Geographic Determinants of Healthy Lifestyle Change in a Community-Based Exercise Prescription Delivered in Family Practice

OBJECTIVES/SPECIFIC AIMS: New Beginnings is a 12-week community-based behavioral intervention for improving health, strength, and wellness through a holistic approach to coaching that supports lifestyle change. The program serves predominantly low-income, minority women. Given the substantial focus on exercise, including resistance training, we aimed to test whether pain at baseline is associated with program completion in a prospective cohort. METHODS/STUDY POPULATION: At the entry of the New Beginnings program, women completed a survey that included a body map of sites at which they experienced pain for most days in the prior week. Using logistic regression, we independently tested the association between presence of pain, the total number of pain sites, and grouped location of pain with program completion, assessing the following a priori candidate confounders: age, race/ethnicity, body mass index, and income. We also tested for interaction of pain and age in influencing completion. RESULTS/ANTICIPATED RESULTS: Seventy-five percent of participants, 185 of 247, completed the program. They had an average age of 44.2±11.7 years, weight of 244.5±115.4 pounds, and BMI of 41.3±18.2. Fifty-seven percent were African American and 3% were Hispanic. The majority reported preexisting pain (83%), with an average of 3.4±2.7 pain sites. Completers and non-completers did not differ by the total number of pain sites (p=0.2). Having preexisting pain compared to no pain [odds ratio (OR)=1.3; 95% confidence interval (CI): 0.5–3.4] and to the number of pain sites (OR=1.0; 95% CI: 0.9–1.1) did not influence program completion after adjusting for the sole confounder, which was age. Likewise, we observed no association between limb/joint pain (OR=1.1; 95% CI: 0.6–2.1) or back pain (OR=0.9; 95% CI: 0.5–1.6) with program completion. The association of pain with completion was not modified by age. DISCUSSION/SIGNIFICANCE OF IMPACT: While pain is believed to be a barrier to improving fitness, preexisting pain may not be a strong predictor of completing a holistic lifestyle intervention with a substantial exercise component. Rather, women’s commitment to making a healthy lifestyle change may result in program completion irrespective of preexisting pain. Addressing and accommodating pain-related modifications to exercise interventions promise to be more effective than excluding those with pain from participation.

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Weight loss and dietary improvements following the Healthy Lifestyle Change Program, a community‐based intervention for adults with developmental disabilities

The FASEB Journal ◽

10.1096/fasebj.22.1_supplement.682.7 ◽

2008 ◽

Vol 22 (S1) ◽

Author(s):

Ari Stefan Zeldin ◽

Ida R Shihady ◽

Nicole Garro ◽

Danise Lehrer ◽

Jean Eis ◽

...

Keyword(s):

Weight Loss ◽

Developmental Disabilities ◽

Healthy Lifestyle ◽

Lifestyle Change ◽

Community Based ◽

Adults With Developmental Disabilities

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Higher Healthy Lifestyle Score is associated with lower presence of non-alcoholic fatty liver disease in middle-aged and older Chinese adults: a community-based cross-sectional study

Public Health Nutrition ◽

10.1017/s1368980021000902 ◽

2021 ◽

pp. 1-9

Author(s):

Yun-yang Deng ◽

Qing-wei Zhong ◽

Hai-li Zhong ◽

Feng Xiong ◽

Yue-bin Ke ◽

...

Keyword(s):

Physical Activity ◽

Liver Disease ◽

Fatty Liver Disease ◽

Healthy Lifestyle ◽

Cross Sectional Study ◽

Sectional Study ◽

Community Based ◽

Cross Sectional ◽

Alcoholic Fatty Liver ◽

Alcoholic Fatty Liver Disease

Abstract Objective: Previous studies have reported inverse associations between certain healthy lifestyle factors and non-alcoholic fatty liver disease (NAFLD), but limited evidence showed the synergistic effect of those lifestyles. This study examined the relationship of a combination of lifestyles, expressed as Healthy Lifestyle Score (HLS), with NAFLD. Design: A community-based cross-sectional study. Questionnaires and body assessments were used to collect data on the six-item HLS (ranging from 0 to 6, where higher scores indicate better health). The HLS consists of non-smoking (no active or passive smoking), normal BMI (18·5–23·9 kg/m2), physical activity (moderate or vigorous physical activity ≥ 150 min/week), healthy diet pattern, good sleep (no insomnia or <6 months) and no anxiety (Self-rating Anxiety Scale < 50), one point each. NAFLD was diagnosed by ultrasonography. Setting: Guangzhou, China. Participants: Two thousand nine hundred and eighty-one participants aged 40–75 years. Results: The overall prevalence of NAFLD was 50·8 %. After adjusting for potential covariates, HLS was associated with lower presence of NAFLD. The OR of NAFLD for subjects with higher HLS (3, 4, 5–6 v. 0–1 points) were 0·68 (95 % CI 0·51, 0·91), 0·58 (95 % CI 0·43, 0·78) and 0·35 (95 % CI 0·25, 0·51), respectively (P-values < 0·05). Among the six items, BMI and physical activity were the strongest contributors. Sensitivity analyses showed that the association was more significant after weighting the HLS. The beneficial association remained after excluding any one of the six components or replacing BMI with waist circumference. Conclusions: Higher HLS was associated with lower presence of NAFLD, suggesting that a healthy lifestyle pattern might be beneficial to liver health.

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Lifestyle change in Kerala, India: needs assessment and planning for a community-based diabetes prevention trial

BMC Public Health ◽

10.1186/1471-2458-13-95 ◽

2013 ◽

Vol 13 (1) ◽

Cited By ~ 23

Author(s):

Meena Daivadanam ◽

Pilvikki Absetz ◽

Thirunavukkarasu Sathish ◽

K R Thankappan ◽

Edwin B Fisher ◽

...

Keyword(s):

Needs Assessment ◽

Diabetes Prevention ◽

Lifestyle Change ◽

Prevention Trial ◽

Community Based

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A randomized trial of mail vs. telephone invitation to a community-based cardiovascular health awareness program for older family practice patients [ISRCTN61739603]

BMC Family Practice ◽

10.1186/1471-2296-6-35 ◽

2005 ◽

Vol 6 (1) ◽

Cited By ~ 24

Author(s):

Tina Karwalajtys ◽

Janusz Kaczorowski ◽

Larry W Chambers ◽

Cheryl Levitt ◽

Lisa Dolovich ◽

...

Keyword(s):

Randomized Trial ◽

Family Practice ◽

Cardiovascular Health ◽

Health Awareness ◽

Community Based ◽

Awareness Program

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A Community Based Participatory Approach to Training Young Adults to Design and Implement a Social Marketing Framed Lifestyle Intervention on Their College Campus

Education Sciences ◽

10.3390/educsci8030150 ◽

2018 ◽

Vol 8 (3) ◽

pp. 150 ◽

Cited By ~ 1

Author(s):

Melissa Olfert ◽

Makenzie Barr ◽

Kristin Riggsbee ◽

Kendra Kattelmann ◽

Krista Leischner ◽

...

Keyword(s):

College Students ◽

Lifestyle Intervention ◽

Participatory Research ◽

Social Marketing ◽

Healthy Lifestyle ◽

Community Based Participatory Research ◽

College Campus ◽

Research Approach ◽

Environmental Intervention ◽

Community Based

Background: Using a Community-Based Participatory Research (CBPR) approach may increase the likelihood of relevance and acceptability of the designed intervention, especially on a college campus. Furthermore, recruiting and training college students to design a social marketing framed healthy lifestyle intervention for their peers will allow the intervention to be tailored to the needs of the campus. Objectives: To describe the process of online-course training college students to develop a campus-based, social marketing health promotion intervention. Methods: Four universities recruited current college students (18+ y.o.) to develop a social marketing and environmental intervention (SMEI), which was completed during a 16-week, online/in-person hybrid semester course. Researchers and Extension professionals trained students to design 24 weeks of intervention events that would be implemented the upcoming year. Results: Seventy-eight students enrolled in the study and social marketing and environmental intervention course among the four intervention states (Florida = 30, South Dakota = 8, Tennessee = 13, West Virginia = 27); students were predominately Caucasian (65.8%), females (84.0%), and sophomore status in college (64.9%). Throughout the semester, students assessed their campus environments, set priorities, and developed weekly events and resources needed to implement the intervention on their campuses. By the end of the semester, with researcher support, students had designed 24 weeks of intervention events (marketing, recruiting, and implementation) focusing on nutrition/food/diet, physical activity, stress management, sleep, and time management. These events and resources were catalogued into a digital toolkit of instructions and activities for each week of intervention events. Conclusion: Using a Community-Based Participatory Research approach with college students interested in health allows for the development of an intervention that stems from grass roots efforts and is tailored to the acceptability and needs of their peers.

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