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302090
Fit and Strong! Plus Physical Activity/ Weight Management: Early Findings
Monday, November 17, 2014
: 11:30 AM - 11:45 AM
Susan Hughes, PhD
,
Center for Research on Health and Aging, University of Illinois Chicago, Chicago, IL
Marian Fitzgibbon, PhD
,
Department of Medicine, University of Illinois at Chicago, Chicago, IL
Renae Smith-Ray, PhD
,
Institute for Health Research and Policy, University of Illinois at Chicago, Chicago, IL
Lisa Tussings-Humphreys, PhD, MS, RD
,
Institute for Health Research and Policy, Chicago
Linda Schiffer, MS, MPH
,
Health Promotion Research, Institute for Health Research and Policy, Chicago, IL
Amy Shah, MPH
,
Center for Research on Health and Aging, Institute for Health Research and Policy, Chicago, IL
Overweight older adults with osteoarthritis (OA) have heightened risk of disability; however few evidence-based programs currently target weight loss. The Fit and Strong! (F&S!) physical activity (PA) program improves lower extremity (LE) strength and mobility out to 18 months for persons with OA. This session presents early findings from the test of the new F&S! Plus program, that addresses both PA and weight loss. We are currently using a randomized trial to compare customary F&S! outcomes to those achieved by F&S! Plus. The first three cohorts of study participants (n=93) had a mean age of 68.9 at baseline, 74% were female and 89% were African American. In addition to arthritis, 79% had high blood pressure, 36% had vision problems and 22% had diabetes. Baseline mean BMI was 34.3 kg/m3 (obese), mean LE pain score was 6.2 (mild) and mean LE stiffness score was 3.3 (moderate). Overall sit-stand rate was 8.2 and mean 6-minute distance walk score was 362.4 meters. Significant differences were seen by group in baseline to 2-month outcomes with respect to BMI (p=0.02) and PA (p=0.05) with a marginally significant difference in 6-minute distance walk (p=0.07), favoring the diet group. Enrollment will continue to reach our targeted enrollment N of 400. This presentation will review the trial design, intervention components, recruitment procedures and baseline, 2, and new 6-month outcomes that will be available this fall.
Learning Areas:
Administer health education strategies, interventions and programs
Chronic disease management and prevention
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Public health or related education
Social and behavioral sciences
Learning Objectives:
Describe the relationship between obesity and OA incidence and symptomatology.
Explain the limited number of evidence-based health promotion programs that address both PA and weight management.
Explain how to achieve weight loss through health eating using "My Plate".
Compare 2 and 6-month dietary and PA outcomes experienced by older adults in F&S! vs. F&S! Plus
Keyword(s): Health Promotion and Education, Physical Activity
Presenting author's disclosure statement:Qualified on the content I am responsible for because: I have been the principal investigator of multiple federally funded grants testing evidence-based health promotion programs for older adults. I am experienced in conducting community-based research with multiple community partners, sites and racially/ethnically diverse participants.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines,
and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed
in my presentation.
