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Implementing DASH-aligned Congregate Meals and Self-Measured Blood Pressure in two senior centers: An open label study.
Hashemi, Anuradha; Vasquez, Kimberly; Guishard, Dozene; Naji, Moufdi; Ronning, Andrea; George-Alexander, Glenis; Vasquez, Dacia; Sylvester, Clewert; Pagano, William; Khalida, Chamanara; Coffran, Cameron; Ezeonu, Teeto; Fofana, Kadija; Bielopolski, Dana; Vaughan, Roger; Qureshi, Adam; Tobin, Jonathan N; Kost, Rhonda G.
  • Hashemi A; The Rockefeller University, Center for Clinical Translational Science, 1230 York Avenue, New York, NY, 10065, USA.
  • Vasquez K; The Rockefeller University, Center for Clinical Translational Science, 1230 York Avenue, New York, NY, 10065, USA.
  • Guishard D; Carter Burden Network, 415 E 73rd St, New York, NY, 10021, USA.
  • Naji M; Carter Burden Network, 415 E 73rd St, New York, NY, 10021, USA.
  • Ronning A; The Rockefeller University, Center for Clinical Translational Science, 1230 York Avenue, New York, NY, 10065, USA.
  • George-Alexander G; The Rockefeller University, Center for Clinical Translational Science, 1230 York Avenue, New York, NY, 10065, USA.
  • Vasquez D; The Rockefeller University, Center for Clinical Translational Science, 1230 York Avenue, New York, NY, 10065, USA.
  • Sylvester C; Carter Burden Network, 415 E 73rd St, New York, NY, 10021, USA.
  • Pagano W; Clinical Directors Network (CDN), 5 West 37th Street, 10th Floor, New York, NY, 10018, USA.
  • Khalida C; Clinical Directors Network (CDN), 5 West 37th Street, 10th Floor, New York, NY, 10018, USA.
  • Coffran C; The Rockefeller University, Center for Clinical Translational Science, 1230 York Avenue, New York, NY, 10065, USA.
  • Ezeonu T; The Rockefeller University, Center for Clinical Translational Science, 1230 York Avenue, New York, NY, 10065, USA.
  • Fofana K; The Rockefeller University, Center for Clinical Translational Science, 1230 York Avenue, New York, NY, 10065, USA.
  • Bielopolski D; The Rockefeller University, Center for Clinical Translational Science, 1230 York Avenue, New York, NY, 10065, USA.
  • Vaughan R; The Rockefeller University, Center for Clinical Translational Science, 1230 York Avenue, New York, NY, 10065, USA.
  • Qureshi A; The Rockefeller University, Center for Clinical Translational Science, 1230 York Avenue, New York, NY, 10065, USA.
  • Tobin JN; The Rockefeller University, Center for Clinical Translational Science, 1230 York Avenue, New York, NY, 10065, USA; Clinical Directors Network (CDN), 5 West 37th Street, 10th Floor, New York, NY, 10018, USA.
  • Kost RG; The Rockefeller University, Center for Clinical Translational Science, 1230 York Avenue, New York, NY, 10065, USA. Electronic address: kostr@rockefeller.edu.
Nutr Metab Cardiovasc Dis ; 32(8): 1998-2009, 2022 08.
Article in English | MEDLINE | ID: covidwho-1867633
ABSTRACT
BACKGROUND AND

AIMS:

Cardiovascular Disease (CVD) poses significant health risks for seniors, especially among low-income and minority communities. Senior centers offer multiple services. We tested whether implementing two evidence-based interventions- DASH-aligned meals provided through an existing congregate meal program, and support for home Self-Measured Blood Pressure (SMBP) monitoring-lowers blood pressure among participants at two senior centers serving low-income, racially diverse communities. METHODS AND

RESULTS:

Open-label study, enrolling clients aged ≥60, eating ≥4 meals/week at two NYC senior centers. Participants received DASH-aligned congregate meals, and training in nutrition, BP management education, and personal SMBP device. Co-Primary

outcomes:

a) change in systolic BP measured by independent health professionals, and b) change in percent with "controlled BP" (Eighth Joint National Committee (JNC-8) Guidelines), at Month 1 compared to Baseline. SECONDARY

OUTCOMES:

Changes in BP at Months 3 and 5/6 (last measure). We enrolled 94 participants; COVID closures interrupted implementation mid-study. Mean systolic BP at Month-1 changed by -4.41 mmHg (n = 61 p = 0.07) compared to Baseline. Participants with controlled BP increased (15.7%) at Month 1. Change in mean BP at Month 1 was significantly correlated with BMI (p = 0.02), age (p = 0.04), and baseline BP (p < 0.001). Mean systolic SMBP changed by -6.9 mmHg (p = 0.004) at Months 5/6.

CONCLUSIONS:

Implementing an evidence-based multi-component BP-lowering intervention within existing congregate meal programs at senior centers serving minority and low-income communities is feasible, and early findings show promising evidence of effectiveness. This approach to cardiovascular risk reduction should be further tested for widespread adoption and impact. Registered on ClinicalTrials.gov NCT03993808 (June 21st, 2019).
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Dietary Approaches To Stop Hypertension / Hypertension Type of study: Diagnostic study / Experimental Studies / Observational study / Prognostic study Limits: Aged / Female / Humans / Male Language: English Journal: Nutr Metab Cardiovasc Dis Journal subject: Vascular Diseases / Cardiology / Nutritional Sciences / Metabolism Year: 2022 Document Type: Article Affiliation country: J.numecd.2022.05.018

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Dietary Approaches To Stop Hypertension / Hypertension Type of study: Diagnostic study / Experimental Studies / Observational study / Prognostic study Limits: Aged / Female / Humans / Male Language: English Journal: Nutr Metab Cardiovasc Dis Journal subject: Vascular Diseases / Cardiology / Nutritional Sciences / Metabolism Year: 2022 Document Type: Article Affiliation country: J.numecd.2022.05.018