Hypertension Improvement Project (HIP) Latino: results of a pilot study of lifestyle intervention for lowering blood pressure in Latino adults.

Hypertension Improvement Project (HIP) Latino: results of a pilot study of lifestyle intervention for lowering blood pressure in Latino adults.
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DOI:
10.1080/13557851003674997
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发表时间:
2010-06
期刊:
影响因子:
3.1
通讯作者:
Svetkey LP
Svetkey LP
中科院分区:
医学3区
文献类型:
--
作者:
Rocha-Goldberg Mdel P;Corsino L;Batch B;Voils CI;Thorpe CT;Bosworth HB;Svetkey LP

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评估文化定制行为干预改善西班牙裔/拉丁裔成年人高血压相关健康行为的可行性。在北卡罗来纳州达勒姆的一个社区卫生中心和一个拉丁裔组织进行的可行性试点研究。文化适应的行为干预包括每周6次的小组会议,其中包括动机访谈技术。目标包括如果超重就减肥,采用饮食方法来阻止高血压(DASH)的饮食模式,以及增加体力活动。参与者还被鼓励监测他们每天的水果、蔬菜、乳制品和脂肪的摄入量,并记录体力活动。文化适应包括在熟悉的地方进行研究,使用讲西班牙语的干预主义者,选择适合文化的食物,以及体力活动。在基线和6周随访时测量收缩压、体重、体重指数(BMI)、运动和饮食模式。还对征聘过程和干预措施进行了定性评价。的潜在参与者通过医疗服务提供者转介(33%)、印刷媒体(23%)和直接接触(44%)确定。17名参与者完成了干预,并获得了主要结果数据。参与者“强烈同意/同意”,小组会议为他们提供了实现减肥、控制血压所需的工具,以及在完成干预后保持生活方式变化的可能性。在干预结束时,除了脂肪外,所有的生理、饮食和运动结果都更有利。治疗6周后,平均收缩压下降10.4±10.6−,体重下降1.5±3.2磅,体重指数下降0.3±0.5,每周体力活动增加40分钟。我们的发现表明,在拉美裔/拉丁裔人群中,预防和治疗高血压的生活方式干预是可行的,并具有潜在的有效性。
To assess the feasibility of a culturally tailored behavioral intervention for improving hypertension-related health behaviors in Hispanic/Latino adults. Feasibility pilot study in a community health center and a Latino organization in Durham, North Carolina (NC). The culturally adapted behavioral intervention consisted of 6 weekly group sessions incorporating motivational interviewing techniques. Goals included weight loss if overweight, adoption of the Dietary Approaches to Stop Hypertension (DASH) dietary pattern, and increased physical activity. Participants were also encouraged to monitor their daily intake of fruits, vegetables, dairy and fat, and to record physical activity. Cultural adaptations included conducting the study in familiar places, using Spanish-speaking interventionist, culturally-appropriate food choices, and physical activity. Systolic blood pressure, weight, body mass index (BMI), exercise, and dietary pattern were measured at baseline and at 6 weeks follow-up. Qualitative evaluations of the recruitment process and the intervention were also conducted. There were 64 potential participants identified via health care provider referrals (33%), printed media (23%), and direct contact (44%). Seventeen participants completed the intervention and had main outcome data available. Participants “strongly agreed/ agreed” that the group sessions provided them with the tools they needed to achieve weight loss, blood pressure control, and the possibility of sustaining the lifestyle changes after completing the intervention. At the end of the intervention, all physiological, diet, and exercise outcomes were more favorable, with the exception of fat. After 6 weeks, systolic blood pressure decreased an average of −10.4 ± 10.6 mmHg, weight decreased 1.5 ± 3.2 lbs, BMI decreased 0.3 ± 0.5, and physical activity increased 40 minutes per week. Our findings suggest that lifestyle interventions for preventing and treating hypertension are feasible and potentially effective in the Hispanic/Latino population.
DOI: 10.1111/j.1520-037x.2001.00529.x
发表时间: 2001-01-01
期刊: Preventive cardiology
影响因子: --
作者:
Kelley, G A;Kelley, K A;Tran, Z V
通讯作者: Tran, Z V
DOI: 10.1207/s15324796abm2302_2
发表时间: 2001-03-01
影响因子: 3.8
作者:
Bock, BC;Marcus, BH;Forsyth, LH
通讯作者: Forsyth, LH
DOI: 10.1186/1745-6215-10-13
发表时间: 2009-02-26
期刊: TRIALS
影响因子: 2.5
作者:
Dolor, Rowena J.;Yancy, William S., Jr.;Svetkey, Laura P.
通讯作者: Svetkey, Laura P.
DOI: 10.1093/ajcn/53.6.1631s
发表时间: 1991-06-01
影响因子: 7.1
作者:
KUMANYAKA, SK;OBARZANEK, E;WHELTON, PK
通讯作者: WHELTON, PK
DOI: 10.1161/01.hyp.0000094221.86888.ae
发表时间: 2003-11-01
期刊: HYPERTENSION
影响因子: 8.3
作者:
Neter, JE;Stam, BE;Geleijnse, JM
通讯作者: Geleijnse, JM