Michelle C Kegler1, Regine Haardörfer1, Iris C Alcantara1, Julie A Gazmararian1, J K Veluswamy1, Tarccara L Hodge1, Ann R Addison1, James A Hotz1. 1. Michelle C. Kegler, Regine Haardörfer, and Iris C. Alcantara are with Emory Prevention Research Center, Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, GA. Julie A. Gazmararian is with Department of Epidemiology, Emory Prevention Research Center, Rollins School of Public Health, Emory University. J. K. Veluswamy and Tarccara L. Hodge are with Cancer Coalition of South Georgia, Albany. Ann R. Addison is with Primary Care of Southwest Georgia, Blakely. James A. Hotz is with Albany Area Primary Health Care Inc, Albany.
Abstract
OBJECTIVES: We assessed the effectiveness of an intervention targeting home food and activity environments to reduce energy intake and increase physical activity among overweight and obese patients from 3 community health centers in rural Georgia. METHODS: We conducted a randomized controlled trial (n = 349) from 2011 to 2013, with follow-up at 6 and 12 months. Health coaches delivered the 16-week intervention by using tailored home environment profiles showing areas in need of improvement and positive aspects of the home environment, behavioral contracts for healthy actions, and mailed support materials. RESULTS:Participants were mostly African American women (84.8%), with a mean age of 50.2 years and a mean body mass index (weight in kilograms divided by the square of height in meters) of 38.3. Daily energy intake decreased more for the intervention than control group at 6 (-274 vs -69 kcal) and 12 months (-195 vs -76 kcal). We observed no change for either objective or self-reported physical activity. At 12 months, 82.6% of intervention participants had not gained weight compared with 71.4% of control participants. CONCLUSIONS: The intervention was effective in changing home environments and reducing energy intake.
RCT Entities:
OBJECTIVES: We assessed the effectiveness of an intervention targeting home food and activity environments to reduce energy intake and increase physical activity among overweight and obesepatients from 3 community health centers in rural Georgia. METHODS: We conducted a randomized controlled trial (n = 349) from 2011 to 2013, with follow-up at 6 and 12 months. Health coaches delivered the 16-week intervention by using tailored home environment profiles showing areas in need of improvement and positive aspects of the home environment, behavioral contracts for healthy actions, and mailed support materials. RESULTS:Participants were mostly African American women (84.8%), with a mean age of 50.2 years and a mean body mass index (weight in kilograms divided by the square of height in meters) of 38.3. Daily energy intake decreased more for the intervention than control group at 6 (-274 vs -69 kcal) and 12 months (-195 vs -76 kcal). We observed no change for either objective or self-reported physical activity. At 12 months, 82.6% of intervention participants had not gained weight compared with 71.4% of control participants. CONCLUSIONS: The intervention was effective in changing home environments and reducing energy intake.
Authors: Catherine M Champagne; Margaret L Bogle; Bernestine B McGee; Kathy Yadrick; H Raymond Allen; Tim R Kramer; Pippa Simpson; Jeffrey Gossett; Judith Weber Journal: J Am Diet Assoc Date: 2004-02
Authors: Amy A Gorin; Hollie A Raynor; Joseph Fava; Kimberly Maguire; Erica Robichaud; Jennifer Trautvetter; Melissa Crane; Rena R Wing Journal: Health Psychol Date: 2012-02-06 Impact factor: 4.267
Authors: Elliott M Blass; Daniel R Anderson; Heather L Kirkorian; Tiffany A Pempek; Iris Price; Melanie F Koleini Journal: Physiol Behav Date: 2006-07-05
Authors: Frances E Thompson; Douglas Midthune; Geoffrey C Williams; Amy L Yaroch; Thomas G Hurley; Ken Resnicow; James R Hebert; Deborah J Toobert; Geoffrey W Greene; Karen Peterson; Linda Nebeling Journal: J Nutr Date: 2008-01 Impact factor: 4.798
Authors: Shiwen Yu; Liying Xing; Zhi Du; Yuanmeng Tian; Li Jing; Han Yan; Min Lin; Boqiang Zhang; Shuang Liu; Yaping Pan; Chen Li Journal: Biomed Res Int Date: 2019-07-25 Impact factor: 3.411