Effects of the Quebec Heart Health Demonstration Project on adult dietary behaviours

Huot, Isabelle; Paradis, Gilles; Ledoux, M.

doi:10.1016/j.ypmed.2003.09.019

Cited by 21 publications

(26 citation statements)

References 42 publications

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“…Details of the program have been published elsewhere. 12 High SES areas were not selected for the QHHDP because individuals with high SES have lower rates of CVD mortality and morbidity and generally healthier lifestyles.…”

Section: Methodsmentioning

confidence: 99%

“…Nutritional interventions consisted of massmedia initiatives, conferences, supermarket tours, skills development and distribution of healthy recipes. 12 Along with questions on socio-demographic variables, the participants completed a food frequency questionnaire (FFQ). The questionnaire, adapted from the Ammerman FFQ, 13 consisted of 32 questions focusing on total fat, saturated fat and dietary cholesterol intake.…”

Section: Methodsmentioning

confidence: 99%

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Factors associated with overweight and obesity in Quebec adults

2004

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OBJECTIVE:To measure the independent correlates of excess body weight and obesity in Quebec in 1993 and 1997. DESIGN: A population-based, cross-sectional survey in three settings in the province of Quebec. SUBJECTS: A total of 10014 individuals aged 18-64 y. MEASUREMENTS: Excess body weight was defined as a body mass index (BMI) (self-reported weight and height) greater than or equal to 25 kg/m 2 and obesity as BMI greater than or equal to 30 kg/m 2 . Data were collected by a questionnaire completed at home by the participants. Diet was assessed by a food frequency questionnaire. RESULTS: The correlates varied according to gender. While university achievement, smoking habit and physical activity level reduced the risk of excess body weight in both genders, increased dietary fat intake was positively associated with overweight and obesity in men only. In women, greater family income lowered the risk of having a BMI over 25. Increasing age, speaking a language other than French and living in a rural environment elevated the risk. CONCLUSION: Future interventions for the control of obesity should be gender-specific. Target groups should include individuals with low education, those living in rural environments and non-caucasian women. Dietary interventions should target men in particular.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Factors associated with overweight and obesity in Quebec adults

2004

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“…Over a 3-y time period, leisure time physical inactivity increased less, from 21 to 32% in the intervention community than 18 to 37% in the control community (P ¼ 0.06). A recent Canadian study showed no effects of a community-based intervention on a Global Dietary Index reflecting dietary quality (overall and three specific consumption indices for dairy products, meat products, and major sources of fat) (Huot et al, 2004).…”

Section: Risk Behavioursmentioning

confidence: 99%

“…Most studies showed no effects, two studies showed favourable intervention effects (increase in physical activity prevalence, or smaller decrease in physical activity), and one study showed unfavourable intervention effects For example, O'Loughlin et al (1999) showed a nonsignificantly (P ¼ 0.06) smaller increase in prevalence of physical inactivity in intervention communities than in control communities Dietary habits Van Assema et al (1994), Baxter et al (1997), Reger et al (2000), Huot et al (2004) Conflicting evidence For example, Reger et al (2000) showed higher percentages of people who reported drinking low-fat milk (12.8%, Po0.01 and 19.6%, Po0.0001) in intervention communities than in the control community (6.8%). No significant increases in supermarket sales of low-fat milk were observed…”

Section: Physical Activity Prevalencementioning

confidence: 99%

“…After 18 months, 9.5% of people in the intervention community were in the action or maintenance stage of change in comparison to 6.1% in the control community. A community-based intervention to change dietary behaviour led to significant improvements in intention to change some specific dietary behaviour in subgroups only (Huot et al, 2004). The little available evidence suggests that community-based interventions increase the percentage of people who are aware of their cholesterol level and their overall cardiovascular risk profile.…”

Section: Prevention Activitiesmentioning

confidence: 99%

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Public health impact of community-based nutrition and lifestyle interventions

Verheijden

Kok

2005

Eur J Clin Nutr

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Community-based interventions have increasingly received attention since researchers and public health professionals have come to acknowledge the importance of an environment that makes the healthy choice the easy choice. All stakeholders including the target community are involved to achieve changes in legislation, in people's social and physical context, and in individual characteristics that support healthy diets and other lifestyles. Some early large-scale community-based heart health interventions showed promising results. The Stanford Five City Project, for example, showed net improvements in knowledge of coronary heart disease risk factors of approximately 12%. Net declines in smoking prevalence (14%), cholesterol (2%), and systolic (3%) and diastolic (5%) blood pressure were also observed. Most later studies did not replicate these findings and it was therefore suggested that community-based interventions, which require substantial commitment and resources, may be less effective than approaches targeting high-risk groups. We present the rationale and theories for community-based interventions, and then elaborate on the methodological challenges in the design and the outcome and process evaluation of community-based interventions. We provide an overview of some of the evidence on the effectiveness of community-based heart health interventions and conclude with the perspectives for community-based interventions in future research and practice. The narrower the focus, the more feasible the task. (Klein R (1998): BMJ 317: 959-960)

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Tu Salud ¡Sí Cuenta! Your Health Matters! A Community-wide Campaign in a Hispanic Border Community in Texas

Heredia

Lee

Mitchell-Bennett

et al. 2017

Journal of Nutrition Education and Behavior

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Objective To evaluate a community-wide campaign, Tu Salud ¡Si Cuenta! (TSSC), in improving eating behaviors and anthropometric outcomes in Hispanic border communities. Design A quasi-experimental study with matched intervention and comparison communities. Cross-sectional assessments with randomly sampled adults, examined by actual exposure and site (Unexposed Intervention, Exposed Intervention, Unexposed Comparison). Setting/Participants Predominately Mexican-Americans located in Brownsville, TX (intervention) and Laredo, TX (control). Intervention TSSC included TV and radio segments, community health worker (CHW) discussions, and newsletters delivered in Brownsville from 2005–2010. Main outcome measures Healthy and unhealthy eating indices and average hip and waist circumferences. Analysis Univariable and multivariable regression models. Results Sample (N=799; 400 comparison, 399 intervention) was 98% Mexican origin, and 54% completed grade 9 or higher. Exposure to any TSSC component was associated with a lower rate of unhealthy food consumption. As compared to the Unexposed Intervention group, the Exposed Intervention for the newsletter had a higher rate of healthy eating (adjusted rate ratio (RR) = 1.18, p<0.01). As compared to the Unexposed Intervention, the Exposed Intervention for the CHW discussion had a smaller hip circumference (adjusted mean difference=−5.77 cm, p<.05) and a smaller waist circumference (adjusted mean difference=−5.25 cm, p<.05). Conclusions and Implications This study provides evidence for the use of community-wide campaigns for nutrition and obesity-related outcomes in Hispanic communities.

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Effects of the Quebec Heart Health Demonstration Project on adult dietary behaviours

Cited by 21 publications

References 42 publications

Factors associated with overweight and obesity in Quebec adults

Factors associated with overweight and obesity in Quebec adults

Public health impact of community-based nutrition and lifestyle interventions

Tu Salud ¡Sí Cuenta! Your Health Matters! A Community-wide Campaign in a Hispanic Border Community in Texas

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