A community-based lifestyle and weight loss intervention promoting a Mediterranean-style diet pattern evaluated in the stroke belt of North Carolina: the Heart Healthy Lenoir Project
- ECU Author/Contributor (non-ECU co-authors, if there are any, appear on document)
- Alice S. Ammerman (Creator)
- Danielle F. Braxton (Creator)
- Gwen B. Davis (Creator)
- Katrina E. Donahue (Creator)
- Nadya T. M. Elliott (Creator)
- Kelly R. Evenson (Creator)
- Beverly A. Garcia (Creator)
- Ziya Gizlice (Creator)
- Myron D. Gross (Creator)
- Jacqueline R. Halladay (Creator)
- Larry F. Johnston (Creator)
- Thomas C. Keyserling (Creator)
- Cassandra L. Miller (Creator)
- Stephanie J. Pitts (Creator)
- Emmanuelle L. Quenum (Creator)
- Carmen D. Samuel-Hodge (Creator)
- Janice C. Smith (Creator)
- Institution
- East Carolina University (ECU )
- Web Site: http://www.ecu.edu/lib/
Abstract: Abstract Background Because residents of the southeastern United States experience disproportionally high rates of cardiovascular disease (CVD) , it is important to develop effective lifestyle interventions for this population. Methods The primary objective was to develop and evaluate a dietary , physical activity (PA) and weight loss intervention for residents of the southeastern US. The intervention , given in eastern North Carolina , was evaluated in a 2 year prospective cohort study with an embedded randomized controlled trial (RCT) of a weight loss maintenance intervention. The intervention included: Phase I (months 1-6) , individually-tailored intervention promoting a Mediterranean-style dietary pattern and increased walking; Phase II (months 7-12) , option of a 16-week weight loss intervention for those with BMI 25 kg/m2 offered in 2 formats (16 weekly group sessions or 5 group sessions and 10 phone calls) or a lifestyle maintenance intervention; and Phase III (months 13-24) , weight loss maintenance RCT for those losing€‰‰¥€‰8 lb with all other participants receiving a lifestyle maintenance intervention. Change in diet and PA behaviors , CVD risk factors , and weight were assessed at 6 , 12 , and 24 month follow-up. Results Baseline characteristics (N€‰=€‰339) were: 260 (77 %) females , 219 (65 %) African Americans , mean age 56 years , and mean body mass index 36 kg/m2. In Phase I , among 251 (74 %) that returned for 6 month follow-up , there were substantial improvements in diet score (4.3 units [95 % CI 3.7 to 5.0]) , walking (64 min/week [19 to 109]) , and systolic blood pressure (ˆ’6.4 mmHg [ˆ’8.7 to ˆ’4.1]) that were generally maintained through 24 month follow-up. In Phase II , 138 (57 group only , 81 group/phone) chose the weight loss intervention and at 12 months , weight change was: ˆ’3.1 kg (ˆ’4.9 to ˆ’1.3) for group (N€‰=€‰50) and ˆ’2.1 kg (ˆ’3.2 to ˆ’1.0) for group/phone combination (N€‰=€‰75). In Phase III , 27 participants took part in the RCT. At 24 months , weight loss was ˆ’2.1 kg (ˆ’4.3 to 0.0) for group (N€‰=€‰51) and ˆ’1.1 kg (ˆ’2.7 to 0.4) for combination (N€‰=€‰72). Outcomes for African American and whites were similar. Conclusions The intervention yielded substantial improvement in diet , PA , and blood pressure , but weight loss was modest. Trial registration clinicaltrials.gov Identifier: NCT01433484
Additional Information
- Publication
- Other
- BMC Public Health. 2016 Aug 05;16(1):732
- Language: English
- Date: 2016
- Keywords
- Subjects
Title | Location & Link | Type of Relationship |
A community-based lifestyle and weight loss intervention promoting a Mediterranean-style diet pattern evaluated in the stroke belt of North Carolina: the Heart Healthy Lenoir Project | http://hdl.handle.net/10342/6082 | The described resource references, cites, or otherwise points to the related resource. |