Health, Community, and Spirituality

Gutiérrez, Jaime Mejía; Devia, Carlos; Weiss, Linda; Chantarat, Tongtan; Ruddock, Charmaine; Linnell, Jill; Golub, Maxine; Godfrey, Loyce; Rosen, Rosa; Calman, Neil S.

doi:10.1177/0145721714521872

Cited by 41 publications

(28 citation statements)

References 9 publications

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“…The current findings and those from other studies suggest that greater specificity in the measurement of religion and religious practices may be needed to understand when R/S can be protective or destructive toward maintaining good health habits. As well, faith based and faith placed interventions may be more successful at incorporating elements from specific faiths that can help members change their health habits in the context of that faith (Fitzgibbon et al, 2005, Gutierrez et al, 2014, Wilcox et al, 2013). …”

Section: Discussionmentioning

confidence: 99%

The impact of religiosity on dietary habits and physical activity in minority women participating in the Health is Power (HIP) study

Ansari¹,

Soltero²,

Lorenzo³

et al. 2017

Preventive Medicine Reports

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African American (AA) and Hispanic/Latina (HL) women report lower rates of physical activity (PA) and poorer dietary habits compared to their white counterparts. Religiosity can act as a protective factor for health; however, the relationship between religiosity, PA, and diet is unclear. This study aimed to investigate the influence of religiosity on PA and fruit and vegetable (FV) and fat consumption in minority women. Health is Power (HIP) was a 6-month intervention where participants (AA: 63%; HL: 37%) were randomized to a PA or FV group. Questionnaires assessed religiosity at baseline and PA, FV and fat consumption at baseline and post-intervention. Hierarchical linear regression models were used to investigate religiosity as a predictor of change in PA, FV and fat, while controlling for demographics. AA women had significantly higher religiosity scores (M = 44.15, SD = 10.66) compared to H/L women (M = 35.11, SD = 12.82; t(251) = 5.86, p < 0.001). Across both groups, PA increased by 15%, FV intake increased by 27%, and consumption of calories by fat decreased by 5%. Religiosity was not a significant predictor of PA or diet (p < 0.05). The results of this study found no association between religiosity and change in PA and diet. More longitudinal studies are needed to explore the role of religiosity in the health of minority women.

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Section: Discussionmentioning

confidence: 99%

The impact of religiosity on dietary habits and physical activity in minority women participating in the Health is Power (HIP) study

Ansari¹,

Soltero²,

Lorenzo³

et al. 2017

Preventive Medicine Reports

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“…Diabetes is preventable through dietary changes and weight loss, increased physical activity, and other lifestyle changes [10,11], and in addition to lowering clinical measurements such as weight and glucose [11,12,13,14,15,16,17,18,19,20,21,22,23], community-based interventions modeled after the DPP have also been shown to promote health benefits such as improved nutrition and increased exercise [12,13,15,22,23,24,25,26,27,28]. DPP studies that have been translated into community settings have included various modifications to the original DPP protocol in order to address feasibility and sustainability challenges associated with the program, and to address the specific needs of the target communities in which studies are implemented.…”

Section: Introductionmentioning

confidence: 99%

Diabetes Prevention in the New York City Sikh Asian Indian Community: A Pilot Study

Islam

Zanowiak

Wyatt

et al. 2014

IJERPH

148

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India has one of the highest burdens of diabetes worldwide, and rates of diabetes are also high among Asian Indian immigrants that have migrated into the United States (U.S.). Sikhs represent a significant portion of Asian Indians in the U.S. Diabetes prevention programs have shown the benefits of using lifestyle intervention to reduce diabetes risk, yet there have been no culturally-tailored programs for diabetes prevention in the Sikh community. Using a quasi-experimental two-arm design, 126 Sikh Asian Indians living in New York City were enrolled in a six-workshop intervention led by community health workers. A total of 108 participants completed baseline and 6-month follow-up surveys between March 2012 and October 2013. Main outcome measures included clinical variables (weight, body mass index (BMI), waist circumference, blood pressure, glucose, and cholesterol) and health behaviors (changes in physical activity, food behaviors, and diabetes knowledge). Changes were significant for the treatment group in weight, BMI, waist circumference, blood pressure, glucose, physical activity, food behaviors, and diabetes knowledge, and between group differences were significant for glucose, diabetes knowledge, portion control, and physical activity social interaction. Retention rates were high. Findings demonstrate that a diabetes prevention program in the Sikh community is acceptable, feasible, and efficacious.

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“…All studies measured participant weight; nine reported a statistically significant reduction in mean weight post-intervention or for the intervention group compared with controls. 15–17,19,22–26 Five RCTs were included among these 16,19,22,24,25 ; all five reported statistically significant weight loss in intervention versus control participants. Effect sizes for changes in weight were small, however, ranging from 0.01 to 0.32.…”

Section: Evidence Synthesismentioning

confidence: 99%

“…In fact, it is unclear whether any single measurement of diet or physical activity was utilized across more than one study. Seven studies examined changes in physical activity, all measured by participant self-report, 15,18,21–24,26 with some utilizing validated, reliable measures for Hispanic populations (e.g., Global Physical Activity Questionnaire, International Physical Activity Questionnaire, Rapid Assessment of Physical Activity) and others employing study-specific individual physical activity items. Four studies reported significant changes in physical activity levels post-intervention 15,18,23,26 (Appendix Table 1).…”

Section: Evidence Synthesismentioning

confidence: 99%

“…Seven studies examined changes in physical activity, all measured by participant self-report, 15,18,21–24,26 with some utilizing validated, reliable measures for Hispanic populations (e.g., Global Physical Activity Questionnaire, International Physical Activity Questionnaire, Rapid Assessment of Physical Activity) and others employing study-specific individual physical activity items. Four studies reported significant changes in physical activity levels post-intervention 15,18,23,26 (Appendix Table 1). Nine studies measured some aspect of dietary intake or nutrition, via participant self-report only, 15,16,18,21–26 and eight reported significant changes in dietary behaviors due to the intervention.…”

Section: Evidence Synthesismentioning

confidence: 99%

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Diabetes Prevention in U.S. Hispanic Adults: A Systematic Review of Culturally Tailored Interventions

McCurley

Gutiérrez

Gallo

2017

American Journal of Preventive Medicine

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Context Type 2 diabetes, prediabetes, and metabolic syndrome are highly prevalent in Hispanic individuals in the U.S. Cultural adaptations of traditional lifestyle interventions have been recommended to better reach this high-risk population. This systematic review examined the effectiveness of diabetes prevention programs for Hispanics in lowering risk for Type 2 diabetes, as evidenced by a reduction in weight or improvement in glucose regulation. Evidence acquisition PubMed/MEDLINE, CENTRAL, Web of Science, and PsycINFO were searched from database inception to June 2016 for studies that evaluated diabetes prevention trials targeting U.S. Hispanic populations. Twelve publications met criteria for inclusion. Evidence synthesis Interventions varied substantially in length, rigor, and tailoring strategies. Five of 12 studies were RCTs. Eight studies included entirely or largely (>70%) female samples. All studies were delivered in Spanish and took place in community settings. Nine studies reported significant reductions in weight, and two in glucose regulation, post-intervention or when compared with controls. Effect sizes were small to moderate, study quality was moderate, and attrition was high in most trials. Interventions with the largest effect sizes included one or more of the following adaptations: literacy modification, Hispanic foods/recipes, cultural diabetes beliefs, family/friend participation, structured community input, and innovative experiential learning. Conclusions Culturally tailored lifestyle interventions for diabetes prevention appear to be modestly effective in reducing risk for diabetes in Hispanics in the U.S. More studies are needed that utilize randomized controlled designs, recruit Hispanic men, report intervention content and tailoring strategies systematically, and publish participant evaluation and feedback.

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Health, Community, and Spirituality

Abstract: Evaluation results show FFF's success at engaging overweight adults in behavior changes related to healthy eating and exercise. FFF demonstrates the potential of faith-based health interventions to address obesity and diabetes risk in high-need communities of color.

Cited by 41 publications

References 9 publications

The impact of religiosity on dietary habits and physical activity in minority women participating in the Health is Power (HIP) study

The impact of religiosity on dietary habits and physical activity in minority women participating in the Health is Power (HIP) study

Diabetes Prevention in the New York City Sikh Asian Indian Community: A Pilot Study

Diabetes Prevention in U.S. Hispanic Adults: A Systematic Review of Culturally Tailored Interventions

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