En Balance: The Contribution of Physical Activity to the Efficacy of Spanish Diabetes Education of Hispanic Americans with Type 2 Diabetes

Author:

Nicholas Dequina A.123ORCID,Salto Lorena M.1ORCID,Lavelle Kristen4,Wilson Joy1,Beeson W. Lawrence5ORCID,Firek Anthony6,Langridge William H. R.13ORCID,Cordero-MacIntyre Zaida178,De Leon Marino19ORCID

Affiliation:

1. Center for Health Disparities and Molecular Medicine, Loma Linda University School of Medicine, 11085 Campus Street, Loma Linda, CA 92350, USA

2. University of California San Diego, School of Medicine, Department of Obstetrics, Gynecology, and Reproductive Sciences, 9500 Gilman Drive, La Jolla, CA 92093, USA

3. Division of Biochemistry, Department of Basic Sciences, Loma Linda University School Medicine, 11085 Campus Street, Loma Linda, CA 92350, USA

4. California Pacific Medical Center, 2333 Buchanan Street, San Francisco, CA 94115, USA

5. Department of Epidemiology and Biostatistics, Loma Linda University School of Public Health, 24951 North Circle Drive, Loma Linda, CA 92350, USA

6. Section of Endocrinology, JL Pettis Memorial VA Medical Center, 11201 Benton St, Loma Linda, CA 92357, USA

7. Center for Nutrition, Healthy Lifestyle and Disease Prevention, School of Public Health, Loma Linda University, 24951 North Circle Drive, Loma Linda, CA 92350, USA

8. Whittier College, 13406 E Philadelphia Street, Whittier, CA 90602, USA

9. Division of Physiology and Pharmacology, Department of Basic Sciences, Loma Linda University School Medicine, California, 11175 Campus Street, Loma Linda, CA 92350, USA

Abstract

Purpose. En Balance, a culturally sensitive diabetes education program, improves glycemic control in Hispanics with type 2 diabetes. The program emphasized diet, physical activity, and other factors important for glycemic control. However, the individual contributions of these education factors are unclear. The purpose of this study is to assess the contribution of physical activity to the success of En Balance in improving the health of Mexican Americans with type 2 diabetes. Methods. A retrospective study was conducted with plasma samples collected pre- and post-3-month study. Samples from 58 (18 males and 40 females) Hispanic subjects with type 2 diabetes were analyzed for the concentration of kynurenines, known to decrease in response to exercise. After three months, health outcomes for the active group (decreased kynurenines) and the rest of the cohort were evaluated by paired Wilcoxon signed-rank test. Results. Half of the subjects had increased kynurenine levels at the end of the educational program. We found that the subjects in the active group with decreased kynurenine concentrations displayed statistically greater improvements in fasting blood glucose, A1C, cholesterol, and triglycerides despite weight loss being higher in the group with increased kynurenine concentrations. Conclusions. En Balance participants with decreased kynurenine levels had significantly improved glycemic control. These data suggest that physical activity significantly contributes to the success of the En Balance education program. This analysis indicates that diabetes public health educators should emphasize the benefit of physical activity on glycemic control even in the absence of major weight loss.

Funder

National Institutes of Health

Publisher

Hindawi Limited

Subject

Endocrinology,Endocrinology, Diabetes and Metabolism

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