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The strongwomen-healthy hearts program: Reducing cardiovascular disease risk factors in rural sedentary, overweight, and obese midlife and older women

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  • Folta, S.C.
  • Lichtenstein, A.H.
  • Seguin, R.A.
  • Goldberg, J.P.
  • Kuder, J.F.
  • Nelson, M.E.

Abstract

Objectives. We tested a community-based intervention designed to reduce cardiovascular disease risk in sedentary midlife and older women who were overweight or obese. Methods. In a randomized controlled trial conducted in 8 counties in Arkansas and Kansas, counties were assigned to the intervention (a 12-week twice-weekly heart health program) group or to the delayed-intervention control group. Ten to fifteen women were selected from each site, and participants' weight, waist circumference, diet, physical activity, and self-efficacy were measured before and after the intervention. Data were analyzed with multiple regressions. Results. Compared with the control group, participants in the intervention group had a significant decrease in body weight (-2.1 kg; 95% confidence interval [CI]=-3.2, -1.0), waist circumference (-2.3 in; 95% CI=-4.2, -0.5), and energy intake (-390 kcal/day; 95% CI=-598, -183); an increase in activity (+1637 steps/day; 95% CI=712, 2562); and an increase in self-efficacy for dietary and physical activity behaviors. Conclusions. Our results suggest that a community-based program can improve self-efficacy, increase physical activity, and decrease energy intake, resulting in decreased waist circumference and body weight among at-risk women.

Suggested Citation

  • Folta, S.C. & Lichtenstein, A.H. & Seguin, R.A. & Goldberg, J.P. & Kuder, J.F. & Nelson, M.E., 2009. "The strongwomen-healthy hearts program: Reducing cardiovascular disease risk factors in rural sedentary, overweight, and obese midlife and older women," American Journal of Public Health, American Public Health Association, vol. 99(7), pages 1271-1277.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2008.145581_4
    DOI: 10.2105/AJPH.2008.145581
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    Cited by:

    1. Rebecca A. Seguin & Cynthia K. Perry & Emma Solanki & Jean C. McCalmont & Judy P. Ward & Christie Jackson, 2019. "Mujeres Fuertes y Corazones Saludables , a Culturally Tailored Physical Activity and Nutrition Program for Rural Latinas: Findings from a Pilot Study," IJERPH, MDPI, vol. 16(4), pages 1-12, February.
    2. Bumnet Saengrut & Takeshi Yoda & Yumi Kimura & Yasuko Ishimoto & Rujee Rattanasathien & Tatsuya Saito & Kanlaya Chunjai & Kensaku Miyamoto & Kawin Sirimuengmoon & Rujirat Pudwan & Hironobu Katsuyama, 2021. "Can Muscle Mass Be Maintained with A Simple Resistance Intervention in the Older People? A Cluster Randomized Controlled Trial in Thailand," IJERPH, MDPI, vol. 19(1), pages 1-11, December.
    3. Yates, Bernice C. & Pullen, Carol H. & Santo, Jonathan Bruce & Boeckner, Linda & Hageman, Patricia A. & Dizona, Paul J. & Walker, Susan Noble, 2012. "The influence of cognitive-perceptual variables on patterns of change over time in rural midlife and older women’s healthy eating," Social Science & Medicine, Elsevier, vol. 75(4), pages 659-667.

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