A Community-Based Program To Lower Diabetes and Cardiovasular Risk Factors In Latino Women

2.50
Hdl Handle:
http://hdl.handle.net/10755/308446
Category:
Abstract
Type:
Presentation
Title:
A Community-Based Program To Lower Diabetes and Cardiovasular Risk Factors In Latino Women
Author(s):
Baldwin, Sara A.
Lead Author STTI Affiliation:
Eta Omnicron
Author Details:
Sara A. Baldwin, PhD, RN, APHN-BC, sara.baldwin@tamucc.edu
Abstract:

Session presented on: Saturday, November 16, 2013

Background: Type 2 diabetes (T2D) is becoming more prevalent among female Latino populations. Lifestyle modifications to lose weight and increase physical activity have been shown in national studies to reduce the development of T2D by 58%. Increasing cardiovascular health can further decrease the risk of being diagnosed with T2D by 32%. No outcomes-based program exists for Latino women diagnosed as high-risk for developing T2D living in a South Texas urban setting (> 300,000). A 12-week community-based lifestyle program was pilot tested and implemented with 2 cohorts of women. Purpose/Aim:  To report findings on diabetes and cardiovascular risk factors and wellness health behaviors following a community-based multi-level lifestyle program with Latino women identified as high risk for developing T2D. Methods:  A pre-and post-test study design was used to assess HgA1C, blood pressure, BMI, waist- to-hip ratio, Hettler’s six dimensions of wellness health behaviors (social, occupational, intellectual, emotional, physical and spiritual), and average daily walking steps. The program consisted of motivational interviewing and counseling, physical activity classes and lifestyle modification classes based on each woman’s Hettler health behavior inventory results. Results: Fifty-nine women with a mean age of 58 years completed the 12-week program. Paired t-tests revealed that women (at the end of 3 months) showed significant reductions in diabetes and cardiovascular total risk scores. The performance of health behaviors significantly increased during the program. Women on average walked 7,000 steps per day, suggesting a “moderately active” population. Implications: The short-term effects are promising at 3 months post-test measurement.  However this time period is likely not enough time to maintain behaviors on a long-term basis. Six and twelve month measures are recommended in future studies. Social support and empowerment through physical activity were identified and recommended as additional strategies to use with this targeted population.
Keywords:
women; community-based
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleA Community-Based Program To Lower Diabetes and Cardiovasular Risk Factors In Latino Womenen_GB
dc.contributor.authorBaldwin, Sara A.en_GB
dc.contributor.departmentEta Omnicronen_GB
dc.author.detailsSara A. Baldwin, PhD, RN, APHN-BC, sara.baldwin@tamucc.eduen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308446-
dc.description.abstract<p>Session presented on: Saturday, November 16, 2013</p><b>Background</b><b>: </b>Type 2 diabetes (T2D) is becoming more prevalent among female Latino populations. Lifestyle modifications to lose weight and increase physical activity have been shown in national studies to reduce the development of T2D by 58%. Increasing cardiovascular health can further decrease the risk of being diagnosed with T2D by 32%. No outcomes-based program exists for Latino women diagnosed as high-risk for developing T2D living in a South Texas urban setting (> 300,000). A 12-week community-based lifestyle program was pilot tested and implemented with 2 cohorts of women. <b>Purpose/Aim:</b>  To report findings on diabetes and cardiovascular risk factors and wellness health behaviors following a community-based multi-level lifestyle program with Latino women identified as high risk for developing T2D. <b>Methods</b>:  A pre-and post-test study design was used to assess HgA1C, blood pressure, BMI, waist- to-hip ratio, Hettler’s six dimensions of wellness health behaviors (social, occupational, intellectual, emotional, physical and spiritual), and average daily walking steps. The program consisted of motivational interviewing and counseling, physical activity classes and lifestyle modification classes based on each woman’s Hettler health behavior inventory results. <b>Results</b><b>: </b>Fifty-nine women with a mean age of 58 years completed the 12-week program. Paired t-tests revealed that women (at the end of 3 months) showed significant reductions in diabetes and cardiovascular total risk scores. The performance of health behaviors significantly increased during the program. Women on average walked 7,000 steps per day, suggesting a “moderately active” population. <b>Implications: </b>The short-term effects are promising at 3 months post-test measurement.  However this time period is likely not enough time to maintain behaviors on a long-term basis. Six and twelve month measures are recommended in future studies. Social support and empowerment through physical activity were identified and recommended as additional strategies to use with this targeted population.en_GB
dc.subjectwomenen_GB
dc.subjectcommunity-baseden_GB
dc.date.available2013-12-19T17:31:28Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:31:28Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
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