Details:

Alternative Title:
Prev Chronic Dis
Publisher's site:
http://dx.doi.org/10.5888/pcd12.140368
Personal Author:
Grilo, Stephanie A. ; Shallcross, Amanda J. ; Ogedegbe, Gbenga ; Odedosu, Taiye ; Levy, Natalie ; ... More +
Grilo, Stephanie A. ; Shallcross, Amanda J. ; Ogedegbe, Gbenga ; Odedosu, Taiye ; Levy, Natalie ; Lehrer, Susan ; Chaplin, William ; Spruill, Tanya M. Less -
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.


Subject:
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Special Topic

Source:
Prev Chronic Dis. 12.
Document Type:
Journal Article
Collection(s):
Preventing Chronic Disease
Main Document Checksum:
[+]
urn:sha256:f096cc7bbff3972102bc71d395373a49841f10e0cedc146a156624d9ff9e1a9c
File Type:

Supporting Files

• 	license.txt	txt
  	PCD-12-E16.nxml	txt
  	PCD-12-E16s01.gif	gif
  	PCD-12-E16s01.jpg	jpeg

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