The objective of this study is to leverage existing social networks for health behavior change relevant to obesity and cardiovascular risk among immigrant populations in Southeast, Minnesota.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
DOUBLE
Enrollment
475
Community-based mentoring and education sessions, group activities, and application of a community toolkit for healthy weight loss delivered by trained Health Promoters from Hispanic and Somali communities to their social networks.
Mayo Clinic in Rochester
Rochester, Minnesota, United States
Change in Weight
Difference in weight (measured in kilograms) from baseline to 6 months and from baseline to 12 months
Time frame: Baseline, 6 months, 12 months
Change in Waist Circumference From Baseline to 6 Months and From Baseline to 12 Months
Measured to the nearest 0.1 cm at the narrowest part of the torso between the ribs and the iliac crest.
Time frame: Baseline, 6 months, 12 months
Change in "Life's Simple 6" Composite Score From Baseline to 6 Months and From Baseline to 12 Months
Adapted from the American Heart Association standards based on health assessment data. Point values are assigned to each component: 2 points for ideal, 1 point for intermediate, 0 points for poor. The total sum allows for a continuous measure of cardiovascular health ranging from poor to ideal (0-12 points).
Time frame: Baseline, 6 months, 12 months
Lost >5% of Body Weight
Number of participants in each arm who lost a clinically significant amount of weight (\>5%).
Time frame: 6 months, 12 months
Change in Systolic Blood Pressure
Measured three times and the average of the second and third readings will be used in analyses, reported in mmHg. Change from baseline to 6 months and from baseline to 12 months.
Time frame: Baseline, 6 months, 12 months
Change in Fasting Glucose Level
6 hours fasting glucose blood serum level, reported in mg/dL. Baseline to 6 months and baseline to 12 months.
Time frame: Baseline, 6 months, 12 months
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Change in Low-density Lipoprotein (LDL)
Change in LDL cholesterol blood serum level, reported in mg/dL. Baseline to 6 months and baseline to 12 months
Time frame: Baseline, 6 months, 12 months
Change in Dietary Quality
24-hour dietary recall collected using the Nutrition Data System for Research (NDSR) used to calculate the Healthy Eating index (HEI-2015). The HEI range is 0-100 with higher scores indicating healthier dietary quality. Scores can be further categorized as HEI≥69.3 optimal, HEI 56.9-69.2 intermediate, HEI\<56.9 poor. Change from baseline to 6 months and baseline to 12 months.
Time frame: Baseline, 6 months, 12 months
Change in Physical Activity
Measured using the International Physical Activity Questionnaire (IPAQ) that assesses the number of minutes of mild, moderate, and vigorous physical activity over the previous 7 days, scores categorized as ≥150 min/wk moderate or ≥75 min/wk vigorous or ≥150 min/wk moderate+vigorous = optimal; 1-149 min/wk moderate or 1-74 min/wk vigorous or 1-149 min/wk moderate+vigorous = intermediate; no physical activity = poor. Baseline to 6 months and baseline to 12 months. For this study, we present IPAQ results as a continuous variable of MET minutes per week, which refers to the total amount of physical activity measured in Metabolic Equivalent of Task (MET) units over a week. Physical Activity Guidelines recommend achieving 500 to 1,000 MET minutes per week for significant health benefits.
Time frame: Baseline, 6 months, 12 months
Change in Diastolic Blood Pressure
Chage from baseline to 6 months and from baseline to 12 months (mmHg)
Time frame: Baseline, 6 months, 12 months