Prevention of type 2 diabetes in childhood

Clin Pediatr (Phila). 1998 Feb;37(2):123-9. doi: 10.1177/000992289803700210.


The incidence of type 2 diabetes has increased dramatically in the past decade in Pima (Akimel O'odham) children, aged 5-17 years, living in the Gila River Indian Community (GRIC). As a result, a diabetes primary prevention program called Quest was implemented in 1996 at an elementary school in the GRIC for students in kindergarten and grades 1-2. The Quest program has four components: (1) biochemical and anthropometric assessments, (2) classroom instruction about diabetes, (3) increased daily physical activity at school, and (4) a structured school breakfast and lunch program. Preliminary results of the program indicate that the school provides a stable environment for behavior change and interventions that slow weight gain in early childhood.

MeSH terms

  • Adolescent
  • Arizona
  • Body Mass Index
  • Child
  • Child, Preschool
  • Diabetes Mellitus / prevention & control
  • Diabetes Mellitus, Type 2 / epidemiology*
  • Diabetes Mellitus, Type 2 / therapy
  • Diet Therapy
  • Diet, Diabetic
  • Exercise Therapy
  • Female
  • Humans
  • Indians, North American*
  • Male
  • Obesity
  • School Health Services