No-cost gym visits are associated with lower weight and blood pressure among non-Latino black and Latino participants with a diagnosis of hypertension in a multi-site demonstration project.
No-cost gym visits are associated with lower weight and blood pressure among non-Latino black and Latino participants with a diagnosis of hypertension in a multi-site demonstration project.
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DOI：
10.1016/j.pmedr.2018.02.003
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发表时间：
2018-06
影响因子：
2.8
通讯作者：
Wada R
中科院分区：
文献类型：
--
作者：
Shah SN;Digenis-Bury E;Russo ET;O'Malley S;Blanding N;McHugh A;Wada R
美国肥胖和高血压方面有据可查的、持续存在的种族/民族健康差异表明，继续需要对可能处于较高风险的有色人种进行干预。我们评估了一个由CDC的种族/民族社区健康方法（REACH）计划资助的示范项目，该项目在波士顿的四个联邦合格的健康中心（ECOHC）和基督教青年会健身和健康中心。从2014年6月到2015年6月，基督教青年会向诊断为高血压的非拉丁裔黑人和拉丁裔成年人提供免费会员资格。将YMCA访问数据与224名参与者的健康数据合并（n = 1265次健康中心访问）。我们使用纵向时变线性固定效应模型评估了健身房频率与体重、体重指数（BMI）、收缩压（SBP）和舒张压（DBP）之间的相关性。在整个计划期间，健身房访问的总数为5.5，而有条件的访问总数（第一次健身房访问后）为17.3。平均而言，在进行心肺功能检查前至少去健身房10次与体重较低（1.19 kg，p = 0.01）、BMI较低（0.43 kg/m2，p = 0.01）以及SBP（-3.20 mm Hg，p = 0.01）和DBP（-2.06 mm Hg，p = 0.01）降低相关。平均每月去健身房1.4次（研究平均值）与体重，BMI和DBP的降低有关。在该项目中，非拉丁裔黑人和拉丁裔高血压成年人的免费健身房访问与体重和血压的改善相关。有必要进行额外的评价，以评估这些影响的可持续性。非拉丁美洲黑人和拉丁美洲成年人肥胖和高血压的患病率较高。免费健身房会员提供给非拉丁裔黑人和拉丁裔成年人在城市环境。至少10次去健身房与体重和血压的改善有关。针对有色人种的干预措施可能会减少种族/民族健康差异。
Well documented, persistent racial/ethnic health disparities in obesity and hypertension in the US demonstrate the continued need for interventions that focus on people of color who may be at higher risk. We evaluated a demonstration project funded by the CDC's Racial/Ethnic Approaches to Community Health (REACH) program at four federally qualified health centers (FQHC) and YMCA fitness and wellness centers in Boston. No-cost YMCA memberships were offered from June 2014 to June 2015 to non-Latino black and Latino adults with a diagnosis of hypertension. YMCA visit data were merged with health data for 224 participants (n = 1265 health center visits). We assessed associations between gym visit frequency and weight, body mass index (BMI), systolic blood pressure (SBP), and diastolic blood pressure (DBP) using longitudinal time-varying linear fixed-effects models. The total number of gym visits over the entire program duration was 5.5, while the conditional total number of visits (after the first gym visit has been made) was 17.3. Having visited the gym at least 10 times before an FQHC exam was, on average, associated with lower weight (1.19 kg, p = 0.01), lower BMI (0.43 kg/m2, p = 0.01) and reductions in SBP (−3.20 mm Hg, p = 0.01) and DBP (−2.06 mm Hg p = 0.01). Having visited the gym an average of 1.4 times per month (study average) was associated with reductions in weight, BMI, and DBP. No-cost gym visits were associated with improved weight and blood pressure in hypertensive non-Latino black and Latino adults in this program. Additional evaluation is necessary to assess the sustainability of these effects. Non-Latino black and Latino adults have higher prevalence of obesity and uncontrolled hypertension. No cost gym memberships were offered to non-Latino black and Latino adults in an urban setting. Visiting the gym at least 10 times was associated with improved weight and blood pressure outcomes. Interventions that focus on populations of color may reduce racial/ethnic health disparities.