Online Program

Early Findings: Fit and Strong! Plus

Wednesday, November 4, 2015 : 8:50 a.m. - 9:10 a.m.

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
Andrew DeMott, BA, Center for Research on Health and Aging, University of Illinois at Chicago, 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 findings regarding F&S! Plus, our new program, that addresses both PA and weight loss. This randomized trial is enrolling 400 participants (200 in F&S! and 200 in F&S! Plus). To-date, enrollees (n =225) have a mean age of 67.5, 83% are female, and 91% African American. Baseline mean BMI was 34.6 kg/m2 (obese), mean LE pain score was 5.9 and LE stiffness score was 3.2. Mean sit-stand score was 8.3 with a mean of 1167 ft for the 6-minute distance walk. None of the baseline values differed significantly by group. Significant differences were seen by group at 2 and 6-months for the first 130 study participants. At 2-months, we found significant between-group differences in change in BMI (p=.003), waist circumference (p=.01), and 6-minute walk distance (p=.03), favoring F&S! Plus. At 6 months, the BMI change remained (p=.01), and LE physical function (p=.02) improved significantly in the F&S Plus group (p=.02). Diet data from the first 3 cohorts (N=91) showed differences between group at 2 months, favoring F&S! Plus, on: dietary fat (p=.02), fiber (p=.05), orange vegetables (p=.02) and dairy (p=0.02). This presentation will review the trial design, intervention components, 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 healthy 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, Nutrition

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.