Hodges Samaha, Holstad Marcia McDonnell
MPH, Project Manager Co-Investigator of the U.S. LATTE Arm, American Cancer Society, Atlanta, GA, USA.
DSN, FNP-BC, FAANP, FAAN, Associate Professor, Nell Hodgson School of Nursing Emory University, Atlanta, GA, USA.
J AIDS Clin Res. 2013 Feb 7;4:224. doi: 10.4172/2155-6113.1000224.
This study investigates the efficacy of a health promotion educational program on improving cardiovascular risk factors of weight, Body Mass Index, and waist to hip ratio in 76 predominately African American HIV-infected women. The health promotion educational program was the control group (that focused on improving self-efficacy for nutrition, exercise, stress reduction and women's health behaviors) of a NIH-funded study. The majority of participants was overweight, obese, or at high risk based on waist hip ratio at the beginning of the study. There were no statistically significant improvements in body mass index or waist hip ratio from pre intervention to up to 9 months post intervention. There were significant changes in waist hip ratio and body mass index in both directions (improvement and worsened) for a small group of participants. The health promotion program did not affect significant changes in cardiovascular risk and should be revised, lengthened, and refocused on nutrition, diet, exercise, and long term goal commitments to reduce the high risk for cardiovascular disease in this group.
本研究调查了一项健康促进教育项目对改善76名以非裔美国女性为主的HIV感染女性的体重、体重指数和腰臀比等心血管危险因素的效果。该健康促进教育项目是一项由美国国立卫生研究院资助研究中的对照组（该组专注于提高营养、运动、减压及女性健康行为方面的自我效能）。在研究开始时，大多数参与者超重、肥胖或基于腰臀比处于高风险状态。从干预前到干预后长达9个月，体重指数或腰臀比均无统计学上的显著改善。一小部分参与者的腰臀比和体重指数在两个方向（改善和恶化）上都有显著变化。该健康促进项目并未对心血管风险产生显著影响，应进行修订、延长，并重新聚焦于营养、饮食、运动以及为降低该群体心血管疾病高风险而做出的长期目标承诺。
