Effect of a community-based intervention on nutritional behaviour in a developing country setting: the Isfahan Healthy Heart Programme
The present study was conducted to determine the impact of a community-based intervention on the nutritional behaviour of a representative sample of Iranian adults. The Isfahan Healthy Heart Programme (IHHP), a six-year, action-oriented, integrated community-based study aimed at health promotion thr...
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| Published in | Public health nutrition Vol. 12; no. 9; pp. 1422 - 1430 |
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| Main Authors | , , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Cambridge, UK
Cambridge University Press
01.09.2009
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| Online Access | Get full text |
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| Abstract | The present study was conducted to determine the impact of a community-based intervention on the nutritional behaviour of a representative sample of Iranian adults.
The Isfahan Healthy Heart Programme (IHHP), a six-year, action-oriented, integrated community-based study aimed at health promotion through the reduction of CVD risk factors, targeted the whole population living in two intervention cities, and compared outcomes with the population of a non-intervention city considered as reference. Dietary interventions were performed as educational, environmental and/or legislative strategies. A global dietary index (GDI) was calculated representing the general dietary behaviour. In addition, two consumption indices were calculated for specific food groups, i.e. meat products and major sources of fat. Univariate AVOVA was conducted to evaluate the impact of the intervention on dietary behaviours.
Isfahan and Najaf-Abad (intervention cities) and Arak (reference city), central Iran.
The baseline survey was conducted among 12514 randomly selected adults aged > or =19 years in both intervention and reference areas. The survey was repeated annually among about 5000 persons (2002-2005) in the intervention and reference communities.
According to significant year x group interactions in mean fat consumption index (FCI) and meat consumption index (MCI) in the total population, a significant improvement in FCI and MCI was found in the intervention areas v. the reference area (P < 0.001). In addition, the GDI improved significantly in the intervention areas v. the reference area (P < 0.001).
The IHHP interventions were effective in improving dietary behaviours at the population level. The highest effectiveness was documented in the change in the type of fat consumed. Such simple and integrated interventions can be adopted in other developing countries with limited financial resources. |
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| AbstractList | Abstract Objective The present study was conducted to determine the impact of a community-based intervention on the nutritional behaviour of a representative sample of Iranian adults. Design The Isfahan Healthy Heart Programme (IHHP), a six-year, action-oriented, integrated community-based study aimed at health promotion through the reduction of CVD risk factors, targeted the whole population living in two intervention cities, and compared outcomes with the population of a non-intervention city considered as reference. Dietary interventions were performed as educational, environmental and/or legislative strategies. A global dietary index (GDI) was calculated representing the general dietary behaviour. In addition, two consumption indices were calculated for specific food groups, i.e. meat products and major sources of fat. Univariate AVOVA was conducted to evaluate the impact of the intervention on dietary behaviours. Setting Isfahan and Najaf-Abad (intervention cities) and Arak (reference city), central Iran. Subjects The baseline survey was conducted among 12514 randomly selected adults aged [greater than or equal to]19 years in both intervention and reference areas. The survey was repeated annually among about 5000 persons (2002-2005) in the intervention and reference communities. Results According to significant year x group interactions in mean fat consumption index (FCI) and meat consumption index (MCI) in the total population, a significant improvement in FCI and MCI was found in the intervention areas v. the reference area (P < 0·001). In addition, the GDI improved significantly in the intervention areas v. the reference area (P < 0·001). Conclusions The IHHP interventions were effective in improving dietary behaviours at the population level. The highest effectiveness was documented in the change in the type of fat consumed. Such simple and integrated interventions can be adopted in other developing countries with limited financial resources. ObjectiveThe present study was conducted to determine the impact of a community-based intervention on the nutritional behaviour of a representative sample of Iranian adults.DesignThe Isfahan Healthy Heart Programme (IHHP), a six-year, action-oriented, integrated community-based study aimed at health promotion through the reduction of CVD risk factors, targeted the whole population living in two intervention cities, and compared outcomes with the population of a non-intervention city considered as reference. Dietary interventions were performed as educational, environmental and/or legislative strategies. A global dietary index (GDI) was calculated representing the general dietary behaviour. In addition, two consumption indices were calculated for specific food groups, i.e. meat products and major sources of fat. Univariate AVOVA was conducted to evaluate the impact of the intervention on dietary behaviours.SettingIsfahan and Najaf-Abad (intervention cities) and Arak (reference city), central Iran.SubjectsThe baseline survey was conducted among 12514 randomly selected adults aged ≥19 years in both intervention and reference areas. The survey was repeated annually among about 5000 persons (2002–2005) in the intervention and reference communities.ResultsAccording to significant year × group interactions in mean fat consumption index (FCI) and meat consumption index (MCI) in the total population, a significant improvement in FCI and MCI was found in the intervention areas v. the reference area (P < 0·001). In addition, the GDI improved significantly in the intervention areas v. the reference area (P < 0·001).ConclusionsThe IHHP interventions were effective in improving dietary behaviours at the population level. The highest effectiveness was documented in the change in the type of fat consumed. Such simple and integrated interventions can be adopted in other developing countries with limited financial resources. The present study was conducted to determine the impact of a community-based intervention on the nutritional behaviour of a representative sample of Iranian adults. The Isfahan Healthy Heart Programme (IHHP), a six-year, action-oriented, integrated community-based study aimed at health promotion through the reduction of CVD risk factors, targeted the whole population living in two intervention cities, and compared outcomes with the population of a non-intervention city considered as reference. Dietary interventions were performed as educational, environmental and/or legislative strategies. A global dietary index (GDI) was calculated representing the general dietary behaviour. In addition, two consumption indices were calculated for specific food groups, i.e. meat products and major sources of fat. Univariate AVOVA was conducted to evaluate the impact of the intervention on dietary behaviours. Isfahan and Najaf-Abad (intervention cities) and Arak (reference city), central Iran. The baseline survey was conducted among 12514 randomly selected adults aged greater than or equal to 19 years in both intervention and reference areas. The survey was repeated annually among about 5000 persons (2002-2005) in the intervention and reference communities. According to significant year group interactions in mean fat consumption index (FCI) and meat consumption index (MCI) in the total population, a significant improvement in FCI and MCI was found in the intervention areas v. the reference area (P < 0.001). In addition, the GDI improved significantly in the intervention areas v. the reference area (P < 0.001). The IHHP interventions were effective in improving dietary behaviours at the population level. The highest effectiveness was documented in the change in the type of fat consumed. Such simple and integrated interventions can be adopted in other developing countries with limited financial resources. The present study was conducted to determine the impact of a community-based intervention on the nutritional behaviour of a representative sample of Iranian adults. The Isfahan Healthy Heart Programme (IHHP), a six-year, action-oriented, integrated community-based study aimed at health promotion through the reduction of CVD risk factors, targeted the whole population living in two intervention cities, and compared outcomes with the population of a non-intervention city considered as reference. Dietary interventions were performed as educational, environmental and/or legislative strategies. A global dietary index (GDI) was calculated representing the general dietary behaviour. In addition, two consumption indices were calculated for specific food groups, i.e. meat products and major sources of fat. Univariate AVOVA was conducted to evaluate the impact of the intervention on dietary behaviours. Isfahan and Najaf-Abad (intervention cities) and Arak (reference city), central Iran. The baseline survey was conducted among 12514 randomly selected adults aged > or =19 years in both intervention and reference areas. The survey was repeated annually among about 5000 persons (2002-2005) in the intervention and reference communities. According to significant year x group interactions in mean fat consumption index (FCI) and meat consumption index (MCI) in the total population, a significant improvement in FCI and MCI was found in the intervention areas v. the reference area (P < 0.001). In addition, the GDI improved significantly in the intervention areas v. the reference area (P < 0.001). The IHHP interventions were effective in improving dietary behaviours at the population level. The highest effectiveness was documented in the change in the type of fat consumed. Such simple and integrated interventions can be adopted in other developing countries with limited financial resources. The present study was conducted to determine the impact of a community-based intervention on the nutritional behaviour of a representative sample of Iranian adults.OBJECTIVEThe present study was conducted to determine the impact of a community-based intervention on the nutritional behaviour of a representative sample of Iranian adults.The Isfahan Healthy Heart Programme (IHHP), a six-year, action-oriented, integrated community-based study aimed at health promotion through the reduction of CVD risk factors, targeted the whole population living in two intervention cities, and compared outcomes with the population of a non-intervention city considered as reference. Dietary interventions were performed as educational, environmental and/or legislative strategies. A global dietary index (GDI) was calculated representing the general dietary behaviour. In addition, two consumption indices were calculated for specific food groups, i.e. meat products and major sources of fat. Univariate AVOVA was conducted to evaluate the impact of the intervention on dietary behaviours.DESIGNThe Isfahan Healthy Heart Programme (IHHP), a six-year, action-oriented, integrated community-based study aimed at health promotion through the reduction of CVD risk factors, targeted the whole population living in two intervention cities, and compared outcomes with the population of a non-intervention city considered as reference. Dietary interventions were performed as educational, environmental and/or legislative strategies. A global dietary index (GDI) was calculated representing the general dietary behaviour. In addition, two consumption indices were calculated for specific food groups, i.e. meat products and major sources of fat. Univariate AVOVA was conducted to evaluate the impact of the intervention on dietary behaviours.Isfahan and Najaf-Abad (intervention cities) and Arak (reference city), central Iran.SETTINGIsfahan and Najaf-Abad (intervention cities) and Arak (reference city), central Iran.The baseline survey was conducted among 12514 randomly selected adults aged > or =19 years in both intervention and reference areas. The survey was repeated annually among about 5000 persons (2002-2005) in the intervention and reference communities.SUBJECTSThe baseline survey was conducted among 12514 randomly selected adults aged > or =19 years in both intervention and reference areas. The survey was repeated annually among about 5000 persons (2002-2005) in the intervention and reference communities.According to significant year x group interactions in mean fat consumption index (FCI) and meat consumption index (MCI) in the total population, a significant improvement in FCI and MCI was found in the intervention areas v. the reference area (P < 0.001). In addition, the GDI improved significantly in the intervention areas v. the reference area (P < 0.001).RESULTSAccording to significant year x group interactions in mean fat consumption index (FCI) and meat consumption index (MCI) in the total population, a significant improvement in FCI and MCI was found in the intervention areas v. the reference area (P < 0.001). In addition, the GDI improved significantly in the intervention areas v. the reference area (P < 0.001).The IHHP interventions were effective in improving dietary behaviours at the population level. The highest effectiveness was documented in the change in the type of fat consumed. Such simple and integrated interventions can be adopted in other developing countries with limited financial resources.CONCLUSIONSThe IHHP interventions were effective in improving dietary behaviours at the population level. The highest effectiveness was documented in the change in the type of fat consumed. Such simple and integrated interventions can be adopted in other developing countries with limited financial resources. |
| Author | Sarmadi, Fereshteh Safavi, Morteza Sadri, Gholam Hosein Maghroon, Maryam Heydari, Said Mohammadifard, Noushin Alikhasi, Hasan Kelishadi, Roya Sarrafzadegan, Nizal Sajadi, Firoozeh |
| Author_xml | – sequence: 1 givenname: Noushin surname: Mohammadifard fullname: Mohammadifard, Noushin email: mohammadifard@crc.mui.ac.ir organization: 1Nutrition Department, Isfahan Cardiovascular Research Center, Isfahan University of Medical Sciences, PO Box 81465-1148, Isfahan, Iran – sequence: 2 givenname: Roya surname: Kelishadi fullname: Kelishadi, Roya organization: 2Isfahan Cardiovascular Research Center, Isfahan University of Medical Sciences, Isafahan, Iran – sequence: 3 givenname: Morteza surname: Safavi fullname: Safavi, Morteza organization: 3Nutrition Department, Faculty of Health, Isfahan University of Medical Sciences, Isfahan, Iran – sequence: 4 givenname: Nizal surname: Sarrafzadegan fullname: Sarrafzadegan, Nizal organization: 2Isfahan Cardiovascular Research Center, Isfahan University of Medical Sciences, Isafahan, Iran – sequence: 5 givenname: Firoozeh surname: Sajadi fullname: Sajadi, Firoozeh organization: 1Nutrition Department, Isfahan Cardiovascular Research Center, Isfahan University of Medical Sciences, PO Box 81465-1148, Isfahan, Iran – sequence: 6 givenname: Gholam Hosein surname: Sadri fullname: Sadri, Gholam Hosein organization: 4Isfahan University of Medical Sciences, Isfahan, Iran – sequence: 7 givenname: Maryam surname: Maghroon fullname: Maghroon, Maryam organization: 1Nutrition Department, Isfahan Cardiovascular Research Center, Isfahan University of Medical Sciences, PO Box 81465-1148, Isfahan, Iran – sequence: 8 givenname: Hasan surname: Alikhasi fullname: Alikhasi, Hasan organization: 1Nutrition Department, Isfahan Cardiovascular Research Center, Isfahan University of Medical Sciences, PO Box 81465-1148, Isfahan, Iran – sequence: 9 givenname: Said surname: Heydari fullname: Heydari, Said organization: 5Markazi Provincial Health Center, Arak University of Medical Sciences, Arak, Iran – sequence: 10 givenname: Fereshteh surname: Sarmadi fullname: Sarmadi, Fereshteh organization: 6Najaf Abad Health Center, Najaf Abad, Isfahan University of Medical Sciences, Isafahan, Iran |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/19220925$$D View this record in MEDLINE/PubMed |
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| PublicationPlace_xml | – name: Cambridge, UK – name: England – name: Cambridge |
| PublicationTitle | Public health nutrition |
| PublicationTitleAlternate | Public Health Nutr |
| PublicationYear | 2009 |
| Publisher | Cambridge University Press |
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| References_xml | – volume: 4 start-page: 59 year: 2003 ident: S1368980008004230_ref26 article-title: The evaluation of fatty acids profile in available hydrogenated oils and margarines in Iran publication-title: Iranian Heart J – ident: S1368980008004230_ref28 doi: 10.1016/0895-4356(95)00055-0 – volume-title: Nutritional Epidemiology. Monographs in Epidemiology and Biostatistics year: 1990 ident: S1368980008004230_ref29 – ident: S1368980008004230_ref6 doi: 10.1016/0140-6736(90)91656-U – ident: S1368980008004230_ref21 doi: 10.1136/bmj.316.7134.818 – ident: S1368980008004230_ref24 doi: 10.2105/AJPH.89.12.1819 – ident: S1368980008004230_ref30 doi: 10.1093/ije/24.2.389 – volume: 106 start-page: 3143 year: 2002 ident: S1368980008004230_ref17 article-title: Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) final report publication-title: Circulation doi: 10.1161/circ.106.25.3143 – ident: S1368980008004230_ref23 doi: 10.1016/S0895-4356(97)00020-6 – volume: 91 start-page: 381 year: 2000 ident: S1368980008004230_ref27 article-title: Food habits of Canadians: reduction in fat intake over a generation publication-title: Can J Public Health doi: 10.1007/BF03404812 – ident: S1368980008004230_ref25 doi: 10.1056/NEJMra054035 – ident: S1368980008004230_ref16 doi: 10.1016/S0140-6736(86)91384-X – volume: 46 start-page: 89 year: 1993 ident: S1368980008004230_ref1 article-title: Cardiovascular disease mortality in the developing countries publication-title: World Health Stat Q – ident: S1368980008004230_ref7 doi: 10.2143/AC.58.4.2005288 – ident: S1368980008004230_ref9 doi: 10.1093/jn/131.11.3051S – ident: S1368980008004230_ref8 doi: 10.1016/S0002-8223(96)00217-9 – ident: S1368980008004230_ref14 doi: 10.1016/j.precon.2006.10.003 – ident: S1368980008004230_ref12 doi: 10.1016/0002-8223(94)92042-7 – ident: S1368980008004230_ref20 doi: 10.2105/AJPH.85.6.777 – ident: S1368980008004230_ref19 doi: 10.1093/oxfordjournals.aje.a008936 – ident: S1368980008004230_ref4 doi: 10.1136/bmj.287.6408.1840 – ident: S1368980008004230_ref11 doi: 10.1080/07315724.1995.10718501 – ident: S1368980008004230_ref18 doi: 10.1093/oxfordjournals.aje.a116608 – ident: S1368980008004230_ref22 doi: 10.1016/0091-7435(88)90062-X – volume: 132 start-page: 489 year: 1990 ident: S1368980008004230_ref5 article-title: Continued decline in cardiovascular disease risk factors: results of the Minnesota Heart Survey, 1980–1982 and 1985–1987 publication-title: Am J Epidemiol doi: 10.1093/oxfordjournals.aje.a115685 – ident: S1368980008004230_ref2 doi: 10.1093/eurpub/9.1.20 – ident: S1368980008004230_ref13 doi: 10.1016/j.ypmed.2003.09.019 – volume: 54 start-page: 327 year: 1999 ident: S1368980008004230_ref3 article-title: Secular trends of mortality from cardiovascular disease in Iran: with special reference to Isfahan publication-title: Acta Cardiol – volume-title: CINDI: Countrywide Integrated Non-Communicable Diseases Interventional Programme: Protocol and Guidelines for Monitoring and Evaluation Procedures year: 1987 ident: S1368980008004230_ref15 – ident: S1368980008004230_ref10 doi: 10.1093/ajcn/74.4.479 |
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| Snippet | The present study was conducted to determine the impact of a community-based intervention on the nutritional behaviour of a representative sample of Iranian... Abstract Objective The present study was conducted to determine the impact of a community-based intervention on the nutritional behaviour of a representative... ObjectiveThe present study was conducted to determine the impact of a community-based intervention on the nutritional behaviour of a representative sample of... |
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| SubjectTerms | administration & dosage Adult Adults Analysis of Variance Behavior Cardiovascular disease prevention Cardiovascular Diseases Cardiovascular Diseases - prevention & control Community Health Services community nutrition programs Community-based programme Dairy products Developing Countries Diet Dietary behaviour dietary fat Dietary Fats Dietary Fats - administration & dosage Disease disease prevention eating habits education Environmental legislation fat intake Female Food Food consumption Food groups Governors Health Behavior Health promotion Health Promotion - methods Heart heart diseases Humans Independent sample Intervention Intervention Studies Interventional studies Iran Isfahan Healthy Heart Programme LDCs Male Mathematical analysis Meat Meat products Medical personnel methods Middle Aged Mortality Nutrition Nutrition research nutritional intervention Nutritional Sciences Nutritional Sciences - education Population prevention & control Professional education Professionals Public health Risk factors risk reduction Surveys |
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| Title | Effect of a community-based intervention on nutritional behaviour in a developing country setting: the Isfahan Healthy Heart Programme |
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