A Cultural Dance Program Improves Hypertension Control and Cardiovascular Disease Risk in Native Hawaiians: A Randomized Controlled Trial
| Autor: | Todd B. Seto, Tricia Mabellos, So Yung Choi, Hyeong Jun Ahn, Māpuana de Silva, Joseph Keawe‘aimoku Kaholokula, Ka'imi Sinclair, Mele A. Look, Thomas A. Wills |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Native Hawaiian or Other Pacific Islander common Psychological intervention Intervention Blood Pressure 030204 cardiovascular system & hematology AcademicSubjects/SCI02170 Hawaii law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Native Hawaiians Diabetes mellitus Internal medicine medicine Humans 030212 general & internal medicine Exercise General Psychology Hula Framingham Risk Score Random assignment business.industry common.demographic_type Regular Article Cardiovascular disease medicine.disease Dance Editor's Choice Psychiatry and Mental health Blood pressure Cardiovascular Diseases Hypertension Native Hawaiian AcademicSubjects/MED00010 business Regular Articles |
| Zdroj: | Annals of Behavioral Medicine: A Publication of the Society of Behavioral Medicine |
| ISSN: | 1532-4796 0883-6612 |
| DOI: | 10.1093/abm/kaaa127 |
| Popis: | Background Native Hawaiians have higher hypertension (HTN) and cardiovascular disease (CVD) rates than non-Hispanic whites, calling for culturally responsive interventions to close this gap. Purpose We tested the effects of a 6-month behavioral intervention, a cultural dance program based on hula (the customary dance of Hawai'i), for improving blood pressure (BP) and CVD risk among Native Hawaiians with uncontrolled HTN. Methods In a randomized controlled trial, we tested the effects of the hula-based intervention among 263 Native Hawaiians with uncontrolled HTN (systolic ≥ 140 or ≥ 130 mmHg if diabetes) and no CVD at enrollment. All participants received a brief culturally tailored heart health education before random assignment to the hula-based intervention (n = 131) or the education-only waitlist control (n = 132). Intervention received hula lessons and group-based activities for 6 months. Control received only 1-week education through 6 months. Results Intervention yielded greater reductions in systolic (−15.3 mmHg) and diastolic (−6.4 mmHg) BP than control (−11.8 and −2.6 mmHg, respectively) from baseline to 6 months (p < .05). At 6 months, 43% of intervention participants compared to 21% of controls achieved a HTN stage Native Hawaiians with hypertension who participated in a cultural dance program show clinically meaningful improvements in blood pressure and cardiovascular disease risk than those who did not participate. |
| Databáze: | OpenAIRE |
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