Community-Based Primary Prevention Programs Decrease the Rate of Metabolic Syndrome Among Socioeconomically Disadvantaged Women

Gilstrap, Lauren; Malhotra, Rajeev; Peltier-Saxe, Donna; Slicas, Donna; Pineda, Eliana; Culhane-Hermann, Catherine; Cook, Nakela L.; Fernandez-Golarz, Carina; Wood, Malissa J.

doi:10.1089/jwh.2012.3854

Cited by 21 publications

(19 citation statements)

References 28 publications

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“…Our findings are similar to other community‐based lifestyle interventions targeting CVD risk reduction among underserved (e.g., rural, low‐income) populations . For example, Devine and colleagues, using an experiential education approach aimed at fruit and vegetable intake in low‐income women, found significant increases in intake in intervention versus control group participants .…”

Section: Discussionsupporting

confidence: 86%

Strong Hearts, Healthy Communities: A Community‐Based Randomized Trial for Rural Women

Seguin

Paul

Folta

et al. 2018

Obesity

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Objective To evaluate a multilevel cardiovascular disease (CVD) prevention program for rural women. Methods This six-month community-based randomized trial enrolled 194 sedentary rural women aged 40 or older, with a BMI ≥ 25 kg/m2. Intervention participants attended six months of twice-weekly exercise, nutrition, and heart health classes (48 total) that included individual-, social-, and environment-level components. An education-only control program included didactic healthy lifestyle classes once a month (6 total). The primary outcome measures were change in BMI and weight. Results Within group and between group multivariate analyses revealed that only intervention participants decreased BMI (−0.85 units; 95% CI 1.32, −0.39; p=0.001) and weight (−2.24 kg; −3.49, −0.99; p=0.002); compared to controls, intervention participants decreased BMI and weight (difference: −0.71 units; −1.35, −0.08; p=0.03 and 1.85 kg; −3.55, −0.16; p=0.03, respectively) and improved C-reactive protein (difference: −1.15; −2.16, −0.15; p=0.03) and Simple 7, a composite CVD risk score (difference=0.67; 0.14, 1.21; p=0.01). Cholesterol decreased in controls but increased among intervention (−7.85 versus 3.92; difference=11.77; 0.57, 22.96; p=0.04). Conclusions The multilevel intervention demonstrated modest but superior and meaningful improvements in BMI and other CVD risk factors compared to the control program.

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Section: Discussionsupporting

confidence: 86%

Strong Hearts, Healthy Communities: A Community‐Based Randomized Trial for Rural Women

Seguin

Paul

Folta

et al. 2018

Obesity

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“…The success of individual-targeted lifestyle interventions depends on realistic goal setting [12, 13], yet current approaches to health education are often provider centred [5, 14, 15]. In their book ‘Sick Societies’ , Stuckler et al note that ‘societies in which people are born, live, work and age create the individual’s risks for chronic diseases, for which individuals have little choice’ [6].…”

Section: Introductionmentioning

confidence: 99%

‘Change means sacrificing a good life’: perceptions about severity of type 2 diabetes and preventive lifestyles among people afflicted or at high risk of type 2 diabetes in Iganga Uganda

et al. 2014

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BackgroundInterventions for prevention of type 2 diabetes ought to be acceptable to target communities. We assessed perceptions about type 2 diabetes and lifestyle change among people afflicted or at high risk of this disease in a low income setting in Iganga Uganda.MethodsTwelve focus group discussions (FGDs) of eight participants each were conducted, balancing rural and peri-urban (near the Municipality) residence and gender. The FGDs involved people with suspected type 2 diabetes (based on fasting plasma glucose (FPG), people with suspected pre-diabetes and obese people with normal FPG. Content analysis was conducted.ResultsDiabetes was perceived to be a very severe disease. Its severity was attributed to its incurability and its numerous health effects. Men were also concerned about reduced sexual performance. However, participants’ strong concerns about the severity of diabetes were not reflected in their perceptions about the risk factors and lifestyles associated with it. While people with diabetes perceive obesity as ‘sickness’, those without diabetes perceive it as a sign of ‘success’. Although participants are willing to change their diet, they mention numerous barriers including poverty, family size, and access to some foods. Because of their good taste, reduction of high risk foods like sugar and fried food is perceived as ‘sacrificing a good life’. Increments in physical activity were said to be feasible, but only in familiar forms like domestic work. An over-arching theme emerged that ‘lifestyle changes are viewed as sacrificing a good life’.ConclusionsHealth promotion should target both community norms and individual awareness regarding obesity, physical activity and diet, and should address the notion that obesity and unhealthy foods represent a good life. Health educators should plan with clients on how to overcome barriers and misconceptions to lifestyle change, leveraging the pervasive perception of type 2 diabetes as a severe disease to motivate change.

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“…The experimental group with MetS who both exercised and ate healthy food showed a 41.7% decrease in MetS prevalence after 18 months. In a separate study by Gilstrap et al (2013), after nutrition and exercise interventions, the prevalence of MetS in 64 low income and minority females dropped from 64.7% at baseline to 34.9% and 28.8% in the first and second year, respectively. Our results are different to the results of Gilstrap’s research (Gilstrap et al, 2013).…”

Section: Discussionmentioning

confidence: 91%

“…In a separate study by Gilstrap et al (2013), after nutrition and exercise interventions, the prevalence of MetS in 64 low income and minority females dropped from 64.7% at baseline to 34.9% and 28.8% in the first and second year, respectively. Our results are different to the results of Gilstrap’s research (Gilstrap et al, 2013). The reasons of the different results may be different ages, different exercise, and dietary intervention strategies.…”

Section: Discussionmentioning

confidence: 91%

Long-Term Lifestyle Intervention in Elderly With Metabolic Syndrome

Chang

Chien

2017

Clin Nurs Res

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The purpose of this study was to examine the effects of a long-term community-based lifestyle intervention on the biochemical indicators and prevalence of metabolic syndrome among elderly adults. This was a randomized controlled trial in northern Taiwan from August 2013 to February 2015. Sixty-nine elderly adults participated in this study. There were three measurements. The experimental group participated in exercise and diet interventions. The control group participated in the exercise intervention. Repeated measurement and ANCOVA were performed to evaluate the effectiveness. After 18 months, body weight (1.06 kg), body mass index (1.21 kg/m), waist circumference (3.32 cm), blood pressure, and prevalence (30.4%) of metabolic syndrome were significantly reduced in all subjects. There were significant differences in waist circumference and high-density lipoprotein cholesterol between the two groups. This intervention can lower the indicators and prevalence of metabolic syndrome. Exercise and diet interventions could promote further metabolic changes.

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Community-Based Primary Prevention Programs Decrease the Rate of Metabolic Syndrome Among Socioeconomically Disadvantaged Women

Abstract: This lifestyle intervention program is effective at decreasing MetSyn in a socioeconomically disadvantaged, largely minority, female population. This program also decreases anxiety, stress, and depression among participants.

Cited by 21 publications

References 28 publications

Strong Hearts, Healthy Communities: A Community‐Based Randomized Trial for Rural Women

Strong Hearts, Healthy Communities: A Community‐Based Randomized Trial for Rural Women

‘Change means sacrificing a good life’: perceptions about severity of type 2 diabetes and preventive lifestyles among people afflicted or at high risk of type 2 diabetes in Iganga Uganda

Long-Term Lifestyle Intervention in Elderly With Metabolic Syndrome

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