| Titre : | Keeping America Healthy : CDC Prevention Research Partnerships. Project joy : Faith based cardiovascular health promotion for African American women. (2001) |
| Auteurs : | Lisa-R YANEK ; Diane-M BECKER ; Lynda-S DOLL, éd. ; Joel GUITEISOHN ; Dyann-Matson KOFFMAN ; Taryn-F MOY ; Susan-C SCRIMSHAW, éd. ; Center for Health Promotion. Johns Hopkins University School of Medicine. Baltimore. MD. USA ; Johns Hopkins University Bloomberg School of Public Health. USA |
| Type de document : | Article |
| Dans : | Public health reports (vol. 116, 2001) |
| Pagination : | 68-81 |
| Langues: | Anglais |
| Mots-clés : | Promotion santé ; Homme ; Femme ; Programme santé ; Prévention santé ; Appareil circulatoire [pathologie] ; Facteur risque |
| Résumé : | [BDSP. Notice produite par INIST-CNRS w007R0x1. Diffusion soumise à autorisation]. Objective. The authors tested the impact of card ovascular risk proflies of African American women ages 40 years and olcer after one year of participation in one of three churcn-based nutrition and physica activity strategies a standarc behavioral group intervention, the stancard intervention supplemented with spintual 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 spintual strategies were added to the standard stervention by participants themseives, the results from poth active groups were similar and, thus, combinec for comparisons with the self-help group. Results. A total of 529 women from 16 courches enrolled. Intervent on participants exhibitec significant improvements in body weight (-1.1 lbs) waist circumference (-0.66 inches). systolic blood pressure (-1.6 mmHg), dietary energy (-17 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 part cipants achieved clinically important improvements in cardiovascular disease risk proflies 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. |
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