Two-year results from a community-wide diabetes prevention intervention in a high risk indigenous community: The Ngati and Healthy project

Challenges to addressing obesity for Māori in Aotearoa/New Zealand

“…29 In terms of obesity and related illnesses, a small number of research projects with Māori communities trialled interventions during the 2000s designed to improve Māori health outcomes. [30][31][32][33] The Ngāti and Healthy diabetes prevention intervention was able to achieve significant reductions in the prevalence of pre-diabetes among Māori living in the largely rural Tairāwhiti region (east coast of the North Island) by means of a communitydriven intervention focusing on reducing weight by increasing exercise and making healthy diet changes. 33,34 .…”

“…[30][31][32][33] The Ngāti and Healthy diabetes prevention intervention was able to achieve significant reductions in the prevalence of pre-diabetes among Māori living in the largely rural Tairāwhiti region (east coast of the North Island) by means of a communitydriven intervention focusing on reducing weight by increasing exercise and making healthy diet changes. 33,34 . Ngāti and Healthy used community-wide health promotion, education and health monitoring strategies as well as initiatives aimed at adapting local environments (e.g.…”

“…Encouragingly, between 2003 and 2006, there was a significant reduction in the prevalence of insulin resistance (an important risk factor for diabetes) in the community, despite minor and inconsistent effects on body weight. 33 Te…”

Diabetes Prevention in the New York City Sikh Asian Indian Community: A Pilot Study

“…Diabetes is preventable through dietary changes and weight loss, increased physical activity, and other lifestyle changes [10,11], and in addition to lowering clinical measurements such as weight and glucose [11,12,13,14,15,16,17,18,19,20,21,22,23], community-based interventions modeled after the DPP have also been shown to promote health benefits such as improved nutrition and increased exercise [12,13,15,22,23,24,25,26,27,28]. DPP studies that have been translated into community settings have included various modifications to the original DPP protocol in order to address feasibility and sustainability challenges associated with the program, and to address the specific needs of the target communities in which studies are implemented.…”

An innovative team-based weightloss competition to reduce cardiovascular and diabetes risk among Māori and Pacific people: rationale and method for the study and its evaluation

“…One large prospective survey and two pilot studies specific to Māori include the Ngati and Healthy community programme that was effective in reducing insulin resistance, [17,18] the Vanguard pilot study, which utilised a Māori community health personal trainer and achieved weightloss [19] and a pilot community programme that improved insulin sensitivity, and reduced weight and systolic blood pressure [20]. For NZ Pacific people, three church-based pilot interventions have been conducted that showed promising effectiveness in reducing diabetes for Pacific people [21][22][23].…”