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Clinical Pediatrics
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Prevention of Type 2 Diabetes in Childhood

V.V. Cook

Gila River Indian Community, Department of Public Health, Sacaton, Arizona

J.S. Hurley

Gila River Indian Community, Department of Public Health, Sacaton, Arizona

The incidence of type 2 diabetes has increased dramatically in the past decade in Pima (Akimel O'odham) children, aged 5-17 years, living in the Gila River Indian Community (GRIC). As a result, a diabetes primary prevention program called Quest was implemented in 1996 at an elementary school in the GRIC for students in kindergarten and grades 1-2. The Quest program has four components: (1) biochemical and anthropometric assessments, (2) classroom instruction about diabetes, (3) increased daily physical activity at school, and (4) a structured school breakfast and lunch program. Preliminary results of the program indicate that the school provides a stable environment for behavior change and interventions that slow weight gain in early childhood. Clin Pediatr. 1998;37:123-130

Clinical Pediatrics, Vol. 37, No. 2, 123-129 (1998)
DOI: 10.1177/000992289803700210


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British Journal of Diabetes & Vascular DiseaseHome page
K. Khunti and M. Davies
Primary prevention of type 2 diabetes in people of South Asian origin: potential roles of schools
The British Journal of Diabetes & Vascular Disease, November 1, 2003; 3(6): 432 - 433.
[Abstract] [PDF]