Mujeres Fuertes y Corazones Saludables, a Culturally Tailored Physical Activity and Nutrition Program for Rural Latinas: Findings from a Pilot Study
Abstract
:1. Introduction
2. Materials and Methods
2.1. Design
2.2. Sample
2.3. Outcome Measures
2.4. Process Measures
2.5. Intervention
2.6. Analysis
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Acknowledgments
Conflicts of Interest
References
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Class Session | Physical Activity Content (30 minute) | Nutrition and Behavior Change Content (30 min) |
---|---|---|
(1) Women and Heart Disease | Aerobic dancing/ aerobics DVD 5-minute cool down | The heart and heart disease |
Signs and symptoms of a heart attack in women | ||
(2) Weight Control for Heart Health, Part 1 | Aerobic dancing/ aerobics DVD 5-minute cool down | Specific, Measurable, Achievable, Relevant and Time-bond (S.M.A.R.T).) goals and plans |
Food and exercise logs | ||
Exercise intensity | ||
Added sugars and sugary drinks | ||
(3) Weight Control for Heart Health, Part 2 | Aerobic dancing/aerobics DVD 5-minute cool down | Choosing type of exercise |
Portion control | ||
Activity: Portion Distortion Interactive Quiz | ||
(4) Heap on the Vegetables and Fruits, Part 1 | Aerobic dancing/aerobics DVD 5-minute cool down | Exercise soreness/discomfort—what to expect |
Getting vegetables and fruit throughout the day Revisiting S.M.A.R.T plans | ||
(5) Heap on the Vegetables and Fruits, Part 2 | Aerobic dancing/ aerobics DVD 5-minute cool down | Food preparation activity: Healthy vegetables and salads |
(6) Emphasize the Right Fats, Part 1 | Aerobic dancing/ aerobics DVD 5-minute cool down | Different types of fat and fats in foods |
Activity: Reading fat content on food labels | ||
S.M.A.R.T. plans check-in | ||
(7) Emphasize the Right Fats, Part 2 | Aerobic dancing/ aerobics DVD 5-minute cool down | Food preparation activity: Frijoles refritos a la |
Veracruzana and whole wheat tortillas | ||
(8) Accentuate Whole Grains, Part 1 | Aerobic dancing/ aerobics DVD 5-minute cool down | Whole grains and portions |
Activity: Reading whole grain info on Nutrition Facts Panels | ||
S.M.A.R.T. plans check-in | ||
(9) Accentuate Whole Grains, Part 2 | Aerobic dancing/ aerobics DVD 5-minute cool down | Tasting and rating whole grains (e.g., bulgur, millet, quinoa) and whole grain salads |
(10) Revere Low- and Nonfat Dairy, Part 1 | Aerobic dancing/ aerobics DVD 5-minute cool down | Dairy and getting dairy in diet |
Activity: Reading dairy info on Nutrition Facts Panels | ||
S.M.A.R.T. plans check-in | ||
(11) Revere Low- and Nonfat Dairy, Part 2 | Aerobic dancing/ aerobics DVD 5-minute cool down | Food preparation activity: Vegetables and salads—low fat |
(12) Target Heart-Healthy Proteins, Part 1 | Aerobic dancing/ aerobics DVD 5-minute cool down | Proteins (fish, meats, poultry, eggs) and portions |
S.M.A.R.T. plans check-in | ||
(13) Target Heart-Healthy Proteins, Part 2 | Aerobic dancing/ aerobics DVD 5-minute cool down | Food preparation activity: Baked fish and lemon sauce, bean and corn salad, tuna salad |
(14) Putting It All Together, Part 1: Grocery Shopping, Breakfast | Aerobic dancing/ aerobics DVD 5-minute cool down | Breakfast |
Grocery shopping and budget | ||
Activity: Making breakfast choices | ||
S.M.A.R.T. plans check-in | ||
(15) Putting It All Together, Part 2: Lunch, Salt | Aerobic dancing/ aerobics DVD 5-minute cool down | Review breakfast |
Lunch | ||
Salt and spices | ||
(16) Putting It All Together, Part 3: Snacks, Nuts, Treats | Aerobic dancing/ aerobics DVD 5-minute cool down | Review lunch |
Snacks and treats | ||
Role of nuts | ||
S.M.A.R.T. plans check-in | ||
(17) Putting It All Together, Part 4: Dinner, Healthy Cooking, Alcohol | Aerobic dancing/ aerobics DVD 5-minute cool down | Review snacks and treats |
Dinners | ||
Strategies for maintaining goals and progress | ||
(18) Putting It All Together, Part 5: Menu Planning | Aerobic dancing/ aerobics DVD 5-minute cool down | Menu planning |
Modifying traditional foods to be healthy and tasty (e.g., carnitas) | ||
S.M.A.R.T. plans check-in | ||
(19) Putting It All Together, Part 6: Menu Planning, Eating By Heart and Weight Loss | Aerobic dancing/ aerobics DVD 5-minute cool down | Menu planning revisited |
Weight loss and healthy eating | ||
Instructions on completing Home Environment | ||
Assessment | ||
(20) Weight Control for a Lifetime, Part 1 | Aerobic dancing/ aerobics DVD 5-minute cool down | Review completed Home Environment Assessments |
Creating healthy food environment in home and strategies to control eating (e.g., mindful eating) | ||
S.M.A.R.T. plans check-in | ||
(21) Weight Control for a Lifetime, Part 2 | Aerobic dancing/ aerobics DVD 5-minute cool down | Eating in restaurants |
Activity: Role-playing restaurant ordering | ||
(22) Weight Control for a Lifetime, Part 3 | Aerobic dancing/ aerobics DVD 5-minute cool down | Family and friends support and sabotage |
Social events and healthy eating | ||
Activity: Role-playing communicating for weight loss | ||
S.M.A.R.T. plans check-in | ||
(23) Stress Reduction | Aerobic dancing/ aerobics DVD 5-minute cool down | Stress, hostility, and depression and heart health |
Regaining emotional equilibrium (e.g., stress reduction) | ||
Meditation exercise | ||
(24) Heart Healthy Potluck and Awards Ceremony | Healthy foods potluck and awards ceremony |
Baseline Assessment | Outcome Assessment | |
---|---|---|
n | 15 | 11 |
Age (years) | 52.2 | |
Low acculturation | 71.4 % | |
Farmworker | 66% | |
Baseline n (%) | Outcome n (%) | |
Employment | ||
Full time or Part time | 4 (26.7) | 5 (45.5) |
Not employed | 10 (66.7) | 6 (54.5) |
Income | ||
<U.S $15,000 | 8 (53.5) | 2 (13.3%) |
U.S. $15,000–$34,999 | 2 (13.3) | 3 (20.0) |
U.S. $35,000–$49,999 | 2 (13.3) | 2 (13.3) |
U.S. $50,000–$99,999 | 1 (6.7) | 1 (6.7) |
≥U.S. $100,000 | 0 (0.0) | 1 (6.7) |
Marital status | ||
Married, or married-like relationship | 10 (66.7) | 10 (90.9) |
Divorced or separated | 2 (13.3) | 1 (9.1) |
Single | 3 (20.0) | 0 (0) |
Education | ||
Less than 7th grade | 4 (26.7) | 4 (36.4) |
Less than 11th grade | 4 (26.7) | 3 (27.3) |
High school graduate | 3 (20.0) | 1 (9 0.1) |
Some college | 1 (6.7) | 1 (9 0.1) |
College graduate + | 1 (6.7) | 1 (9 0.1) |
Pre-Intervention a Mean (SD) | Post-Intervention a Mean (SD) | %Mean Change Post—Pre a | Post—Pre within Group Difference (95% CI) | pb | Effect size (Cohen’s D) c | |
---|---|---|---|---|---|---|
n | 15 | 11 | −26.7% | - | - | - |
Weight (kg) | 78.9 (12.6) | 77.4 (12.4) | −1.9% | −1.5 (−2.5, −0.5) | 0.009 | 0.12 |
BMI | 34.3 (4.2) | 33.7 (4.5) | −1.7% | −0.6 (−1.0, −0.2) | 0.005 | 0.14 |
Waist circumference (cm) | 102.4 (11.1) | 99.4 (11.7) | −3.0% | −3.0 (−5.0, −1.0) | 0.008 | 0.26 |
6-minute walk test (meters) | 414.1 (56.2) | 483.7 (47.1) | 16.8% | 69.7 (51.2, 88.1) | <0.001 | 1.34 |
Diet frequency (servings per day) | ||||||
Sugar-added drinks | 1.6 (1.3) | 0.9 (0.9) | −43.8% | −0.7 (−1.2, −0.2) | 0.008 | 0.64 |
Sugar-added food | 0.9 (0.8) | 0.5 (0.4) | −44.4% | −0.3 (−0.9, 0.2) | 0.190 | 0.52 |
Fruit | 0.9 (0.7) | 1.0 (0.9) | 11.1% | 0.1 (−0.8, 1.0) | 0.800 | 0.13 |
Vegetables | 1.0 (0.7) | 0.9 (0.2) | −10.0% | −0.1 (−0.6, 0.4) | 0.759 | 0.14 |
Whole Grains | 0.7 (0.6) | 1.2 (1.0) | 71.4% | 0.5 (−0.5, 1.4) | 0.282 | 0.55 |
Food Intake Questionnaire (how many times consumed in one day) | ||||||
Sugary drinks yesterday | 0.9 (0.9) | 0.3 (0.5) | −66.7% | −0.6 (−1.1, 0.0) | 0.051 | 0.75 |
Sugary drinks typically | 0.8 (0.8) | 0.4 (0.7) | −50.0% | −0.3 (−0.9, 0.2) | 0.195 | 0.44 |
Fruits and veggies yesterday | 2.3 (0.9) | 3.7 (1.7) | 60.9% | 1.3 (0.1, 2.5) | 0.035 | 0.98 |
Fruits and veggies typically | 2.6 (1.4) | 3.8 (2.2) | 46.2% | 1.2 (−0.8, 3.3) | 0.209 | 0.66 |
Self-efficacy (scale of 1–5 with 1 as “Not at all confident” and 5 as “Completely confident”) | ||||||
Diet | 3.2 (1.0) | 3.9 (0.8) | 21.9% | 0.7 (−0.1, 1.5) | 0.079 | 0.76 |
Physical activity | 2.4 (1.0) | 3.3 (1.3) | 37.5% | 0.9 (0.2, 1.6) | 0.022 | 0.78 |
Physical Activity | ||||||
IPAQ (MET-minutes/week) d | 1325.3 (2214.7) | 1148.0 (1051.2) | −13.4% | −178.3 (−2514.3, 2157.8) | 0.824 | 0.10 |
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Seguin, R.A.; Perry, C.K.; Solanki, E.; McCalmont, J.C.; Ward, J.P.; Jackson, C. Mujeres Fuertes y Corazones Saludables, a Culturally Tailored Physical Activity and Nutrition Program for Rural Latinas: Findings from a Pilot Study. Int. J. Environ. Res. Public Health 2019, 16, 630. https://doi.org/10.3390/ijerph16040630
Seguin RA, Perry CK, Solanki E, McCalmont JC, Ward JP, Jackson C. Mujeres Fuertes y Corazones Saludables, a Culturally Tailored Physical Activity and Nutrition Program for Rural Latinas: Findings from a Pilot Study. International Journal of Environmental Research and Public Health. 2019; 16(4):630. https://doi.org/10.3390/ijerph16040630
Chicago/Turabian StyleSeguin, Rebecca A., Cynthia K. Perry, Emma Solanki, Jean C. McCalmont, Judy P. Ward, and Christie Jackson. 2019. "Mujeres Fuertes y Corazones Saludables, a Culturally Tailored Physical Activity and Nutrition Program for Rural Latinas: Findings from a Pilot Study" International Journal of Environmental Research and Public Health 16, no. 4: 630. https://doi.org/10.3390/ijerph16040630