The aim of this study is to look at changes in diabetes-related risk factors in Black adolescent girls who are at risk for type 2 diabetes and their primary female caregiver after both participating in a 12-week telehealth lifestyle program.
Enrolled adolescent/caregiver dyads will participate in the 12-week program. Each week, participants will engage in 2 activities: a live virtual Wellness Session and an at-home cooking experience using ingredients sent to them via grocery delivery service. The study will examine the pre-post difference in overall diet quality, dermal carotenoid levels, physical activity, body composition, and glycemic measures among at-risk black adolescent girls and their caregivers. Investigators hypothesize that after the program, participants' diets will be higher in quality than before.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
PREVENTION
Masking
NONE
Enrollment
19
Weekly for 12 weeks, adolescent-caregiver dyads will attend 1) a live stream group Wellness (mindfulness, nutrition lesson, dance class, program reflection) session (90 min/wk) and 2) a home cooking experience using ingredients sent to participants' homes (60 min/wk) with their caregiver. Others in the home (e.g., siblings) will be encouraged to participate in activities as well.
Brooklyn Methodist Hospital
Brooklyn, New York, United States
Weill Cornell Medicine
New York, New York, United States
Change in diet quality of adolescent participants, as measured by the Healthy Eating Index Scores
Scores are calculated from three 24-hour diet records, range from 0-100. Higher score reflects that higher alignment between one's diet and dietary recommendations from the Dietary Guidelines for Americans.
Time frame: Baseline, 12 weeks [end of study]
Change in dermal carotenoids level
Scores are measured using the Veggie Meter device, range from 0-800. Higher score acts as proxy for fruits and vegetables consumption.
Time frame: Baseline, 12 weeks [end of study]
Change in percent time sedentary
Accelerometry data will be collected from wrist accelerometers worn by participants for 7 days. Percent time spent on sedentary will be calculated.
Time frame: Baseline, 12 weeks [end of study]
Change in percent time spent in light activity
Accelerometry data will be collected from wrist accelerometers worn by participants for 7 days. Percent time spent in light activity will be calculated.
Time frame: Baseline, 12 weeks [end of study]
Change in percent time spent in moderate to vigorous activity
Accelerometry data will be collected from wrist accelerometers worn by participants for 7 days. Percent time spent in moderate and vigorous activity will be calculated.
Time frame: Baseline, 12 weeks [end of study]
Change in glucose levels
Fasting glucose and 2 hour glucose levels will be collected through an oral glucose tolerance test. Subjects enrolled after May 13 2024 will not complete this test to address recruitment barriers (e.g., availability/ time needed for 2 hour test).
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Time frame: Baseline, 12 weeks [end of study]
Change in fasting insulin levels
Insulin level will be assessed through blood draws on fasting participants. Subjects enrolled after May 13 2024 will not be required to fast for this test to address recruitment barriers (e.g., availability for morning appointment) and reduce participant burden.
Time frame: Baseline, 12 weeks [end of study]
Change in HbA1c
HbA1c will be assessed through blood draws on fasting participants. Subjects enrolled after May 13 2024 will not be required to fast for this test to address recruitment barriers (e.g., availability for morning appointment) and reduce participant burden.
Time frame: Baseline, 12 weeks [end of study]
Change in lipid profile
Total, high-density, low-density cholesterol, and triglycerides will be assessed through blood draws on fasting participants. Subjects enrolled after May 13 2024 will not be required to fast for this test to address recruitment barriers (e.g., availability for morning appointment) and reduce participant burden.
Time frame: Baseline, 12 weeks [end of study]
Change in body mass index
Height will be measured using a stadiometer to the nearest decimal point in cm. Weight will be measured using a scale to the nearest decimal in kg. Body mass index will be calculated using kg/m\^2.
Time frame: Baseline, 12 weeks [end of study]
Change in body fat percentage
Body fat percentage will be measured using a scale to the nearest decimal.
Time frame: Baseline, 12 weeks [end of study]
Change in waist circumference
Waist circumference will be measured using a waist circumference tape to the nearest decimal in cm.
Time frame: Baseline, 12 weeks [end of study]
Change in high blood pressure status
Blood pressure will be measured using blood pressure monitors. High blood pressure is considered as reading of \>=120/80.
Time frame: Baseline, 12 weeks [end of study]