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Cherokee Choices: a diabetes prevention program for American Indians.

Bachar JJ, Lefler LJ, Reed L, McCoy T, Bailey R, Bell R - Prev Chronic Dis (2006)

Bottom Line: Participants in the worksite wellness program have met dietary and physical activity goals, had reductions in body fat, and expressed enthusiasm for the program.A subcoalition has been formed to expand the worksite wellness component and link prevention efforts to health care cost reduction.Participants in the church program have walked more than 31,600 miles collectively.

View Article: PubMed Central - PubMed

Affiliation: Cherokee Choices/REACH 2010, Eastern Band of Cherokee Indians, PO Box 666, Cherokee, NC 28719, USA. jbachar@nc-cherokee.com

ABSTRACT
In 1999, the Centers for Disease Control and Prevention (CDC) provided Racial and Ethnic Approaches to Community Health 2010 (REACH 2010) funds to the Eastern Band of Cherokee Indians to develop a community-based intervention to improve the health of this rural, mountainous community in North Carolina. During the first year of the Cherokee Choices program, team members conducted formative research, formed coalitions, and developed a culturally appropriate community action plan for the prevention of type 2 diabetes, particularly among children. The Eastern Band of Cherokee Indians has higher rates of obesity and type 2 diabetes than the U.S. and North Carolina general populations. The Cherokee Choices program includes three main components: elementary school mentoring, worksite wellness for adults, and church-based health promotion. A social marketing strategy, including television advertisements and a television documentary series, supports the three components. School policy was altered to allow Cherokee Choices to have class time and after-school time devoted to health promotion activities. School staff have shown an interest in improving their health through attendance at fitness sessions. The credibility of the program has been validated through multiple invitations to participate in school events. Participants in the worksite wellness program have met dietary and physical activity goals, had reductions in body fat, and expressed enthusiasm for the program. A subcoalition has been formed to expand the worksite wellness component and link prevention efforts to health care cost reduction. Participants in the church program have walked more than 31,600 miles collectively.

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Related in: MedlinePlus

Rates of obesity and overweight among men and women of the Eastern Band of Cherokee Indians (EBCI) compared with men and women in North Carolina, March through June 2003 (6).
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Figure 1: Rates of obesity and overweight among men and women of the Eastern Band of Cherokee Indians (EBCI) compared with men and women in North Carolina, March through June 2003 (6).

Mentions: The rates of obesity and type 2 diabetes among the EBCI exceed the rates for the U.S. and the North Carolina general population. In 2002, the age-adjusted prevalence of obesity among the U.S. population was 30% (5). According to data collected between March and June 2003, 45.7% of EBCI men and 23.5% of men in North Carolina were obese, and 47.9% of EBCI women and 23.6% of women in North Carolina were obese (Figure 1). Among EBCI, the prevalence of type 2 diabetes is 26.9% for men and 21.0% for women; the prevalence of type 2 diabetes is 6.4% among men in North Carolina and 7.9% among women (Figure 2). EBCI men and women reported a combined diabetes prevalence rate of 23.8%, more than three times the combined rate of 7.15% for men and women in North Carolina (6). In 2003, the prevalence of diabetes among U.S. men was 5.4%, and the prevalence among women was 4.7% (7).


Cherokee Choices: a diabetes prevention program for American Indians.

Bachar JJ, Lefler LJ, Reed L, McCoy T, Bailey R, Bell R - Prev Chronic Dis (2006)

Rates of obesity and overweight among men and women of the Eastern Band of Cherokee Indians (EBCI) compared with men and women in North Carolina, March through June 2003 (6).
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC1637791&req=5

Figure 1: Rates of obesity and overweight among men and women of the Eastern Band of Cherokee Indians (EBCI) compared with men and women in North Carolina, March through June 2003 (6).
Mentions: The rates of obesity and type 2 diabetes among the EBCI exceed the rates for the U.S. and the North Carolina general population. In 2002, the age-adjusted prevalence of obesity among the U.S. population was 30% (5). According to data collected between March and June 2003, 45.7% of EBCI men and 23.5% of men in North Carolina were obese, and 47.9% of EBCI women and 23.6% of women in North Carolina were obese (Figure 1). Among EBCI, the prevalence of type 2 diabetes is 26.9% for men and 21.0% for women; the prevalence of type 2 diabetes is 6.4% among men in North Carolina and 7.9% among women (Figure 2). EBCI men and women reported a combined diabetes prevalence rate of 23.8%, more than three times the combined rate of 7.15% for men and women in North Carolina (6). In 2003, the prevalence of diabetes among U.S. men was 5.4%, and the prevalence among women was 4.7% (7).

Bottom Line: Participants in the worksite wellness program have met dietary and physical activity goals, had reductions in body fat, and expressed enthusiasm for the program.A subcoalition has been formed to expand the worksite wellness component and link prevention efforts to health care cost reduction.Participants in the church program have walked more than 31,600 miles collectively.

View Article: PubMed Central - PubMed

Affiliation: Cherokee Choices/REACH 2010, Eastern Band of Cherokee Indians, PO Box 666, Cherokee, NC 28719, USA. jbachar@nc-cherokee.com

ABSTRACT
In 1999, the Centers for Disease Control and Prevention (CDC) provided Racial and Ethnic Approaches to Community Health 2010 (REACH 2010) funds to the Eastern Band of Cherokee Indians to develop a community-based intervention to improve the health of this rural, mountainous community in North Carolina. During the first year of the Cherokee Choices program, team members conducted formative research, formed coalitions, and developed a culturally appropriate community action plan for the prevention of type 2 diabetes, particularly among children. The Eastern Band of Cherokee Indians has higher rates of obesity and type 2 diabetes than the U.S. and North Carolina general populations. The Cherokee Choices program includes three main components: elementary school mentoring, worksite wellness for adults, and church-based health promotion. A social marketing strategy, including television advertisements and a television documentary series, supports the three components. School policy was altered to allow Cherokee Choices to have class time and after-school time devoted to health promotion activities. School staff have shown an interest in improving their health through attendance at fitness sessions. The credibility of the program has been validated through multiple invitations to participate in school events. Participants in the worksite wellness program have met dietary and physical activity goals, had reductions in body fat, and expressed enthusiasm for the program. A subcoalition has been formed to expand the worksite wellness component and link prevention efforts to health care cost reduction. Participants in the church program have walked more than 31,600 miles collectively.

Show MeSH
Related in: MedlinePlus