A cholesterol intervention program for public health nurses in the rural southeast: Description of the intervention, study design, and baseline results

被引:21
作者
Keyserling, TC
Ammerman, AS
Atwood, JR
Hosking, JD
Krasny, G
Zayed, H
Worthy, BH
机构
[1] Univ N Carolina, Sch Med, Dept Med, Chapel Hill, NC 27599 USA
[2] Univ N Carolina, Sch Publ Hlth, Dept Nutr, Chapel Hill, NC 27599 USA
[3] Univ N Carolina, Sch Med, Dept Nutr, Chapel Hill, NC 27599 USA
[4] Univ N Carolina, Sch Publ Hlth, Curriculum Publ Hlth Nursing, Chapel Hill, NC USA
[5] Univ Nebraska, Med Ctr, Eppley Canc Ctr, Canc Prevent Ctr & Control, Omaha, NE USA
[6] Univ N Carolina, Sch Publ Hlth, Dept Biostat, Chapel Hill, NC 27599 USA
关键词
D O I
10.1046/j.1525-1446.1999.00156.x
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Residents of the rural South are at high risk for heart disease and are frequently identified as:having high blood cholesterol, but sources for nutrition counseling in rural areas are often limited. To increase the availability of high quality nutrition counseling, the Food for Heart Program was developed for public health nurses and is designed to circumvent many of the obstacles common to: dietary counseling. We conducted a randomized trial to assess the effectiveness;of this program to lower blood cholesterol. In this report, we describe the study design, intervention program, and baseline characteristics of participants. Nurses at 17 health departments' screened 781 subjects to enroll 468 with high blood cholesterol: three-quarters of the subject were female, the mean age was 55, and 80% were white. Participants were at high risk for heart disease: 60% had two or more risk factors for coronary disease, the majority were overweight with a mean BMI:of 29,and the mean cholesterol was 257 mg/dL. Reported baseline dietary intake included relatively modest consumption of high fat meats and snack foods, excessive consumption of sweets, modest intake of complex carbohydrates, and inadequate consumption of fruits and vegetables.
引用
收藏
页码:156 / 167
页数:12
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