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

*Corresponding author for this work

Research output: Contribution to journalArticle

32 Scopus citations

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

Keywords

  • Cardiovascular disease prevention
  • Randomized clinical trial
  • South Asian

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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