Ke 'Ano Ola: Moloka'i's Community-Based Healthy Lifestyle Modification Program

We evaluated a community-based 12-week healthy lifestyle program in Moloka'i, HI, called Ke 'Ano Ola, which was developed to decrease chronic disease risk through health education emphasizing weight loss, exercise, and risk factor reduction. Program leaders' strong commitment and posi...

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Bibliographic Details
Published in:American journal of public health (1971) 2010-05, Vol.100 (5), p.779-783
Main Authors: GELLERT, Kapuaolaokalaniakea S, AUBERT, Ronald E, MIKAMI, Judith S
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Blood pressure
Body mass index
Cholesterol
Chronic Disease - ethnology
Chronic Disease - prevention & control
Chronic illnesses
Community
Community Networks
Consumer Behavior
Data collection
Diabetes
Diet
Disease prevention
Education
Exercise
Female
Glucose
Hawaii - epidemiology
Hawaii - ethnology
Health behavior
Health care
Health Promotion - organization & administration
Health Status Indicators
High density lipoprotein
Humans
Hypertension
Intervention
Life Style
Lifestyles
Lipoproteins
Male
Meals
Medical sciences
Miscellaneous
Nutrition
Nutrition research
Obesity - epidemiology
Obesity - prevention & control
Overweight
Physical fitness
Pilot Projects
Program Evaluation - methods
Public health
Public health. Hygiene
Public health. Hygiene-occupational medicine
Risk Reduction Behavior
Social support
Support groups
Weight control
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Description
Summary:We evaluated a community-based 12-week healthy lifestyle program in Moloka'i, HI, called Ke 'Ano Ola, which was developed to decrease chronic disease risk through health education emphasizing weight loss, exercise, and risk factor reduction. Program leaders' strong commitment and positive role modeling, along with social and group support and community involvement, were key elements. A pre-post evaluation of weight, blood pressure, total cholesterol, and blood sugar showed significant improvements for weight (mean change [Delta] = -7.4 lbs; P < .001), systolic blood pressure (Delta = -3.8 mm Hg; P = .027), diastolic blood pressure (Delta = -4.6 mm Hg; P < .001), and total cholesterol (Delta = -9.7 mg/dL; P < .001). Attrition was low, with 89% of participants attending all 12 sessions. Our findings show that lifestyle improvements in a predominantly Native Hawaiian community are achievable in a support group setting.
ISSN:0090-0036
1541-0048
DOI:10.2105/AJPH.2009.176222