Risk Factors for Type 2 Diabetes in a Sixth- Grade Multiracial Cohort

The HEALTHY study

  1. The HEALTHY Study Group*
  1. Correspondence: Kathryn Hirst, khirst{at}bsc.gwu.edu.


OBJECTIVE HEALTHY is a 3-year middle school intervention program designed to reduce risk factors for type 2 diabetes. The prevalence of diabetes risk factors at baseline in a cohort of 6,358 sixth-grade students is reported.

RESEARCH DESIGN AND METHODS Forty-two schools at seven U.S. sites were randomly assigned to intervention or control. Students participated in baseline data collection during fall of 2006.

RESULTS Overall, 49.3% of children had BMI ≥85th percentile, 16.0% had fasting blood glucose ≥100 mg/dl (<1% had fasting blood glucose ≥126 mg/dl), and 6.8% had fasting insulin ≥30 μU/ml. Hispanic youth were more likely to have BMI, glucose, and insulin levels above these thresholds than blacks and whites.

CONCLUSIONS Sixth-grade students in schools with large minority populations have high levels of risk factors for type 2 diabetes. The HEALTHY intervention was designed to modify these risk factors to reduce diabetes incidence.


  • *A full list of the members of the HEALTHY Study Group (including investigators and director) is available in an online appendix, and a full list of the writing group is available in the appendix.

  • The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked “advertisement” in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.

    • Received September 26, 2008.
    • Accepted January 20, 2009.
  • Readers may use this article as long as the work is properly cited, the use is educational and not for profit, and the work is not altered. See http://creativecommons.org/licenses/by-nc-nd/3.0/ for details.

| Table of Contents

This Article

  1. Diabetes Care vol. 32 no. 5 953-955
  1. Online-Only Appendix
  2. All Versions of this Article:
    1. dc08-1774v1
    2. 32/5/953 most recent