Clinical outcomes of a community clinic-based lifestyle change program for prevention and management of metabolic syndrome: Results of the 'Vida Sana/Healthy Life' program.

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  • Additional Information
    • Source:
      Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE
    • Publication Information:
      Original Publication: San Francisco, CA : Public Library of Science
    • Subject Terms:
      Health Promotion* ; Life Style*; Diabetes Mellitus, Type 2/*prevention & control ; Hypertension/*prevention & control ; Metabolic Syndrome/*prevention & control ; Obesity/*prevention & control; Adolescent ; Adult ; Aged ; Anthropometry/methods ; Community Health Workers ; Diabetes Mellitus, Type 2/physiopathology ; Female ; Hispanic or Latino ; Humans ; Hypertension/physiopathology ; Male ; Metabolic Syndrome/physiopathology ; Middle Aged ; Obesity/physiopathology ; Patient Education as Topic/methods ; Treatment Outcome ; Young Adult
    • Abstract:
      Introduction: As US Hispanic populations are at higher risk than non-Hispanics for cardiovascular disease and Type 2 diabetes targeted interventions are clearly needed. This paper presents the four years results of the Vida Sana Program (VSP), which was developed and is implemented by a small clinic serving mostly Spanish-speaking, limited literacy population.
      Methods: The eight-week course of interactive two-hour sessions taught by Navegantes, bilingual/cultural community health workers, was delivered to participants with hypertension, or high lipids, BMI, waist circumference, glucose or hemoglobin A1C (A1C). Measures, collected by Navegantes and clinic nurses, included blood chemistries, blood pressure, anthropometry, and an assessment of healthy food knowledge.
      Results: Most participants (67%) were female, Hispanic (95%), and all were 18 to 70 years of age. At baseline, close to half of participants were obese (48%), had high waist circumference (53%), or elevated A1C (52%), or fasting blood glucose (57%). About one third had high blood pressure (29%) or serum cholesterol (35%), and 22% scored low on the knowledge assessment. After the intervention, participants decreased in weight (-1.0 lb), BMI (-0.2 kg/m2), WC (-0.4 inches), and cholesterol (-3.5 mg/dl, all p<0.001). Systolic blood pressure decreased (-1.7 mm Hg, p<0.001), and the knowledge score increased (6.8 percent, p<0.001).
      Discussion: VSP shows promising improvements in metabolic outcomes, similar to other programs with longer duration or higher intensity interventions. VSP demonstrates an important model for successful community-connected interventions.
      Competing Interests: The authors have declared that no competing interests exist.
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    • Publication Date:
      Date Created: 20210401 Date Completed: 20210930 Latest Revision: 20211204
    • Publication Date:
      20240628
    • Accession Number:
      PMC8016241
    • Accession Number:
      10.1371/journal.pone.0248473
    • Accession Number:
      33793595