ArticlePreventing chronic disease2014
Using a participatory research approach in a school-based physical activity intervention to prevent diabetes in the Hualapai Indian community, Arizona, 2002-2006.
Article in Preventing chronic disease, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.
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Who cites it
15 citing papers in PubMed, 3 syntheses or guidelines pooled it, 21 citations in OpenAlex.
- A systematic review of prevention strategies for type 2 diabetes in First Nations children and young people.Pediatric obesity · 2025Pooled it
- Interventions for Type 2 Diabetes Prevention and Management Among Indigenous Children and Youth: A Systematic Review.Endocrinology, diabetes & metabolism · 2025Pooled it
- Promoting Physical Activity Among Native American Youth: a Systematic Review of the Methodology and Current Evidence of Physical Activity Interventions and Community-wide Initiatives.Journal of racial and ethnic health disparities · 2016Pooled it
- A Randomised Controlled Trial Testing a Behavioural Intervention Program for the Prevention of Type 2 Diabetes Among American Indian Youth: The Tribal Turning Point Study.Pediatric obesity · 2025Trial
- Targeting risk factors for type 2 diabetes in American Indian youth: the Tribal Turning Point pilot study.Pediatric obesity · 2018Trial
- Article
- Health promotion interventions supporting Indigenous healthy ageing: a scoping review.International journal of circumpolar health · 2021Article
- Effectiveness of programs aimed at obesity prevention among Indigenous children: A systematic review.Preventive medicine reports · 2021Review
- Supporting New Community-Based Participatory Research Partnerships.International journal of environmental research and public health · 2018Article
- Review of Community-Engaged Research in Pediatric Diabetes.Current diabetes reports · 2018Review
- Identifying Protective Factors to Promote Health in American Indian and Alaska Native Adolescents: A Literature Review.The journal of primary prevention · 2017Review
- A Brief Evaluation of a Project to Engage American Indian Young People as Agents of Change in Health Promotion Through Radio Programming, Arizona, 2009-2013.Preventing chronic disease · 2016Article
- Emerging Opportunities for Registered Dietitian Nutritionists to Help Raise a Healthier Generation of Native American Youth.Journal of the Academy of Nutrition and Dietetics · 2016Article
- Shaping a Stories of Resilience Model from urban American Indian elders' narratives of historical trauma and resilience.American Indian and Alaska native mental health research (Online) · 2016Article
- Nyakaza-Move-for-Health: A Culturally Tailored Physical Activity Intervention for Adolescents in South Africa Using the Intervention Mapping Protocol.Journal of primary care & community healthArticle
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
introductionIn 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.
methodsDuring 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.
resultsOf 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.
conclusionClasses 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.
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