Effect of a 15-Week Whole Foods, Plant-Based Diet, Physical Activity, and Stress Management Intervention on Cardiometabolic Risk Factors in a Population of US Veterans: A Retrospective Analysis

IF 1.5 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Themis A. Yiaslas, Tara S. Rogers-Soeder, Gregory Ono, Rachel E. Kitazono, Ajay Sood
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Abstract

Military Veterans have a higher risk of incident atherosclerotic cardiovascular disease (ASCVD) than the general population and are often clinically complex. We studied the changes in cardiovascular risk factors with a lifestyle intervention in this population. We retrospectively analyzed data from 67 participants (mean age 69.2 (SD 7.9) years; 97% male) with atherosclerotic heart disease and/or type 2 diabetes in a 15-week, multiple health behavior change (MHBC) intervention implemented in a Veterans Affairs (VA) Behavioral Medicine Clinic. The intervention promoted a whole foods, plant-based (WFPB) diet, physical activity, and cognitive-behavioral stress management. We assessed cardiometabolic risk factors at baseline, 1 month into the intervention, and at 15 weeks (post-treatment). Among intervention completers (n = 67), we observed statistically significant improvements in waist circumference (−2.8 inches, P = .03), systolic blood pressure (−7.9 mmHg, P = .03), LDL cholesterol (−11.27 mg/dL, P = .04), fasting glucose (−15.10 mg/dL, P = .03), and hemoglobin A1c (−0.55%, P = .017) at post-treatment. Participants with type 2 diabetes (n = 34) achieved improvements in hemoglobin A1c (−0.80%, P = .007), systolic blood pressure (−10.98 mmHg, P = .01), and diastolic blood pressure (−6.65 mmHg, P = .03) at post-treatment. Medication usage did not significantly change. Veterans who completed the MHBC intervention achieved significant improvements in cardiometabolic risk in a routine VA clinical practice setting.
为期 15 周的全食物、植物性饮食、体育锻炼和压力管理干预对美国退伍军人心血管代谢风险因素的影响:回顾性分析
退伍军人罹患动脉粥样硬化性心血管疾病(ASCVD)的风险高于普通人群,而且他们的临床症状往往比较复杂。我们研究了生活方式干预对该人群心血管风险因素的影响。我们回顾性分析了 67 名患有动脉粥样硬化性心脏病和/或 2 型糖尿病的参与者(平均年龄 69.2 (SD 7.9)岁;97% 为男性)的数据,他们参加了退伍军人事务(VA)行为医学诊所实施的为期 15 周的多重健康行为改变(MHBC)干预。干预措施提倡全食物、植物性(WFPB)饮食、体育锻炼和认知行为压力管理。我们评估了基线、干预开始 1 个月和 15 周(治疗后)时的心脏代谢风险因素。在干预完成者(n = 67)中,我们观察到治疗后腰围(-2.8 英寸,P = .03)、收缩压(-7.9 mmHg,P = .03)、低密度脂蛋白胆固醇(-11.27 mg/dL,P = .04)、空腹血糖(-15.10 mg/dL,P = .03)和血红蛋白 A1c(-0.55%,P = .017)均有显著改善。治疗后,2 型糖尿病患者(34 人)的血红蛋白 A1c(-0.80%,P = .007)、收缩压(-10.98 mmHg,P = .01)和舒张压(-6.65 mmHg,P = .03)均有所改善。药物使用情况没有明显变化。在退伍军人事务部的常规临床实践环境中,完成 MHBC 干预的退伍军人的心脏代谢风险得到了明显改善。
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来源期刊
American Journal of Lifestyle Medicine
American Journal of Lifestyle Medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
4.10
自引率
15.80%
发文量
119
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