scholarly journals Long-term effectiveness of the community-based Complete Health Improvement Program (CHIP) lifestyle intervention: a cohort study

BMJ Open ◽  
2013 ◽  
Vol 3 (11) ◽  
pp. e003751 ◽  
Author(s):  
Lillian Kent ◽  
Darren Morton ◽  
Trevor Hurlow ◽  
Paul Rankin ◽  
Althea Hanna ◽  
...  
Keyword(s):  
Cohort Study ◽  
Lifestyle Intervention ◽  
Health Improvement ◽  
Improvement Program ◽  
Community Based ◽  
Complete Health

scholarly journals Gender differences in effectiveness of the Complete Health Improvement Program (CHIP) lifestyle intervention: an Australasian study

2014 ◽  
Vol 25 (3) ◽  
pp. 222-229 ◽  
Author(s):  
Lillian M. Kent ◽  
Darren P. Morton ◽  
Paul M. Rankin ◽  
Brett G. Mitchell ◽  
Esther Chang ◽  
...  
Keyword(s):  
Gender Differences ◽  
Lifestyle Intervention ◽  
Health Improvement ◽  
Improvement Program ◽  
Complete Health

Effectiveness of the Complete Health Improvement Program in a Geriatric Population

2021 ◽  
pp. 155982762110493
Author(s):  
Emily Scriven ◽  
Bhakti Chavan ◽  
David Drozek
Keyword(s):  
Risk Factors ◽  
Lifestyle Modification ◽  
Density Lipoprotein ◽  
The Elderly ◽  
Lipoprotein Cholesterol ◽  
Health Improvement ◽  
Cvd Risk ◽  
Improvement Program ◽  
Geriatric Population ◽  
Complete Health

The Complete Health Improvement Program (CHIP) is an intensive therapeutic lifestyle modification program (ITLMP) with well-documented success in decreasing risk factors for cardiovascular disease (CVD). Plant-based diets and physical activity are components of the program that contribute to these improvements. Yet, there are few studies on how ITLMPs affect risk factors specifically for the geriatric population. The goal of this study was to examine results of CHIP participants with a focus on the older (greater than 65 years) population in Athens, Ohio. Retrospective data from 2011 to 2017 were analyzed for 26 CHIP classes. Recorded variables included body mass index (BMI), blood pressure (BP), total cholesterol (TC), triglycerides, low-density lipoprotein cholesterol (LDL), high-density lipoprotein cholesterol (HDL), blood glucose (BG), and exercise level. Among geriatric participants, significant changes were found in BMI, BP, TC, LDL, HDL, BG, and exercise level ( P < .001). As compared to the younger population, changes in variables were equivalent in the geriatric population in all variables ( P > .05). These improvements in CVD risk factors among the elderly support the hypothesis that CHIP should be considered for CVD prevention and treatment in the geriatric population.

The Cigarette Smoking Initiation and Continuation in Adolescents Undergoing a Long-Term Behavioral Intervention

2020 ◽  
Author(s):  
Hasti Masihay-Akbar ◽  
Parisa Amiri ◽  
Leila Cheraghi ◽  
Amir Abbas Momenan ◽  
Fereidoun Azizi
Keyword(s):  
At Risk ◽  
High Risk ◽  
Cigarette Smoking ◽  
Lifestyle Intervention ◽  
Behavioral Intervention ◽  
Smoking Initiation ◽  
Community Based ◽  
Current Smoking ◽  
Targeted Interventions

Abstract Introduction Targeting adolescents’ smoking reduces its burden on health systems. We investigated the effects of the first multidisciplinary community-based lifestyle intervention in the Eastern Mediterranean region, on smoking initiation, continuation, and risk of current smoking in Iranian adolescents. Methods The current analyses were conducted on 945 nonsmoker adolescents (12–18 years) who participated in Phase II of Tehran Lipid and Glucose Study (TLGS) and were examined four times in 12 years. The lifestyle intervention including school-based and public programs was implemented, focusing on all components of healthy lifestyle. Using a two-step cluster analysis, families were classified as high and low risk, based on parental risk factors of adolescents’ smoking. Participants who failed to complete all the follow-ups (n = 99) and those with missing smoking data were excluded. Subsequently, 872 adolescents (538 control, 334 intervention) were included in the Cox model on smoking initiation, and 674 adolescents (414 control, 260 intervention) were included in the logistic regression on smoking status. Results Mean age of adolescents was 15.08 ± 1.94 years at baseline. The hazard of the smoking initiation was significantly lower in the intervention (hazard ratio = 0.71, 95% confidence interval: 0.51–0.99; p = .044) compared with control group. At the end of the fourth follow-up, intervention reduced the odds of current cigarette smoking by 29%. Within the intervention group, the high-risk cluster was at a 35% lower risk of initiating smoking and had 37% lower odds of becoming a current smoker. However, the intervention could not make a difference in preventing those who initiated smoking from maintaining it during the follow-ups. Conclusions Our results demonstrate that lifestyle modification programs targeting at-risk populations could reduce risk of smoking initiation and current smoking in adolescents in long term. Implications Experiencing cigarette smoking at the critical period of adolescence could result in adulthood habitual smoking. Therefore, identifying adolescents who are more at risk of smoking initiation and implementing targeted interventions are of great importance in public health. Our findings highlight the long-term effectiveness of a multidisciplinary community-based behavioral intervention on forming smoking behaviors in adolescents. The current intervention was successful in reducing smoking uptake in adolescents living in high-risk families.

scholarly journals Effect of Participation with Accompanying Household Member in the Complete Health Improvement Program in Appalachia

2019 ◽  
Vol 2019 ◽  
pp. 1-5 ◽  
Author(s):  
Dhatri Kotekal ◽  
Melanie Worley ◽  
Hemal Patel ◽  
Laura Jensen ◽  
Godwin Y. Dogbey ◽  
...  
Keyword(s):  
Risk Factors ◽  
Lifestyle Modification ◽  
Household Member ◽  
Health Improvement ◽  
Program Participation ◽  
Mutual Support ◽  
Cvd Risk Factors ◽  
Cvd Risk ◽  
Improvement Program ◽  
Complete Health

Intensive therapeutic lifestyle modification programs, such as the Complete Health Improvement Program (CHIP), reduce cardiovascular disease (CVD) risk factors. However, there are little data on how participation in CHIP with a household member can affect CVD biomarkers. This study focuses on the benefit of joint participation of household members in CHIP in order to have a better outcome in improving CVD risk factors compared with lone or individual participation. Data from 20 CHIP classes offered from 2011 to 2015 in Athens, Ohio, where each class was conducted over 2-4 months, consisting of 16-18 sessions, were collected. Body mass index (BMI), blood pressure, fasting glucose, and lipid profiles were measured before and near the completion of each class. A statistically significant greater reduction in BMI (p = 0.003) in those who attended with a household member compared to those who attended as individuals was found. CHIP has some effect on various CVD risk factors for those who attend intensive therapeutic lifestyle modification programs with an accompanying household member. Hence, encouragement of participation with a family member or a “buddy” may be prudent, especially if weight reduction is a key program participation goal. Further evaluation of the “buddy effect” involving both of those residing in the same household and those who do not but nevertheless provide mutual support is warranted.

Long-Term Lifestyle Intervention in Elderly With Metabolic Syndrome

2017 ◽  
Vol 28 (6) ◽  
pp. 658-675 ◽  
Author(s):  
Shu-Hung Chang ◽  
Nai-Hui Chien ◽  
Ching-Yi Yu
Keyword(s):  
Metabolic Syndrome ◽  
Waist Circumference ◽  
Lifestyle Intervention ◽  
Exercise Intervention ◽  
Controlled Trial ◽  
Density Lipoprotein ◽  
Control Group ◽  
Elderly Adults ◽  
Community Based

The purpose of this study was to examine the effects of a long-term community-based lifestyle intervention on the biochemical indicators and prevalence of metabolic syndrome among elderly adults. This was a randomized controlled trial in northern Taiwan from August 2013 to February 2015. Sixty-nine elderly adults participated in this study. There were three measurements. The experimental group participated in exercise and diet interventions. The control group participated in the exercise intervention. Repeated measurement and ANCOVA were performed to evaluate the effectiveness. After 18 months, body weight (1.06 kg), body mass index (1.21 kg/m2), waist circumference (3.32 cm), blood pressure, and prevalence (30.4%) of metabolic syndrome were significantly reduced in all subjects. There were significant differences in waist circumference and high-density lipoprotein cholesterol between the two groups. This intervention can lower the indicators and prevalence of metabolic syndrome. Exercise and diet interventions could promote further metabolic changes.

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