Baker Elizabeth A, Barnidge Ellen K, Schootman Mario, Sawicki Marjorie, Motton-Kershaw Freda L
Saint Louis University College for Public Health and Social Justice, Saint Louis, Missouri.
Saint Louis University College for Public Health and Social Justice, Saint Louis, Missouri.
Am J Prev Med. 2016 Dec;51(6):967-974. doi: 10.1016/j.amepre.2016.07.014. Epub 2016 Sep 12.
Cardiovascular disease is the leading cause of death among African Americans in the U.S., with high blood pressure and obesity being two of the main determinants. The Dietary Approaches to Stop Hypertension diet is effective in changing behaviors associated with these health concerns, but has not been adapted to community settings.
Men on the Move: Growing Communities (MOTMGC) was evaluated using a quasi-experimental cross-sectional design. Surveys were conducted with rural African Americans aged ≥18 years prior to the intervention (2008) and at the end of the project (2013), with the final analysis conducted in 2015. Using a community-based participatory research approach, MOTMGC provided culturally appropriate education and changes to the environment to improve access to fruits and vegetables, low-fat, and low-sodium foods.
Declines in prevalence of overweight and obese respondents and hypertension were seen in the intervention but not the comparison county. Participants with high levels of participation reported eating five or more servings of fruits and vegetables a day, a greater variety of fruits and vegetables, less salt, and seasoning their vegetables with less fat more often than those who did not participate in educational activities. Participants reported that as a result of their access to MOTMGC gardens, they were more likely to eat more fruits, vegetables, and locally grown food, and less processed food and fast food.
Adapting the Dietary Approaches to Stop Hypertension diet to community settings through culturally appropriate community-based efforts can improve dietary behaviors, BMI, and blood pressure.
心血管疾病是美国非裔美国人的主要死因，高血压和肥胖是两个主要决定因素。终止高血压膳食疗法在改变与这些健康问题相关的行为方面是有效的，但尚未适用于社区环境。
“行动起来的男性：发展中的社区”（MOTMGC）采用准实验性横断面设计进行评估。在干预前（2008年）和项目结束时（2013年）对年龄≥18岁的农村非裔美国人进行了调查，最终分析于2015年进行。通过基于社区的参与性研究方法，MOTMGC提供了符合文化背景的教育，并对环境进行了改变，以增加获取水果、蔬菜、低脂和低钠食品的机会。
干预县超重和肥胖受访者以及高血压的患病率有所下降，而对照县则没有。参与程度高的参与者报告称，与未参加教育活动的参与者相比，他们每天食用五份或更多份水果和蔬菜，食用的水果和蔬菜种类更多，盐摄入量更少，并且更经常用较少的脂肪来烹饪蔬菜。参与者报告说，由于他们能够进入MOTMGC菜园，他们更有可能多吃水果、蔬菜和当地种植的食物，少吃加工食品和快餐。
通过符合文化背景的社区努力，将终止高血压膳食疗法应用于社区环境，可以改善饮食行为、体重指数和血压。
