Journal article
Outcomes of a Cardiovascular Nutrition Counseling Program in African-Americans with Elevated Blood Pressure or Cholesterol Level
Journal of the American Dietetic Association, v 99(11), pp 13,801,391-13,881,391
1999
PMID: 10570675
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Objective To evaluate a cardiovascular nutrition education package designed for African-American adults with a wide range of literacy skills.
Design Comparison of a self-help group and a full-instruction group; each group received nutrition counseling and clinical monitoring every 4 months.
Subjects Three hundred thirty African-American adults, aged 40 to 70 years, with elevated cholesterol level or high blood pressure were randomly assigned to the self-help or full-instruction group; 255 completed the 12-month follow-up.
Interventions Counseling to reduce intake of dietary fat, cholesterol, and sodium was based on Cardiovascular Dietary Education System (CARDES) materials, which included food-picture cards, a nutrition guide (self-help and full-instruction group), a video and audiotape series, and 4 classes (full-instruction group only).
Main outcome measures Changes in lipid levels and blood pressure after 12 months.
Statistical analyses performed Primary analyses consisted of repeated-measures analysis of variance to examine effects of time and randomization group on outcomes.
Results Total cholesterol and low-density lipoprotein cholesterol level decreased by 7% to 8% in the self-help and full-instruction groups of men and women (
P<.01). The ratio of total cholesterol to high-density lipoprotein cholesterol (HDL-C) decreased in both groups of women and in the men in the full-instruction group (
P<.01). In full-instruction and self-help participants with elevated blood pressure at baseline, systolic blood pressure decreased by 7 to 11
mm Hg and diastolic blood pressure decreased by 4 to 7
mm Hg (
P<.01). Outcomes did not differ by literacy scores but were positively related to the reported initial frequency of using CARDES materials.
Applications/conclusions These results suggest that periodic nutrition counseling based on CARDES materials used for home study can enhance management of lipid levels and blood pressure in African-American outpatients.
J Am Diet Assoc. 1999;99:1380–1388,1391.
Metrics
Details
- Title
- Outcomes of a Cardiovascular Nutrition Counseling Program in African-Americans with Elevated Blood Pressure or Cholesterol Level
- Creators
- SHIRIKI K Kumanyika - University of PennsylvaniaLUCILE ADAMS-CAMPBELL - Howard UniversityBARBARA VAN HORN - Pennsylvania State UniversityTHOMAS R TEN HAVEJUDITH A Treu - Pennsylvania State UniversityEUNICE Askov - Pennsylvania State UniversityJEROME Williams - Pennsylvania State UniversityCHERYL Achterberg - Pennsylvania State UniversitySAHAR Zaghloul - University of Arkansas at Pine BluffDEBORAH Monsegu - Howard UniversityMIREILLE Bright - Howard UniversityDIANE B Stoy - University of St. Thomas - MinnesotaMARIA MALONE-JACKSON - Howard UniversityDALE Mooney - Howard UniversitySUE Deiling - Pennsylvania State UniversityJOANNE Caulfield - Pennsylvania State University
- Publication Details
- Journal of the American Dietetic Association, v 99(11), pp 13,801,391-13,881,391
- Publisher
- Elsevier
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative; Dana and David Dornsife School of Public Health
- Web of Science ID
- WOS:000083765300015
- Scopus ID
- 2-s2.0-6544275402
- Other Identifier
- 991019312317204721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Nutrition & Dietetics