Physiologic and related behavioral outcomes from the Women's Lifestyle Heart Trial

Citation
Dj. Toobert et al., Physiologic and related behavioral outcomes from the Women's Lifestyle Heart Trial, ANN BEHAV M, 22(1), 2000, pp. 1-9
Citations number
52
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Psycology
Journal title
ANNALS OF BEHAVIORAL MEDICINE
ISSN journal
0883-6612 → ACNP
Volume
22
Issue
1
Year of publication
2000
Pages
1 - 9
Database
ISI
SICI code
0883-6612(200024)22:1<1:PARBOF>2.0.ZU;2-7
Abstract
The Women's Lifestyle Heart Trial was a small (N = 28) randomized controlle d trial to evaluate the effects of a comprehensive lifestyle self-managemen t program (very low-fat vegetarian diet, stress-management training, exerci se, group support, and smoking cessation) on reduction of cardiovascular ri sk factors in postmenopausal women with coronary heart disease (CHD). Women assigned to the treatment condition (Prime Time) participated in a week-lo ng retreat followed by twice-weekly 4-hour meetings. Endpoints were program adherence; changes in lipid profiles, body mass, blood pressure, hypolipid emic and antihypertensive medications; and quality of life. Risk factor and psychosocial evaluations were conducted at baseline and at 4, 12, and 24 m onths. Repeated measures analyses of covariance revealed that the dietary, stress management, and physical activity changes made by intervention women were dramatic and lasting. There were significantly greater improvements i n the Prime Time condition compared to the usual cave control group on body mass, angina symptoms, and quality of life, and a tendency for a greater r eduction in blood pressure-lowering medications. Similar patterns were seen in lipids, blood pressure, and lipid-lowering medications, but did not rea ch significance. These results demonstrate that postmenopausal CHD women ca n make Easting lifestyle changes, and that these changes may reduce the nee d for cardiac medications and improve CHD risk factors and quality of life.