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.
RCT Entities:
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.
Authors: M K Campbell; W Demark-Wahnefried; M Symons; W D Kalsbeek; J Dodds; A Cowan; B Jackson; B Motsinger; K Hoben; J Lashley; S Demissie; J W McClelland Journal: Am J Public Health Date: 1999-09 Impact factor: 9.308
Authors: Sara Wilcox; Marilyn Laken; Allen W Parrott; Margaret Condrasky; Ruth Saunders; Cheryl L Addy; Rebecca Evans; Meghan Baruth; May Samuel Journal: Contemp Clin Trials Date: 2010-03-30 Impact factor: 2.226
Authors: Penny A Ralston; Jennifer L Lemacks; Kandauda K A S Wickrama; Iris Young-Clark; Catherine Coccia; Jasminka Z Ilich; Cynthia M Harris; Celeste B Hart; Arrie M Battle; Catherine Walker O'Neal Journal: Contemp Clin Trials Date: 2014-03-28 Impact factor: 2.226
Authors: Malcolm Bevel; Oluwole A Babatunde; Sue P Heiney; Heather M Brandt; Michael D Wirth; Thomas G Hurley; Samira Khan; Hiluv Johnson; Cassandra M Wineglass; Tatiana Y Warren; E Angela Murphy; Erica Sercy; Amanda S Thomas; James R Hébert; Swann Arp Adams Journal: Ethn Dis Date: 2018-04-26 Impact factor: 1.847