Community-based exercise and weight control: Diabetes risk reduction and glycemic control in Zuni indians

Gregory Heath, R. H. Wilson, J. Smith, B. E. Leonard

Research output: Contribution to journalArticle

53 Citations (Scopus)

Abstract

Cardiovascular disease is a significant health problem for the Zuni Indians of southwest New Mexico, in part because of high rates of non-insulin-dependent diabetes mellitus (NIDDM). The Zuni Diabetes Project was initiated in July 1983 to reduce rates of obesity and provide primary and secondary prevention of NIDDM. Two studies of the project's activities have been carried out to date. After 2 y of follow-up, diabetic participants in an exercise program compared with diabetic nonparticipants experienced weight loss, a drop in fasting blood glucose values, and reductions in the use of hypoglycemic medications. In a weight-loss competition, 45% (122/271) of the enrollees finished and lost ≥ 2.3 kg. The results of these two studies demonstrate that 1) participation in a community-based exercise program can produce significant weight loss and improvement in glycemic control in Zuni Indians with NIDDM and 2) weight-loss competitions appear to be an important public health model for health-behavior change in communities similar to that of Zuni, NM.

Original languageEnglish (US)
JournalAmerican Journal of Clinical Nutrition
Volume53
Issue number6 SUPPL.
DOIs
StatePublished - Jan 1 1991
Externally publishedYes

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Risk Reduction Behavior
Weight Loss
Type 2 Diabetes Mellitus
Weights and Measures
Health
Primary Prevention
Secondary Prevention
Hypoglycemic Agents
Blood Glucose
Fasting
Cardiovascular Diseases
Public Health
Obesity

All Science Journal Classification (ASJC) codes

  • Medicine (miscellaneous)
  • Nutrition and Dietetics

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Community-based exercise and weight control : Diabetes risk reduction and glycemic control in Zuni indians. / Heath, Gregory; Wilson, R. H.; Smith, J.; Leonard, B. E.

In: American Journal of Clinical Nutrition, Vol. 53, No. 6 SUPPL., 01.01.1991.

Research output: Contribution to journalArticle

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