Community-based programmes achieved good results for most risk factors except BMI and ( glycated haemoglobin ) HbA1c .
INTRODUCTION Although cardiovascular disease ( CVD ) and type 2 diabetes mellitus ( T2DM ) prevention programmes have been effective in urban residents , their effectiveness in non-urban setting s , where cardio-metabolic risk is typically elevated , is unknown .
We systematic ally review ed the effectiveness of primary prevention programmes aim ed at reducing risk factors for CVD/T2DM , including blood pressure , body mass index ( BMI ) , blood lipid and glucose , diet , lifestyle , and knowledge in adults residing in non-urban areas .
The PHLAME (Promoting Healthy Lifestyles: Alternative Models’ Effects) Firefighter Study: Outcomes of Two Models of Behavior Change
Objective : PHLAME ’s ( Promoting Healthy Lifestyles : Alternative Models ’ Effects ) objective was to assess and compare two means to promote healthy lifestyles . Methods : Prospect i ve trial among 599 firefighters r and omized by station to 1 ) team-centered curriculum , 2 ) one-on-one motivational interviewing ( MI ) , and 3 ) controls .  Assessment included dietary behavior , physical activity , weight , and general well-being at baseline and 12 months . Program effects were determined using an analysis of covariance ( ANCOVA ) based approach , and models for relationships were evaluated with path analysis . Results : Both interventions were acceptable and delivered with high fidelity . The team and MI programs increased fruit and vegetable consumption ( P < 0.01 and 0.05 , respectively ) and general well-being ( P < 0.01 ) . Significantly less weight gain occurred in both ( P < 0.05 ) . A cross-sectional model was consistent with mediation differing between interventions . Conclusions : Both a team-centered and individual-oriented intervention promoted healthy behaviors . The scripted team curriculum is innovative , exportable , and may enlist influences not accessed with individual formats
Community-based programmes achieved good results for most risk factors except BMI and ( glycated haemoglobin ) HbA1c .
INTRODUCTION Although cardiovascular disease ( CVD ) and type 2 diabetes mellitus ( T2DM ) prevention programmes have been effective in urban residents , their effectiveness in non-urban setting s , where cardio-metabolic risk is typically elevated , is unknown .
We systematic ally review ed the effectiveness of primary prevention programmes aim ed at reducing risk factors for CVD/T2DM , including blood pressure , body mass index ( BMI ) , blood lipid and glucose , diet , lifestyle , and knowledge in adults residing in non-urban areas .