Evaluation of the impact of a community-based, pharmacist-led weight loss program focused on a high-protein diet on risk factors for cardiovascular disease
| Autor: | Pramit Nadpara, Keenan Rea, Joseph Jadallah, Jean-Venable 'Kelly' Goode |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Waist Protein diet Pharmacist Pharmacology (nursing) Pharmacy Blood Pressure Disease Pharmacists 030226 pharmacology & pharmacy 03 medical and health sciences 0302 clinical medicine Risk Factors medicine Humans 030212 general & internal medicine Retrospective Studies Pharmacology medicine.diagnostic_test business.industry Weight Loss Program United States Weight Reduction Programs Blood pressure Cardiovascular Diseases Heart Disease Risk Factors Physical therapy Diet High-Protein Lipid profile business |
| Zdroj: | Journal of the American Pharmacists Association : JAPhA. 61(4S) |
| ISSN: | 1544-3450 |
| Popis: | Lifestyle choices such as poor diet, physical inactivity, and smoking contribute to modifiable cardiovascular (CV) risk factors.To evaluate clinical outcomes (blood pressure, glycosylated hemoglobin [A1C] level, lipid profile, weight, and waist circumference) that affect CV disease and the American Heart Association (AHA) Life's Simple 7 score before and after completion of a weight loss program focusing on a high-protein, low-calorie, low-carbohydrate, and low-fat diet.Independent pharmacy in Richmond, VA.Pharmacist-led weight loss program focusing on a high-protein, low-calorie, low-carbohydrate, and low-fat diet.A retrospective analysis of electronic patient records was conducted to evaluate a pharmacist-led weight loss program focusing on a high-protein, low-calorie, low-carbohydrate, and low-fat diet. Baseline information included age, gender, race, height, comorbid conditions, diet, physical activity, and smoking status. Clinical CV outcomes (blood pressure, A1C level, lipid profile, weight, and waist circumference) were compared from baseline and at completion. Participants beginning calculated AHA Life's Simple 7 score was compared with the calculated score at completion. The Wilcoxon signed-rank test was used to analyze data.Fourteen participants completed the program. Improvements in risk factors included systolic blood pressure (5.79 ± 5.56 mm Hg, P0.005), diastolic blood pressure (2.57 ± 3.37 mm Hg, P0.012), A1C level (0.6% ± 0.99%, P0.001), total cholesterol (22.21 ± 17.79 mg/dL, P0.001), low-density lipoprotein cholesterol (18 mg/dL, P0.041), weight (11.06 ± 5.65 kilograms, P0.001), and waist circumference (5.44 ± 4.24 centimeters, P0.001). The AHA Life's Simple 7 scores increased after the weight loss program (3.21 ± 0.89, P0.001).A community-based, pharmacist-led weight loss program focusing on a high-protein, low-calorie, low-carbohydrate, and low-fat diet improved participants' AHA Life's Simple 7 scores and modifiable risk factors for CV disease. |
| Databáze: | OpenAIRE |
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