Type 2 Diabetes (T2DM) is a growing problem in the pediatric population. Contributing factors are poor nutrition, lack of education, and decrease in exercise. The purpose of this study is to determine the best interventions to prevent T2DM in children

Henley, Susan

Howsden, Lauren

Toburen, Abby Jane

English

Digital Commons

Cedarville UniversityDigitalCommons@CedarvillePharmacy and Nursing Student Research and Evidence-Based Medicine Poster Session11-2012Evidence Based Adolescent Type 2 DiabetesPreventionSusan HenleyCedarville University, sdhenley@cedarville.eduAbby Jane ToburenCedarville University, ajtoburen@cedarville.eduLauren HowsdenCedarville University, laurenhowsden@cedarville.eduFollow this and additional works at: http://digitalcommons.cedarville.edu/pharmacy_nursing_poster_sessionPart of the Endocrine System Diseases Commons, and the Medical Education CommonsThis Poster Session is brought to you for free and open access byDigitalCommons@Cedarville, a service of the Centennial Library. It hasbeen accepted for inclusion in Pharmacy and Nursing Student Researchand Evidence-Based Medicine Poster Session by an authorizedadministrator of DigitalCommons@Cedarville. For more information,please contact digitalcommons@cedarville.edu.Recommended CitationHenley, Susan; Toburen, Abby Jane; and Howsden, Lauren, "Evidence Based Adolescent Type 2 Diabetes Prevention" (2012).Pharmacy and Nursing Student Research and Evidence-Based Medicine Poster Session. 46.http://digitalcommons.cedarville.edu/pharmacy_nursing_poster_session/46Evidence Based Adolescent Type 2 Diabetes Prevention  Susan Henley, Abby Jane Toburen, Lauren Howsden Cedarville University School of Nursing PATIENT CARE ISSUE Type 2 Diabetes (T2DM) is a growing problem in the pediatric population:  -Poor nutrition  -Lack of education  -Decrease in Exercise8 Question: What are the best interventions to prevent T2DM in the pediatrics? P: Pediatric age range (1-18) I : Most effective ways to reduce risk of T2DM C:  Education, nutrition, exercise O: Prevention strategies that proved most beneficial in reducing risk of T2DM:  Exercise, Healthy Nutrition, Education4,7 EVIDENCE-BASED PRACTICE QUESTION In our search we found 165 articles; the following 12 were relevant to our search: RESULTS SYNTHESIS OF EVIDENCE Key Words Included:                                     Exclusion Criteria:      -Type 2 Diabetes Mellitus                                                 -Treatment of T2DM                     -Prevention interventions              -Type 1 diabetes     -Pediatric; adolescent   -Adult population METHODS - Nutrition  - Suggested alterations: total energy intake, macronutrient distribution, and     types and amounts of carbohydrates2  - Factors to address to increase nutrition: access to food, price of nutrient-    dense food, presence of supermarkets, transportation, and the immediate    food environment3  - Eating plan strongly increases adherence to nutrition changes5  - Education  -School interventions showed no statistical significant results  -Community interventions are promising alternative6   - Encourages family/community encouragement  and accountability   - Change implemented where children spend most time   - Reaches families over focus on children3 - Exercise  - Recommend >150 minutes of equivalent of brisk walking each week7  - Low and high dose aerobic activity decreased adiposity2  - Weight loss reduced risk by 16% per kilogram7  - Benefits overall glycemic control4  - Delay onset of diabetes4 REGISTERED NURSE INTERVIEW Caitlyn Hicks RN at Dayton Children’s   -BMI >95% a child is automatically put in the at risk category  -Could be as young as 2 or 3  -What is the hospital’s policy on interventions?  -Education on: nutrition & exercise  -Family involvement is vital -Involve community resources/services; doctor might prescribe Metformin   -Physical Activity:  30 min./day or 150 min./week at the pace of a brisk walk3,7 -Diet: low calorie, high nutrient diet1,5  -Education  About the disease, prevention methods, healthy lifestyles; teach      parents about the influence and responsibility they have in their             children’s lives3 EVIDENCE-BASED PRACTICE RECOMMENDATIONS Our research was limited because the pediatric population is considered an “at risk” population because of the age, therefore, special precautions must be taken that put strains on studies of these children. LIMITATIONS 1. Buccino, J., Daneman, D., and Hamilton, J. (2008). Nutrition education program design for youth with                Type 2 Diabetes Mellitus. Canadian Journal of Dietetic Practice & Research, 69(4), 192-197. 2. Davis, C., Pollock, N., Waller, J., Allison, J., Dennis, B., Bassali, R., & ... Gower, B.  (2012). Exercise Dose  and Diabetes Risk in Overweight and Obese Children: a Randomized Control Trial. JAMA: the  Journal of the American Medical Association, 308(11) 1103-1112. 3. Gittelsohn, J., & Kumar, M. (2007). Preventing Childhood obesity and Diabetes: Is it time to move our of  the School?  Pediatric Diabetes, 8 Suppl 955-69. 4. Hayes, C., Herbert, M., Marrero, D., Martian, C., Muchnick, S., Sherr, D. (2012) AASE Position  Statement: Diabetes and Physical Activity. The American Association of Diabetes Educators, 38. 5. Karmally, W., Drago, L., Odegard, P., Geil, P., Malaskovitz, J., Fitzner, K., Sherr, D., Ernst, K.  (2012). AADE  Position Statement: Healthy Eating: Incorporating Nutritional Management into Lifestyle. The  American Association of Diabetes Educators, 38. 6. Khan, L., Sobush, K., Keener, D., Goodman, K., Lowry, A., Kakietek, J., & Zaro, S. (2009). Recommended  Community Strategies and Measurements to Prevent Obesity in the United States. MMWR  Recommendations & Reports, 58(RR-7), 1-29. 7. Marrero, D., Ackermann, R., Hoskin, M. Gallivan, J., RUggiero, L., Kriska, A., Daly, A., Sweeney, J., Ramey,  Y., Daily, L., Stuart, S., (2012) AADE Position Statement: Primary Prevention of Type 2 Diabetes.   American Association of Diabetes Educators, 38. 8. Tfayli, H. & Arslanian, S. (2009). Pathophysiology of Type 2 Diabetes Mellitus in Youth: The Evolving  Chameleon. Arquivos Brasilerios de Endocrinologia & Metabologia, 53(2), 165-174. REFERENCES Title of Article Level of Evidence Nutrition education program design for youth with type 2 diabetes mellitus Level 7 Exercise dose and diabetes risk in overweight and obese children: a randomized control trial Lever 2 Preventing childhood obesity and diabetes: is it time to move out of the school? Level 6 AADE position statement: diabetes and physical activity Level 7 Healthy study rationale, design and methods: moderating risk of type 2 diabetes in multi-ethnic middle school students Level 4 AADE position statement: Healthy eating: incorporating nutritional management into lifestyle Level 7 Recommended community strategies and measurements to prevent obesity in the United States Level 7 AADE position statement: Primary prevention of type 2 diabetes Level 7 Taking action together: a YMCA-based protocol to prevent type-2 diabetes in high-BMI inner-city African American Children  Level 3 A school-based intervention for diabetes risk reduction Level 3 Pathophysiology of type 2 diabetes mellitus in youth: the evolving chameleon Level 1 Prevention and screening for type 2 diabetes in youth Level 5 

Evidence Based Adolescent Type 2 Diabetes Prevention

https://digitalcommons.cedarville.edu/cgi/viewcontent.cgi?article=1027&context=pharmacy_nursing_poster_session

Evidence Based Adolescent Type 2 Diabetes Prevention

Abstract

Similar works

Full text

Available Versions

Digital Commons