The Women's Health Trial Feasibility Study in Minority Populations: Changes in Dietary Intakes

Coates, R. J.; Bowen, D. J.; Kristal, A. R.; Feng, Z.; Oberman, A.; Hall, W. D.; George, V.; Lewis, C. E.; Kestin, M.; Davis, M.; Evans, M.; Grizzle, J. E.; Clifford, C. K.

doi:10.1093/oxfordjournals.aje.a009764

Cited by 71Nutritional Studies and DietNutrition, Health and Food BehaviorMenopause: Health Impacts and Treatments

The Women's Health Trial Feasibility Study in Minority Populations: Changes in Dietary Intakes

Coates, R. J., Bowen, D. J., Kristal, A. R., Feng, Z., Oberman, A., Hall, W. D., George, V., Lewis, C. E. +5 more·1999·American Journal of Epidemiology

DOI 10.1093/oxfordjournals.aje.a009764

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Abstract

This randomized clinical trial examined the feasibility of low-fat dietary interventions among postmenopausal women of diverse backgrounds. During 1992-1994, 2,208 women aged 50-79 years, 28% of whom were black and 16% Hispanic, enrolled at clinics in Atlanta, Georgia, Birmingham, Alabama, and Miami, Florida. Intervention/support groups met periodically with a nutritionist to reduce fat intake to 20% of energy and to make other diet modifications. At 6 months postrandomization, the intervention group reduced fat intake from 39.7% of energy at baseline to 26.4%, a reduction of 13.3% of energy, compared with 2.3% among controls. Saturated fatty acid and cholesterol intakes were reduced, but intakes of fruits and vegetables, but not grain products, increased. Similar effects were observed at 12 and 18 months. Black and non-Hispanic white women had similar levels of reduction in fat, but the decrease in Hispanic women was less. Changes did not vary significantly by education. While bias in self-reported intakes may have resulted in somewhat overestimated changes in fat intake, the reported reduction was similar to the approximately 10% of energy decrease found in most trials and suggests that large changes in fat consumption can be attained in diverse study populations and in many subgroups.

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Of the trials in Table 3 with a group-based intervention delivery, approximately one third (n=9) incorporated skill-building strategies.
“Of the trials in Table 3 with a group-based intervention delivery, approximately one third (n=9) incorporated the use of skill-building strategies.43,46,47,54,55,59,74,76,112”
From Interventions to Promote Physical Activity and Dietary Lifestyle Changes for Cardiovascular Risk Factor Reduction in Adults: A Scientific Statement From the American Heart Association (2010) · cites this paper as [47]
In studies with minority samples, individual-only approaches appear to produce smaller or fewer changes in total diet or physical activity than group-only or combined individual-and-group approaches.
“individual intervention approaches to promoting change seem to result in smaller or fewer changes in total diet or PA compared with group-only55 or combined individual- and group-based approaches.26,38,47,51”
From Interventions to Promote Physical Activity and Dietary Lifestyle Changes for Cardiovascular Risk Factor Reduction in Adults: A Scientific Statement From the American Heart Association (2010) · cites this paper as [47]
The majority of studies with minority populations (18/25) included group-based intervention strategies.
“The majority of studies with minority populations (18/25) included group-based intervention strategies.42,43,46–48,51–55,59,74–76,96,110,112”
From Interventions to Promote Physical Activity and Dietary Lifestyle Changes for Cardiovascular Risk Factor Reduction in Adults: A Scientific Statement From the American Heart Association (2010) · cites this paper as [47]
Several studies showed that professional-only led interventions can also improve diet and physical activity in minorities.
“several studies demonstrated that professional-only led interventions can also lead to improved diet and PA changes in minorities.42,45–47,93,103”
From Interventions to Promote Physical Activity and Dietary Lifestyle Changes for Cardiovascular Risk Factor Reduction in Adults: A Scientific Statement From the American Heart Association (2010) · cites this paper as [47]
Of the 25 reviewed trials, 18 used culturally sensitive interventions and had mixed results.
“Of the 25 trials reviewed (Table 3), 18 designed culturally sensitive interventions and had mixed results.43–47,52,55,59,74–76,81,93,96,102,103,110,144”
From Interventions to Promote Physical Activity and Dietary Lifestyle Changes for Cardiovascular Risk Factor Reduction in Adults: A Scientific Statement From the American Heart Association (2010) · cites this paper as [47]

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Authors: Coates, R. J., Bowen, D. J., Kristal, A. R., Feng, Z., Oberman, A., Hall, W. D., George, V., Lewis, C. E., Kestin, M., Davis, M., Evans, M., Grizzle, J. E., & Clifford, C. K.
Affiliations: Centers for Disease Control and Prevention (US)
Fred Hutch Cancer Center (US)
University of Alabama at Birmingham (US)
Emory University (US)
University of Miami (US)
National Institutes of Health (US)
Corresponding author: Coates, R. J.
ORCID: Bowen, D. J.
Kristal, A. R.
Feng, Z.
Lewis, C. E.
Venue: American Journal of Epidemiology
Publisher: Oxford University Press (OUP)
Published: 1999-06-15
Volume: 149
Issue: 12
Pages: 1104-1112
ISSN: 0002-9262 (ISSN-L)
1476-6256
DOI: 10.1093/oxfordjournals.aje.a009764
OpenAlex: W2015345200
Cited by: 71
References: 35
Citations by year: 2022: 1 · 2021: 1 · 2020: 1 · 2017: 1 · 2016: 2 · 2015: 2 · 2014: 6 · 2013: 4 · 2012: 3
FWCI: 4.35
Type: journal article
Language: en
Open access: closed
Locations: American Journal of Epidemiology (publishedVersion)
PubMed (publishedVersion)
Funders: University of Miami
National Institutes of Health (n01cn025427-010, n01cn025426-001, n01cn025425-001)
National Heart, Lung, and Blood Institute
National Cancer Institute (N01-CN25427, N01-CN-25426, N01-CN25425)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Menopause: Health Impacts and Treatments
Keywords: postmenopausal women, minority groups, dietary fat intake, saturated fatty acids, cholesterol intake, fruit and vegetable intake, Hispanic women, Black women, self-reported dietary intake, trial feasibility
MeSH terms: Aged, Alabama, Energy Intake, Dietary Fats, Feasibility Studies, Female, Florida, Georgia, Humans, Middle Aged, Minority Groups, Nutrition Surveys, Women's Health

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The Women's Health Trial Feasibility Study in Minority Populations: Changes in Dietary Intakes

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