Translating a heart disease lifestyle intervention into the community

The South Asian Heart Lifestyle Intervention (SAHELI) study; A randomized control trial Chronic Disease epidemiology

Namratha R Kandula, Swapna Dave, Peter John De Chavez, Himali Bharucha, Yasin Patel, Paola Seguil, Santosh Kumar, David W. Baker, Bonnie Spring, Juned Siddique

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

Background: South Asians (Asian Indians and Pakistanis) are the second fastest growing ethnic group in the United States (U.S.) and have an increased risk of atherosclerotic cardiovascular disease (ASCVD). This pilot study evaluated a culturally-salient, community-based healthy lifestyle intervention to reduce ASCVD risk among South Asians. Methods: Through an academic-community partnership, medically underserved South Asian immigrants at risk for ASCVD were randomized into the South Asian Heart Lifestyle Intervention (SAHELI) study. The intervention group attended 6 interactive group classes focused on increasing physical activity, healthful diet, weight, and stress management. They also received follow-up telephone support calls. The control group received translated print education materials about ASCVD and healthy behaviors. Primary outcomes were feasibility and initial efficacy, measured as change in moderate/vigorous physical activity and dietary saturated fat intake at 3- and 6-months. Secondary clinical and psychosocial outcomes were also measured. Results: Participants' (n∈=∈63) average age was 50 (SD∈=∈8) years, 63 % were female, 27 % had less than or equal to a high school education, one-third were limited English proficient, and mean BMI was 30 kg/m2 (SD∈±∈5). There were no significant differences in change in physical activity or saturated fat intake between the intervention and control group. Compared to the control group, the intervention group showed significant weight loss (-1.5 kg, p-value∈=∈0.04) and had a greater sex-adjusted decrease in hemoglobin A1C (-0.43 %, p-value <0.01) at 6 months. Study retention was 100 %. Conclusions: This pilot study suggests that a culturally-salient, community-based lifestyle intervention was feasible for engaging medically underserved South Asian immigrants and more effective at addressing ASCVD risk factors than print health education materials. Trial registration: NCT01647438, Date of Trial Registration: July 19, 2012

Original languageEnglish (US)
Article number1064
JournalBMC Public Health
Volume15
Issue number1
DOIs
StatePublished - Oct 16 2015

Fingerprint

Life Style
Heart Diseases
Epidemiology
Chronic Disease
Cardiovascular Diseases
Exercise
Control Groups
Education
Dietary Fats
Health Education
Ethnic Groups
Telephone
Weight Loss
Hemoglobins
Fats
Diet
Weights and Measures

Keywords

  • Cardiovascular disease prevention
  • Randomized clinical trial
  • South Asian

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

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title = "Translating a heart disease lifestyle intervention into the community: The South Asian Heart Lifestyle Intervention (SAHELI) study; A randomized control trial Chronic Disease epidemiology",
abstract = "Background: South Asians (Asian Indians and Pakistanis) are the second fastest growing ethnic group in the United States (U.S.) and have an increased risk of atherosclerotic cardiovascular disease (ASCVD). This pilot study evaluated a culturally-salient, community-based healthy lifestyle intervention to reduce ASCVD risk among South Asians. Methods: Through an academic-community partnership, medically underserved South Asian immigrants at risk for ASCVD were randomized into the South Asian Heart Lifestyle Intervention (SAHELI) study. The intervention group attended 6 interactive group classes focused on increasing physical activity, healthful diet, weight, and stress management. They also received follow-up telephone support calls. The control group received translated print education materials about ASCVD and healthy behaviors. Primary outcomes were feasibility and initial efficacy, measured as change in moderate/vigorous physical activity and dietary saturated fat intake at 3- and 6-months. Secondary clinical and psychosocial outcomes were also measured. Results: Participants' (n∈=∈63) average age was 50 (SD∈=∈8) years, 63 {\%} were female, 27 {\%} had less than or equal to a high school education, one-third were limited English proficient, and mean BMI was 30 kg/m2 (SD∈±∈5). There were no significant differences in change in physical activity or saturated fat intake between the intervention and control group. Compared to the control group, the intervention group showed significant weight loss (-1.5 kg, p-value∈=∈0.04) and had a greater sex-adjusted decrease in hemoglobin A1C (-0.43 {\%}, p-value <0.01) at 6 months. Study retention was 100 {\%}. Conclusions: This pilot study suggests that a culturally-salient, community-based lifestyle intervention was feasible for engaging medically underserved South Asian immigrants and more effective at addressing ASCVD risk factors than print health education materials. Trial registration: NCT01647438, Date of Trial Registration: July 19, 2012",
keywords = "Cardiovascular disease prevention, Randomized clinical trial, South Asian",
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Translating a heart disease lifestyle intervention into the community : The South Asian Heart Lifestyle Intervention (SAHELI) study; A randomized control trial Chronic Disease epidemiology. / Kandula, Namratha R; Dave, Swapna; De Chavez, Peter John; Bharucha, Himali; Patel, Yasin; Seguil, Paola; Kumar, Santosh; Baker, David W.; Spring, Bonnie; Siddique, Juned.

In: BMC Public Health, Vol. 15, No. 1, 1064, 16.10.2015.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Translating a heart disease lifestyle intervention into the community

T2 - The South Asian Heart Lifestyle Intervention (SAHELI) study; A randomized control trial Chronic Disease epidemiology

AU - Kandula, Namratha R

AU - Dave, Swapna

AU - De Chavez, Peter John

AU - Bharucha, Himali

AU - Patel, Yasin

AU - Seguil, Paola

AU - Kumar, Santosh

AU - Baker, David W.

AU - Spring, Bonnie

AU - Siddique, Juned

PY - 2015/10/16

Y1 - 2015/10/16

N2 - Background: South Asians (Asian Indians and Pakistanis) are the second fastest growing ethnic group in the United States (U.S.) and have an increased risk of atherosclerotic cardiovascular disease (ASCVD). This pilot study evaluated a culturally-salient, community-based healthy lifestyle intervention to reduce ASCVD risk among South Asians. Methods: Through an academic-community partnership, medically underserved South Asian immigrants at risk for ASCVD were randomized into the South Asian Heart Lifestyle Intervention (SAHELI) study. The intervention group attended 6 interactive group classes focused on increasing physical activity, healthful diet, weight, and stress management. They also received follow-up telephone support calls. The control group received translated print education materials about ASCVD and healthy behaviors. Primary outcomes were feasibility and initial efficacy, measured as change in moderate/vigorous physical activity and dietary saturated fat intake at 3- and 6-months. Secondary clinical and psychosocial outcomes were also measured. Results: Participants' (n∈=∈63) average age was 50 (SD∈=∈8) years, 63 % were female, 27 % had less than or equal to a high school education, one-third were limited English proficient, and mean BMI was 30 kg/m2 (SD∈±∈5). There were no significant differences in change in physical activity or saturated fat intake between the intervention and control group. Compared to the control group, the intervention group showed significant weight loss (-1.5 kg, p-value∈=∈0.04) and had a greater sex-adjusted decrease in hemoglobin A1C (-0.43 %, p-value <0.01) at 6 months. Study retention was 100 %. Conclusions: This pilot study suggests that a culturally-salient, community-based lifestyle intervention was feasible for engaging medically underserved South Asian immigrants and more effective at addressing ASCVD risk factors than print health education materials. Trial registration: NCT01647438, Date of Trial Registration: July 19, 2012

AB - Background: South Asians (Asian Indians and Pakistanis) are the second fastest growing ethnic group in the United States (U.S.) and have an increased risk of atherosclerotic cardiovascular disease (ASCVD). This pilot study evaluated a culturally-salient, community-based healthy lifestyle intervention to reduce ASCVD risk among South Asians. Methods: Through an academic-community partnership, medically underserved South Asian immigrants at risk for ASCVD were randomized into the South Asian Heart Lifestyle Intervention (SAHELI) study. The intervention group attended 6 interactive group classes focused on increasing physical activity, healthful diet, weight, and stress management. They also received follow-up telephone support calls. The control group received translated print education materials about ASCVD and healthy behaviors. Primary outcomes were feasibility and initial efficacy, measured as change in moderate/vigorous physical activity and dietary saturated fat intake at 3- and 6-months. Secondary clinical and psychosocial outcomes were also measured. Results: Participants' (n∈=∈63) average age was 50 (SD∈=∈8) years, 63 % were female, 27 % had less than or equal to a high school education, one-third were limited English proficient, and mean BMI was 30 kg/m2 (SD∈±∈5). There were no significant differences in change in physical activity or saturated fat intake between the intervention and control group. Compared to the control group, the intervention group showed significant weight loss (-1.5 kg, p-value∈=∈0.04) and had a greater sex-adjusted decrease in hemoglobin A1C (-0.43 %, p-value <0.01) at 6 months. Study retention was 100 %. Conclusions: This pilot study suggests that a culturally-salient, community-based lifestyle intervention was feasible for engaging medically underserved South Asian immigrants and more effective at addressing ASCVD risk factors than print health education materials. Trial registration: NCT01647438, Date of Trial Registration: July 19, 2012

KW - Cardiovascular disease prevention

KW - Randomized clinical trial

KW - South Asian

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