, Tucson, Arizona; Helen Watahomigie, T. J. Siyuja Jr, Laurie Crozier, Sandra L. Irwin, Hualapai Tribe, Peach Springs, Arizona.
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