Friday, May 9, 2025
5/9/2025
Cheyenne River Sioux Tribe Youth Diabetes Prevention Program - Project Abstract Summary The Cheyenne River Sioux Tribe (CRST) is located in central South Dakota. The communities are remotely scattered on the reservation, and the driving distance from the central hub community of Eagle Butte to the farthest community is 90 miles one-way. Since 1998, the CRST Youth Diabetes Prevention Program (YDPP) has provided annual school screenings in the area schools to identify the students with overweight, obesity, severe obesity, and Body Mass Index (BMI) that is very far from the healthy weight range. To determine the impact of the Covid-19 pandemic on childhood obesity, the school screening data from school year 2019 were compared to the school screening data from school year 2021. The percent of students with a healthy weight significantly decreased from 41.9% to 27.89% (p=0.0001). The students with overweight or obesity, significantly increased from 56.86% to 69.39% (p=0.0001). The percent of student with obesity, significantly increased from 40.90% to 53.74% (p=0.0001). The percent of students with a BMI percent very far from the healthy weight range, significantly increased from 1.53% to 7.82% (p=0.0001). In school year 2021, of the students screened in grades K-6, 60.26% had weights >= 100 pounds, of which 5.77% had weights >= 200 pounds. The students screened in grades 7 and 8, 78.57% had weights >= 150 pounds of which, 21.43% had weights >= 200 pounds. The students screened in grades 9-12, 97.06% had weights >= 150 pounds, of which 50% had weights >= 200 pounds. Of the students in grades K-12 with overweight or obesity, the weights ranged from <= 49 pounds to 349 pounds. (See data slides.) These data show the impact of the Covid-19 pandemic and the great need that currently exists on Cheyenne River for diabetes prevention services. Utilizing the 2021 GPRA Report, there are 9,261 people in the user population for the Indian Health Service. Of the 9,261 people, 845 are diagnosed with diabetes. The Diabetes prevalence rate is 9.1%. The CRST YDPP expanded the diabetes prevention services to remote communities on the reservation with the addition of a mobile unit in 2015. The Mobile Unit provided the program with more capability for hands-on services and education that were offered to the youth and their families. The Mobile Unit serves as a "station" for all program activities in the outlying communities. In addition, the Mobile Unit provides space and privacy for individual and/or group education, clinical screening, and consultation sessions. The Diabetes-related Education Best Practice will be implemented with the following activities: Medical Nutrition Therapy, Case Management, Nutrition Education, Mobile Unit, Physical Activity Education. Other Activities/Services include: School Screening and Community Physical Activities.
HHS’ Tracking Accountability in Government Grants System (TAGGS) website provides access to detailed descriptions of grants, loans, aggregated direct payments and other types of financial assistance awarded by the HHS Operating Divisions (OPDIVs) and the Office of the Secretary Staff Divisions (STAFFDIVs).