Diabetes Prevention in the New York City Sikh Asian Indian Community: A Pilot Study

被引:64
作者
Islam, Nadia S. [1 ,2 ]
Zanowiak, Jennifer M. [1 ]
Wyatt, Laura C. [2 ]
Kavathe, Rucha [3 ]
Singh, Hardayal [3 ]
Kwon, Simona C. [1 ,2 ]
Trinh-Shevrin, Chau [1 ,2 ]
机构
[1] NYU, Sch Med, Dept Populat Hlth, Hlth Promot & Prevent Res Ctr, New York, NY 10016 USA
[2] NYU, Sch Med, Dept Populat Hlth, Ctr Study Asian Amer Hlth, New York, NY 10016 USA
[3] UNITED SIKHS, Community Educ & Empowerment Directorate, New York, NY 10116 USA
基金
美国国家卫生研究院;
关键词
Asian American; Asian Indian; community health worker; diabetes; Diabetes Prevention Program; Sikh; South Asian American; LIFE-STYLE INTERVENTION; HEALTHY-LIVING PARTNERSHIPS; HIGH-RISK; SOUTH ASIANS; CARDIOVASCULAR-DISEASE; AMERICAN SUBGROUPS; METABOLIC SYNDROME; FIT BODY; PROGRAM; PREVALENCE;
D O I
10.3390/ijerph110505462
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
India has one of the highest burdens of diabetes worldwide, and rates of diabetes are also high among Asian Indian immigrants that have migrated into the United States (U. S.). Sikhs represent a significant portion of Asian Indians in the U. S. Diabetes prevention programs have shown the benefits of using lifestyle intervention to reduce diabetes risk, yet there have been no culturally-tailored programs for diabetes prevention in the Sikh community. Using a quasi-experimental two-arm design, 126 Sikh Asian Indians living in New York City were enrolled in a six-workshop intervention led by community health workers. A total of 108 participants completed baseline and 6-month follow-up surveys between March 2012 and October 2013. Main outcome measures included clinical variables (weight, body mass index (BMI), waist circumference, blood pressure, glucose, and cholesterol) and health behaviors (changes in physical activity, food behaviors, and diabetes knowledge). Changes were significant for the treatment group in weight, BMI, waist circumference, blood pressure, glucose, physical activity, food behaviors, and diabetes knowledge, and between group differences were significant for glucose, diabetes knowledge, portion control, and physical activity social interaction. Retention rates were high. Findings demonstrate that a diabetes prevention program in the Sikh community is acceptable, feasible, and efficacious.
引用
收藏
页码:5462 / 5486
页数:25
相关论文
共 66 条
[11]   Translation of the National Institutes of Health Diabetes Prevention Program in African American Churches [J].
Boltri, John M. ;
Davis-Smith, Monique ;
Okosun, Ike S. ;
Seale, J. Paul ;
Foster, Barbara .
JOURNAL OF THE NATIONAL MEDICAL ASSOCIATION, 2011, 103 (03) :194-202
[12]  
Boltri JM, 2008, J PUBLIC HEALTH MAN, V14, P29
[13]  
Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance System
[14]   Two-year results from a community-wide diabetes prevention intervention in a high risk indigenous community: The Ngati and Healthy project [J].
Coppell, Kirsten J. ;
Tipene-Leach, Dauid C. ;
Pahau, Helen L. R. ;
Williams, Sheila M. ;
Abel, Sally ;
Iles, Mark ;
Hindmarsh, Jennie Harre ;
Mann, Jim I. .
DIABETES RESEARCH AND CLINICAL PRACTICE, 2009, 85 (02) :220-227
[15]  
Davis-Smith M, 2007, J NATL MED ASSOC, V99, P440
[16]   Implementation of the Fit Body and Soul, a Church-Based Life Style Program for Diabetes Prevention in High-Risk African Americans A Feasibility Study [J].
Dodani, S. ;
Fields, J. Z. .
DIABETES EDUCATOR, 2010, 36 (03) :465-472
[17]  
DPP Res Grp, 2002, DIABETES CARE, V25, P2165
[18]   The reliability and validity of a brief diabetes knowledge test [J].
Fitzgerald, JT ;
Funnell, MM ;
Hess, GE ;
Barr, PA ;
Anderson, RM ;
Hiss, RG ;
Davis, WK .
DIABETES CARE, 1998, 21 (05) :706-710
[19]   Design of cluster-randomized trials of quality improvement interventions aimed at medical care providers [J].
Glynn, Robert J. ;
Brookhart, M. Alan ;
Stedman, Margaret ;
Avorn, Jerry ;
Solomon, Daniel H. .
MEDICAL CARE, 2007, 45 (10) :S38-S43
[20]   Global estimates of the prevalence of hyperglycaemia in pregnancy [J].
Guariguata, L. ;
Linnenkamp, U. ;
Beagley, J. ;
Whiting, D. R. ;
Cho, N. H. .
DIABETES RESEARCH AND CLINICAL PRACTICE, 2014, 103 (02) :176-185