Strong Hearts, Healthy Communities: A Community-Based Randomized Trial for Rural Women.

ABSTRACT:

Objective

The aim of this study was to evaluate a multilevel cardiovascular disease (CVD) prevention program for rural women.

Methods

This 6-month, community-based, randomized trial enrolled 194 sedentary rural women aged 40 or older with BMI ≥ 25 kg/m² . Intervention participants attended 6 months of twice-weekly exercise, nutrition, and heart health classes (48 total) that included individual-, social-, and environment-level components. An education-only control program included didactic healthy lifestyle classes once a month (six total). The primary outcome measures were change in BMI and weight.

Results

Within-group and between-group multivariate analyses revealed that only intervention participants decreased BMI (-0.85 units; 95% CI: -1.32 to -0.39; P 

SUBMITTER: Seguin RA 

PROVIDER: S-EPMC5915907 | biostudies-literature | 2018 May

REPOSITORIES: biostudies-literature