Community-Based Participatory Research to Improve Health and Quality of Life of Latino Youth: Every Little Step Counts

Study Overview
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Brief Summary
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The purpose of this study is to examine the effects of a lifestyle intervention program on type 2 diabetes risk factors and quality of life in overweight Latino youth.

Detailed Description
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With the increasing prevalence of obesity, the incidence of obesity-related co-morbidities including depression and type 2 diabetes have emerged as critical public health conditions. Furthermore, Latinos experience a disproportionately greater burden of these obesity-related disorders. Therefore, we have developed a 12-week community-based lifestyle intervention that includes weekly education sessions for children and their parents and 3 exercise sessions per week for youth. The program will be delivered at a local YMCA in the greater Phoenix Metropolitan area.

Official Title
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Community-Based Participatory Research to Improve Health and Quality of Life of Latino Youth: Every Little Step Counts

Conditions
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Diabetes Mellitus, Type 2

Intervention / Treatment
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* Behavioral: Lifestyle Education Sessions and Youth Exercise Sessions


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Hispanic Ethnicity (Child and Parent) Age 14-16 (Child) and Parent age < 85 BMI Percentile above the 85th (child) Ability to read and speak English (child) Exclusion Criteria: Taking medication(s) or diagnosed with a condition that could influence exercise ability or carbohydrate metabolism (e.g., polycystic ovarian syndrome, exercise induced asthma, orthopedic limitations) (Child and (Parent OGTT only)) Involved in any formal weight-loss program in the past 6 months (Child) Diagnosed diabetes (type 1 or type 2 Child) Weight is less than 110 Ibs (Child and Parent)

Ages Eligible for Study
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Minimum Age: 14 Years
Maximum Age: 85 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Lifestyle and Exercise Intervention<br> | Behavioral: Lifestyle Education Sessions and Youth Exercise Sessions<br>* The intervention will include a  1-2 hour weekly education session to address the following constructs: health awareness, healthy eating, physical activity, roles and responsibilities, self-esteem, self-efficacy, diabetes knowledge, communication, and peer / family relationships. In addition to the education classes youth will participate in 3 exercise sessions per week ( 1-1.5 hrs) that will consist of individual and group physical activities to include both aerobic and resistance exercises. The exercise intensity will progressively increase over the 12-week intervention. Both the education and activity sessions will be delivered at the Lincoln Family YMCA.<br>* Other names: Every Little Step Counts;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Insulin Sensitivity | Insulin sensitivity will be determined using a insulin and glucose values collected during a 2-hour oral glucose tolerance test. | About 12 Weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| QOL | Weight-specific quality of Life will be determined by self report using a multicultural quality of life instrument for adolescents | About 12 Weeks |