scholarly journals Improving treatment intensification to reduce cardiovascular disease risk: a cluster randomized trial

2012 ◽  
Vol 12 (1) ◽  
Author(s):  
Joe V Selby ◽  
Julie A Schmittdiel ◽  
Bruce Fireman ◽  
Marc Jaffe ◽  
Laura J Ransom ◽  
...  
2015 ◽  
Vol 18 (4) ◽  
pp. 300-306 ◽  
Author(s):  
Jody Adams ◽  
Alicia A. Cymbala ◽  
Thomas Delate ◽  
Deanna Kurz ◽  
Kari L. Olson ◽  
...  

2021 ◽  
Vol 60 (11-12) ◽  
pp. 474-484
Author(s):  
Michael Macknin ◽  
Nicole Stegmeier ◽  
Alicia Thomas ◽  
Sarah Worley ◽  
Lin Li ◽  
...  

Approximately 20% of American 9 to 18 year olds are obese, and most carry their excess adiposity, with its associated increased risk for cardiovascular disease, into adulthood. We studied cardiovascular disease risk markers changes associated with 3 healthy eating patterns (HEPs) in 96 9 to 18 year olds with a body mass index >95% in a Midwestern health system 1-year randomized trial. All HEPs were associated with similar statistically significant ( P < .05 to <.001) cardiovascular disease risk marker improvements in weight, systolic and diastolic blood pressure, total cholesterol, low-density lipoprotein, and myeloperoxidase. Time required was the only identified significant ( P < .001) deterrent from enrolling in study. These HEPs had characteristics common to most HEPs: encouraging whole foods, fruits and vegetables, whole grains, beans other legumes, and limiting added salt, saturated fatty acids, added sugars, red meat, processed meats, and other processed foods. Further research on initiatives to ease the time burden, and increase implementation of established healthy eating principles is needed.


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