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Related Experiment Video

Updated: Jun 4, 2026

Multidisciplinary Approach to Obesity Management: A Case Report

Multidisciplinary Approach to Obesity Management: A Case Report

Published on: May 30, 2025

En Balance participants decrease dietary fat and cholesterol intake as part of a culturally sensitive Hispanic

Lorena M Salto^1,2, Zaida Cordero-MacIntyre^1,3, Lawrence Beeson²

¹The Loma Linda University, Center for Health Disparities and Molecular Medicine, Loma Linda, California (Ms Salto, Dr Cordero-MacIntyre, Dr De Leon)

The Diabetes Educator

|February 24, 2011

Summary

The En Balance program improved glycemic control and lipid profiles in Mexican American adults with type 2 diabetes. This culturally sensitive intervention also reduced dietary fat and cholesterol intake.

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Last Updated: Jun 4, 2026

Multidisciplinary Approach to Obesity Management: A Case Report

Multidisciplinary Approach to Obesity Management: A Case Report

Published on: May 30, 2025

Area of Science:

Nutrition Science
Diabetes Management
Public Health

Background:

Type 2 diabetes is a significant health concern among Hispanic adults.
Culturally tailored interventions are crucial for effective diabetes management in diverse populations.
Dietary habits play a pivotal role in managing type 2 diabetes.

Purpose of the Study:

To evaluate the dietary intake patterns of Mexican American Hispanic adults in the En Balance diabetes education program.
To assess the impact of a culturally sensitive diabetes intervention on dietary habits.
To identify specific nutrient intake changes associated with the En Balance program.

Main Methods:

A cohort of 39 Mexican American Hispanic adults with type 2 diabetes completed a 3-month culturally sensitive diabetes education program (En Balance).
Dietary intake was assessed at baseline and after 3 months using the Southwest Food Frequency Questionnaire.
Statistical analysis was performed to determine significant changes in dietary intake and clinical markers.

Main Results:

Participants exhibited high baseline intake of energy, total fat, saturated fat, dietary cholesterol, and sodium.
Significant decreases in dietary fat (P = .045) and dietary cholesterol (P = .033) intake were observed after the 3-month program.
Clinically significant improvements in glycemic control and serum lipid levels were noted.
Low intake of omega-3 fatty acids (DHA, EPA) and vitamin E was identified.

Conclusions:

The En Balance program effectively improved glycemic control and lipid profiles in Hispanic participants with type 2 diabetes.
The intervention successfully promoted reductions in dietary fat and cholesterol consumption.
Culturally tailored diabetes education can positively influence dietary behaviors and health outcomes in Hispanic adults.