Document Type
Article
Publication Date
9-2009
Abstract
OBJECTIVE: The Northern Plains Indians of the Cheyenne River Sioux Tribe have experienced significant lifestyle and dietary changes over the past seven generations that have resulted in increased rates of diabetes and obesity. The objective of this study was to determine if Northern Plains Indians with type 2 diabetes mellitus who are randomized to receive culturally adapted educational lessons based on the Medicine Wheel Model for Nutrition in addition to their usual dietary education will have better control of their type 2 diabetes than a nonintervention, usual care group who received only the usual dietary education from their personal providers.
DESIGN: A 6-month, randomized, controlled trial was conducted January 2005 through December 2005, with participants randomized to the education intervention or usual care control group. The education group received six nutrition lessons based on the Medicine Wheel Model for Nutrition. The usual care group received the usual dietary education from their personal providers.
PARTICIPANTS: One hundred fourteen Northern Plains Indians from Cheyenne River Sioux Tribe aged 18 to 65 years, with type 2 diabetes.
METHODS: Weight, body mass index (BMI), hemoglobin A1c, fasting serum glucose and lipid parameters, circulating insulin, and blood pressure were measured at the beginning and completion. Diet histories, physical activity, and dietary satiety surveys were measured at baseline and monthly through completion. Differences were determined using Student t tests, chi(2) tests, and analysis of variance.
RESULTS: The ED group had a significant weight loss ( 1.4 ± 0.4 kg, mean ± standard error {SE}, P ≤ .05) and decrease in BMI (1.0 ± 0.1 means ± SE, P ≤ .05) from baseline to completion. The UC group had no change in weight (0.5 ± 0.5 kg, mean ± SE) or BMI (0.5 ± 0.2, mean ± SE). There were no between group differences due to intervention in calorie, carbohydrate, protein, and fat intake and physical activity.
CONCLUSIONS: The culturally based nutrition intervention promoted small but positive changes in weight. Greater frequency and longer duration of educational support may be needed to influence blood glucose and lipid parameters.
Publication Title
Journal of the American Dietetic Association
Volume
109
Issue
9
First Page
1532
Last Page
1539
Format
application/pdf
Language
en
PMCID
19699832
DOI of Published Version
10.1016/j.jada.2009.06.362
Publisher
American Dietetic Association
Rights
© 2009 The American Dietetic Association.
Recommended Citation
Kattelmann, Kendra K.; Conti, Kibbe; and Ren, Cuirong, "The Medicine Wheel Nutrition Intervention: a Diabetes Education Study with the Cheyenne River Sioux Tribe" (2009). Health and Nutritional Sciences Faculty Publications. 211.
https://openprairie.sdstate.edu/hns_pubs/211
Creative Commons License
This work is licensed under a Creative Commons Attribution 3.0 License.
Comments
This is the NIH-PA authors post-print, peer-reviewed manuscript. The version of record is published in (2209) Journal of the American Dietetic Association,109(9), pp 1532-1539. DOI: 10.1016/j.jada.2009.06.362.