Effects of a physical activity and healthy eating intervention to reduce stroke risk factors in older adults

Abstract Objective To evaluate the effects of a theory-based physical activity and healthy eating intervention aimed at reducing stroke risk factors among overweight/obese and sedentary older adults. Methods Between 12/2009–1/2011, participants (n = 69) were randomly assigned to an 8-week group moti...

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Veröffentlicht in:Preventive medicine 2013-11, Vol.57 (5), p.708-711
Hauptverfasser: Silva-Smith, Amy L, Fleury, Julie, Belyea, Michael
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creator Silva-Smith, Amy L
Fleury, Julie
Belyea, Michael
description Abstract Objective To evaluate the effects of a theory-based physical activity and healthy eating intervention aimed at reducing stroke risk factors among overweight/obese and sedentary older adults. Methods Between 12/2009–1/2011, participants (n = 69) were randomly assigned to an 8-week group motivational intervention or biweekly newsletters by mail. Physical activity (blinded pedometer, 7-day recall) body composition, theoretical mediator, and dietary (24-hour recall) variables were measured at pre-test and post-test. The physical activity and dietary outcomes are reported. Results For outcome measures, the follow-up was 90% for the intervention group (n = 29) and 91% for the control group (n = 34) for this sample. Statistically significant differences in the 7-day physical activity self-report were noted at post-test in the intervention group. The dietary measures were not statistically significant at post-test; however, the intervention group increased the quantity of vegetable servings. Conclusion Limited efficacy testing was supported for a combined physical activity-dietary intervention, framed by a wellness-motivation theory, and designed to reduce stroke risk factors in older adults who are sedentary and overweight/obese. Limitations were identified and recommendations for additional research provided.
doi_str_mv 10.1016/j.ypmed.2013.07.004
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Methods Between 12/2009–1/2011, participants (n = 69) were randomly assigned to an 8-week group motivational intervention or biweekly newsletters by mail. Physical activity (blinded pedometer, 7-day recall) body composition, theoretical mediator, and dietary (24-hour recall) variables were measured at pre-test and post-test. The physical activity and dietary outcomes are reported. Results For outcome measures, the follow-up was 90% for the intervention group (n = 29) and 91% for the control group (n = 34) for this sample. Statistically significant differences in the 7-day physical activity self-report were noted at post-test in the intervention group. The dietary measures were not statistically significant at post-test; however, the intervention group increased the quantity of vegetable servings. Conclusion Limited efficacy testing was supported for a combined physical activity-dietary intervention, framed by a wellness-motivation theory, and designed to reduce stroke risk factors in older adults who are sedentary and overweight/obese. Limitations were identified and recommendations for additional research provided.</description><identifier>ISSN: 0091-7435</identifier><identifier>EISSN: 1096-0260</identifier><identifier>DOI: 10.1016/j.ypmed.2013.07.004</identifier><identifier>PMID: 23859934</identifier><identifier>CODEN: PVTMA3</identifier><language>eng</language><publisher>Amsterdam: Elsevier Inc</publisher><subject>Aged ; Biological and medical sciences ; Diet ; Diet, Sodium-Restricted ; Elderly people ; Feeding Behavior ; Female ; Health Education - methods ; Health Promotion - methods ; Humans ; Internal Medicine ; Intervention studies ; Male ; Medical sciences ; Middle Aged ; Miscellaneous ; Motivation ; Motor Activity ; Neurology ; Obesity ; Obesity - etiology ; Obesity - prevention &amp; control ; Overweight - etiology ; Overweight - prevention &amp; control ; Physical activity ; Prevention and actions ; Public health. Hygiene ; Public health. 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Methods Between 12/2009–1/2011, participants (n = 69) were randomly assigned to an 8-week group motivational intervention or biweekly newsletters by mail. Physical activity (blinded pedometer, 7-day recall) body composition, theoretical mediator, and dietary (24-hour recall) variables were measured at pre-test and post-test. The physical activity and dietary outcomes are reported. Results For outcome measures, the follow-up was 90% for the intervention group (n = 29) and 91% for the control group (n = 34) for this sample. Statistically significant differences in the 7-day physical activity self-report were noted at post-test in the intervention group. The dietary measures were not statistically significant at post-test; however, the intervention group increased the quantity of vegetable servings. Conclusion Limited efficacy testing was supported for a combined physical activity-dietary intervention, framed by a wellness-motivation theory, and designed to reduce stroke risk factors in older adults who are sedentary and overweight/obese. 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Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Risk Factors</topic><topic>Sedentary</topic><topic>Sedentary Lifestyle</topic><topic>Stroke</topic><topic>Stroke - etiology</topic><topic>Stroke - prevention &amp; control</topic><topic>Strokes</topic><topic>Vascular diseases and vascular malformations of the nervous system</topic><topic>Vegetables</topic><topic>Walking</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Silva-Smith, Amy L</creatorcontrib><creatorcontrib>Fleury, Julie</creatorcontrib><creatorcontrib>Belyea, Michael</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Applied Social Sciences Index &amp; Abstracts (ASSIA)</collection><jtitle>Preventive medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Silva-Smith, Amy L</au><au>Fleury, Julie</au><au>Belyea, Michael</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of a physical activity and healthy eating intervention to reduce stroke risk factors in older adults</atitle><jtitle>Preventive medicine</jtitle><addtitle>Prev Med</addtitle><date>2013-11-01</date><risdate>2013</risdate><volume>57</volume><issue>5</issue><spage>708</spage><epage>711</epage><pages>708-711</pages><issn>0091-7435</issn><eissn>1096-0260</eissn><coden>PVTMA3</coden><abstract>Abstract Objective To evaluate the effects of a theory-based physical activity and healthy eating intervention aimed at reducing stroke risk factors among overweight/obese and sedentary older adults. Methods Between 12/2009–1/2011, participants (n = 69) were randomly assigned to an 8-week group motivational intervention or biweekly newsletters by mail. Physical activity (blinded pedometer, 7-day recall) body composition, theoretical mediator, and dietary (24-hour recall) variables were measured at pre-test and post-test. The physical activity and dietary outcomes are reported. Results For outcome measures, the follow-up was 90% for the intervention group (n = 29) and 91% for the control group (n = 34) for this sample. Statistically significant differences in the 7-day physical activity self-report were noted at post-test in the intervention group. The dietary measures were not statistically significant at post-test; however, the intervention group increased the quantity of vegetable servings. 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source Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; Elsevier ScienceDirect Journals
subjects Aged
Biological and medical sciences
Diet
Diet, Sodium-Restricted
Elderly people
Feeding Behavior
Female
Health Education - methods
Health Promotion - methods
Humans
Internal Medicine
Intervention studies
Male
Medical sciences
Middle Aged
Miscellaneous
Motivation
Motor Activity
Neurology
Obesity
Obesity - etiology
Obesity - prevention & control
Overweight - etiology
Overweight - prevention & control
Physical activity
Prevention and actions
Public health. Hygiene
Public health. Hygiene-occupational medicine
Risk Factors
Sedentary
Sedentary Lifestyle
Stroke
Stroke - etiology
Stroke - prevention & control
Strokes
Vascular diseases and vascular malformations of the nervous system
Vegetables
Walking
title Effects of a physical activity and healthy eating intervention to reduce stroke risk factors in older adults
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