Weight gain during the childbearing years and failure to lose pregnancy weight after birth contribute to the development of obesity in postpartum Latinas.
Methods
Madres para la Salud [Mothers for Health] was a 12-month, randomized controlled trial exploring a social support intervention with moderate-intensity physical activity (PA) seeking to effect changes in body fat, fat tissue inflammation, and depression symptoms in sedentary postpartum Latinas. This report describes the efficacy of the Madres intervention.
Results
The results show that while social support increased during the active intervention delivery, it declined to pre-intervention levels by the end of the intervention. There were significant achievements in aerobic and total steps across the 12 months of the intervention, and declines in body adiposity assessed with bioelectric impedance.
Conclusions
Social support from family and friends mediated increases in aerobic PA resulting in decrease in percent body fat.
Obese Latino adolescents are disproportionately impacted by insulin resistance and type 2 diabetes. Prediabetes is an intermediate stage in the pathogenesis of type 2 diabetes and represents a critical opportunity for intervention. However, to date, no diabetes prevention studies have been conducted in obese Latino youth with prediabetes, a highly vulnerable and underserved group. Therefore, we propose a randomized-controlled trial to test the short-term (6-month) and long-term (12-month) efficacy of a culturally-grounded, lifestyle intervention, as compared to usual care, for improving glucose tolerance and reducing diabetes risk in 120 obese Latino adolescents with prediabetes.
Methods
Participants will be randomized to a lifestyle intervention or usual care group. Participants in the intervention group will attend weekly nutrition and wellness sessions and physical activity sessions twice a week for six months, followed by three months of booster sessions. The overall approach of the intervention is framed within a multilevel Ecodevelopmental model that leverages community, family, peer, and individual factors during the critical transition period of adolescence. The intervention is also guided by Social Cognitive Theory and employs key behavioral modification strategies to enhance self-efficacy and foster social support for making and sustaining healthy behavior changes. We will test intervention effects on quality of life, explore the potential mediating effects of changes in body composition, total, regional, and organ fat on improving glucose tolerance and increasing insulin sensitivity, and estimate the initial incremental cost effectiveness of the intervention as compared with usual care for improving glucose tolerance.
Discussion
The proposed trial builds upon extant collaborations of a transdisciplinary team of investigators working in concert with local community agencies to address critical gaps in how diabetes prevention interventions for obese Latino youth are developed, implemented and evaluated. This innovative approach is an essential step in the development of scalable, cost-effective, solution oriented programs to prevent type 2 diabetes in this and other populations of high-risk youth.
You’ve probably heard a lot of “futurists” talk about data, but it’s not always clear how data relate to our day to day work in libraries.
Why are data important, and what’s the big deal? Data are not just spreadsheets and numbers, but come in many different shapes, colors, and flavors! In this presentation, we will give an introduction to data, talk about why it is relevant, and demonstrate how to and use data in practical situations. We will also provide innovative examples that will inspire you to connect with your colleagues and patrons!
The Arizona State University Libraries’ fun Library Minute video series brings information about resource and services to a large student body. For the first time, we present a workshop walking through the entire production process from start to finish and offering suggestions on how to fit multimedia into your marketing and outreach strategy. In this session, we will produce a short video with participants in three steps:
1. Conceptualization and Planning.
2. Recording.
3. Editing and Distribution.
Digital Production Manger Matthew Harp will demonstrate the tools and process and elaborate on the use of social media, YouTube, and the Internet Archive in the distribution plan. Together with Mimmo Bonanni and Library Minute Host Anali Perry, we’ll share our tips and tricks for video production using whatever resources are available.
Presented at the 2011 Arizona Library Association Conference 2011 - Tucson, Arizona