A behavioral intervention in a cohort of Japanese-Brazilians at high cardiometabolic risk

A behavioral intervention in a cohort of Japanese-Brazilians at high cardiometabolic risk

Alternative title Intervención conductual en nipo-brasileños con alto riesgo cardiometabólico
Intervenção comportamental em nipo-brasileiros com alto risco cardiometabólico
Author Almeida-Pititto, Bianca de Google Scholar
Griffin, Simon J. Google Scholar
Sharp, Stephen J. Google Scholar
Hirai, Amelia Toyomi Autor UNIFESP Google Scholar
Gimeno, Suely Godoy Agostinho Autor UNIFESP Google Scholar
Ferreira, Sandra Roberta Gouvea Autor UNIFESP Google Scholar
Institution Universidade de São Paulo (USP)
Universidade Federal de São Paulo (UNIFESP)
Abstract OBJECTIVE: To assess the effect of a health promotion program on cardiometabolic risk profile in Japanese-Brazilians.METHODS: A total of 466 subjects from a study on diabetes prevalence conducted in the city of Bauru, southeastern Brazil, in 2000 completed a 1-year intervention program (2005-2006) based on healthy diet counseling and physical activity. Changes in blood pressure and metabolic parameters in the 2005-2006 period were compared with annual changes in these same variables in the 2000-2005 period.RESULTS: During the intervention, there were greater annual reductions in mean (SD) waist circumference [-0.5(3.8) vs. 1.2(1.2) cm per year, p<0.001], systolic blood pressure [-4.6(17.9) vs. 1.8(4.3) mmHg per year, p<0.001], 2-hour plasma glucose [-1.2(2.1) vs. -0.2(0.6) mmol/L per year, p<0.001], LDL-cholesterol [-0.3(0.9) vs. -0.1(0.2) mmol/L per year, p<0.001] and Framingham coronary heart disease risk score [-0.25(3.03) vs. 0.11(0.66) per year, p=0.02] but not in triglycerides [ 0.2(1.6) vs. 0.1(0.42) mmol/L per year, p<0.001], and fasting insulin level [ 1.2(5.8) vs. -0.7(2.2) IU/mL per year, p<0.001] compared with the pre-intervention period. Significant reductions in the prevalence of impaired fasting glucose/impaired glucose tolerance and diabetes were seen during the intervention (from 58.4% to 35.4%, p<0.001; and from 30.1% to 21.7%, p=0.004, respectively).CONCLUSIONS: A one-year community-based health promotion program brings cardiometabolic benefits in a high-risk population of Japanese-Brazilians.
Keywords Cardiovascular Diseases, prevention & control
Diabetes Mellitus, Type 2, prevention & control
Evaluation of the Efficacy-Effectiveness of Interventions
Food and Nutrition Education
Physical Education and Training
Asian Continental Ancestry Group
Language English
Sponsor Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
Grant number CNPq: 505845/2004-0
FAPESP: 05/50178-7
Date 2012-08-01
Published in Revista De Saude Publica. Sao Paulo: Revista De Saude Publica, v. 46, n. 4, p. 602-609, 2012.
ISSN 0034-8910 (Sherpa/Romeo, impact factor)
Publisher Revista De Saude Publica
Extent 602-609
Origin http://dx.doi.org/10.1590/S0034-89102012005000045
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000307707900003
SciELO ID S0034-89102012000400003 (statistics in SciELO)
URI http://repositorio.unifesp.br/11600/45480

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