Poster Topical Area: Community and Public Health Nutrition
Poster Board Number: 110
Objectives: Interventions delivered in areas where health promotion is limited, such as lower income communities, could contribute to improving health status. We evaluated effectiveness of a 9-week practice-based health curriculum delivered to low-income participants in faith-based settings. Variables of interest included blood pressure (BP), body weight (BW), and intakes of whole grains, fruits, vegetables, saturated fats, food energy, sodium, solid fats and added sugars (SoFAs), and healthy eating index (HEI) scores.
Methods: The Faithful Families Eating Smart and Moving More (FFESMM) curriculum is a 9-week program focusing on healthy eating, food safety, food resource management, and physical activity. Trained educators delivered weekly curriculum to low-income participants in four faith-based settings in Arkansas. Twenty-four hour food recalls, and measurements of BW, and BP were taken at entry, exit, and follow-up (3-months post intervention). One-way repeated measures ANOVAs were used to determine differences in dependent variables over time. Bonferroni post-hoc tests were used to analyze pair-wise comparisons.
Results: Twenty-three participants completed entry, exit, and follow-up BP and BW measurements. Non-significant decreases (p-values>.05) in mean BP and BW measurements were observed over time. Twenty-one participants completed entry, exit, and follow-up 24-hour recalls. Significant time effects occurred among intakes of whole grains (increased, p=.020), vegetables (decreased, p=.029), sodium (decreased, p=.038), and SoFAs (decreased, p=.035).
Conclusions: While mean changes in BP and BW measurements were not statistically significant, results indicated a reduction and may be of clinical significance among individual participants. Results indicated some improvement regarding dietary intake; however, overall mean HEI scores remained low throughout the intervention and follow-up periods (49.84±11.34 to 51.92±12.21), indicating scores which hover around the Poor (HEI score<51) or the low end of the Needs Improvement (HEI scores 51-80) HEI rating. Factors impacting dietary quality other than those addressed with the FFESMM curriculum warrant investigation, such as community access to healthy foods and food insecurity among community members.
University of Arkansas for Medical Sciences
Little Rock, Arkansas