Skip to main content

Advertisement

Log in

The Banishing Obesity and Diabetes in Youth (BODY) Project: Description and Feasibility of a Program to Halt Obesity-Associated Disease Among Urban High School Students

  • Original Paper
  • Published:
Journal of Community Health Aims and scope Submit manuscript

Abstract

Type 2 diabetes (T2DM) and cardiovascular disease (CVD) are rising dramatically in adolescents in parallel with excess weight. The Banishing Obesity and Diabetes in Youth (BODY) Project, is a school-based intervention that medically screens overweight and obese high school students, provides personalized feedback, and connects to appropriate healthcare. Body mass index (BMI) was determined for 1,526 students in one New York City public high school with a school-based health center (SBHC). Overweight and obese students (n = 640) were invited to complete a medical evaluation that included a survey, blood pressure and blood tests. 328/640 (51%) eligible students returned signed parental consent and participated. All participants received a personalized report detailing their results along with specific recommendations on how to improve their health. Parents of participants with results outside healthy ranges (82%; 270/328) were called and mailed referral letters to connect with healthcare services. Project staff reached by telephone 74% (199/270) of those families and 29% (58/199) stated that the report led them to make arrangements to see a healthcare provider. Most students (83%; 273/328) were registered at the SBHC, and we shared their medical results with them so they could follow-up with the students. The BODY Project is a feasible program for urban schools with a SBHC. This may allow effective prevention of T2DM, and CVD from dyslipidemia and hypertension.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Wang, Y. C., Gortmaker, S. L., & Taveras, E. M. (2011). Trends and racial/ethnic disparities in severe obesity among US children and adolescents, 1976–2006. International Journal of Obesity, 6(1), 12–20.

    Article  Google Scholar 

  2. Ogden, C. L., Carroll, M. D., Curtin, L. R., Lamb, M. M., & Flegal, K. M. (2010). Prevalence of high body mass index in US children and adolescents, 2007–2008. JAMA, 303(3), 242–249.

    Article  PubMed  CAS  Google Scholar 

  3. Calzada, P. J., & Anderson-Worts, P. (2009). The obesity epidemic: Are minority individuals equally affected? Primary Care, 36(2), 307–317.

    Article  PubMed  Google Scholar 

  4. Thorpe, L. E., Upadhyay, U. D., Chamany, S., Garg, R., Mandel-Ricci, J., Kellerman, S., et al. (2009). Prevalence and control of diabetes and impaired fasting glucose in New York City. Diabetes Care, 32(1), 57–62.

    Article  PubMed  Google Scholar 

  5. Reilly, J. J., Methven, E., McDowell, Z. C., Hacking, B., Alexander, D., Stewart, L., et al. (2003). Health consequences of obesity. Archives of Disease in Childhood, 88(9), 748–752.

    Article  PubMed  CAS  Google Scholar 

  6. The, N. S., Suchindran, C., North, K. E., Popkin, B. M., & Gordon-Larsen, P. (2010). Association of adolescent obesity with risk of severe obesity in adulthood. JAMA, 304(18), 2042–2047.

    Article  PubMed  CAS  Google Scholar 

  7. Golay, A., & Ybarra, J. (2005). Link between obesity and type 2 diabetes. Best Practice & Research Clinical Endocrinology & Metabolism, 19(4), 649–663.

    Article  CAS  Google Scholar 

  8. Greenfield, J. R., & Campbell, L. V. (2004). Insulin resistance and obesity. Clinics in Dermatology, 22(4), 289–295.

    Article  PubMed  Google Scholar 

  9. Pavkov, M. E., Bennett, P. H., Knowler, W. C., Krakoff, J., Sievers, M. L., & Nelson, R. G. (2006). Effect of youth-onset type 2 diabetes mellitus on incidence of end-stage renal disease and mortality in young and middle-aged Pima Indians. JAMA, 296(4), 421–426.

    Article  PubMed  CAS  Google Scholar 

  10. Nakamura, N., Sasaki, N., Kida, K., & Matsuura, N. (2010). Health-related and diabetes-related quality of life in Japanese children and adolescents with type 1 and type 2 diabetes. Pediatrics International, 52(2), 224–229.

    Article  PubMed  Google Scholar 

  11. Abate, N., & Chandalia, M. (2003). The impact of ethnicity on type 2 diabetes. Journal of Diabetes and Its Complications, 17(1), 39–58.

    Article  PubMed  Google Scholar 

  12. Halpern, A., Mancini, M. C., Magalhaes, M. E., Fisberg, M., Radominski, R., Bertolami, M. C., et al. (2010). Metabolic syndrome, dyslipidemia, hypertension and type 2 diabetes in youth: From diagnosis to treatment. Diabetology and Metabolic Syndrome, 2, 55.

    Article  PubMed  Google Scholar 

  13. De Ferranti, S. D., & Osganian, S. K. (2007). Epidemiology of paediatric metabolic syndrome and type 2 diabetes mellitus. Diabetes and Vascular Disease, 4(4), 285–296.

    Article  Google Scholar 

  14. Brooks, F., Bunn, F., & Morgan, J. (2009). Transition for adolescents with long-term conditions: Event to process. British Journal of Community Nursing, 14(7), 301–304.

    PubMed  Google Scholar 

  15. Nordin, J. D., Solberg, L. I., & Parker, E. D. (2010). Adolescent primary care visit patterns. Annals of Family Medicine, 8(6), 511–516.

    Article  PubMed  Google Scholar 

  16. Keenan, P. S. (2009). Smoking and weight change after new health diagnoses in older adults. Archives of Internal Medicine, 169(3), 237–242.

    Article  PubMed  Google Scholar 

  17. Cleeman, J. I., Grundy, S. M., Becker, D., Clark, L. T., Cooper, R. S., Denke, M. A., et al. (2001). Executive summary of the third report of the national cholesterol education program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III). Jama: Journal of the American Medical Association, 285(19), 2486–2497.

    Article  Google Scholar 

  18. [Anon], & Prog, N. H. B. P. E. (2004). The fourth report on the diagnosis, evaluation, and treatment of high blood pressure in children and adolescents. Pediatrics, 114(2), 555–576.

    Google Scholar 

Download references

Acknowledgments

This initial feasibility study was supported by grants from the New York City Council’s Obesity Prevention Initiative, Atkins Foundation, and Assurant Foundation.

Conflict of Interest

All authors on this manuscript declare that no competing interests exist.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Antonio Convit.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Sweat, V., Bruzzese, JM., Albert, S. et al. The Banishing Obesity and Diabetes in Youth (BODY) Project: Description and Feasibility of a Program to Halt Obesity-Associated Disease Among Urban High School Students. J Community Health 37, 365–371 (2012). https://doi.org/10.1007/s10900-011-9453-8

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10900-011-9453-8

Keywords

Navigation