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Development and initial evaluation of a culturally sensitive cholesterol-lowering diet program for Mexican and African American patients with systemic lupus erythematosus.

Abstract

OBJECTIVE

To develop and evaluate acceptability of an intensive and ethnic-specific cholesterol-lowering diet program with a strong behavioral component in patients with systemic lupus erythematosus (SLE).

METHOD

A comprehensive program with a behavioral component and culturally sensitive menus was developed in an effort to alter dietary behavior in patients with SLE. Four SLE patients, 2 African American and 2 Mexican American, enrolled in this program. Data on food intake (3-day food record), acceptability of the program (subjective response), and physiologic variables were collected at baseline, 6 weeks, and 12 weeks.

RESULTS

The program was highly rated by all patients and found to be informative, easy to understand, ethnically sensitive, and to contain useful behavioral maintenance strategies. All 4 patients surpassed or were close to their diet goals at both 6 and 12 weeks. In this small group of patients, there was a statistically significant reduction in low-density lipoprotein cholesterol (P = 0.04) and body weight (P = 0.001), as assessed by repeated measures analysis of variance.

CONCLUSION

The culturally specific cholesterol-reducing diet program was highly rated and appeared to be effective in changing the diet of this small group of SLE patients, as determined by their food records and body weight. The impact of this program, including the individual components on cardiovascular disease risk factors, needs to be evaluated in a larger multiple-arm study with a lengthier intervention.

Links

Authors+Show Affiliations

,

Department of Exercise, Sports and Health Studies, University of Texas at Arlington, Box 19259, Arlington, TX 76019-0259, USA.

, , ,

Source

MeSH

Adult
African Americans
Analysis of Variance
Attitude to Health
Body Weight
Cholesterol, Dietary
Cholesterol, LDL
Cultural Characteristics
Humans
Hyperlipidemias
Lupus Erythematosus, Systemic
Menu Planning
Mexican Americans
Middle Aged
Nutritional Sciences
Obesity
Patient Education as Topic
Program Development
Program Evaluation
Surveys and Questionnaires
Texas

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

14635275

Citation

Shah, M, et al. "Development and Initial Evaluation of a Culturally Sensitive Cholesterol-lowering Diet Program for Mexican and African American Patients With Systemic Lupus Erythematosus." Arthritis Care and Research : the Official Journal of the Arthritis Health Professions Association, vol. 13, no. 4, 2000, pp. 205-12.
Shah M, Coyle Y, Kavanaugh A, et al. Development and initial evaluation of a culturally sensitive cholesterol-lowering diet program for Mexican and African American patients with systemic lupus erythematosus. Arthritis Care Res. 2000;13(4):205-12.
Shah, M., Coyle, Y., Kavanaugh, A., Adams-Huet, B., & Lipsky, P. E. (2000). Development and initial evaluation of a culturally sensitive cholesterol-lowering diet program for Mexican and African American patients with systemic lupus erythematosus. Arthritis Care and Research : the Official Journal of the Arthritis Health Professions Association, 13(4), pp. 205-12.
Shah M, et al. Development and Initial Evaluation of a Culturally Sensitive Cholesterol-lowering Diet Program for Mexican and African American Patients With Systemic Lupus Erythematosus. Arthritis Care Res. 2000;13(4):205-12. PubMed PMID: 14635275.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Development and initial evaluation of a culturally sensitive cholesterol-lowering diet program for Mexican and African American patients with systemic lupus erythematosus. AU - Shah,M, AU - Coyle,Y, AU - Kavanaugh,A, AU - Adams-Huet,B, AU - Lipsky,P E, PY - 2003/11/26/pubmed PY - 2003/12/18/medline PY - 2003/11/26/entrez SP - 205 EP - 12 JF - Arthritis care and research : the official journal of the Arthritis Health Professions Association JO - Arthritis Care Res VL - 13 IS - 4 N2 - OBJECTIVE: To develop and evaluate acceptability of an intensive and ethnic-specific cholesterol-lowering diet program with a strong behavioral component in patients with systemic lupus erythematosus (SLE). METHOD: A comprehensive program with a behavioral component and culturally sensitive menus was developed in an effort to alter dietary behavior in patients with SLE. Four SLE patients, 2 African American and 2 Mexican American, enrolled in this program. Data on food intake (3-day food record), acceptability of the program (subjective response), and physiologic variables were collected at baseline, 6 weeks, and 12 weeks. RESULTS: The program was highly rated by all patients and found to be informative, easy to understand, ethnically sensitive, and to contain useful behavioral maintenance strategies. All 4 patients surpassed or were close to their diet goals at both 6 and 12 weeks. In this small group of patients, there was a statistically significant reduction in low-density lipoprotein cholesterol (P = 0.04) and body weight (P = 0.001), as assessed by repeated measures analysis of variance. CONCLUSION: The culturally specific cholesterol-reducing diet program was highly rated and appeared to be effective in changing the diet of this small group of SLE patients, as determined by their food records and body weight. The impact of this program, including the individual components on cardiovascular disease risk factors, needs to be evaluated in a larger multiple-arm study with a lengthier intervention. SN - 0893-7524 UR - https://www.unboundmedicine.com/medline/citation/14635275/full_citation L2 - http://www.diseaseinfosearch.org/result/4336 DB - PRIME DP - Unbound Medicine ER -