Translating a heart disease lifestyle intervention into the community: the South Asian Heart Lifestyle Intervention (SAHELI) study; a randomized control trial
| Autor: | David W. Baker, Swapna S. Dave, Juned Siddique, Peter John D De Chavez, Bonnie Spring, Paola Seguil, Namratha R. Kandula, Himali Bharucha, Santosh Kumar, Yasin Patel |
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| Rok vydání: | 2015 |
| Předmět: |
Gerontology
Adult Male medicine.medical_specialty Asia Heart Diseases Health Behavior Emigrants and Immigrants Pilot Projects Health Promotion Cardiovascular disease prevention law.invention Body Mass Index Randomized controlled trial Asian People law Weight loss Residence Characteristics Epidemiology Weight Loss medicine Humans South Asian Obesity Cultural Competency 10. No inequality Exercise Life Style business.industry Public health Public Health Environmental and Occupational Health Middle Aged medicine.disease United States 3. Good health Diet Health education Female Randomized clinical trial medicine.symptom business Body mass index Psychosocial Program Evaluation Research Article |
| Zdroj: | BMC Public Health |
| ISSN: | 1471-2458 |
| Popis: | Background South Asians (Asian Indians and Pakistanis) are the second fastest growing ethnic group in the United States (U.S.) and have an increased risk of atherosclerotic cardiovascular disease (ASCVD). This pilot study evaluated a culturally-salient, community-based healthy lifestyle intervention to reduce ASCVD risk among South Asians. Methods Through an academic-community partnership, medically underserved South Asian immigrants at risk for ASCVD were randomized into the South Asian Heart Lifestyle Intervention (SAHELI) study. The intervention group attended 6 interactive group classes focused on increasing physical activity, healthful diet, weight, and stress management. They also received follow-up telephone support calls. The control group received translated print education materials about ASCVD and healthy behaviors. Primary outcomes were feasibility and initial efficacy, measured as change in moderate/vigorous physical activity and dietary saturated fat intake at 3- and 6-months. Secondary clinical and psychosocial outcomes were also measured. Results Participants’ (n = 63) average age was 50 (SD = 8) years, 63 % were female, 27 % had less than or equal to a high school education, one-third were limited English proficient, and mean BMI was 30 kg/m2 (SD ± 5). There were no significant differences in change in physical activity or saturated fat intake between the intervention and control group. Compared to the control group, the intervention group showed significant weight loss (−1.5 kg, p-value = 0.04) and had a greater sex-adjusted decrease in hemoglobin A1C (−0.43 %, p-value |
| Databáze: | OpenAIRE |
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