ResearchCurrent ResearchValidation of a Brief Dietary Assessment to Guide Counseling for Cardiovascular Disease Risk Reduction in an Underserved Population
Section snippets
Setting and Participants
The Well Integrated Screening and Evaluation for Women Across the Nation project is a federally funded CVD risk reduction program for underinsured, midlife women. In addition to serving as a screening program, the project also includes a lifestyle intervention to help women improve dietary habits, increase physical activity, and stop smoking (9). To assess an enhanced project intervention described in detail elsewhere (10), a randomized, controlled trial was conducted at one community health
Results
Table 1 shows differences between study participants who completed the FHCRC-FFQ (n=104) and those who did not (n=132). The groups were similar, with a combined average age of 53 years, BMI of 31, approximately 25% smokers, and 95% without health insurance. Those who completed the longer FFQ reported an average of 1,670 kcal and 3.5 servings of fruits and vegetables consumed per day, calculated using the 5-A-Day method (10).
Correlations between Dietary Risk Assessment indexes and FHCRC-FFQ
Discussion
In this study we compared dietary intake as assessed by the Dietary Risk Assessment to that measured using the FHCRC-FFQ, determined the associations between fruit and vegetable intake measured using the Dietary Risk Assessment and the FHCRC-FFQ with levels of serum carotenoids, and compared the Dietary Risk Assessment total score to diet quality index scores calculated from responses to the FHCRC-FFQ. Results indicate that Dietary Risk Assessment indexes and the Dietary Risk Assessment total
Conclusions
The brief, modified Dietary Risk Assessment provides a reasonable assessment of the major dietary factors associated with CVD risk, and is thus appropriate for use to guide dietary counseling in CVD prevention programs focusing on underserved, midlife, Southern women.
S. B. Jilcott is a visiting scholar and volunteer, World Harvest Mission, Bundibugyo, Uganda; at the time of the study, she was a research associate, Center for Health Promotion and Disease Prevention, University of North Carolina, Chapel Hill
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Cited by (0)
S. B. Jilcott is a visiting scholar and volunteer, World Harvest Mission, Bundibugyo, Uganda; at the time of the study, she was a research associate, Center for Health Promotion and Disease Prevention, University of North Carolina, Chapel Hill
T. C. Keyserling is an associate professor, Department of Medicine, Schools of Medicine and Public Health, and the Center for Health Promotion and Disease Prevention, University of North Carolina, Chapel Hill.
C. D. Samuel-Hodge is a research assistant professor, Department of Nutrition, Schools of Medicine and Public Health, and the Center for Health Promotion and Disease Prevention, University of North Carolina, Chapel Hill.
A. S. Ammerman is a professor, Department of Nutrition, Schools of Medicine and Public Health, and the Center for Health Promotion and Disease Prevention, University of North Carolina, Chapel Hill.
L. F. Johnston is a research associate, Center for Health Promotion and Disease Prevention, University of North Carolina, Chapel Hill.
M. D. Gross is an associate professor, Department of Laboratory Medicine and Pathology, University of Minnesota, Minneapolis.