Project joy: Faith based cardiovascular health promotion for African American women
Project joy: Faith based cardiovascular health promotion for African American women
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DOI：
10.1093/phr/116.s1.68
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发表时间：
2001-01-01
影响因子：
3.3
通讯作者：
Koffman, DM
中科院分区：
文献类型：
--
作者：
Yanek, LR;Becker, DM;Koffman, DM
目标。作者测试了40岁及以上的非裔美国妇女在参加三种基于教会的营养和体育活动策略一年后对心血管风险状况的影响：标准行为团体干预，标准干预辅以精神策略，或自助策略，方法。妇女在基线和参与一年后进行筛查。作者分析了组内和组间的治疗意向，使用了教会内聚类的广义估计方程调整，因为参与者自己将精神策略添加到标准干预中，因此两个活跃组的结果相似，因此与自助组的结果相结合。共有来自16个教堂的529名妇女参加了干预，参与者在体重（- 1.1磅）、腰围（-0.66英寸）、收缩压（- 1.6毫米汞柱）、饮食能量（- 117千卡）、饮食总脂肪（-8克）和钠摄入量（- 145毫克）方面都有显著改善。自助小组没有。在积极干预组中，一年内体重减轻最多的十分之一的妇女在风险结果上有更大的临床意义变化（- 19.8磅）。干预组的参与者在项目启动一年后心血管疾病风险谱取得了临床上重要的改善，这在自助组中没有发生。以教会为基础的干预措施可以大大有利于非裔美国妇女的心血管健康。
Objective. The authors tested the impact on cardiovascular risk profiles of African American women ages 40 years and older after one year of participation in one of three church-based nutrition and physical activity strategies: a standard behavioral group intervention, the standard intervention supplemented with spiritual strategies, or self-help strategies,Methods. Women were screened at baseline and after one year of participation. The authors analyzed intention-to-treat within group and between groups using a generalized estimating equations adjustment for intra-church clustering, Because spiritual strategies were added to the standard intervention by participants themselves, the results from both active groups were similar and, thus, combined for comparisons with the self-help group.Results. A total of 529 women from 16 churches enrolled, Intervention participants exhibited significant improvements in body weight (- 1.1 lbs), waist circumference (-0.66 inches), systolic blood pressure (- 1.6 mmHg), dietary energy (- 117 kcal), dietary total fat (-8 g), and sodium intake (- 145 mg). The self-help group did not. In the active intervention group, women in the top decile for weight loss at one year had even larger, clinically meaningful changes in risk outcomes (- 19.8 lbs).Conclusions. Intervention participants achieved clinically important improvements in cardiovascular disease risk profiles one year after program initiation, which did not occur in the self-help group. Church-based interventions can significantly benefit the cardiovascular health of African American women.