{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T06:19:54Z","timestamp":1775715594926,"version":"3.50.1"},"reference-count":59,"publisher":"Wiley","license":[{"start":{"date-parts":[[2020,9,29]],"date-time":"2020-09-29T00:00:00Z","timestamp":1601337600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Diabetes Research"],"published-print":{"date-parts":[[2020,9,29]]},"abstract":"<p>Type 2 diabetes (T2D) is a public health problem worldwide, and the main risk factor for its development is obesity. The Yaqui ethnic group of Sonora has serious obesity problems, resulting in an increased risk of T2D in its inhabitants. The objective of this study was to evaluate the effectiveness of a health promotion program on obesity parameters and cardiovascular risk factors in short- (6 months) and medium-term periods (12 months) in indigenous Yaquis of Sonora. The design is a translational clinical study of a single cohort with prepost intervention measurements in a sample of 93 subjects. The effectiveness of the program was evaluated by comparing obesity parameters, metabolic markers, and physical activity 6 and 12 months with those measured under basal conditions using a paired <inline-formula>\n                     <a:math xmlns:a=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\">\n                        <a:mi>t<\/a:mi>\n                     <\/a:math>\n                  <\/inline-formula>-test or Wilcoxon rank-sum test. The short-term retention percentage was 58.0%. There was a decrease in body weight (<inline-formula>\n                     <c:math xmlns:c=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M2\">\n                        <c:mi>\u0394<\/c:mi>\n                        <c:mo>=<\/c:mo>\n                        <c:mo>\u2212<\/c:mo>\n                        <c:mn>3.9<\/c:mn>\n                        <c:mtext>\u2009<\/c:mtext>\n                        <c:mtext>kg<\/c:mtext>\n                     <\/c:math>\n                  <\/inline-formula>, <inline-formula>\n                     <e:math xmlns:e=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M3\">\n                        <e:mi>p<\/e:mi>\n                        <e:mo>\u2264<\/e:mo>\n                        <e:mn>0.05<\/e:mn>\n                     <\/e:math>\n                  <\/inline-formula>) and other obesity parameters, and an increase in physical activity and improvements in metabolic markers (<inline-formula>\n                     <g:math xmlns:g=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M4\">\n                        <g:mi>p<\/g:mi>\n                        <g:mo>\u2264<\/g:mo>\n                        <g:mn>0.05<\/g:mn>\n                     <\/g:math>\n                  <\/inline-formula>) was observed. Similar findings were obtained for the medium-term period; body weight loss was also -3.9\u2009kg (<inline-formula>\n                     <i:math xmlns:i=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M5\">\n                        <i:mi>p<\/i:mi>\n                        <i:mo>\u2264<\/i:mo>\n                        <i:mn>0.05<\/i:mn>\n                     <\/i:math>\n                  <\/inline-formula>). The short and medium-term results of the program showed improvements in the obesity parameters and other cardiovascular risk factors of the participants. These results support the effectiveness of the program and its translation in this ethnic group.<\/p>","DOI":"10.1155\/2020\/6320402","type":"journal-article","created":{"date-parts":[[2020,9,30]],"date-time":"2020-09-30T19:50:10Z","timestamp":1601495410000},"page":"1-13","source":"Crossref","is-referenced-by-count":2,"title":["Effectiveness of the Healthy Lifestyle Promotion Program for Yaquis with Obesity and Risk of Diabetes in the Short and Medium Term: A Translational Study"],"prefix":"10.1155","volume":"2020","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1152-2969","authenticated-orcid":false,"given":"Alejandro Arturo","family":"Castro-Juarez","sequence":"first","affiliation":[{"name":"Diabetes Research Unit, Department of Public Nutrition and Health, Nutrition Coordination, Research Center for Food and Development (CIAD), A.C., Hermosillo, Sonora 83304, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3498-4784","authenticated-orcid":true,"given":"Araceli","family":"Serna-Guti\u00e9rrez","sequence":"additional","affiliation":[{"name":"Sociocultural Department, Technological Institute of Sonora, Cd. Obregon, Sonora 85137, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8569-7393","authenticated-orcid":true,"given":"Norma Alicia","family":"D\u00f3rame-L\u00f3pez","sequence":"additional","affiliation":[{"name":"Diabetes Research Unit, Department of Public Nutrition and Health, Nutrition Coordination, Research Center for Food and Development (CIAD), A.C., Hermosillo, Sonora 83304, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3674-1017","authenticated-orcid":true,"given":"Mariela","family":"Solano-Morales","sequence":"additional","affiliation":[{"name":"Diabetes Research Unit, Department of Public Nutrition and Health, Nutrition Coordination, Research Center for Food and Development (CIAD), A.C., Hermosillo, Sonora 83304, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1909-0627","authenticated-orcid":true,"given":"Ana Cristina","family":"Gallegos-Aguilar","sequence":"additional","affiliation":[{"name":"Diabetes Research Unit, Department of Public Nutrition and Health, Nutrition Coordination, Research Center for Food and Development (CIAD), A.C., Hermosillo, Sonora 83304, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9104-409X","authenticated-orcid":true,"given":"Rolando Giovanni","family":"D\u00edaz-Zavala","sequence":"additional","affiliation":[{"name":"Nutrition Health Promotion Center, Department of Chemical and Biological Sciences, University of Sonora, Hermosillo, Sonora 83000, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1582-2475","authenticated-orcid":true,"given":"Heliodoro","family":"Alem\u00e1n-Mateo","sequence":"additional","affiliation":[{"name":"Department of Nutrition and Metabolism, Nutrition Coordination, Research Center for Food and Development (CIAD), A.C., Hermosillo, Sonora 83304, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3827-6056","authenticated-orcid":true,"given":"Rene","family":"Urquidez-Romero","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, Nutrition Program, Autonomous University of Ciudad Juarez, Cd. Juarez, Chihuahua 32315, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2775-6118","authenticated-orcid":true,"given":"Fernanda","family":"Campa-Quijada","sequence":"additional","affiliation":[{"name":"Diabetes Research Unit, Department of Public Nutrition and Health, Nutrition Coordination, Research Center for Food and Development (CIAD), A.C., Hermosillo, Sonora 83304, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9863-3655","authenticated-orcid":true,"given":"Diana Marcela","family":"Valenzuela-Guzm\u00e1n","sequence":"additional","affiliation":[{"name":"Diabetes Research Unit, Department of Public Nutrition and Health, Nutrition Coordination, Research Center for Food and Development (CIAD), A.C., Hermosillo, Sonora 83304, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9748-2031","authenticated-orcid":true,"given":"Juli\u00e1n","family":"Esparza-Romero","sequence":"additional","affiliation":[{"name":"Diabetes Research Unit, Department of Public Nutrition and Health, Nutrition Coordination, Research Center for Food and Development (CIAD), A.C., Hermosillo, Sonora 83304, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claudia","family":"Cardoso","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1007\/s10900-015-0071-8"},{"key":"2","article-title":"Obesidad y sobrepeso, datos y cifras","author":"Organizaci\u00f3n Mundial de la Salud (OMS)","year":"2018"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.4236\/jdm.2013.34028"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2019.107843"},{"key":"5","article-title":"Estimates of diabetes and its burden in the United States","author":"CDC National Diabetes Statistics Report","year":"2017"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(09)60914-4"},{"key":"7","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1016\/S0140-6736(16)30194-5","article-title":"Adressing global health disparaties among indigenous people","volume":"2388","author":"Kirmayer","year":"2016","journal-title":"Lancet"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(17)32755-1"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2007.03.022"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-5491.2010.02966.x"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.2337\/dc15-0089"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1002\/ajhb.20781"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.17843\/rpmesp.2012.293.367"},{"issue":"1","key":"14","first-page":"31","article-title":"Hipertensi\u00f3n arterial y sus factores de riesgo en ind\u00edgenas Ember\u00e1-Cham\u00ed","volume":"27","author":"Cardona-Arias","year":"2013","journal-title":"Revista CES Medicina"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.1080\/10408398.2014.913003"},{"issue":"2","key":"16","first-page":"90","article-title":"Prevalence of previous diagnosis of hypertension and associated factors in the Yaqui indigenous of Sonora","volume":"29","author":"Castro-Juarez","year":"2018","journal-title":"Revista Mexicana de Cardiolog\u00eda"},{"key":"17","doi-asserted-by":"publisher","DOI":"10.1016\/j.arcmed.2007.12.003"},{"key":"18","doi-asserted-by":"publisher","DOI":"10.29105\/respyn17.3-3"},{"key":"19","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200105033441801"},{"key":"20","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.20.4.537"},{"key":"21","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(06)69701-8"},{"key":"22","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa012512"},{"key":"23","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2012.12.009"},{"key":"24","doi-asserted-by":"publisher","DOI":"10.2337\/dc12-1250"},{"key":"25","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2009.07.020"},{"key":"26","doi-asserted-by":"publisher","DOI":"10.1097\/01.PHH.0000303410.66485.91"},{"key":"27","doi-asserted-by":"publisher","DOI":"10.5993\/AJHB.38.3.6"},{"key":"28","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.26.3.725"},{"key":"29","article-title":"National Diabetes Prevention Program. 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