Scriven Emily, Chavan Bhakti, Drozek David
Ohio University Heritage College of Osteopathic Medicine, Athens, OH, USA (EM, DD), Ohio University Heritage College of Osteopathic Medicine, Dublin, OH, USA (BC).
Am J Lifestyle Med. 2021 Oct 15;18(4):459-464. doi: 10.1177/15598276211049320. eCollection 2024 Jul-Aug.
The Complete Health Improvement Program (CHIP) is an intensive therapeutic lifestyle modification program (ITLMP) with well-documented success in decreasing risk factors for cardiovascular disease (CVD). Plant-based diets and physical activity are components of the program that contribute to these improvements. Yet, there are few studies on how ITLMPs affect risk factors specifically for the geriatric population. The goal of this study was to examine results of CHIP participants with a focus on the older (greater than 65 years) population in Athens, Ohio. Retrospective data from 2011 to 2017 were analyzed for 26 CHIP classes. Recorded variables included body mass index (BMI), blood pressure (BP), total cholesterol (TC), triglycerides, low-density lipoprotein cholesterol (LDL), high-density lipoprotein cholesterol (HDL), blood glucose (BG), and exercise level. Among geriatric participants, significant changes were found in BMI, BP, TC, LDL, HDL, BG, and exercise level ( < .001). As compared to the younger population, changes in variables were equivalent in the geriatric population in all variables ( > .05). These improvements in CVD risk factors among the elderly support the hypothesis that CHIP should be considered for CVD prevention and treatment in the geriatric population.
完整健康改善计划（CHIP）是一项强化治疗性生活方式改变计划（ITLMP），在降低心血管疾病（CVD）风险因素方面有着充分的成功记录。以植物为基础的饮食和体育活动是该计划的组成部分，有助于实现这些改善。然而，关于ITLMPs如何具体影响老年人群风险因素的研究很少。本研究的目的是考察俄亥俄州雅典市CHIP参与者的结果，重点关注年龄较大（大于65岁）的人群。对2011年至2017年26个CHIP课程的回顾性数据进行了分析。记录的变量包括体重指数（BMI）、血压（BP）、总胆固醇（TC）、甘油三酯、低密度脂蛋白胆固醇（LDL）、高密度脂蛋白胆固醇（HDL）、血糖（BG）和运动水平。在老年参与者中，BMI、BP、TC、LDL、HDL、BG和运动水平有显著变化（<.001）。与年轻人群相比，老年人群所有变量的变化均相当（>.05）。老年人CVD风险因素的这些改善支持了这样一种假设，即CHIP应被考虑用于老年人群的CVD预防和治疗。
