Vida Sana: A Lifestyle Intervention for Uninsured, Predominantly Spanish-Speaking Immigrants Improves Metabolic Syndrome Indicators
- 533 Downloads
Metabolic syndrome is an increasingly common condition that can contribute to the development of type 2 diabetes and cardiovascular disease. 35 % of adults living in the United States meet the criteria for having metabolic syndrome, with that number being even higher in populations with health disparities. We describe a ‘healthy lifestyles’ program implemented at a free clinic serving a predominantly Hispanic cohort of low-income, uninsured individuals living in Providence, Rhode Island. The “Vida Sana/Healthy Life” (Vida Sana) program uses low literacy, language-appropriate materials and trained peers to educate participants about healthy lifestyles in a setting that also provided opportunities for social engagement. 192 of 126 (65.6 %) participants in Vida Sana completed 6 out of 8 sessions of the Vida Sana program over a 12-month period. At the completion of the program, nearly 90 % of Vida Sana participants showed an increase in their health literacy, and at least 60 % of participants decreased each of the risk factors (blood sugar, cholesterol, body mass index or waist circumference) associated with metabolic syndrome.
KeywordsHealth disparities Uninsured Life-style intervention Metabolic syndrome Diabetes Diabetes prevention project
Funding for the Vida Sana/Healthy Life program has been provided to CEHC by CVS, the American Medical Association Foundation and the Rhode Island Department of Health (Center for Health Equity and Wellness Program). More information about Clinica Esperanza/Hope Clinic and the Vida Sana/Healthy Life program can be found at http://www.aplacetobehealthy.org.
Conflict of interest
The authors report no conflicts of interest.
- 1.Grundy, S. M., Brewer Jr., B., Cleeman, J. I., Smith Jr., S. C., & Lenfant, C. (2004). Definition of metabolic syndrome: Report of the National Heart, Lung, and Blood Institute/American Heart Association Conference on scientific issues related to definition. Circulation, 109(3), 433–438Google Scholar
- 4.Sattar, N., Gaw, A., Scherbakova, O., Ford, I., O’Reilly, D. S. J., Haffner, S. M., et al. (2003). Metabolic syndrome with and without C-reactive protein as the predictor of coronary heart disease and diabetes in the West of Scotland Coronary Prevention Study. Circulation, 108(4), 414–419.PubMedCrossRefGoogle Scholar
- 5.Sweat, V., Bruzzese, J., Albert, S., Pinero, D. J., Fierman, A., & Convit, A. (2012). The banishing obesity and diabetes in youth (BODY) project: Description and feasibility of a program to halt obesity-associated disease among urban high school students. Journal of Community Health, 37(2), 367–371.CrossRefGoogle Scholar
- 6.Harralson, T. H., Emig, J. C., Polansky, M., Walker, R., Cruz, J. O., & Garcia-Leeds, C. (2007). Un corazón saludable: Factors influencing outcomes of an exercise program designed to impact cardiac and metabolic risks among urban Latinas. Journal of Community Health, 32(6), 401–412.PubMedCrossRefGoogle Scholar
- 10.Centers for Disease Control & Prevention (CDC). (2004). Health disparities experienced by Hispanics – United States. MMWR. Morbidity and Mortality Weekly Report, 53(40), 935–937.Google Scholar
- 11.Singh, G. K., Yu, S. M., & Kogan, M. D. (2012). Health, chronic conditions, and behavioral risk disparities among U.S. immigrant children and adolescents. Public Health Reports, 128(6), 463–479.Google Scholar
- 12.Khan, S., Velazquez, V., O’Connor, C., Simon, R. E., & De Groot, A. S. (2011). Health care access, utilization, and needs in a predominantly Latino immigrant community in Providence, Rhode Island. Med Health RI, 94(10), 284–287.Google Scholar
- 13.The Pew Research Center. (2011). Unauthorized immigrant population: National and state trends, 2010. Retrieved from http://bit.ly/1ejZpUo.
- 14.State of Rhode Island, Office of the Health Insurance Commissioner. (2007). An analysis of Rhode Island’s uninsured: Trends, demographics, and regional and national comparisons. Retrieved from http://1.usa.gov/1hBp2ut.
- 15.Mathematica Policy Research. (2010). Study of Rhode Island’s uninsured: current costs and future opportunities. Retrieved from http://bit.ly/1ejZTdg.
- 17.Proano, L., Shah, A., & Partridge, R. (2010). Demographic characteristics of Rhode Island immigrants. Rhode Island Medical Journal, 93(3), 68–70.Google Scholar
- 18.Olneyville Housing Corporation and Rhode Island Department of Health. (2011). Olneyville: Action for a healthier community. Retrieved from http://bit.ly/1oMbqGu.
- 19.Eldakroury, A., Olivera, E. P., Bicki, A., Martin, R. F., & De Groot, A. S. (2013). Adherence to American Diabetes Association guidelines in a volunteer-run free clinic for the uninsured: Better than standards achieved by clinics for insured patients. Rhode Island Medical Journal, 96(1), 25–29.PubMedGoogle Scholar
- 21.Ockene, I. S., Tellez, T. L., Rosal, M. C., Reed, G. W., Mordes, J., Merriam, P. A., et al. (2012). Outcomes of a Latino community-based intervention for the prevention of diabetes: The Lawrence Latino Diabetes Prevention Project. American Journal of Public Health, 102(2), 336–342.PubMedCentralPubMedCrossRefGoogle Scholar
- 23.Katula, J. A., Vitolins, M. Z., Morgan, T. M., Lawlor, M. S., Blackwell, C. S., Isom, S. P., et al. (2013). The Healthy Living Partnerships to Prevent Diabetes study: 2-year outcomes of a randomized controlled trial. American Journal of Preventive Medicine, 44(4), S324–S332.PubMedCentralPubMedCrossRefGoogle Scholar
- 25.Islam, N. S., Zanowiak, J. M., Wyatt, L. C., Chun, K., Lee, L., Kwon, S. C., et al. (2013). A randomized-controlled, pilot intervention on diabetes prevention and healthy lifestyles in the New York City Korean Community. Journal of Community Health, 38(6), 1030–1041.PubMedCentralPubMedCrossRefGoogle Scholar
- 28.Ramachandran, A., Snehalatha, C., Mary, S., Mukesh, B., Bhaskar, A. D., & Vijay, V. (2006). The Indian Diabetes Prevention Programme shows that lifestyle modification and metformin prevent type 2 diabetes in Asian Indian subjects with impaired glucose tolerance (IDPP-1). Diabetologia, 49(2), 289–297.PubMedCrossRefGoogle Scholar
- 30.Tuomilehto, J., Lindström, J., Eriksson, J. G., Valle, T. T., Hämäläinen, H., Ilanne-Parikka, P., et al. (2001). Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance. New England Journal of Medicine, 344(18), 1343–1350.PubMedCrossRefGoogle Scholar