NDLI: Community-based fortified dietary intervention improved health outcomes among low-income African-American women.

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Community-based fortified dietary intervention improved health outcomes among low-income African-American women.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Salihu, Hamisu M. Adegoke, Korede K. Das, Rachita Wilson, Ronee E. Mazza, Jessica Okoh, Jennifer O. Naik, Eknath Berry, Estrellita Lo
Description	Author Affiliation: Salihu HM ( Department of Family and Community Health, Baylor College of Medicine, Houston, TX. Electronic address: hamisu.salihu@bcm.edu.); Adegoke KK ( Department of Epidemiology and Biostatistics, University of South Florida, Tampa, FL. Electronic address: kadegoke@health.usf.edu.); Das R ( Department of Epidemiology and Biostatistics, University of South Florida, Tampa, FL. Electronic address: rdas3@mail.usf.edu.); Wilson RE ( Department of Epidemiology and Biostatistics, University of South Florida, Tampa, FL. Electronic address: rwilson2@health.usf.edu.); Mazza J ( REACHUP, Inc., Tampa, FL. Electronic address: jmazza@reachupincorporated.org.); Okoh JO ( Department of Family and Community Health, Baylor College of Medicine, Houston, TX. Electronic address: okoh@bcm.edu.); Naik E ( Department of Global Health, University of South Florida, Tampa, FL. Electronic address: enaik@health.usf.edu.); Berry EL ( REACHUP, Inc., Tampa, FL. Electronic address: LBerry@reachupincorporated.org.)
Abstract	Poor dietary exposure disproportionately affects African-Americans and contributes to the persistence of disparities in health outcomes. In this study, we hypothesized that fortified dietary intervention (FDI) will improve measured dietary and related health outcomes and will be acceptable among low-income African-American women living in Tampa, FL. These objectives were tested using a prospective experimental study using pretest and posttest design with a control group, using a community-based participatory research approach. The intervention (FDI) was designed by the community through structural modification of a preexisting, diet-based program by the addition of a physical and mental health component. Paired sample t tests were used to examine preintervention and postintervention changes in study outcomes. A total of 49 women participated in the study, 26 in the FDI group and 23 controls. Two weeks postintervention, there were significant improvements in waist circumference and health-related quality of life related to physical health (P< .0001), physical fitness subscores (P= .002), and nutritional subscores (P= .001) in the FDI group. Among overweight/obese women, improvement in health-related quality of life related to physical health, a significant decrease in depressive score, and a reduction in waist circumference were noted. In the control group, a decrease in waist circumference was observed. Implementation of the FDI through a community-based participatory research approach is feasible and effective among low-income African-American women in general and overweight/obese women in particular. Social reengineering of a nutritional intervention coupled with community-based approach will enhance health outcomes of low-income women.
File Format	HTM / HTML
ISSN	02715317
Issue Number	8
Journal	Nutrition Research
Volume Number	36
e-ISSN	18790739
Language	English
Publisher	Elsevier
Publisher Date	2016-08-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Nutritional Sciences
Content Type	Text
Resource Type	Article
Subject	Nutrition and Dietetics Endocrinology, Diabetes and Metabolism Endocrinology

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