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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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Published in: | American journal of public health (1971) 2010-05, Vol.100 (5), p.779-783 |
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creator | GELLERT, Kapuaolaokalaniakea S AUBERT, Ronald E MIKAMI, Judith S |
description | 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. |
doi_str_mv | 10.2105/AJPH.2009.176222 |
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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.</description><identifier>ISSN: 0090-0036</identifier><identifier>EISSN: 1541-0048</identifier><identifier>DOI: 10.2105/AJPH.2009.176222</identifier><identifier>PMID: 20299650</identifier><identifier>CODEN: AJPEAG</identifier><language>eng</language><publisher>Washington, DC: American Public Health Association</publisher><subject>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. 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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.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Blood pressure</subject><subject>Body mass index</subject><subject>Cholesterol</subject><subject>Chronic Disease - ethnology</subject><subject>Chronic Disease - prevention & control</subject><subject>Chronic illnesses</subject><subject>Community</subject><subject>Community Networks</subject><subject>Consumer Behavior</subject><subject>Data collection</subject><subject>Diabetes</subject><subject>Diet</subject><subject>Disease prevention</subject><subject>Education</subject><subject>Exercise</subject><subject>Female</subject><subject>Glucose</subject><subject>Hawaii - epidemiology</subject><subject>Hawaii - ethnology</subject><subject>Health behavior</subject><subject>Health care</subject><subject>Health Promotion - organization & administration</subject><subject>Health Status Indicators</subject><subject>High density lipoprotein</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Intervention</subject><subject>Life Style</subject><subject>Lifestyles</subject><subject>Lipoproteins</subject><subject>Male</subject><subject>Meals</subject><subject>Medical sciences</subject><subject>Miscellaneous</subject><subject>Nutrition</subject><subject>Nutrition research</subject><subject>Obesity - epidemiology</subject><subject>Obesity - prevention & control</subject><subject>Overweight</subject><subject>Physical fitness</subject><subject>Pilot Projects</subject><subject>Program Evaluation - methods</subject><subject>Public health</subject><subject>Public health. 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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.</abstract><cop>Washington, DC</cop><pub>American Public Health Association</pub><pmid>20299650</pmid><doi>10.2105/AJPH.2009.176222</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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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 |
title | Ke 'Ano Ola: Moloka'i's Community-Based Healthy Lifestyle Modification Program |
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