Food insecurity and effectiveness of behavioral interventions to reduce blood pressure, New York City, 2012-2013.
Prev Chronic Dis
; 12: E16, 2015 Feb 12.
Article
en En
| MEDLINE
| ID: mdl-25674675
ABSTRACT
INTRODUCTION:
Food insecurity is associated with diet-sensitive diseases and may be a barrier to successful chronic disease self-management. To evaluate the impact of food insecurity on blood pressure reduction in a pilot clinical trial, we tested the effectiveness of 2 behavioral interventions for hypertension in people with and without food security.METHODS:
A group of 28 men and women with type 2 diabetes and uncontrolled hypertension were randomized to either 1) home blood pressure telemonitoring alone or 2) home blood pressure telemonitoring plus telephone-based nurse case management. The primary outcome was 6-month change in systolic blood pressure.RESULTS:
The 2 interventions resulted in modest, nonsignificant blood pressure reductions. Food-secure patients experienced clinically and statistically significant reductions in blood pressure, whereas no significant change was seen among food-insecure patients.CONCLUSION:
Screening for food insecurity may help identify patients in need of tailored disease management interventions.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Población Urbana
/
Terapia Conductista
/
Presión Sanguínea
/
Monitoreo Ambulatorio de la Presión Arterial
/
Manejo de la Enfermedad
/
Abastecimiento de Alimentos
/
Hipertensión
Tipo de estudio:
Observational_studies
/
Prevalence_studies
/
Risk_factors_studies
Límite:
Female
/
Humans
/
Male
/
Middle aged
País/Región como asunto:
America do norte
Idioma:
En
Revista:
Prev Chronic Dis
Asunto de la revista:
SAUDE PUBLICA
Año:
2015
Tipo del documento:
Article