Foreyt J P, Ramirez A G, Cousins J H
Baylor College of Medicine, Houston, TX.
Am J Clin Nutr. 1991 Jun;53(6 Suppl):1639S-1641S. doi: 10.1093/ajcn/53.6.1639S.
Cuidando El Corazon (CEC; Taking Care of Your Heart) was designed to assess the effectiveness of a culturally adapted weight-reduction and exercise program for achieving long-term weight loss in Mexican Americans. CEC used a family-oriented approach to achieve lifestyle change in behavior. Participants were assigned to 1) a booklet-only comparison group that received a manual including behavior change, nutrition, and exercise information and traditional recipes modified in fat content; 2) an individual group that received the same manual and attended year-long classes; or 3) a family group that received a manual and attended classes that emphasized techniques for making changes in the family's eating and exercising habits. The family and individual groups had significantly greater weight losses than the information-only group. Weight loss was greatest in the family-involvement group and least in the information-only comparison group.
关爱心脏(CEC;照顾好你的心脏)旨在评估一种经过文化调适的减肥和锻炼计划对墨西哥裔美国人实现长期体重减轻的有效性。CEC采用以家庭为导向的方法来实现行为上的生活方式改变。参与者被分配到:1)仅接受手册的对照组,该组收到一本包含行为改变、营养和锻炼信息以及脂肪含量经过调整的传统食谱的手册;2)个人组,该组收到相同的手册并参加为期一年的课程;或3)家庭组,该组收到一本手册并参加强调改变家庭饮食习惯和锻炼习惯技巧的课程。家庭组和个人组的体重减轻幅度明显大于仅接受信息的组。体重减轻在家庭参与组中最大,在仅接受信息的对照组中最小。