Theoretical Mediators of Diabetes Risk and Quality of Life Following a Diabetes Prevention Program for Latino Youth With Obesity

Overview

Journal Am J Health Promot

Date 2021 May 5

PMID 33949215

Citations 4

Authors

Erica G Soltero

Stephanie L Ayers

Marvyn A Avalos

Armando Pena

Allison N Williams

Micah L Olson

Yolanda P Konopken

Felipe G Castro

Kimberly J Arcoleo

Colleen S Keller

Donald L Patrick

Justin Jager

Gabriel Q Shaibi

Affiliations

Soon will be listed here.

Abstract

Purpose: This study tested self-efficacy and social support for activity and dietary changes as mediators of changes in type 2 diabetes related outcomes following a lifestyle intervention among Latino youth.

Setting And Intervention: Latino adolescents (14-16 years) with obesity (BMI% = 98.1 ± 1.4) were randomized to a 3-month intervention (n = 67) that fostered self-efficacy and social support through weekly, family-centered sessions or a comparison condition (n = 69).

Measures: Primary outcomes included insulin sensitivity and weight specific quality of life. Mediators included self-efficacy, friend, and family social support for health behaviors. Data was collected at baseline, 3-months, 6-months, and 12-months.

Analysis: Sequential path analysis was used to examine mediators as mechanisms by which the intervention influenced primary outcomes.

Results: The intervention had a direct effect on family (β = 0.33, < .01) and friend social support (β = 0.22, < .001) immediately following the intervention (3-months). Increased family social support mediated the intervention's effect on self-efficacy at 6-months (β = 0.09, < .01). However, social support and self-efficacy did not mediate long-term changes in primary outcomes ( > .05) at 12-months.

Conclusions: Family social support may improve self-efficacy for health behaviors in high-risk Latino youth, highlighting the important role of family diabetes prevention. Fostering family social support is a critical intervention target and more research is needed to understand family-level factors that have the potential to lead to long-term metabolic and psychosocial outcome in vulnerable youth.

Citing Articles

Rapid Decline in β-Cell Function and Increasing Adiposity Are Associated With Conversion to Type 2 Diabetes in At-Risk Latino Youth.

Vidmar A, Durazo-Arvizu R, Weigensberg M, Alderete T, Goran M Diabetes. 2023; 72(6):735-745.

PMID: 36972018 PMC: 10202769. DOI: 10.2337/db22-1034.

Technology-Based Obesity Prevention Interventions Among Hispanic Adolescents in the United States: Scoping Review.

Soltero E, Lopez C, Hernandez E, OConnor T, Thompson D JMIR Pediatr Parent. 2022; 5(4):e39261.

PMID: 36331547 PMC: 9675012. DOI: 10.2196/39261.

Family-Based Obesity Prevention Interventions among Hispanic Children and Families: A Scoping Review.

Soltero E, Pena A, Gonzalez V, Hernandez E, Mackey G, Callender C Nutrients. 2021; 13(8).

PMID: 34444850 PMC: 8402012. DOI: 10.3390/nu13082690.

Opportunities to Address Obesity Disparities Among High-Risk Latino Children and Adolescents.

Soltero E, OConnor T, Thompson D, Shaibi G Curr Obes Rep. 2021; 10(3):332-341.

PMID: 34263434 PMC: 9116051. DOI: 10.1007/s13679-021-00445-x.

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