National Model for Diabetes Prevention and Treatment Program in Civilian and Military Beneficiary Populations (FY07)

摘要

The prevalence of childhood overweight and obesity is increasing at an alarming rate in the United States (US). Prevalence among children and adolescents has doubled in the past 2 decades. There is a strong link between obesity and diabetes, and other significant health problems such as cardiovascular disease and sleep apnea. The probability of childhood obesity persisting into adulthood is estimated to increase from approximately 20% at 4 years of age to approximately 80% by adolescence. It is probable that co-morbidities will persist into adulthood as well. The obesity epidemic is likely to affect the military most immediately as a result of increasing the need for dependent care for overweight and obese children. The purpose of this project was to develop and implement a comprehensive, evidence- based, multi-faceted approach to preventing diabetes in those at risk, as well as improving the lives of those already diagnosed with the disease. The principal investigator focused on transforming currently available knowledge into useful measures for everyday clinical health practice. This project addressed four areas in adult primary prevention for diabetes and cardiovascular disease through the use of web-based tools. The areas included an evidence-based pediatric weight management program, a modified diabetes prevention program, implanting diabetes treatment in the chronic care model (CCM), and the implementation inpatient management protocols with support from University of Pittsburgh Medical Center (UPMC).