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作者 Saksvig, Brit Irene
書名 Diabetes prevention among First Nations school children in Sandy Lake, Ontario: Evaluation of a culturally appropriate school-based nutrition and physical activity intervention
國際標準書號 0493607439
book jacket
說明 398 p
附註 Source: Dissertation Abstracts International, Volume: 63-03, Section: B, page: 1317
Adviser: Joel Gittelsohn
Thesis (Ph.D.)--The Johns Hopkins University, 2002
School-based interventions for the primary prevention of type II diabetes in Native North American populations is a recommended strategy to prevent further increases in diabetes. This dissertation provides an analysis of the development, implementation and impact of a culturally appropriate school-based diabetes prevention program for Ojibway-Cree students living in a remote First Nations community in Northwestern Ontario
A culturally appropriate school-based nutrition and physical activity intervention based on an ecological model of health promotion and social cognitive theory was developed and implemented during the 1998--1999 school year in grades three, four, and five. The intervention included a curriculum, family, peer and environmental components. A pre/post study design was employed to measure change in dietary intake, physical activity, and psychosocial factors associated with these behaviors. Anthropometric measurements were conducted at baseline and follow-up to describe body composition and included height, weight, percentage of body fat, mid-upper arm circumference, triceps and sub-scapular skinfolds measures. Usual dietary intake was measured by a single 24-hr dietary recall interview at baseline and again at follow-up with each participant. Health knowledge and behaviors were measured by two questionnaires. Parents and guardians completed a questionnaire. Methods used for the development of the culturally appropriate school-based intervention are described
Weekend television viewing and percent of calories from dietary fat were determinants of obesity among boys. Participation in recess was a protector against obesity for girls and there was a non-significant trend with percent of calories from fat. Parental diabetes status was not a determinant of adiposity among boys or girls. Exposure to the intervention was significantly associated with having a high level of knowledge of foods low in fat, overall knowledge, dietary self-efficacy and with having met the dietary fiber intake recommendation of age plus five grams of dietary fiber intake per day. Exposure to the intervention was not associated with having a high score on the dietary intention scale or the decrease in percent of energy from fat
A culturally appropriate school-based diabetes prevention intervention can be successful in modifying dietary intake behaviors and their mediators in a remote northern Native North American community
School code: 0098
Host Item Dissertation Abstracts International 63-03B
主題 Health Sciences, Public Health
Health Sciences, Nutrition
Education, Health
Alt Author The Johns Hopkins University
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