Titulo Abstract Link1.LA PROMOCIN DE LA SALUD COMO ESTRATEGIAPARA EL OMENTO DE ESTILOS DE !IDA SALUDA"LESObjetivo: profundizar en el tema de la promocin de salud como estrategia para el fomento de estilos de vida saludables. Metodologa: revisin sistemtica de publicaciones cientficas derivadas de investigaciones y revisiones detalladas acerca de la promocin de la salud ylos estilos de vida saludables, para lo cual se tomaron como fuentes bibliogrficas: las publicaciones de la Biblioteca Virtual de Salud, bases de datos como Prouest, !"!#$S, %ialnet, &vid, 'inary, (edline e ndicesbibliogrficos como Scielo, ue fueron publicados entre los a)os *++,-,..+. Para determinar su pertinencia, los artculos y documentos fueron revisados a partir de su resumen y los libros a partir de su tabla de contenido. Resultados: se obtuvo una descripcin detallada de la promocin de la salud como estrategia, sus componentes y la forma de aplicacin. /especto a los estilos de vida saludables, adems de las definiciones se tuvieron en cuenta los factores tanto internos como e0ternos a las personas ue intervienen para su fomento. #dicional a lo anterior, se encontr una autora ue 1all en la promocin de la salud la base para proponer el 2(odelo de Promocin de la Salud2, ue dado su aporte a la profesin de 3nfermera, 1a sido aplicado en la prctica profesional y utilizado para la realizacin de traba4os de investigacin en salud. Conclusin: la promocin de la salud se constituye como una estrategia encaminada a desarrollar procesos y actividades individuales o grupales con el fin de modificar conductas de riesgo y adoptar estilos de vida saludables. %e igual forma la promocin de la salud apunta a ue las personas y colectivos tenganuna me4or calidad de vida, teniendo en cuenta ue los seres 1umanos son entidades biolgicas y tambi5n entidades sociales ue reuieren ser intervenidas por los profesionales de la salud como un todo para as conseguirpersonas y comunidades saludables.#tt$%&&'''.sci(lo.or).co&sci(lo.$#$*scri$t+sci,artt(-t.$i/+S0111234331010000100010.lan)+$t1.E5cacia /( un $ro)ra6a $ara (l trata6i(nto/(l sobr($(so 7la ob(si/a/ no 68rbi/a (n at(nci8n "ntroduccin y &b4etivos: la modificacin de conductas nosaludables es fundamental para tratar la obesidad. 3l ob4etivo de este estudio fue evaluar los efectos de un programa basado en dieta, e4ercicio y apoyo psicolgico en la modificacin conductual de pacientes con sobrepesoy obesidad tratados en #tencin Primaria.(5todos: 6. pacientes con sobrepeso grado "" y obesidadgrado "-"" fueron incluidos en este ensayo piloto. 3dad entre *7-8. a)os. !os pacientes recibieron un programa ue combinaba educacin nutricional, actividad fsica y #tt$%&&sci(lo.isciii.(s&sci(lo.$#$*scri$t+sci,artt(-t.$i/+S011121911101:00010001;.lan)+(s$ri6aria 7 su in+< .,?, p@.,..*;, 39 :,,*+< .,+ vs =,*?< *,., p@.,..*; y #S :=,.>< .,> vs =,>=< .,>, p@.,.8; del cuestionarioA $# :=,+7< .,? vs. >,,8< .,?, p@.,.8; y BP :,,7,< *,. vs. =,=>< .,?, p@.,..*; empeoraron.$onclusin: el programa basado en moderada restriccin de la dieta, aumento de actividad fsica y apoyo psicolgico puede me4orar parmetros antropom5tricos y estilos de vida en pacientes obesos tratados en un centro de #tencin Primaria.:.E5cacia /( una int(r=(nci8n (/ucati=a )ru$al sobr( ca6bios (n los (stilos /( =i/a (n #i$(rt(nsos (n at(nci8n $ri6aria% un(nsa7o cl>nico al(atorio9undamentos: !os estilos de vida saludables se relacionan con un menor riesgo de enfermedades cardiovasculares. 3l ob4etivo del estudio es evaluar la eficacia de una estrategia educativa grupal en la modificacin de estilos de vida, control de factores de riesgo y riesgo cardiovascular :/$V; en personas 1ipertensas.(5todo: 3nsayo clnico aleatorio en #tencin Primaria. Seseleccionaron por muestreo aleatorio *.* personas 1ipertensas de =8 a ?> a)os, randomizando 8* al grupo de intervencin :B";:6>,8 a)os, 67C mu4eres;. Se realizuna evaluacin basal, una intervencin educativa grupal sobre cambios de estilos de vida :seis sesiones durante un a)o; y una evaluacin final. 3l efecto de la intervencin se evalu con /$V :9raming1am;, presin arterial:P#;, perfil lipdico, permetro de cintura, ndice demasa corporal:"($;, consumo de nutrientes con encuestavalidada, e4ercicio fsico con ?-P#/ %ay y calidad de vida con S9-=6./esultados: P# basal *=6,7D7,,? mm'g en B" y *=+,=D?+,= mm'g y en B$, /$V:**,*C :B"; y *,,=C :B$;. !a P# sistlica descendi 8,6; en B$, la diastlica =,+ a)os ue asisten a escuelas primarias, las variaciones en los conocimientos sobre s mismos, los cuidados de la salud y las 1abilidades sociales, a partir de la implementacin de un programa de prevencin y cuidado de la salud.Se utiliz la estrategia de estudio de casos comparativos sobre una muestra no probabilstica compuesta por 6=> #tt$%&&'''.sci(lo.or).co&sci(lo.$#$*scri$t+sci,artt(-t.$i/+S011:211?@1011000:0000;.lan)+(sni)os. 3l aborda4e metodolgico se bas en un dise)o de investigacin descriptivo-analtico, longitudinal, cuasi e0perimental del tipo: ensayos comunitarios.3ntre las conclusiones se encontr ue el programa tiende a me4orar significativamente el dominio de las reas en cuestin: conocimientos sobre s mismos :8=C de los estudiantes presenta indicadores de me4ora;, cuidados de la salud :un ?=C; y 1abilidades para la vida :un ?>C;. #l 1acerlo segJn g5nero se observa ue las mu4eres obtienen ms beneficios en el e4e conocimiento de s mismo, mientras ue los varones tienen me4ores logros en el e4e cuidados de la salud y 1abilidades para lavida.;.Proc(sos $sicosocial(s (n la (/ucaci8n (n salu/ 7 (n la $r(=(nci8n /(l cBnc(rSe realiza una revisin bibliogrfica cuyos ob4etivos fueron brindar informacin sobre las categoras psicosociales ue intervienen en el proceso de educacin en salud y refle0ionar sobre la importancia de ellas para la formulacin y e4ecucin de acciones y programas efectivos dirigidos a la prevencin del cncer en el espacio de la comunidad. Se analizan aspectos esencialesde 8 categoras psicosociales para su empleo en la prevencin y educacin en cncer, utilizando 1erramientas ue permitan una modificacin de los estilos de vida no saludables de las personas. Se muestran e4emplos sencillos de su aplicacin y se concluye ue una educacin en salud de nuevo tipo reuiere un cambio en la metodologa interventiva de los agentes sanitarios, orientndose involucrar procesos ue propicien la autorregulacin y la adopcin de precauciones.#tt$%&&sci(lo.sl/.cu&sci(lo.$#$*scri$t+sci,artt(-t.$i/+S0;9@21114100000010001@.lan)+(s?.T#( Co66unit72bas(/ D(alt#72liA(st7l( Int(r=(ntionAor Rural Pr(sc#ools HCDIRPI stu/7% D(si)n an/ 6(t#o/sH1e $'"/P study is a tKo-arm, pilot randomized controlled trial assessing t1e effectiveness of a be1avioralfamily Keig1t management intervention in an important and at-risL population, overKeig1t young c1ildren, = to 6 years of age, and t1eir parents from underserved rural counties. Participants Kill include +6 parentMc1ild dyads living in rural counties in nort1 central 9lorida. 9amilies Kill be randomized to one of tKo conditions: :a; be1avioral family based intervention or :b; a Kaitlist control. $1ild and parent participants Kill be assessed at baseline :mont1 .;, post-treatment :mont1 >;, and folloK-up :mont1 *.;. #ssessments and intervention sessions Kill be 1eld at t1e $ooperative 30tension office in eac1 participating rural county. H1e primary outcome measure is c1ange in c1ild body mass inde0 :B("; z-score. #dditional Ley outcome measures include c1ild #tt$%&&'''.sci(nc(/ir(ct.co6&sci(nc(&articl(&$ii&S144131@@11001@@:dietary intaLe, p1ysical activity, and parent B(".H1is study is uniue because :*; it is one of t1e feK randomized controlled trails e0amining a be1avioral family intervention to address 1ealt1y 1abits and improved Keig1t status in young overKeig1t and obese c1ildren, :,; addresses 1ealt1 promotion in rural settings,and :=; e0amines intervention delivery in real Korld community settings t1roug1 t1e $ooperative 30tension Service offices. "f successful, t1is researc1 1as potential implications for medically underserved rural communities and preventative 1ealt1 services for young c1ildren and t1eir families.10.Corr(lat(s A6on) D(alt#7 LiA(st7l( Co)niti=( "(li(AsF D(alt#7 LiA(st7l( C#oic(sF Social Su$$ortF an/ D(alt#7"(#a=iors inA/ol(sc(nts% I6$licationsAor "(#a=ioral C#an)( Strat()i(s an/ utur( R(s(arc#"ntroductionH1e foundation for 1ealt1y lifestyle be1aviors begins in c1ild1ood. #s suc1, t1e relations1ips among cognitive beliefs, 1ealt1y lifestyle c1oices, and 1ealt1y lifestyle be1aviors in adolescents 1ave been e0plored. H1e purpose of t1is study Kas to assess t1e relations1ips among cognitive variables, social support, and 1ealt1y lifestyle be1aviors in adolescents.(et1od# descriptive correlational design Kas used for t1is study.Students from tKo 1ig1 sc1ools in t1e Sout1Kest Inited States Kere recruited to participate :N E >.>;./esultsSignificant correlations e0isted among cognitive variables,social support, be1avioral sLills, and 1ealt1 lifestyle be1aviors.%iscussionH1is study demonstrated t1at cognitive beliefs about leading a 1ealt1y lifestyle, including attitudes and intended c1oices, are related to p1ysical activity as Kell as t1e intaLe of fruits and vegetables. "n KorLing Kit1 adolescents on 1ealt1y lifestyle be1avior c1ange, it is important to implement strategies to strengt1en t1eir cognitive beliefs about t1eir ability to maLe 1ealt1y c1oices and engage in 1ealt1y lifestyle be1aviors. Strengt1ening t1ese beliefs s1ould lessen t1eir perceptiont1at t1ese be1aviors are difficult to perform, K1ic1 ultimately s1ould result in 1ealt1y be1aviors.#tt$%&&'''.sci(nc(/ir(ct.co6&sci(nc(&articl(&$ii&S0;?141@410000@?011.T#( CDANGE Stu/7% A D(alt#72LiA(st7l(s BacLground%espite t1e 1ig1 rates of overKeig1t and obesity among rural c1ildren, t1ere 1ave been limited interventions reported to improve t1e diet uality of rural, loK-income c1ildren in t1e Inited States.#tt$%&&'''.sci(nc(/ir(ct.co6&sci(nc(&articl(&$ii&S111119311:0Int(r=(ntionto I6$ro=( Rural C#il/r(nJs Di(t Kualit7&b4ective&ur aim Kas to evaluate studentsO diet uality at baselineand after implementing t1e $'#NB3 :$reating 'ealt1y, #ctive and Nurturing BroKing-Ip 3nvironments; study, a ,-year :,..?-,..+; randomized, controlled, community- and sc1ool-based intervention to prevent un1ealt1y Keig1t gain among rural sc1ool-aged c1ildren.%esignPe used a sc1ool and community-based group randomized, controlled design.ParticipantsDsetting%ata Kere collected in eig1t rural communities in $alifornia, FentucLy, (ississippi, and Sout1 $arolina :one elementary sc1ool per community;. $1ildren in grades * to 6 participated in t1e study :nE>=,A mean ageE7.68 years> completed t1e program :=8C attrition rate;."nterventionH1e 'ealt1y !ifestyle $1ange Program :'!$P; is a community-based 1ealt1 intervention developed and implemented using community-based participatory researc1 met1ods by members of t1e developmental disabilities community, in collaboration Kit1 academic researc1ers. H1e '!$P Kas a ?-mont1, tKice-KeeLly education and e0ercise program to increase LnoKledge, sLills, and self-efficacy regarding 1ealt1, nutrition, and fitness among adults Kit1 developmental disabilities. Peermentors served as participant leaders and primary motivators.(easures$1anges in Keig1t, B(", abdominal girt1, access to care, and self-reported nutrition, p1ysical activity, and life satisfaction Kere eac1 measured./esultsHKo t1irds of participants maintained or lost Keig1t, Kit1 a mean Keig1t loss of ,.6 pounds and a median Keig1t loss of ? lbs :range: ,M,> lbs;. #verage B(" decreased by ..8 LgDm, :pE...>;. #bdominal girt1 decreased in ?>C of participants :meanE M*.+ inc1es;. Si0ty-one percent of participants reported increased p1ysical activity. (ean e0ercise freuency increased from =., times to =.+ times per KeeL :pE...*;. (ean e0ercise duration increased from *== minutes to ,.6.> minutes per KeeL :pE...,;. Significant improvements in nutritional 1abits and self-efficacy Kere reported. &ver 1alf :8+C; of participants s1oKed improvements in life satisfaction. Participants received ,.6 referrals for needed medical care. H1e '!$P and its dissemination increased participantsO and peer mentorsO ability to act as community advocates and partners in researc1.$onclusionsH1e '!$P resulted in improved lifestyles, Keig1t loss success, and increased community capacity, indicating t1at a community-based program Kit1 significant participation of t1ose Kit1 developmental disabilities is feasible. H1is program s1ould be e0panded and evaluatedKit1 larger populations Kit1 developmental disabilities.1@.Pr(/ictin) c#an)(s in liA(st7l( an/ clinical outco6(s in$r(=(ntin) /iab(t(s% T#( Gr(at(rGr((n Trian)l( Diab(t(s Pr(=(ntion ProN(ct&b4ectivesHo analyse 1oK psyc1osocial determinants of lifestyle c1anges targeted in t1e Breater Breen Hriangle %iabetes Prevention Pro4ect conducted in Sout1east #ustralia in ,..>M,..6 predict c1anges in dietary be1aviour and clinical risL factors.(et1ods# longitudinal pre-test and post-test study design Kas used. H1e group program Kas completed by ,=? people at 1ig1 risL of type , diabetes. #ssociations betKeen c1anges in t1e variables Kere e0amined by structural euation modelling using a pat1 model in K1ic1 c1anges in psyc1ological determinants for lifestyle predicted c1anges in dietary be1aviours :fat and fibre intaLe;, K1ic1 subseuently predicted c1anges in Kaist circumference and ot1er clinical outcomes. Standardised regression Keig1ts are presented, Kit1 U E < ..* and U E< ..= representing small and medium associations, respectively./esults"mprovements in coping self-efficacy and planning predicted improvements in fat :U E Q ..*8, p @ ...8 and U E Q ..=,, p @ ....*, respectively; and fibre intaLe :U E ..*8, p @ ...8 and U E ..,=, p @ ....*, respectively; K1ic1 in turn predicted improvements in Kaist circumference :U E ..*7, p @ ...* and U E Q ..*6, p @ ...8, respectively;. "mprovements in Kaist circumferencepredicted improvements in diastolic blood pressure :U E ..*=, p @ ...8;, '%! :U E Q ..*6, p @ ...8;, triglycerides :U E ..*?, p @ ...*;, and fasting glucose :U E ..*8, p @ ...8;.$onclusionsPsyc1ological c1anges predicted be1aviour c1anges, resulting in *,-mont1 biop1ysical c1anges. H1e findings support t1e t1eoretical basis of t1e interventions.#tt$%&&'''.sci(nc(/ir(ct.co6&sci(nc(&articl(&$ii&S00?13@:4110041:414. I6$act oA a '(b2bas(/ int(r=(ntionsu$$l(6(nt&b4ectiveHo assess t1e impact of a Keb-based intervention supplemented Kit1 te0t messages to reduce cancer risL linLed Kit1 smoLing, un1ealt1y diet, alco1ol consumption, obesity, sedentary lifestyle and sun #tt$%&&'''.sci(nc(/ir(ct.co6&sci(nc(&articl(&$ii&S00?13@:41:0(/ 'it# t(-t6(ssa)(s to i6$ro=( canc(r $r(=(ntion b(#a=iors a6on) a/ol(sc(nts% R(sults Aro6 a ran/o6iG(/controll(/ triale0posure.(et1ods# total of ,..* voluntary adolescents from Spain and (e0ico Kere recruited betKeen ,..+ and ,.*, and randomly assigned to: one control group :$B; and tKo e0perimental groups, K1ic1 received e0clusively t1e online intervention :3B*; or t1e intervention supplemented Kit1 encouraging te0t messages :3B,;. H1e educational intervention Kas based on bot1: successful psyc1osocial models :i.e. #.S.3. and Hranst1eoretical model; and t1e sc1ool curriculum./esults#fter a +-mont1 folloK-up, t1e prevalence of students K1o did not eat fruit Kas reduced significantly in all groups: 3B* :Q 6,.6C;, 3B, :Q ?*.8C; and even t1e $B :Q 66.7C;. Being overKeig1t Kas only reduced in t1e3B, :Q *+.6C;. H1e total cancer be1avioral risL :H$B/; score, K1ic1 ranged from . to *.. points :1ig1est risL;, Kas significantly reduced in t1e 3B* :Q =.8 points; and int1e 3B, :Q 8.= points;. H1e te0t-supplemented online intervention increased t1e probability of improving t1e post-test H$B/ :&/ E *.6,;.$onclusionH1e Keb-based intervention supplemented Kit1 te0t messages 1ad a positive global impact, but it lead to onlyminimal c1anges in risLy be1aviors. H1is intervention appears useful in controlling overKeig1t adolescents.$linical trial registration number: "S/$HN,?+77??+.#bbreviations H$B/, total cancer be1avioral risL0@@?019. T#( Mat(rnal Ob(sit7 Mana)(6(nt HMOMI Trial Protocol% A liA(st7l( int(r=(ntion/urin) $r()nanc7 to 6ini6iG( /o'nstr(a6ob(sit7BacLground(aternal obesity andDor 1ig1 gestational Keig1t gain :BPB; are associated Kit1 doKnstream c1ild obesity. Pregnancy represents a critical period for prevention as Komen are 1ig1ly motivated and more receptive to be1avior c1ange.&b4ectiveH1is pilot study Kas developed to test t1e feasibility of intervening Kit1 t1e mot1er, specifically Leeping 1er BPBKit1in t1e "nstitute of (edicine :"&(; limits, Kit1 t1e intended target of preventing obesity in 1er c1ild doKnstream. Pe are testing t1e practicality of delivering a structured p1ysical activity and nutrition intervention topregnant Komen during gestation and t1en folloKing mom and baby to ,> mont1s of age.Study design#tt$%&&'''.sci(nc(/ir(ct.co6&sci(nc(&articl(&$ii&S144131@@1:00013OH1is study is a tKo-arm, parallel group, randomized controlled trial being conducted in &ttaKa. Pregnant Komen, Kit1 pregavid B(" V *7.8, betKeen *, and ,. KeeLs gestation are randomized to one of tKo groups: intervention :n E =.; K1o receive t1e (&( trial 'andbooL :guide to 1ealt1y gestation; plus a structured p1ysical activity and nutrition program, or a standard clinical care control group :n E =.;. H1e intervention lasts,8M,7 KeeLs :6 mont1s; depending on anticipated delivery date, Kit1 folloK-up assessment on mot1er and c1ild at =, 6, *, and ,> mont1s post-delivery.SignificancePregnancy, a critical time of groKt1, development and p1ysiological c1ange, provides an opportunity for early lifestyle intervention. H1e goal of identifying an effective lifestyle program for t1e gestational period t1at leads to 1ealt1y fetal development and subseuently normal Keig1t offspring, less liLely to develop obesity and its co-morbidities, is uniue and could possibly attenuate t1e inter-generational cycle of obesity.13.Ran/o6is(/ clinical trial oA a Aa6il72bas(/ liA(st7l( int(r=(ntionAor c#il/#oo/ ob(sit7 in=ol=in) $ar(nts as t#( (-clusi=( a)(nts oA c#an)(Parent-centred interventions for c1ild1ood obesity aim to improve parentsW sLills and confidence in managing c1ildrenWs dietary and activity patterns, and in promoting a 1ealt1y lifestyle in t1eir family. 'oKever, feK studies assess c1anges in parenting over t1e course of treatment. H1is study describes t1e evaluation of a lifestyle-specific parenting program :Broup !ifestyle HripleP; on multiple c1ild and parent outcomes. &ne-1undred-and-one families Kit1 overKeig1t and obese >- to **-year-old c1ildren participated in an intervention or Kaitlistcontrol condition. H1e *,-KeeL intervention Kas associated Kit1 significant reductions in c1ild B(" z score and Keig1t-related problem be1aviour. #t t1e end of t1e intervention, parents reported increased confidence in managing c1ildrenWs Keig1t-related be1aviour, and less freuent use of inconsistent or coercive parenting practices. #ll s1ort-term intervention effects Kere maintained at one-year folloK-up assessment, Kit1 additional improvements in c1ild body size. H1e results support t1e efficacy of Broup !ifestyle Hriple P and suggest t1at parenting influences treatment outcomes. 9urt1er researc1 is needed to evaluate t1e long-term effectiveness of t1e intervention and to elucidate t1e mec1anisms of c1ange.#tt$%&&'''.sci(nc(/ir(ct.co6&sci(nc(&articl(&$ii&S00043?9310001;1;1;. Sta)( oAc#an)( an/ BacLgrounds X #ims'ealt1y diet and p1ysical activity are t1e treatment #tt$%&&'''.sci(nc(/ir(ct.6oti=ation to #(alt#i(r liA(st7l( in non2alco#olic Aatt7 li=(r /is(as(cornerstones of non-alco1olic fatty liver disease :N#9!%;At1eir effectiveness is 1oKever limited by difficulties in implementing lifestyle c1anges. Pe aimed at determiningt1e stage of c1ange and associated psyc1ological factors as a prereuisite to refine strategies to implement be1avior c1anges.(et1odsPe studied *=7 consecutive N#9!% patients :?=C male, age *+M?= years;. H1e diagnosis Kas confirmed by liver biopsy in 6> cases :steato1epatitis, >?C;. #ll cases completed t1e validated 3((3-= uestionnaire, consisting of tKo parallel sets of instruments :for diet andp1ysical activity, respectively; and providing stages of c1ange according to transt1eoretical model. !ogistic regression analysis Kas used to identify factors associated Kit1 stages maLing be1avioral c1anges more demanding./esultsH1e individual profiles Kere variableA for diet, no cases 1ad precontemplation as prevalent stage of c1ange :1ig1est score in individual profiles;A =6C 1ad contemplation. 9or p1ysical activity, 8.C Kere classified in eit1er precontemplation or contemplation. (inor differences Kere recorded in relation to associated metabolic complications or steato1epatitis. !ogistic regression identified male se0 :odds ratio, >.8*A +8C confidence interval, *.6+M*,..7; and age :*.?.A *.,.M,.>= per decade; as t1e independent parameters predicting precontemplation or contemplation for diet. Nopredictors Kere identified for p1ysical activity.$onclusionsN#9!% cases 1ave scarce readiness to lifestyle c1anges, particularly Kit1 regard to p1ysical activity. %efining stages of c1ange and motivation offers t1e opportunity toimprove clinical care of N#9!% people t1roug1 individual programs e0ploiting t1e poKerful potential of be1avioral counseling, an issue to be tested in longitudinal studies.co6&sci(nc(&articl(&$ii&S019;;13;1100?01@1?. Rational( an/ /(si)n oA AITDF a liA(st7l( int(r=(ntiontar)(tin) bloo/ $r(ssur( BacLgroundIncontrolled 1ypertension :'HN; is a significant public 1ealt1 problem among BlacLs in t1e Inited States. %espite t1e proven efficacy of t1erapeutic lifestyle c1ange:H!$; on blood pressure :BP; reduction in clinical trials, feK studies 1ave e0amined t1eir effectiveness in c1urc1-based settingsMan influential institution for 1ealt1 promotion in BlacL communities.(et1ods#tt$%&&'''.sci(nc(/ir(ct.co6&sci(nc(&articl(&$ii&S0001;30:1:003:9?control a6on) "lack c#urc# 6(6b(rsIsing a cluster-randomized ,-arm trial design, t1is study evaluates t1e effectiveness of a fait1-based t1erapeutic lifestyle c1ange intervention :H!$; vs. 1ealt1 education control :'3; on BP reduction among 1ypertensive BlacL adults. H1e intervention is delivered by trained lay 1ealt1 advisors :!'#s; t1roug1 group H!$ sessions plus motivational intervieKing :("NH-H!$; in =, BlacL c1urc1es. Participants in t1e intervention group receive ** KeeLly H!$ sessions targeting Keig1t loss, increasing p1ysical activity, fruit, vegetable and loK-fat dairy intaLe,and decreasing fat and sodium intaLe, plus = mont1ly individual ("NH sessions. Participants in t1e control groupattend ** KeeLly classes on 'HN and ot1er 1ealt1 topics delivered by 1ealt1care e0perts. H1e primary outcome is c1ange in BP from baseline to 6 mont1s. Secondary outcomes include level of p1ysical activity, percent c1ange in Keig1t, and fruit and vegetable consumption at6 mont1s and BP control at + mont1s.$onclusion"f successful, t1is trial Kill provide an alternative and culturally appropriate model for 'HN control t1roug1 evidence-based lifestyle modification delivered in c1urc1es by !'#s.10. T#( COPE #(alt#7 liA(st7l(s TEEN ran/o6iG(/controll(/ trial 'it# culturall7 /i=(rs( #i)#sc#ool a/ol(sc(nts% "as(lin( c#aract(ristics an/ 6(t#o/s&besity and mental 1ealt1 disorders remain significant public 1ealt1 problems in adolescents. Substantial 1ealt1 disparities e0ist Kit1 minority yout1 e0periencing 1ig1er rates of t1ese problems. Sc1ools are an outstanding venue to provide teens Kit1 sLills needed to improve t1eir p1ysical and mental 1ealt1, and academic performance. "n t1is paper, t1e aut1ors describe t1e design, intervention, met1ods and baseline data for a randomized controlled trial Kit1 ??+ culturally diverse 1ig1-sc1ool adolescents in t1e sout1Kest Inited States. #ims for t1is prevention study include testing t1e efficacyof t1e $&P3 H33N program versus an attention control program on t1e adolescentsO 1ealt1y lifestyle be1aviors, Body (ass "nde0 :B("; and B("C, mental 1ealt1, social sLills and academic performance immediately folloKing t1e intervention programs, and at si0 and *, mont1s postinterventions. Baseline findings indicate t1at greater t1an>.C of t1e sample is eit1er overKeig1t :n E *>7, *+...C; or obese :n E *7,, ,=.=6C;. H1e predominant et1nicity represented is 'ispanic :n E 8,6, 6?.8,C;. #t baseline, *8.?+C :n E *,=; of t1e students 1ad above average scores on t1e BecL Yout1 "nventory %epression subscale indicating mildly :n E 8,, 6.67C;, moderately #tt$%&&'''.sci(nc(/ir(ct.co6&sci(nc(&articl(&$ii&S144131@@1:000;0::n E >?, 6..=C;, or e0tremely :n E ,>, =..7C; elevated scores :see Hable *;. #n0iety scores Kere slig1tly 1ig1er Kit1 ,*.86C :n E *67; reporting responses suggesting mildly :n E 7*, *..>.C;, moderately :n E 87, ?.>8C; or e0tremely :n E ,+, =.?,C; elevated scores. "f t1e efficacy of t1e $&P3 H33N program is supported, it Kill offer sc1ools a curriculum t1at can be easily incorporated into 1ig1 sc1ool 1ealt1 courses to improve adolescent 1ealt1y lifestyle be1aviors, psyc1osocial outcomes and academic performance.11. LiA(st7l(2 an/ b(#a=iour2c#an)( int(r=(ntions in 6usculosk(l(tal con/itionsH1is revieK discusses several 1ealt1 be1aviours associated Kit1 t1e progression and impact of osteoart1ritis : and r1eumatoid art1ritis :/#;, including Keig1t management, p1ysical activity, medication ad1erence and smoLing. #n overvieK of current t1eories of be1aviour-c1ange is provided in termsof principles t1at can guide medical practice. 9inally, evaluation studies of interventions targeting Keig1t loss, p1ysical activity and medication ad1erence in patients Kit1 or /# are presented and discussed. &f e0isting be1aviour-c1ange interventions in t1is population, feK 1ave taLen a compre1ensive t1eory-based approac1 to be1aviour-c1ange. Practitioners K1o provide lifestyle or be1avioural advice to patients Kould do Kell to adopt a less prescriptive and more patient-centred approac1 in K1ic1 t1ey, or ot1er 1ealt1 professionals to K1om t1ey refer t1e patient, assist t1e patient in formulating personal c1ange goals, in translating good intentions into specific action plans and in closely monitoring t1eir progress toKards self-c1osen goals.#tt$%&&'''.sci(nc(/ir(ct.co6&sci(nc(&articl(&$ii&S14119?@111000@1:11. Sl(($ #(alt#F liA(st7l( an/6(ntal #(alt# in t#( Pa$an(s( (l/(rl7% Ensurin) sl(($ to $ro6ot( a #(alt#7 brain an/ 6in/H1e (inistry of 'ealt1, !abor and Pelfare in Sapan proposed a plan called Z'ealt1 Sapan ,*,[ K1ic1 adopted sleep as one of t1e specific living 1abits needing improvement. H1is 1as led to increased interest in mental1ealt1 needs at community public 1ealt1 sites. "n addition, it Kas reported from a recent ,... survey t1at one in five Sapanese, and one in t1ree elderly Sapanese, suffer from insomnia. "nsomnia is becoming a serious social problemA so muc1 so t1at alarm bells are ringing Kit1 insomnia listed as one of t1e refractory diseases of t1e ,*st century. #gainst t1is bacLground, in Sanuary ,..*, Sapan began a national pro4ect called Z3stablis1ing a Science of Sleep.[H1is article is an overvieK of sleep and 1ealt1 in t1e elderly, sleep mec1anisms and t1e c1aracteristics of insomnia among t1e elderly. #t t1e same time, it #tt$%&&'''.sci(nc(/ir(ct.co6&sci(nc(&articl(&$ii&S0011:???0@0009:3introduces t1e scientific basis for lifestyle guidance t1at iseffective for ensuring comfortable sleep, an essential condition for a 1ealt1y, energetic old age, Kit1 actual e0amples from community public 1ealt1 sites. H1e present aut1ors reported t1at a s1ort nap :=. min betKeen *=.. and *8.. 1; and moderate e0ercise suc1 as KalLing in t1e evening are important in t1e maintenance and improvement of sleep uality. H1e studyKas to e0amine t1e effects of s1ort nap and e0ercise on t1e sleep uality and mental 1ealt1 of elderly people. Z"nterventions[ by s1ort nap after lunc1 and e0ercise Kit1moderate intensity in t1e evening Kere carried out for > KeeLs. #fter t1e Zintervention,[ KaLe time after sleep onset significantly decreased and sleep efficiency significantly increased, s1oKing t1at sleep uality Kas improved. H1e freuency of nodding in t1e evening significantly decreased. #s a result, t1e freuency of nodding before going to sleep decreased, and t1e uality of nocturnal sleep Kas improved. Present results demonstrated t1at t1e proper aKaLening maintenance during evening Kas effective in improving sleep uality. #fter t1e Zintervention,[ mental 1ealt1 also improved Kit1improving sleep uality. 9urt1ermore, p1ysical 1ealt1 alsoimproved Kit1 improving sleep uality. H1ese results suggest t1at t1is Zintervention[ tec1niue is effective for t1e uality of life :\&!; and t1e activity of daily living :#%!; of elderly people.1:. EL(cts oA a 1@2Da7 D(alt#7 Lon)(=it7 LiA(st7l( Pro)ra6 on Co)nition an/ "rain unction&b4ectiveH1e ob4ective of t1is study Kas to determine t1e effects of a *>-day 1ealt1y longevity lifestyle program on cognition and cerebral metabolism in people Kit1 mild age-related memory complaints.(et1odsSeventeen nondemented sub4ects, aged =8M6+ years :mean: 8= years, standard deviation: *.; Kit1 mild self-reported memory complaints but normal baseline memory performance scores Kere randomly assigned to *; t1e intervention group :N E 7;: a program combining a brain 1ealt1y diet plan, rela0ation e0ercises, cardiovascular conditioning, and mental e0ercise :brain teasers and verbal memory training tec1niues;A or ,; t1e control group :N E +;: usual lifestyle routine. Pre- and postintervention measures included self-assessmentsof memory ability, ob4ective tests of cognitive performance, and determinations of regional cerebral metabolism during mental rest Kit1 ]fluorine-#tt$%&&'''.sci(nc(/ir(ct.co6&sci(nc(&articl(&$ii&S109@3@;11191934:*7^fluorodeo0yglucose :9%B; positron emission tomograp1y :P3H;./esultsSub4ects in t1e intervention group ob4ectively demonstrated greater Kord fluency. $oncomitantly, t1eir 9%B-P3H scans identified a 8C decrease in activity in t1e left dorsolateral prefrontal corte0. H1e control group s1oKed no significant c1ange in any of t1e measures.$onclusions# s1ort-term 1ealt1y lifestyle program combining mental and p1ysical e0ercise, stress reduction, and 1ealt1y diet Kas associated Kit1 significant effects on cognitive function and brain metabolism. /educed resting activity in left dorsolateral prefrontal corte0 may reflect greater cognitive efficiency of a brain region involved in KorLing memory.1@. C#an)(s in E6(r)in) Car/iac "io6ark(rs AAt(r an Int(nsi=( LiA(st7l( Int(r=(ntionH1e present study evaluated t1e c1anges in emerging cardiac biomarLers, cognitive function, and social supportmeasures after a compre1ensive lifestyle intervention t1at included a loK-fat, K1ole-foods, plant-based diet, e0ercise, stress management, and group support meetings. Pe conducted a prospective co1ort study of *=* participants :8+.,C Komen and >=.*C Kit1 diabetesmellitus;, 86 Kit1 coronary 1eart disease :$'%; :=?.8C Komen and ,?.=C diabetes mellitus;, and ?8 at 1ig1 risLKit1 T= $'% risL factors andDor diabetes mellitus :?6C Komen and 8>.?C diabetes mellitus;. H1e measurementsKere taLen at baseline and = mont1s after t1e intervention. "mprovement in all targeted 1ealt1 be1aviors Kas seen in bot1 1ig1-risL and $'% groups :allp @....*; at = mont1s, Kit1 reductions in body mass inde0, systolic and diastolic blood pressure, KaistD1ip ratio, $-reactive protein, insulin, loK-density lipoprotein, 1ig1-density and total c1olesterol, apolipoproteins #* andB :all p @....+; Kere observed. Nuclear magnetic resonance spectroscopy analysis of lipoprotein subclass particle concentrations and diameters s1oKed a reductionin large very-loK-density lipoprotein particles, size of t1e very-loK-density lipoprotein particles, total loK-density lipoprotein particlesA total, large, and small 1ig1-density lipoprotein particles :all p @....+; and small very-loK-density lipoprotein particles :p @...,;. "ncreases in fibrinogen :p @...=; and B-type natriuretic peptide :p @....*; Kere seen, and t1ese c1anges correlated inversely Kit1 t1e c1anges in t1e body mass inde0. H1e observed increase in B-type natriuretic peptide can be #tt$%&&'''.sci(nc(/ir(ct.co6&sci(nc(&articl(&$ii&S0001?1@?1101@10Oe0plained by t1e metabolic c1anges related to adipose tissue lipolysis. H1e uality of life, cognitive functioning, and social support measures significantly improved. "n conclusion, lifestyle c1anges can be folloKed by favorablec1anges in traditional and emerging coronary 1eart disease biomarLers, uality of life, social support, and cognitive function among t1ose Kit1, or at 1ig1 risL, of $'%.14. T#( In outpatients Kit1 1ypertension."ntervention(%-" included training modules addressing t1e Sevent1 /eport of t1e Soint National $ommittee on Prevention, %etection, 3valuation, and Hreatment of 'ig1 Blood Pressure 1ypertension management guidelines and lifestyle modification. PH-" included lifestyle coac1ing to adopt t1e %ietary #pproac1es to Stop 'ypertension :%#S'; eating pattern, reduce sodium intaLe, manage Keig1t, increase e0ercise, and moderate alco1ol intaLe.(ain outcome measures%ietary intaLes Kere measured by t1e BlocL 9ood 9reuency \uestionnaire. $oncordance Kit1 t1e %#S' dietary pattern Kas estimated by a %#S' score.Statistical analysesH1e main effects of (%-" and PH-", and t1eir interaction, Kere evaluated using analysis of covariance./esults#fter 6 mont1s of intervention, (%-" participants significantly increased intaLes of potassium, fruits, 4uices,and carbo1ydrateA decreased intaLe of fatA and improved overall dietary uality as measured by t1e 'ealt1y 3ating"nde0. PH-" intervention resulted in increased intaLes of carbo1ydrate, protein, fiber, calcium, potassium, fruits and fruit 4uices, vegetables, dairy and 'ealt1y 3ating "nde0 score, and decreased intaLes in fat, saturated fat, #tt$%&&'''.sci(nc(/ir(ct.co6&sci(nc(&articl(&$ii&S111119311:010119c1olesterol, sodium, sKeets, and added fatsDoilsDsKeets. "n addition, PH-" improved overall %#S' concordance score. H1e c1ange in %#S' score Kas significantly associated Kit1 t1e c1anges in blood pressure and Keig1tat 6 mont1s. #t *7 mont1s, most c1anges reversed bacL toKard baseline levels, including t1e %#S' score.$onclusionsBot1 (%-" and PH-" improved eating patterns at 6 mont1sKit1 some sustained effects at *7 mont1s. 3ven t1oug1 all dietary c1anges observed Kere consistent Kit1 t1e %#S' nutrient targets or food group guidelines, only t1e PH-" intervention Kas effective in improving t1e overall %#S' concordance score. H1is finding affirms t1e role of medical nutrition t1erapy in long-term intensive interventions for 1ypertension risL reduction and Keig1t management and underlines t1e need for development ofmaintenance strategies. 9urt1ermore, t1is study emp1asizes t1e importance of collaborations among p1ysicians, registered dietitians and ot1er dietetics practitioners, and lay 1ealt1 advisors K1ile assisting patients to maLe 1ealt1y be1avior c1anges.19. LiA(st7l($#7sical acti=it7 int(r=(ntions% Distor7F s#ort2 an/ lon)2t(r6 (L(ctsF an/ r(co66(n/ations"ntroduction: !ifestyle p1ysical activity interventions 1averesulted in response to t1e public 1ealt1 problem of promoting regular amounts of p1ysical activity to t1e ma4ority of I.S. adults K1o remain inadeuately or completely inactive. H1ese lifestyle interventions alloK a person to individualize 1isD1er p1ysical activity programs to include a Kide variety of activities t1at are at least of moderate intensity and to accumulate bouts of t1ese activities in a manner befitting 1isD1er life circumstances.(et1ods: Pe revieKed t1e 1istory of lifestyle p1ysical activity interventions and defined lifestyle p1ysical activity based on t1is revieK. Pe located *> studies t1at met t1is definition./esults: !ifestyle p1ysical activity interventions are effective at increasing and maintaining levels of p1ysical activity t1at meet or e0ceed public 1ealt1 guidelines for p1ysical activity in representative samples of previously sedentary adults and obese c1ildren. H1e ma4ority of t1ese interventions 1ave been delivered by face-to-face contact in small groups, K1ic1 limits t1eir public 1ealt1 impact. 'oKever, a small number of studies demonstrate t1at t1ese interventions can be delivered by mail and telep1one, K1ic1 may en1ance t1eir generalizability. (ostof t1ese studies utilized be1avior c1ange t1eories suc1 asSocial $ognitive H1eory, t1e Hranst1eoretical (odel, and #tt$%&&'''.sci(nc(/ir(ct.co6&sci(nc(&articl(&$ii&S03@?:3?3?;000;@1Be1avior !earning to s1ape t1e interventions. !ifestyle interventions aimed at modifying t1e environment, suc1 as signs posted to increase stair climbing, also 1ave beens1oKn to be effective over t1e s1ort term.$onclusions: H1e ma4or issues concerning lifestyle p1ysical activity interventions are: :*; testing t1eir abilityto be implemented on a large scaleA :,; e0amining cost-effectiveness for different modes of deliveryA and :=; researc1ing t1e efficacy in populations suc1 as t1e elderly, minorities, economically disadvantaged, and individuals Kit1 concurrent disease. (ore studies aimed at manipulating t1e environment to increase p1ysical activity need to be tested over periods of one year or longer. "t is possible t1at lifestyle interventions could be integrated and delivered by neK tec1nologies suc1 as interactive computer-mediated programs, telep1one, or computer Keb-based formats. #ll of t1ese recommended approac1es s1ould utilize valid and reliable measures of p1ysical activity and s1ould e0amine t1e 1ealt1 effects, particularly on a longitudinal basis. Basic dose-response studies in controlled settings also are needed to 1elp us understand t1e 1ealt1 effects of accumulated moderate intensity activity.13. Gro'in)Ri)#t Onto Q(lln(ss HGROQI% A Aa6il72c(nt(r(/F co66unit72bas(/ ob(sit7 $r(=(ntion ran/o6iG(/controll(/ trial Aor $r(sc#ool c#il/R$ar(nt$airsBroKing /ig1t &nto Pellness :B/&P; is a randomized controlled trial t1at tests t1e efficacy of a family-centered, community-based, be1avioral intervention to prevent c1ild1ood obesity among presc1ool-aged c1ildren. 9ocusing on parentMc1ild pairs, B/&P utilizes a multi-level frameKorL, K1ic1 accounts for macro :i.e., built-environment; and micro :i.e., genetics; level systems t1at contribute to t1e c1ild1ood obesity epidemic.Si0 1undred parentMc1ild pairs Kill be randomized to a =-year 1ealt1y lifestyle intervention or a =-year sc1ool readiness program. 3ligible c1ildren are enrolled betKeenages = and 8, are from minority communities, and are not obese. H1e principal site for t1e B/&P intervention islocal community recreation centers and libraries.H1e primary outcome is c1ild1ood body mass inde0 :B(";tra4ectory at t1e end of t1e t1ree-year study period. "n addition to ot1er ant1ropometric measurements, mediators and moderators of groKt1 are considered, including genetics, accelerometry, and diet recall.B/&P is a staged intensity intervention, consisting of intensive, maintenance, and sustainability p1ases. H1roug1out t1e study, parents build sLills in nutrition, #tt$%&&'''.sci(nc(/ir(ct.co6&sci(nc(&articl(&$ii&S144131@@1:001411p1ysical activity, and parenting, concurrently forming neKsocial netKorLs. Participants are taug1t goal-setting, self-monitoring, and problem solving tec1niues to facilitate sustainable be1avior c1ange. H1e B/&P curriculum uses loK 1ealt1 literacy communication and social media to communicate Ley 1ealt1 messages. H1e control arm is administered to bot1 control and intervention participants.By conducting t1is trial in public community centers, and by implementing a family-centered approac1 to sustainable 1ealt1y c1ild1ood groKt1, Ke aim to develop an e0portable community-based intervention to address t1e e0panding public 1ealt1 crisis of pediatric obesity.1;.Multi/isci$linar7 liA(st7l( int(r=(ntionin t#( ob(s(% Its i6$act on $ati(ntsS $(rc($tion oA t#( /is(as(F Aoo/ an/ $#7sical (-(rcis(BacLground and aimsHo be successful, lifestyle intervention in obesity must taLe into account patientsW vieKs. H1e aim of t1e present study, conducted using a narrative-autobiograp1ical approac1, Kas to report on t1e perception of disease, food and p1ysical e0ercise in a group of 7. obese patients during a structured multidisciplinary lifestyle intervention.(et1ods and /esultsPatients underKent lifestyle intervention, of t1ree mont1sW duration, structured in t1e folloKing steps: *; aninitial medical e0aminationA ,; an intervieK by a psyc1ologistA =; an assessment by a dietician, >; a p1ysical e0amination by a specialist in sports medicineA 8; an individualized program consisting of ,> sessions :tKo per KeeL; of structured indoor e0ercise 6; eig1t sessions of group t1erapeutic educationA ?; Nordic KalLing activity combined Kit1 KalLing e0cursions during KeeLends. #ll t1e narrative autobiograp1ic te0ts obtainedduring t1e lifestyle intervention Kere submitted for content analysisA data Kere analysed according to t1e ``grounded t1eoryWW met1od.#ccording to patientsW descriptions at t1e end of t1e intervention, lifestyle intervention resulted in en1anced self-efficacy and a reduction in t1eir dependency on food and peopleA t1eir fear of c1ange Kas also diminis1ed because, by undergoing intervention, t1ey 1ad e0perienced c1ange.$onclusionH1e findings made in t1e present ualitative analysis suggest t1at K1enever multidisciplinary lifestyle intervention is planned for patients Kit1 obesity, it is of t1e utmost importance to tailor t1e approac1 K1ile taLing#tt$%&&'''.sci(nc(/ir(ct.co6&sci(nc(&articl(&$ii&S0?:?@34:11001;@4t1e folloKing Ley aspects into account: motivation, barriers andDor facilitators in lifestyle c1ange, patientsW perceptions of obesity and relations1ip Kit1 food, diet and e0ercise.1?.Social 6ark(tin) l(=(ra)( Aor#(art #(alt#% T#( Ekat(rinbur) (-$(ri(nc(H1e /ussian 9ederation 1as one of t1e loKest life e0pectancies in 3urope, as Kell as 1aving t1e 1ig1est rates of deat1 and disability due to cardiovascular disease:$V%;. "n order to sensitize t1e professional and public-1ealt1 community and t1e public to t1e groKing c1allenge of cardiovascular disease, t1e Porld 'eart 9ederation, in partners1ip Kit1 t1e /ussian Society of $ardiology and t1e $ity Public 'ealt1 $are #dministrationand Kit1 t1e support of Inilever Bestfoods, carried out a pilot social marLeting pro4ect in t1e central /ussian city of3Laterinburg. H1e primary ob4ective Kas to assess t1e viability of a cardiovascular disease-focused social marLeting campaign in terms of its diffusion in t1e population and its acceptability. H1e social marLeting campaign itself involved community interventions, a massmedia campaign and training of 1ealt1 care professionals.Progress toKards ac1ieving t1is and t1e secondary ob4ectives Kere measured by evaluating c1anges in a set of predetermined output and outcome indicators. # pre-testDpost-test control-group uasi-e0perimental design Kas used for e0amining pro4ect outcomes. H1e results s1oKed a significant level of acceptability and diffusion, K1ic1 need to be furt1er developed for large-scale use. Because of its s1ort duration, t1e pro4ect cannot be 1eld to e0pectations of influencing be1avioural risL, but in terms of meeting its primary ob4ective, it 1as been successful.#tt$%&&'''.sci(nc(/ir(ct.co6&sci(nc(&articl(&$ii&S143:10;;0300031@:0. In/ucin)liA(st7l( r()ularit7 inr(co=(rin) bi$olar /isor/(r $ati(nts% R(sults Aro6 t#( 6aint(nanc( t#(ra$i(s in bi$olar /isor/(r $rotocol&n t1e basis of t1eories Ke articulated in earlier papers :31lers et al *+77: #rc1 Ben Psyc1iatry >8:+>7M+8,, *++=: %epression *:,78M,+=;, Ke 1ave developed an ad4unctive psyc1osocial intervention for patients Kit1 bipolar * disorder. $entral to t1is intervention is t1e establis1ment of regularity in daily routines. "n t1is report, Ke present data from a controlled investigation comparing t1is neK treatment, interpersonal and social r1yt1m t1erapy :"PS/H;, Kit1 a conventional medication clinic approac1. %espite comparable c1anges in symptomatology over a treatment period lasting up to 8,KeeLs, sub4ects assigned to "PS/H :n E *7; s1oK significantly greater stability :p E ..>?; of daily routines Kit1 increasing time in treatment, K1ile sub4ects assigned to t1e medication clinic condition :n E ,.; s1oK #tt$%&&'''.sci(nc(/ir(ct.co6&sci(nc(&articl(&$ii&S0009:11:?9001@13essentially no c1ange in t1eir social routines as measuredby Social /1yt1m (etric :S/(G(onL et al *++.: S Nerv (ent %is *?7:,;: *,.M*,6; score. Pe conclude t1at "PS/H is capable of influencing lifestyle regularity in patients Kit1 bipolar * disorder, Kit1 t1e possible benefit of protection against future affective episodes.