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The StrongWomen–Healthy Hearts Program

Reducing Cardiovascular Disease Risk Factors in Rural Sedentary, Overweight, and Obese Midlife and Older Women

Bibliographic Data

ID11040189
AuthorsSara C Folta (0000-0002-4366-5622, Sara C. Folta, Rebecca A. Seguin, Jeanne P. Goldberg, Julia F. Kuder, and Miriam E. Nelson are with the John Hancock Center for Physical Activity and Nutrition, Friedman School of Nutrition Science and Policy, Tufts University, Boston, MA. Alice H. Lichtenstein is with the Friedman School of Nutrition Science and Policy and the Jean Mayer USDA Human Nutrition Research Center on Aging, Tufts University, Boston, MA.), Alice H Lichtenstein (0000-0002-1053-9478, Sara C. Folta, Rebecca A. Seguin, Jeanne P. Goldberg, Julia F. Kuder, and Miriam E. Nelson are with the John Hancock Center for Physical Activity and Nutrition, Friedman School of Nutrition Science and Policy, Tufts University, Boston, MA. Alice H. Lichtenstein is with the Friedman School of Nutrition Science and Policy and the Jean Mayer USDA Human Nutrition Research Center on Aging, Tufts University, Boston, MA.), Rebecca A Seguin-Fowler (0000-0002-5115-2341, Tufts University), Rebecca A Seguin (Sara C. Folta, Rebecca A. Seguin, Jeanne P. Goldberg, Julia F. Kuder, and Miriam E. Nelson are with the John Hancock Center for Physical Activity and Nutrition, Friedman School of Nutrition Science and Policy, Tufts University, Boston, MA. Alice H. Lichtenstein is with the Friedman School of Nutrition Science and Policy and the Jean Mayer USDA Human Nutrition Research Center on Aging, Tufts University, Boston, MA.), Jeanne P Goldberg (0000-0003-2767-4454, Sara C. Folta, Rebecca A. Seguin, Jeanne P. Goldberg, Julia F. Kuder, and Miriam E. Nelson are with the John Hancock Center for Physical Activity and Nutrition, Friedman School of Nutrition Science and Policy, Tufts University, Boston, MA. Alice H. Lichtenstein is with the Friedman School of Nutrition Science and Policy and the Jean Mayer USDA Human Nutrition Research Center on Aging, Tufts University, Boston, MA.), Julia F Kuder (Sara C. Folta, Rebecca A. Seguin, Jeanne P. Goldberg, Julia F. Kuder, and Miriam E. Nelson are with the John Hancock Center for Physical Activity and Nutrition, Friedman School of Nutrition Science and Policy, Tufts University, Boston, MA. Alice H. Lichtenstein is with the Friedman School of Nutrition Science and Policy and the Jean Mayer USDA Human Nutrition Research Center on Aging, Tufts University, Boston, MA.), Julia Kuder (0000-0002-7099-1538, Tufts University), Miriam E Nelson (0000-0003-3342-9754, Sara C. Folta, Rebecca A. Seguin, Jeanne P. Goldberg, Julia F. Kuder, and Miriam E. Nelson are with the John Hancock Center for Physical Activity and Nutrition, Friedman School of Nutrition Science and Policy, Tufts University, Boston, MA. Alice H. Lichtenstein is with the Friedman School of Nutrition Science and Policy and the Jean Mayer USDA Human Nutrition Research Center on Aging, Tufts University, Boston, MA.)
Year2009
Volume99
Issue7
Pages1271-1277
Publication date2009-07-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2008.145581
PMID19443826
PMCIDPMC2696662
OpenAlexW2043178855
LanguageEN
Citations received15
References cited33

Objectives. We tested a community-based intervention designed to reduce cardiovascular disease risk in sedentary midlife and older women who were overweight or obese. Methods. In a randomized controlled trial conducted in 8 counties in Arkansas and Kansas, counties were assigned to the intervention (a 12-week twice-weekly heart health program) group or to the delayed-intervention control group. Ten to fifteen women were selected from each site, and participants' weight, waist circumference, diet, physical activity, and self-efficacy were measured before and after the intervention. Data were analyzed with multiple regressions. Results. Compared with the control group, participants in the intervention group had a significant decrease in body weight (−2.1 kg; 95% confidence interval [CI] = −3.2, −1.0), waist circumference (–2.3 in; 95% CI = −4.2, −0.5), and energy intake (–390 kcal/day; 95% CI = −598, −183); an increase in activity (+1637 steps/day; 95% CI = 712, 2562); and an increase in self-efficacy for dietary and physical activity behaviors. Conclusions. Our results suggest that a community-based program can improve self-efficacy, increase physical activity, and decrease energy intake, resulting in decreased waist circumference and body weight among at-risk women

Body mass index · Confidence interval · Obesity · Overweight · Physical therapy · Randomized controlled trial · Waist · Cardiac Health and Mental Health · Cardiovascular and exercise physiology · Demography · Internal Medicine · Medicine · Physical Activity and Health · Gerontology

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Unique citing works15
Citations per year0,94
Citation span2010 - 2021 (12)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 15

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