Nica Clark, Amy Loverin, Carmen Ramos, Timothy A Brusseau, Ryan D Burns, Joshua Christensen, Paul Estabrooks, Julie Metos
{"title":"通过体育活动和健康饮食预防青少年II型糖尿病：健康教育课程的初步有效性检验。","authors":"Nica Clark, Amy Loverin, Carmen Ramos, Timothy A Brusseau, Ryan D Burns, Joshua Christensen, Paul Estabrooks, Julie Metos","doi":"10.1123/jpah.2025-0022","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The purpose of this study was to examine the preliminary effectiveness of a health education curriculum to improve anthropometric and behavioral outcomes in adolescents.</p><p><strong>Methods: </strong>A matched controlled quasiexperimental research design was utilized. Participants were students (N = 888; 52% female) recruited from 6 high schools. Three schools were assigned to an intervention group (n = 535) and 3 assigned to a matched control group (n = 353). The intervention's health education curriculum, Team Thrive, was delivered over 3 weeks and focused on increasing fruit and vegetable consumption and physical activity. Outcomes were collected at baseline (T1), at posttest 1 day after curriculum delivery (T2), and at a 1-month follow-up (T3). Linear mixed effects models carried out a difference-in-difference analysis while controlling for covariates.</p><p><strong>Results: </strong>Improvements in the intervention group compared with the control group were observed at T2 for skin carotenoids (b = 1132; 95% CI, 545-1719; P < .001), carrot consumption (b = 0.92; 95% CI, 0.41-1.42; P < .001), cups of fruit (b = 0.49; 95% CI, 0.25-0.74; P < .001), cups of vegetables (b = 0.30; 95% CI, 0.06-0.55, P = .015), step counts (b = 1123; 95% CI, 560-1688; P < .001), and strength training frequency (b = 0.50; 95% CI, 0.19-0.81; P < .01). Improvements maintained at T3 were observed for body mass index percentile (b = -1.13; 95% CI, -2.01 to -0.26; P = .01), skin carotenoids (b = 1868; 95% CI, 1286-2450; P < .001), carrot consumption (b = 0.69; 95% CI, 0.12-1.26; P = .01), and step counts (b = 1296; 95% CI, 676-1917; P < .001).</p><p><strong>Conclusions: </strong>This study supported the preliminary effectiveness of the Team Thrive health education program to improve health behaviors in adolescents. Randomized trials are needed to further establish effectiveness and provide evidence for scaling up the program for population implementation.</p>","PeriodicalId":16812,"journal":{"name":"Journal of physical activity & health","volume":" ","pages":"1-5"},"PeriodicalIF":2.6000,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Preventing Type II Diabetes Through Physical Activity and Healthy Eating in Adolescents: Examining the Preliminary Effectiveness of a Health Education Curriculum.\",\"authors\":\"Nica Clark, Amy Loverin, Carmen Ramos, Timothy A Brusseau, Ryan D Burns, Joshua Christensen, Paul Estabrooks, Julie Metos\",\"doi\":\"10.1123/jpah.2025-0022\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>The purpose of this study was to examine the preliminary effectiveness of a health education curriculum to improve anthropometric and behavioral outcomes in adolescents.</p><p><strong>Methods: </strong>A matched controlled quasiexperimental research design was utilized. Participants were students (N = 888; 52% female) recruited from 6 high schools. Three schools were assigned to an intervention group (n = 535) and 3 assigned to a matched control group (n = 353). The intervention's health education curriculum, Team Thrive, was delivered over 3 weeks and focused on increasing fruit and vegetable consumption and physical activity. Outcomes were collected at baseline (T1), at posttest 1 day after curriculum delivery (T2), and at a 1-month follow-up (T3). Linear mixed effects models carried out a difference-in-difference analysis while controlling for covariates.</p><p><strong>Results: </strong>Improvements in the intervention group compared with the control group were observed at T2 for skin carotenoids (b = 1132; 95% CI, 545-1719; P < .001), carrot consumption (b = 0.92; 95% CI, 0.41-1.42; P < .001), cups of fruit (b = 0.49; 95% CI, 0.25-0.74; P < .001), cups of vegetables (b = 0.30; 95% CI, 0.06-0.55, P = .015), step counts (b = 1123; 95% CI, 560-1688; P < .001), and strength training frequency (b = 0.50; 95% CI, 0.19-0.81; P < .01). Improvements maintained at T3 were observed for body mass index percentile (b = -1.13; 95% CI, -2.01 to -0.26; P = .01), skin carotenoids (b = 1868; 95% CI, 1286-2450; P < .001), carrot consumption (b = 0.69; 95% CI, 0.12-1.26; P = .01), and step counts (b = 1296; 95% CI, 676-1917; P < .001).</p><p><strong>Conclusions: </strong>This study supported the preliminary effectiveness of the Team Thrive health education program to improve health behaviors in adolescents. Randomized trials are needed to further establish effectiveness and provide evidence for scaling up the program for population implementation.</p>\",\"PeriodicalId\":16812,\"journal\":{\"name\":\"Journal of physical activity & health\",\"volume\":\" \",\"pages\":\"1-5\"},\"PeriodicalIF\":2.6000,\"publicationDate\":\"2025-08-19\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of physical activity & health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1123/jpah.2025-0022\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of physical activity & health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1123/jpah.2025-0022","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
Preventing Type II Diabetes Through Physical Activity and Healthy Eating in Adolescents: Examining the Preliminary Effectiveness of a Health Education Curriculum.
Background: The purpose of this study was to examine the preliminary effectiveness of a health education curriculum to improve anthropometric and behavioral outcomes in adolescents.
Methods: A matched controlled quasiexperimental research design was utilized. Participants were students (N = 888; 52% female) recruited from 6 high schools. Three schools were assigned to an intervention group (n = 535) and 3 assigned to a matched control group (n = 353). The intervention's health education curriculum, Team Thrive, was delivered over 3 weeks and focused on increasing fruit and vegetable consumption and physical activity. Outcomes were collected at baseline (T1), at posttest 1 day after curriculum delivery (T2), and at a 1-month follow-up (T3). Linear mixed effects models carried out a difference-in-difference analysis while controlling for covariates.
Results: Improvements in the intervention group compared with the control group were observed at T2 for skin carotenoids (b = 1132; 95% CI, 545-1719; P < .001), carrot consumption (b = 0.92; 95% CI, 0.41-1.42; P < .001), cups of fruit (b = 0.49; 95% CI, 0.25-0.74; P < .001), cups of vegetables (b = 0.30; 95% CI, 0.06-0.55, P = .015), step counts (b = 1123; 95% CI, 560-1688; P < .001), and strength training frequency (b = 0.50; 95% CI, 0.19-0.81; P < .01). Improvements maintained at T3 were observed for body mass index percentile (b = -1.13; 95% CI, -2.01 to -0.26; P = .01), skin carotenoids (b = 1868; 95% CI, 1286-2450; P < .001), carrot consumption (b = 0.69; 95% CI, 0.12-1.26; P = .01), and step counts (b = 1296; 95% CI, 676-1917; P < .001).
Conclusions: This study supported the preliminary effectiveness of the Team Thrive health education program to improve health behaviors in adolescents. Randomized trials are needed to further establish effectiveness and provide evidence for scaling up the program for population implementation.
期刊介绍：
The Journal of Physical Activity and Health (JPAH) publishes original research and review papers examining the relationship between physical activity and health, studying physical activity as an exposure as well as an outcome. As an exposure, the journal publishes articles examining how physical activity influences all aspects of health. As an outcome, the journal invites papers that examine the behavioral, community, and environmental interventions that may affect physical activity on an individual and/or population basis. The JPAH is an interdisciplinary journal published for researchers in fields of chronic disease.
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