At the Fort Peck Indian Reservation, we collaborated with the community college to develop an online nutritional epigenetics course to serve as an intervention for a clinical trial. The curriculum we developed was culturally competent to meet the needs of the American Indian students. The goals of the intervention study were to determine the impact of dietary inorganic mercury exposure on glucose homeostasis and reduce risk factors for the development of Type-2 Diabetes. We wanted to improve student diet and health outcomes.
In addition to collecting pre-post intervention diet survey data, we measured pre-post intervention BMI, weight, fasting glucose, insulin and inorganic mercury levels.
Students who completed the online nutritional epigenetics course significantly improved their diets (p<0.01). They significantly decreased their intake of ultra-processed foods (p<0.01) and significantly increased their intake of whole, unprocessed foods (p<0.01).
Students who took the online nutritional epigenetics course showed significant reductions in their fasting blood glucose levels (p<0.01) and lower levels of inorganic mercury in their blood (p=0.05) compared to the students who did not take the online course.
Students who took the online nutritional epigenetics course were required to develop an educational tool to share what they learned with friends and family as part of a final project. Some students developed informative brochures while others gave PPT presentations.
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