Healthy Alberta Communities: Impact of a three-year community-based obesity and chronic disease prevention intervention

Raine, Kim D.; Plotnikoff, Ronald C.; Schopflocher, Donald; Lytvyak, Ellina; Nykiforuk, Candace I. J.; Storey, Kate; Öhinmaa, Arto; Purdy, Lisa; Veugelers, Paul J.; Wild, C.

doi:10.1016/j.orcp.2013.12.690

Cited by 5 publications

(7 citation statements)

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“…The community-based obesity and chronic disease prevention intervention study initiated various interventions on the physical, economic, social and political environments depending on the needs of the community. Slight improvement in blood lipid levels was reported after a 3-year follow-up 35. Increased walkability scores were unexpectedly found to be associated with increased triglyceride levels in the Multi-Ethnic Study of Atherosclerosis 36…”

Section: Resultsmentioning

confidence: 95%

Urban-rural differences in the association between blood lipids and characteristics of the built environment: a systematic review and meta-analysis

et al. 2019

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IntroductionThe built environment defines opportunities for healthy eating and physical activity and may thus be related to blood lipids. The aim of this study is to systematically analyse the scientific evidence on associations between built-environment characteristics and blood lipid levels in adults.MethodsPubMed, EMBASE and Web of Science were searched for peer-reviewed papers on population-based studies up to 9 October 2017. We included studies that reported on built-environment characteristics and blood lipid levels in adult populations (≥18 years). Two reviewers independently screened titles/abstracts and full-texts of papers and appraised the risk of bias of included studies using an adapted version of the Quality Assessment Tool for Quantitative Studies. We performed meta-analyses when five or more studies had sufficient homogeneity in determinant and outcome.ResultsAfter screening 6902 titles/abstracts and 141 potentially relevant full-text articles, we included 50 studies. Forty-seven studies explored associations between urban versus rural areas with blood lipid levels. Meta-analyses on urban versus rural areas included 133 966 subjects from 36 studies in total. Total cholesterol levels were significantly and consistently higher in urban areas as compared with rural areas (mean difference 0.37 mmol/L, 95% CI 0.27 to 0.48). Urban/rural differences in high density lipoprotein cholesterol were inconsistent across studies and the pooled estimate showed no difference (0.00 mmol/L 95% CI −0.03 to 0.04). Low density lipoprotein (LDL) cholesterol and triglyceride levels were higher in urban than in rural areas (mean difference 0.28, 95% CI 0.17 to 0.39 and 0.09, 95% CI 0.03 to 0.14, respectively).ConclusionsTotal and LDL cholesterol levels and triglycerides were consistently higher in residents of urban areas than those of rural areas. These results indicate that residents of urban areas generally have less favourable lipid profiles as compared with residents of rural areas.Prospero registration numberCRD42016043226.

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Section: Resultsmentioning

confidence: 95%

Urban-rural differences in the association between blood lipids and characteristics of the built environment: a systematic review and meta-analysis

et al. 2019

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“…The twenty-three studies included in this review were conducted in high or upper-middle income countries (using the World Bank classification). Of these, 14 were set in Europe [16][17][18][19][20][21][22][23][24][25][26][27][28][29], five in North America [30][31][32][33][34], three in Australia/Oceania [35][36][37], and one study took place in a country in Central America [38] (see Table 2). The studies used various designs, including RCTs (n = 1) [38], cluster randomized trials (n = 3) [25,30,34], quasiexperimental designs (n = 11) [16, 18, 22, 23, 27-29, 33, 35-37], pre-post-tests without control group (n = 3) [17,19,31], and secondary analyses (n = 5) [20,21,23,26,32].…”

Section: Description Of the Studiesmentioning

confidence: 99%

“…Only one of the programs contained elements of all six strategies [16]. Six programs comprised five strategies [22,23,[25][26][27]32], five consisted of four [21,23,25,28,37], six of three [17,19,29,33,34,36] and five of two strategies [18,20,28,30,36].…”

Section: Description Of the Studiesmentioning

confidence: 99%

Do multiple community-based interventions on health promotion tackle health inequalities?

Nickel

Knesebeck

2020

Int J Equity Health

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Background Previous systematic reviews of the impact of multi-component community-based health promotion interventions on reducing health inequalities by socio-economic status (SES) were restricted to physical activity and smoking behavior, and revealed limited and rather disillusioning evidence. Therefore, we conducted a comprehensive review worldwide to close this gap, including a wide range of health outcomes. Methods The Pubmed and PsycINFO databases were screened for relevant articles published between January 1999 and August 2019, revealing 87 potentially eligible publications out of 2876 hits. In addition, three studies out of a prior review on the effectiveness of community-based interventions were reanalyzed under the new research question. After a systematic review process, 23 papers met the inclusion criteria and were included in the synthesis. Results More than half (56.5%) of the studies reported improvements of socially disadvantaged communities overall (i.e. reduced inequalities at the area level) in at least one health behavior and/or health status outcome. Amongst the remaining studies we found some beneficial effects in the most deprived sub-groups of residents (8.2%) and studies with no differences between intervention and control areas (34.8%). There was no evidence that any program under review resulted in an increase in health disparity. Conclusions Our results confirm that community-based interventions may be reducing absolute health inequalities of deprived and disadvantaged populations, but their potential so far is not fully realized. For the future, greater attention should be paid to inequalities between sub-groups within communities when analyzing changes in health inequality over time.

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“…The workshop protocol was modified from the one used to help non‐Indigenous communities in the Province of Alberta identify the environmental determinants of obesity and chronic diseases at play and amenable to intervention (Raine et al . , ). The Alberta protocol was adapted from the original Australian protocol (Simmons et al .…”

Section: Methodsmentioning

confidence: 99%

“…While the project did not impact health outcomes within the short timeframe for evaluation, significant changes were observed in social indicators in targeted communities relative to controls (Raine et al . ).…”

Section: Introductionmentioning

confidence: 97%

Analysis Grid for Environments Linked to Obesity (ANGELO) framework to develop community-driven health programmes in an Indigenous community in Canada

Willows

Fehderau

Raine

2015

Health Soc Care Community

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Indigenous First Nations people in Canada have high chronic disease morbidity resulting in part from enduring social inequities and colonialism. Obesity prevention strategies developed by and for First Nations people are crucial to improving the health status of this group. The research objective was to develop community-relevant strategies to address childhood obesity in a First Nations community. Strategies were derived from an action-based workshop based on the Analysis Grid for Environments Linked to Obesity (ANGELO) framework. Thirteen community members with wide-ranging community representation took part in the workshop. They combined personal knowledge and experience with community-specific and national research to dissect the broad array of environmental factors that influenced childhood obesity in their community. They then developed community-specific action plans focusing on healthy eating and physical activity for children and their families. Actions included increasing awareness of children's health issues among the local population and community leadership, promoting nutrition and physical activity at school, and improving recreation opportunities. Strengthening children's connection to their culture was considered paramount to improving their well-being; thus, workshop participants developed programmes that included elders as teachers and reinforced families' acquaintance with First Nations foods and activities. The research demonstrated that the ANGELO framework is a participatory way to develop community-driven health programmes. It also demonstrated that First Nations people involved in the creation of solutions to health issues in their communities may focus on decolonising approaches such as strengthening their connection to indigenous culture and traditions. External funds were not available to implement programmes and there was no formal follow-up to determine if community members implemented programmes. Future research needs to examine the extent to which community members can implement programmes on their own and whether community action plans, when implemented, lead to short- and long-term benefits in health outcomes.

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Healthy Alberta Communities: Impact of a three-year community-based obesity and chronic disease prevention intervention

Cited by 5 publications

References 0 publications

Urban-rural differences in the association between blood lipids and characteristics of the built environment: a systematic review and meta-analysis

Urban-rural differences in the association between blood lipids and characteristics of the built environment: a systematic review and meta-analysis

Do multiple community-based interventions on health promotion tackle health inequalities?

Analysis Grid for Environments Linked to Obesity (ANGELO) framework to develop community-driven health programmes in an Indigenous community in Canada

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