Journal of Community Health
Volume 40, Issue 1, 2014, Pages 116-123

Vida Sana: A Lifestyle Intervention for Uninsured, Predominantly Spanish-Speaking Immigrants Improves Metabolic Syndrome Indicators (Article)

Buckley J. , Yekta S. , Joseph V. , Johnson H. , Oliverio S. , De Groot A.S.*
  • a Brown University, Providence, RI, United States, Clínica Esperanza/Hope Clinic, 60 Valley St, Providence, RI 02909, United States
  • b University of Rhode Island, 80 Washington St, Providence, RI 02903, United States
  • c Clínica Esperanza/Hope Clinic, 60 Valley St, Providence, RI 02909, United States
  • d University of Rhode Island, 80 Washington St, Providence, RI 02903, United States
  • e Institute for Education on Health and Research, Inc, Milton, MA, United States, Center for Primary Care, Rhode Island Hospital, Providence, RI 02903, United States, Alpert Medical School of Brown University, Providence, RI 02903, United States
  • f Clínica Esperanza/Hope Clinic, 60 Valley St, Providence, RI 02909, United States, University of Rhode Island, 80 Washington St, Providence, RI 02903, United States, EpiVax, Inc, 146 Clifford St, Providence, RI 02903, United States

Abstract

Metabolic syndrome is an increasingly common condition that can contribute to the development of type 2 diabetes and cardiovascular disease. 35 % of adults living in the United States meet the criteria for having metabolic syndrome, with that number being even higher in populations with health disparities. We describe a ‘healthy lifestyles’ program implemented at a free clinic serving a predominantly Hispanic cohort of low-income, uninsured individuals living in Providence, Rhode Island. The “Vida Sana/Healthy Life” (Vida Sana) program uses low literacy, language-appropriate materials and trained peers to educate participants about healthy lifestyles in a setting that also provided opportunities for social engagement. 192 of 126 (65.6 %) participants in Vida Sana completed 6 out of 8 sessions of the Vida Sana program over a 12-month period. At the completion of the program, nearly 90 % of Vida Sana participants showed an increase in their health literacy, and at least 60 % of participants decreased each of the risk factors (blood sugar, cholesterol, body mass index or waist circumference) associated with metabolic syndrome. © 2014, Springer Science+Business Media New York.

Author Keywords

Metabolic syndrome Life-style intervention health disparities Uninsured Diabetes prevention project diabetes

Index Keywords

morphometrics Body Weights and Measures Blood Glucose lifestyle Lipids Life Style medically uninsured metabolic syndrome X health promotion blood pressure poverty non insulin dependent diabetes mellitus Diabetes Mellitus, Type 2 human middle aged Rhode Island Aged Cultural Competency ethnology cultural competence Hispanic Americans lipid United States Young Adult Humans migrant Hispanic Adolescent male Emigrants and Immigrants female risk factor Risk Factors organization and management blood glucose blood level adult body mass health literacy Body Mass Index

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84939888031&doi=10.1007%2fs10900-014-9905-z&partnerID=40&md5=85220e1cbcc65895767ea22ae1b81f1e

DOI: 10.1007/s10900-014-9905-z
ISSN: 00945145
Cited by: 9
Original Language: English