system
Medical AI Inquiry: You was designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.  Labels: BACKGROUND, METHODS, RESULTS. Meshes: Adolescent, Body Mass Index, British Columbia, Child, Diabetes Mellitus, Type 2, Feeding Behavior, Feeding and Eating Disorders, Female, Health Promotion, Humans, Indians, North American, Male, Obesity, Peer Group, Program Evaluation, Rural Population, School Health Services, Self Concept, Socioeconomic Factors, Waist Circumference.
user
Do healthy Buddies™ reduces body mass index z-score and waist circumference in Aboriginal children living in remote coastal communities? Context: Aboriginal children are at increased risk for obesity and type 2 diabetes. Healthy Buddies™-First Nations (HB) is a curriculum-based, peer-led program promoting healthy eating, physical activity, and self-esteem. Although originally designed as a pilot pre-/post-analysis of 3 remote Aboriginal schools that requested and received HB training, one school did not implement the program and was used as a control group. Outcomes included changes in body mass index z-score (zBMI), waist circumference (WC), blood pressure (BP), self-esteem, health behavior, and knowledge over 1 school year in kindergarten to grade 12 children. There was a significant decrease in zBMI (1.10 to 1.04, p = .028) and WC (77.1 to 75.0 cm, p < .0001) in the HB group (N = 118) compared with an increase in zBMI (1.14 to 1.23, p = .046) and a minimal WC change in the control group (N = 61). Prevalence of elevated BP did not change in the HB group, but increased from 16.7% to 31.7% in the control group (p = .026). General linear model analysis revealed a significant interaction between time, group, and zBMI (p = .001), weight status (p = .014), nutritious beverage knowledge (p = .018), and healthy living and self-esteem score (p = .005).
assistant
The HB program is a promising school-based strategy for addressing obesity and self-esteem in Aboriginal children. Final Decision: yes