The effects of diet education plus light resistance training on coronary heart disease risk factors in community-dwelling older adults

• Published in: The Journal of nutrition, health & aging health & aging, 2011-11, Vol.15 (9), p.762-767
• Main Authors: Cottell, K. E., Dorfman, L. R., Straight, C. R., Delmonico, M. J., Lofgren, I. E.
• Format: Article
• Language: English
• Subjects: Adipose Tissue - metabolism; Aged; Aged, 80 and over; Aging; Biological and medical sciences; Blood Pressure; Body Composition; Body Mass Index; Body Weight; Cardiology. Vascular system; Cardiovascular disease; Cholesterol; Coronary Disease - complications; Coronary Disease - diet therapy; Coronary Disease - prevention & control; Coronary heart disease; Diet; Education; Effects of Diet Education Plus Light Resistance Training on Coronary Heart Disease Risk Factors; Feeding. Feeding behavior; Female; Fundamental and applied biological sciences. Psychology; Geriatrics/Gerontology; Heart; Humans; Intervention; Lipids; Lipoproteins; Male; Medical sciences; Medicine; Medicine & Public Health; Metabolic disorders; Middle Aged; Neurosciences; Nutrition; Nutrition research; Obesity; Obesity - complications; Obesity - diet therapy; Obesity - prevention & control; Older people; Overweight; Patient Education as Topic; Primary Care Medicine; Quality of Life Research; Quasi-experimental methods; Resistance Training; Rhode Island; Risk Factors; Senior citizen centers; Strength training; Surveys and Questionnaires; Vertebrates: anatomy and physiology, studies on body, several organs or systems; Waist Circumference
• ISSN: 1279-7707; 1760-4788
• DOI: 10.1007/s12603-011-0099-0

Objectives T o examine the effects of diet education (DE) plus light resistance training (RT) on coronary heart disease risk (CHD) factors, specifically dietary quality, blood lipid and C-Reactive protein (CRP) concentrations in overweight and obese older adults in a community setting. Design Community outreach intervention with a quasi-experimental design. Participants and Setting A total of 96 subjects, 16 males and 80 females, aged 69.2 ± 6.2 years, community-dwelling, and from one of four senior centers in Rhode Island. Intervention Subjects participated in 30 minutes of DE (once per week) and ∼80 minutes of RT (two separate sessions per week) for eight weeks. The DE sessions were led by a registered dietitian. Measurements Anthropometrics (height, weight, waist circumference, hip circumference, and body composition), clinical (blood pressure), biochemical (lipid profile, glucose, and CRP concentrations), and diet quality measured by the Dietary Screening Tool (DST). Results A significant change was seen in DST risk categories from baseline to postintervention, χ 2 (2)=20.43, p < 0.01. Significant differences were seen in triacylglycerol (p=0.028) as well as in systolic and diastolic blood pressures, weight, waist circumference, hip circumference, percent body fat, fat mass, and body mass index (all p