Food Insecurity and Effectiveness of Behavioral Interventions to Reduce Blood Pressure, New York City, 2012–2013

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Grilo, Stephanie A. ; Shallcross, Amanda J. ; Ogedegbe, Gbenga ; Odedosu, Taiye ; Levy, Natalie ; Lehrer, Susan ; Chaplin, William ; Spruill, Tanya M.
• Description:
  Introduction
  
  Food insecurity is associated with diet-sensitive diseases and may be a barrier to successful chronic disease self-management. To evaluate the impact of food insecurity on blood pressure reduction in a pilot clinical trial, we tested the effectiveness of 2 behavioral interventions for hypertension in people with and without food security.
  
  Methods
  
  A group of 28 men and women with type 2 diabetes and uncontrolled hypertension were randomized to either 1) home blood pressure telemonitoring alone or 2) home blood pressure telemonitoring plus telephone-based nurse case management. The primary outcome was 6-month change in systolic blood pressure.
  
  Results
  
  The 2 interventions resulted in modest, nonsignificant blood pressure reductions. Food-secure patients experienced clinically and statistically significant reductions in blood pressure, whereas no significant change was seen among food-insecure patients.
  
  Conclusion
  
  Screening for food insecurity may help identify patients in need of tailored disease management interventions.
  
  
• Subjects:
  Special Topic
• Source:
  Prev Chronic Dis. 12.
• DOI:
  http://dx.doi.org/10.5888/pcd12.140368
• ISSN:
  1545-1151
• Document Type:
  Journal Article
• Volume:
  12
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:2f34142029b391724d1cf2fc7a20b901edbfe21eb69e756056626f3a466648b6a249ca0317a04f8470c38321ae9da17754f6fd2c8339a9e30fce1745b43234b2
• Download URL:
  https://stacks.cdc.gov/view/cdc/27812/cdc_27812_DS1.pdf
• File Type:
  [PDF - 257.10 KB ]