Project Joy: faith based cardiovascular health promotion for African American women.
Public Health Rep
; 116 Suppl 1: 68-81, 2001.
Article
em En
| MEDLINE
| ID: mdl-11889276
ABSTRACT
OBJECTIVE:
The authors tested the impact on cardiovascular risk profiles of African American women ages 40 years and older after one year of participation in one of three church-based nutrition and physical activity strategies a standard behavioral group intervention, the standard intervention supplemented with spiritual strategies, or self-help strategies.METHODS:
Women were screened at baseline and after one year of participation. The authors analyzed intention-to-treat within group and between groups using a generalized estimating equations adjustment for intra-church clustering. Because spiritual strategies were added to the standard intervention by participants themselves, the results from both active groups were similar and, thus, combined for comparisons with the self-help group.RESULTS:
A total of 529 women from 16 churches enrolled. Intervention participants exhibited significant improvements in body weight (-1.1 lbs), waist circumference (-0.66 inches), systolic blood pressure (-1.6 mmHg), dietary energy (-117 kcal), dietary total fat (-8 g), and sodium intake (-145 mg). The self-help group did not. In the active intervention group, women in the top decile for weight loss at one year had even larger, clinically meaningful changes in risk outcomes (-19.8 lbs).CONCLUSIONS:
Intervention participants achieved clinically important improvements in cardiovascular disease risk profiles one year after program initiation, which did not occur in the self-help group. Church-based interventions can significantly benefit the cardiovascular health of African American women.
Texto completo:
1
Coleções:
01-internacional
Contexto em Saúde:
2_ODS3
Base de dados:
MEDLINE
Assunto principal:
Religião e Psicologia
/
Autocuidado
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Grupos de Autoajuda
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Negro ou Afro-Americano
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Doenças Cardiovasculares
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Educação em Saúde
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Autoeficácia
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Promoção da Saúde
Tipo de estudo:
Clinical_trials
/
Etiology_studies
/
Evaluation_studies
/
Prognostic_studies
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Qualitative_research
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Screening_studies
Limite:
Adult
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Aged
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Female
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Humans
/
Middle aged
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Public Health Rep
Ano de publicação:
2001
Tipo de documento:
Article