Purpose/hypothesis <p>Due to sedentary lifestyles and poor nutrition, Louisiana has higher national death rates in obesity related diseases. The purpose of this pilot study was to assess whether a community placed program, Eat Right and Move (ERM), can decrease obesity and cardiovascular risk factors in a local economically disadvantaged Black population.</p> Number&#xa0;of subjects <p>30.</p> Materials and methods <p>The ERM program included weekly exercise classes and monthly cooking classes for a period of 6 months. Eligibility criteria included adults between the ages of 18–70, with a diagnosis of having cardiovascular risk factors. Baseline measures included: Blood pressure (BP), body mass index (BMI), lipid panel, A1c, C- reactive protein (CRP), class attendance, a nutritional assessment, a quality-of-life scale, endurance and strength measures. These measures were repeated at the completion of the 6-month program. Means and standard deviations of demographics, health, and anthropometric outcomes were calculated with descriptive statistics. Descriptive comparison of all collected variables was used to compare outcomes to nationally established sets of norms for all variables, assessing clinical significance or statistical significance using Minimal Detectable Change (MDC) scores on outcome measures. Paired repeated measures <i>t</i>-tests were conducted to assess statistical significance.</p> Results <p>Results display the percentage of participants who exhibited mean improvements in the measured variables post intervention: BMI reduction: 70.3%, BP reduction: 66.6%, Low density lipoprotein (LDL) cholesterol reduction: 58.3%, triglycerides reduction: 50%, inflammatory marker reduction: 75%, leg strength improvement: 91.6%, cardiovascular endurance gains: 91.6%, quality of life improvement: 83.3%, nutritional improvement: 83.3%, blood glucose improvement: 45.4%. Statistical significance was seen in BMI, BP, strength, endurance and triglyceride measures (p ≦ 0.05). Further 80% of participants completed the 6-month program.</p> Conclusions <p>The majority of participants enrolled in the ERM program displayed mean improvements in cardiovascular risk factors after completion of the 6-month program.</p> Clinical relevance <p>Results display that community-placed programming in areas of food and activity deserts, maybe be effective in improving cardiovascular risk factors and quality of life in the Black population.</p>

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A community placed program addressing cardiovascular health in the black population through a community health hub programmatic model

  • Marie Vazquez Morgan,
  • Grace Peterson,
  • Suzanne Tinsley

摘要

Purpose/hypothesis

Due to sedentary lifestyles and poor nutrition, Louisiana has higher national death rates in obesity related diseases. The purpose of this pilot study was to assess whether a community placed program, Eat Right and Move (ERM), can decrease obesity and cardiovascular risk factors in a local economically disadvantaged Black population.

Number of subjects

30.

Materials and methods

The ERM program included weekly exercise classes and monthly cooking classes for a period of 6 months. Eligibility criteria included adults between the ages of 18–70, with a diagnosis of having cardiovascular risk factors. Baseline measures included: Blood pressure (BP), body mass index (BMI), lipid panel, A1c, C- reactive protein (CRP), class attendance, a nutritional assessment, a quality-of-life scale, endurance and strength measures. These measures were repeated at the completion of the 6-month program. Means and standard deviations of demographics, health, and anthropometric outcomes were calculated with descriptive statistics. Descriptive comparison of all collected variables was used to compare outcomes to nationally established sets of norms for all variables, assessing clinical significance or statistical significance using Minimal Detectable Change (MDC) scores on outcome measures. Paired repeated measures t-tests were conducted to assess statistical significance.

Results

Results display the percentage of participants who exhibited mean improvements in the measured variables post intervention: BMI reduction: 70.3%, BP reduction: 66.6%, Low density lipoprotein (LDL) cholesterol reduction: 58.3%, triglycerides reduction: 50%, inflammatory marker reduction: 75%, leg strength improvement: 91.6%, cardiovascular endurance gains: 91.6%, quality of life improvement: 83.3%, nutritional improvement: 83.3%, blood glucose improvement: 45.4%. Statistical significance was seen in BMI, BP, strength, endurance and triglyceride measures (p ≦ 0.05). Further 80% of participants completed the 6-month program.

Conclusions

The majority of participants enrolled in the ERM program displayed mean improvements in cardiovascular risk factors after completion of the 6-month program.

Clinical relevance

Results display that community-placed programming in areas of food and activity deserts, maybe be effective in improving cardiovascular risk factors and quality of life in the Black population.