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Diabetes Care. 2002 May;25(5):809-14.

A controlled evaluation of staging dietary patterns to reduce the risk of diabetes in African-American women.

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1
George Warren Brown School of Social Work, Washington University, St. Louis, Missouri 63130, USA. wendyaus@gwbmail.wustl.edu

Abstract

OBJECTIVE:

This study evaluated the 3-month follow-up data of the Eat Well, Live Well Nutrition Program, a culturally specific, peer-led dietary change program designed to reduce the risk of type 2 diabetes in low-income African-American women. This peer-led program was delivered in the community and was tailored to the participants' stage of change for individual dietary patterns. We report the results of the 3-month intervention and the extent to which dietary changes and other key outcomes were maintained at a 3-month follow-up assessment.

RESEARCH DESIGN AND METHODS:

Using an experimental control group design, 294 overweight African-American women (ages 25-55 years), recruited in collaboration with a neighborhood organization, completed pre- and posttest and 3-month follow-up interviews of dietary behaviors, knowledge, attitudes, fat intake, and weight.

RESULTS:

Significant reductions were found in fat intake among women in the treatment condition when compared with women in the control group; these reductions were maintained at 3-month follow-up assessment. Likewise, significant changes in dietary patterns were reported after the study and were maintained, except for one dietary pattern (replacement).

CONCLUSIONS:

This model of health promotion, which individually tailors dietary patterns through staging and use of peer educators, has the potential for decreasing fat intake and increasing and maintaining specific low-fat dietary patterns among overweight African-American women at risk for diabetes.

PMID:
11978673
[Indexed for MEDLINE]
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