Details:

Alternative Title:
Prev Chronic Dis
Personal Author:
Staten, Lisa K. ; Cutshaw, Christina ; Reinschmidt, Kerstin ; Stewart, Rosie ; Roe, Denise J. ; ... More +
Staten, Lisa K. ; Cutshaw, Christina ; Reinschmidt, Kerstin ; Stewart, Rosie ; Roe, Denise J. ; Davidson, Christopher Less -
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.


Subject:
[+]
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

Source:
Prev Chronic Dis. 2012; 9.
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
U48-DP000041/DP/NCCDPHP CDC HHS/United States ; U48/CCU915770/PHS HHS/United States Less -
Place as Subject:
Mexico ; United States
Mexico ; United States Less -
Collection(s):
Preventing Chronic Disease
Main Document Checksum:
[+]
urn:sha256:989b34c4964db726d537a7181f6ecc0d43fdd2183dbaca2bebb4fbb302342eb3
File Type:

Supporting Files

• 	license.txt	txt
  	PCD-9-E08.nxml	txt
  	PCD9E08s01.gif	gif
  	PCD9E08s01.jpg	jpeg

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