Successful dietary changes in a cardiovascular risk reduction intervention are differentially predicted by biopsychosocial characteristics
| Autor: | Brian Oliveira, William L. Haskell, Kathleen Berra, Jeff Myll, Suzanne C. Danhauer |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
Adult
Male Biopsychosocial model medicine.medical_specialty Epidemiology media_common.quotation_subject Health Behavior Psychological intervention Disease California Risk Factors Intervention (counseling) Environmental health Outcome Assessment Health Care medicine Humans Risk factor Diet Fat-Restricted Aged media_common Aged 80 and over business.industry Public Health Environmental and Occupational Health Feeding Behavior Middle Aged Distress Cardiovascular Diseases Physical therapy Female Worry business Psychosocial |
| Zdroj: | Preventive Medicine. 39:783-790 |
| ISSN: | 0091-7435 |
| DOI: | 10.1016/j.ypmed.2004.03.003 |
| Popis: | Background . Psychosocial factors have demonstrated associations with both prognosis of patients with cardiovascular disease (CVD) as well as the development of CVD. Psychosocial distress may influence health behaviors (such as eating behavior) that increase cardiovascular risk. Method . The purpose of this research was to evaluate the role of psychosocial distress on intake of high-fat snacks and fruits and vegetables in 740 men and women, identified as high risk for cardiovascular disease, who took part in a 1-year cardiovascular risk factor reduction program. Results . Participants who were more successful at decreasing or staying at an optimal level of high-fat food intake had lower levels of baseline total psychosocial distress and worry and decreases in total psychosocial distress. A greater success rate at increasing fruit and vegetable intake or staying at an optimal level of fruit and vegetable intake was associated with changes in Type A and competing behaviors. Conclusions . Results from these analyses suggest that baseline levels and changes in psychosocial variables, particularly decreased psychosocial distress, were associated with improvements in healthful eating behaviors. Further work may provide information that could be useful in tailoring health behavior interventions to specific subgroups based on psychosocial characteristics, initial health behaviors, and demographic characteristics. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect