Multifactorial lifestyle interventions aim ed at improving modifiable risk factors in patients with established CHD reduce the risk for fatal cardiovascular events .
Therefore , they may have added value in secondary prevention of CHD
CONTEXT Coronary heart disease ( CHD ) is responsible for about 15 % of all deaths worldwide and is identified as a top priority for decision makers .
Both primary and secondary prevention are considered key strategies in the prevention of CHD .
The aim of this study was to assess the efficacy of nonpharmacologic interventions with multiple lifestyle components in patients with established CHD in comparison to usual care .
Summer and follow-up interventions to affect adiposity with mothers and daughters.
BACKGROUND The development of effective obesity interventions to reduce adiposity indicators in Latina girls is a public health priority because of their increased risk for becoming overweight . Research indicates that the summer season may be a critical time to intervene because summer exacerbates children 's risk for excessive weight gain and increased body fat development . PURPOSE The purpose of this study was twofold : ( 1 ) to determine if summer and follow-up interventions reduce adiposity in Latina girls ; ( 2 ) to assess if such interventions reduce adiposity in Latina girls after controlling for their mothers ' adiposity measures . DESIGN This study had a non-experimental ( one-group pre- and multiple post-intervention assessment ) design . Following a 4-week healthy-lifestyle summer program , each mother-daughter pair participated in 12 weekly follow-up sessions . SETTING / PARTICIPANTS The sample consisted of 61 pairs of Latina girls and their mothers ( N=122 ) . Daughters ' average age was 10.9 years ( ± 1.6 years ) and mothers ' average age was 38.0 years ( ± 1.6 years ) . All daughters and 92 % of the mothers were categorized as overweight/obese . MAIN OUTCOME MEASURES Percent body fat ( % BF ) , abdominal fat , and height and weight measurements to calculate BMI were conducted at pre-intervention ( M1 [ baseline ] ) and three post-intervention time points ( M2 [ Month 2 ] ; M3 [ Month 3 ] ; and M4 [ Month 6 ] ) . Paired sample t-tests were used to assess the differences in adiposity among the daughters from M1 to M4 . Repeated- measures ANCOVA tests were used to control for mother 's adiposity . RESULTS Reductions of % BF ( p<0.001 ) ; abdominal fat ( p<0.05 ) ; and BMI ( p<0.001 ) at M2 were found for the summer intervention , but no effects were found at M4 . Maternal % BF , abdominal fat , and BMI did not have an impact on the daughters ' adiposity indicators . CONCLUSIONS Results from this study revealed that a summer intervention appears to be effective in reducing adiposity in Latina girls , but the follow-up sessions did not result in sustaining continued reductions . Maternal measures did not influence their daughters ' adiposity measures
Multifactorial lifestyle interventions aim ed at improving modifiable risk factors in patients with established CHD reduce the risk for fatal cardiovascular events .
Therefore , they may have added value in secondary prevention of CHD
CONTEXT Coronary heart disease ( CHD ) is responsible for about 15 % of all deaths worldwide and is identified as a top priority for decision makers .
Both primary and secondary prevention are considered key strategies in the prevention of CHD .
The aim of this study was to assess the efficacy of nonpharmacologic interventions with multiple lifestyle components in patients with established CHD in comparison to usual care .