Different Lifestyle Interventions in Adults From Underserved Communities

Fernández‐Jiménez, Rodrigo; Jaslow, Risa; Bansilal, Sameer; Díaz-Munoz, Raquel; Fatterpekar, Monali; Santana, Maribel; Clarke-Littman, Andrea; Latina, Jacqueline; Soto, Ana Victoria; Hill, Christopher A.; Al‐Kazaz, Mohamed; Samtani, Rajeev; Vedanthan, Rajesh; Giannarelli, Chiara; Kovacic, Jason C.; Bagiella, Emilia; Kasarskis, Andrew; Fayad, Zahi A.; Fuster, Valentín

doi:10.1016/j.jacc.2019.10.021

Cited by 11 publications

(7 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, the residual beneficial effect in the intervention group vs. the control group was negligible at 4-year follow-up. 34 FAMILIA, the Grenada Heart Project and the Look AHEAD trial, 29 , 30 , 35 among others, are recent large-sized lifestyle intervention trials that have failed to demonstrate a benefit of different lifestyle interventions in either participants, or patients with Type 2 diabetes, thus illustrating the difficulty to obtain significant and sustained lifestyle changes through coaching in adulthood.…”

Section: Discussionmentioning

confidence: 99%

“…27 , 28 Moreover, this tool has been used to assess outcomes after lifestyle interventions across diverse populations such as parents or caregivers of children from a socioeconomically disadvantaged community in the New York City, or low–middle-income individuals from the island of Grenada. 26 , 29 , 30 For the current TANSNIP-PESA study, an adapted version of the original Fuster-BEWAT score was pre-established as the primary outcome. 21 The reasons to adapt the original score were to enable the detection of relevant changes in the PESA cohort (a homogeneous physically active population with overall low–intermediate CVD risk 20 ) and to incorporate sedentary time, which is one of the three target behaviours of the TANSNIP-PESA intervention.…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Effects of a comprehensive lifestyle intervention on cardiovascular health: the TANSNIP-PESA trial

García‐Lunar

Ploeg

Fernández-Alvira

et al. 2022

European Heart Journal

Self Cite

View full text Add to dashboard Cite

Aims To investigate the effectiveness of a 3-year worksite lifestyle intervention on cardiovascular metrics and to study whether outcomes are influenced by baseline subclinical atherosclerosis (SA) by non-invasive imaging. Methods and results A randomized controlled trial was performed to compare a lifestyle intervention with standard of care in asymptomatic middle-aged subjects, stratified by SA. The intervention consisted of nine motivational interviews during the first year, followed by three further sessions between Years 1 and 3. The primary outcome was the change in a pre-specified adaptation of the Fuster-BEWAT score (Blood pressure, Exercise, Weight, Alimentation, and Tobacco) between baseline and follow-up Years 1–3. A total of 1020 participants (mean age 50 ± 4 years) were enrolled, of whom 510 were randomly assigned to the intervention and 510 to the control group. The baseline adapted Fuster-BEWAT score was 16.2 ± 3.7 points in the intervention group and 16.5 ± 3.5 points in the control group. At Year 1, the score improved significantly in intervention participants compared with controls [estimate 0.83 (95% CI 0.52–1.15) points]. However, intervention effectiveness decreased to non-significant levels at Year 3 [0.24 (95% CI –0.10 to 0.59) points]. Over the 3-year period, the intervention was effective in participants having low baseline SA [0.61 (95% CI 0.30–0.93) points] but not in those with high baseline SA [0.19 (95% CI –0.26 to 0.64) points]. Conclusion In middle-aged asymptomatic adults, a lifestyle intervention was associated with a significant improvement in cardiovascular health and behavioural metrics. The effect attenuated after 1 year as the intensity of the intervention was reduced. Trial registration ClinicalTrials.gov (NCT02561065).

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Effects of a comprehensive lifestyle intervention on cardiovascular health: the TANSNIP-PESA trial

García‐Lunar

Ploeg

Fernández-Alvira

et al. 2022

European Heart Journal

Self Cite

View full text Add to dashboard Cite

show abstract

“…Igualmente, se deben poner a disposición los recursos necesarios, aprovechando aquellos que sean propios de las empresas para reducir costes, así como la proximidad de la intervención a los puestos de trabajo, permitiendo que los empleados se involucren más en la misma. Como se ha visto en esta intervención, así como en otras previas, la motivación y la adherencia al programa están asociadas a una mayor consecución de los objetivos planteados (13,27) . Otro aspecto clave es la designación de un coordinador en la empresa, que puede ser el responsable del servicio de prevención de riesgos laborales, aprovechando la estructura y organización de las actividades de promoción de la salud en las empresas.…”

Section: Discussionunclassified

Intervención grupal de promoción de hábitos saludables en el ámbito laboral: Programa IPHASAL

García-Solano¹,

Gutiérrez‐González²,

Santos-Sanz

et al. 2021

Med. segur. trab.

View full text Add to dashboard Cite

Contribuciones de autoríaEn la concepción y diseño del trabajo y recogida de datos han participado todos los autores. En el análisis e interpretación de los datos han participado Marta García-Solano y Enrique Gutiérrez-González. Todos los autores han participado en la redacción del manuscrito, así como en la revisión crítica del mismo con importantes aportaciones, habiendo aprobado todos ellos la versión final. FinanciaciónEl programa IPHASAL fue realizado con los recursos y medios propios de la AESAN, la Fundación Alimentum y las empresas participantes. Conflicto de interesesLos autores declaran no tener ningún conflicto de interés.

show abstract

“…61,64 Among health education interventions, those with multiple sessions demonstrated better results compared with a single-session intervention. 63,72,73,85,86 Although individual variation certainly exists, there appears to be a minimum intervention intensity required to achieve a change in CVH.…”

Section: Outcomes Related To Child and Adult Cvhmentioning

confidence: 99%

Life Course Cardiovascular Health: Risk Factors, Outcomes, and Interventions

Pedamallu¹,

Zmora²,

Perak

et al. 2023

Circulation Research

View full text Add to dashboard Cite

Since it was first defined by the American Heart Association in 2010, cardiovascular health (CVH) has been extensively studied across the life course. In this review, we present the current literature examining early life predictors of CVH, the later life outcomes of child CVH, and the relatively few interventions which have specifically addressed how to preserve and promote CVH across populations. We find that research on CVH has demonstrated that prenatal and childhood exposures are consistently associated with CVH trajectories from childhood through adulthood. CVH measured at any point in life is strongly predictive of future cardiovascular disease, dementia, cancer, and mortality as well as a variety of other health outcomes. This speaks to the importance of intervening early to prevent the loss of optimal CVH and the accumulation of cardiovascular risk. Interventions to improve CVH are not common but those that have been published most often address multiple modifiable risk factors among individuals within the community. Relatively few interventions have been focused on improving the construct of CVH in children. Future research is needed that will be both effective, scalable, and sustainable. Technology including digital platforms as well as implementation science will play key roles in achieving this vision. In addition, community engagement at all stages of this research is critical. Lastly, prevention strategies that are tailored to the individual and their context may help us achieve the promise of personalized prevention and help promote ideal CVH in childhood and across the life course.

show abstract

Different Lifestyle Interventions in Adults From Underserved Communities

Cited by 11 publications

References 29 publications

Effects of a comprehensive lifestyle intervention on cardiovascular health: the TANSNIP-PESA trial

Effects of a comprehensive lifestyle intervention on cardiovascular health: the TANSNIP-PESA trial

Intervención grupal de promoción de hábitos saludables en el ámbito laboral: Programa IPHASAL

Life Course Cardiovascular Health: Risk Factors, Outcomes, and Interventions

Contact Info

Product

Resources

About