Effectiveness of the Pasos Adelante Chronic Disease Prevention and Control Program in a US-Mexico Border Community, 2005-2008

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Staten, Lisa K. ; Cutshaw, Christina ; Reinschmidt, Kerstin ; Stewart, Rosie ; Roe, Denise J. ; Davidson, Christopher
• Description:
  Introduction
  
  Pasos Adelante is a lifestyle intervention program facilitated by community health workers (promotores) targeting chronic disease prevention and control in Mexican Americans. Initial studies of Pasos Adelante indicated significant improvements in self-reported nutrition and physical activity. This study examined whether Pasos Adelante participants living in a US border community showed improvements in selected physiological measures after participating in the program and whether changes were maintained at 3-month follow-up.
  
  Methods
  
  The program took place in 12-week sessions from January 2005 to May 2008 and included walking groups and education targeting nutrition and physical activity. Questionnaires, anthropometric measures, and laboratory tests were conducted at baseline (n = 305), conclusion of program (n = 254), and 3-month follow-up (n = 221).
  
  Results
  
  Participants demonstrated decreases in body mass index (P = .04), waist and hip circumference (P < .001), diastolic and systolic blood pressure (P < .001), and total cholesterol (P = .008) from baseline to program conclusion. No values worsened significantly between program conclusion and follow-up, except systolic blood pressure. Glucose levels improved between conclusion and follow-up (P = .01).
  
  Conclusion
  
  These results support the initial findings of improvements in participants' self-reported physical activity and nutrition patterns through changes in objective measures. This evidence-based program demonstrates the potential for a promotores-facilitated chronic disease prevention and control program to improve physical health and targets both primary and secondary prevention in Hispanic communities and organizations.
  
  
• Subjects:
  Chronic Disease Community Health Services Female Follow-Up Studies Health Education Health Promotion Humans International Cooperation Male Middle Aged Original Research Primary Prevention Program Evaluation Questionnaires Retrospective Studies Risk Factors

  More +
• Source:
  Prev Chronic Dis. 2012; 9.
• ISSN:
  1545-1151
• Pubmed ID:
  22172175
• Pubmed Central ID:
  PMC3277389
• Document Type:
  Journal Article
• Funding:
  U48-DP000041/DP/NCCDPHP CDC HHS/United States ; U48/CCU915770/PHS HHS/United States
• Place as Subject:
  Mexico ; United States
• Location:
  North America
• Volume:
  9
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:ee19571a2d416b5783aa731a7d6e28ac2e45ce04820c37907e0351091a04c85fd9b70d3e1bf06a606d097fc183acc259a03b0a3de9d279111e3cc56334580b7a
• Download URL:
  https://stacks.cdc.gov/view/cdc/19704/cdc_19704_DS1.pdf
• File Type:
  [PDF - 214.14 KB ]