Reducing cardiovascular risk factors in postmenopausal women through a lifestyle change intervention

被引:53
作者
Carels, RA [1 ]
Darby, LA [1 ]
Cacciapaglia, HM [1 ]
Douglass, OM [1 ]
机构
[1] Bowling Green State Univ, Dept Psychol, Bowling Green, OH 43403 USA
关键词
D O I
10.1089/154099904323087105
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 [公共卫生与预防医学]; 120402 [社会医学与卫生事业管理];
摘要
Background: The impact of a 6-month lifestyle change intervention on cardiovascular risk factors in obese, sedentary, postmenopausal women was examined. A secondary aim of this investigation was to determine whether the addition of self-control skills training to an empirically supported lifestyle change intervention would result in greater cardiovascular risk reduction. Methods: Forty-four women were randomly assigned to receive either a lifestyle change or a lifestyle change with self-control skills intervention. Pretreatment and posttreatment weight loss, body composition, physical activity, cardiorespiratory fitness, diet, blood pressure (BP), blood lipids, and psychosocial functioning were assessed. Also, at 1-year posttreatment, weight loss, body composition, self-reported physical activity, and psychosocial functioning were assessed. Results: The women significantly increased their physical activity (+39.6%) and cardiorespiratory fitness (+13.5%) and reduced their body weight (-6.5%), fat mass (-7.4%), body fat (-2.4%), BP (SBP -6.2%, DBP -9.2%), total cholesterol (-7.4%), triglycerides (-16.5%), and low-density lipoprotein (LDL) cholesterol (9.1%) and improved their diet (p < 0.05). At the 1-year follow-up, women had regained approximately 63% of their posttreatment weight loss (p < 0.05), but had maintained their previous increases in physical activity. Additionally, there were no significant changes in fat free mass, body fat, anxiety, or depression between the end of treatment and 1-year posttreatment. The addition of self-control skills training did not significantly improve cardiovascular risk reduction. Conclusions: Lifestyle change interventions may be an effective means for reducing cardiovascular risk in obese, sedentary, postmenopausal women. However, greater attention should be devoted to the maintenance of these positive lifestyle changes.
引用
收藏
页码:412 / 426
页数:15
相关论文
共 84 条
[1]
ALLAIN CC, 1974, CLIN CHEM, V20, P470
[2]
American College of Sports Medicine, 2000, ACSMS GUID EX TEST P
[3]
Effects of lifestyle activity vs structured aerobic exercise in obese women - A randomized trial [J].
Andersen, RE ;
Wadden, TA ;
Bartlett, SJ ;
Zemel, B ;
Verde, TJ ;
Franckowiak, SC .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1999, 281 (04) :335-340
[4]
[Anonymous], MED SCI SPORTS EXERC
[5]
BALKE B, 1996, MED PHYS, P50
[6]
CALORIMETRIC VALIDATION OF THE CALTRAC ACCELEROMETER DURING LEVEL WALKING [J].
BALOGUN, JA ;
MARTIN, DA ;
CLENDENIN, MA .
PHYSICAL THERAPY, 1989, 69 (06) :501-509
[7]
BAUMEISTER RF, 1994, LOSING CONTROL HOW W
[8]
PSYCHOMETRIC PROPERTIES OF THE BECK DEPRESSION INVENTORY - 25 YEARS OF EVALUATION [J].
BECK, AT ;
STEER, RA ;
GARBIN, MG .
CLINICAL PSYCHOLOGY REVIEW, 1988, 8 (01) :77-100
[9]
Beck AT., 1979, Cognitive Therapy of Depression
[10]
Exercise and weight loss reduce blood pressure in men and women with mild hypertension - Effects on cardiovascular, metabolic, and hemodynamic functioning [J].
Blumenthal, JA ;
Sherwood, A ;
Gullette, ECD ;
Babyak, M ;
Waugh, R ;
Georgiades, A ;
Craighead, LW ;
Tweedy, D ;
Feinglos, M ;
Appelbaum, M ;
Hayano, J ;
Hinderliter, A .
ARCHIVES OF INTERNAL MEDICINE, 2000, 160 (13) :1947-1958