Heartmatters Challenge - First Responders
| Status: | Completed |
|---|---|
| Conditions: | Peripheral Vascular Disease |
| Therapuetic Areas: | Cardiology / Vascular Diseases |
| Healthy: | No |
| Age Range: | 18 - 65 |
| Updated: | 10/28/2017 |
| Start Date: | October 8, 2013 |
| End Date: | January 8, 2015 |
The purpose of this protocol is to observe whether providing the first responder population
with a multi-tiered therapeutic lifestyle modification program, including regular blood
testing, diet and telephonic lifestyle coaching, daily food journaling using web-based tools
and smartphone apps can lead to positive changes in behavior, resulting in improvements in
blood based markers of risk of cardiovascular disease (CVD) as well as improvements in weight
and waist circumference.
with a multi-tiered therapeutic lifestyle modification program, including regular blood
testing, diet and telephonic lifestyle coaching, daily food journaling using web-based tools
and smartphone apps can lead to positive changes in behavior, resulting in improvements in
blood based markers of risk of cardiovascular disease (CVD) as well as improvements in weight
and waist circumference.
A cluster randomization of first responder communities in the metro Boston and metro Phoenix
areas was performed. First responders attended a one hour lecture on the specific risks of
CVD in that population and then qualified intervention candidates were enrolled into a
lifestyle program, consisting of telephone-based coaching sessions with a registered
dietitian and an online/app based food journaling program. Both groups had blood test draws
at baseline, 3, 6 and 12 months. The intervention group met with the team practitioner to
review results and progress after each blood draw. The test panel comprised blood-based
markers of CVD risk associated with lipid metabolism, metabolics, inflammation and basic
liver and kidney function.
areas was performed. First responders attended a one hour lecture on the specific risks of
CVD in that population and then qualified intervention candidates were enrolled into a
lifestyle program, consisting of telephone-based coaching sessions with a registered
dietitian and an online/app based food journaling program. Both groups had blood test draws
at baseline, 3, 6 and 12 months. The intervention group met with the team practitioner to
review results and progress after each blood draw. The test panel comprised blood-based
markers of CVD risk associated with lipid metabolism, metabolics, inflammation and basic
liver and kidney function.
Inclusion Criteria:
1. Low apolipoprotein A-1 (apoA-1) levels in the very large alpha-1 HDL particle (<20
mg/dL for men, <30 mg/dL for women) OR increased waist size (at least 40 inches for
men or 35 inches for women).
2. Internet access
3. 14 day food log completed prior to initiating the study intervention (or 3-day food
log for the control group).
Exclusion Criteria:
1. No insulin-requiring diabetes
2. No pregnancy or plans to get pregnant in next 12 months
3. Unable or unwilling to follow protocol
4. Unavailable for duration of study
5. Planning to change jobs during study term
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