Abstract:
OBJECTIVES:This study evaluated the effectiveness of dietary advice in primary prevention of chronic disease. METHODS:A meta-analysis was conducted of 17 randomized controlled trials of dietary behavior interventions of at least 3 months' duration. Results were analyzed as changes in reported dietary fat intakes and biomedical measures (serum cholesterol, urinary sodium, systolic and diastolic blood pressure) in the intervention group minus changes in the control group at 3 to 6 months and 9 to 18 months of follow-up. RESULTS:After 3 to 6 months, mean net changes in each of the five outcomes favored intervention. For dietary fat as a percentage of food energy, the change was -2.5% (95% confidence interval [CI] = -3.9%, -1.1%). Mean net changes over 9 to 18 months were as follows: serum cholesterol, -0.22 (95% CI = -0.39, -0.05) mmol/L; urinary sodium, -45.0 (95% CI = -57.1, -32.8) mmol/24 hours; systolic blood pressure, -1.9 (95% CI = -3.0, 0.8) mm Hg; and diastolic blood pressure, -1.2 (95% CI = -2.6, 0.2) mm Hg. CONCLUSIONS:Individual dietary interventions in primary prevention can achieve modest improvements in diet and cardiovascular disease risk status that are maintained for 9 to 18 months.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Brunner E,White I,Thorogood M,Bristow A,Curle D,Marmot Mdoi
10.2105/ajph.87.9.1415subject
Has Abstractpub_date
1997-09-01 00:00:00pages
1415-22issue
9eissn
0090-0036issn
1541-0048journal_volume
87pub_type
杂志文章,meta分析abstract:OBJECTIVES:We identified factors associated with inpatient hospitalizations among a population-based cohort of homeless adults in Toronto, Ontario. METHODS:We recruited participants from shelters and meal programs. We then linked them to administrative databases to capture hospital admissions during the study (2005-20...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301646
更新日期:2013-12-01 00:00:00
abstract::This study analyzed 30,194 incident cases and 4,301 death certificates for completeness of occupational reporting. Analysis of data accuracy was based upon a comparison of more than 2,000 death certificates with incident abstracts and 352 death certificates with interview data. Death certificates had a higher proporti...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.74.5.464
更新日期:1984-05-01 00:00:00
abstract:OBJECTIVES:We examined the associations between depressive symptoms and sexual identity and behavior among women with or at risk for HIV. METHODS:We analyzed longitudinal data from 1811 participants in the Women's Interagency HIV Study (WIHS) from 1994 to 2013 in Brooklyn and the Bronx, New York; Chicago, Illinois; Wa...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302259
更新日期:2014-12-01 00:00:00
abstract::To determine the relationship between admission status and subsequent outcomes, 563 patients discharged during 1980 from 24 nursing homes were followed through 1982. Only 28 per cent of patients were discharged to their homes. Reconstructed life histories of 529 discharges for the two-year follow-up revealed only 38 p...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.75.7.758
更新日期:1985-07-01 00:00:00
abstract::Adverse demonstrable health effects linked to the individual's smoking were shown to 2,689 American workers to motivate cessation during routine examinations to detect asbestosis. This intervention was evaluated six to 25 months later by a mailed questionnaire and by telephone to non-responders. Results were compared ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.11.1334
更新日期:1990-11-01 00:00:00
abstract:OBJECTIVES:This study examined absence rates among US Department of Energy workers who had beryllium sensitization (BeS) or were diagnosed with chronic beryllium disease (CBD) compared with those of other workers. METHODS:We used the lymphocyte proliferation test to determine beryllium sensitivity. In addition, we app...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302132
更新日期:2014-11-01 00:00:00
abstract:OBJECTIVES:We examined individual, friend or family, and community or tribe correlates of suicidality in a representative on-reserve sample of First Nations adolescents. METHODS:Data came from the 2002-2003 Manitoba First Nations Regional Longitudinal Health Survey of Youth. Interviews were conducted with adolescents ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300385
更新日期:2012-07-01 00:00:00
abstract::Eighteen children, ages 4 to 6 years, with known exposure to polybrominated biphenyls (PBB) in utero and/or through breast milk were administered developmental tests. These same children had exhibited low scores on a partial developmental assessment two years earlier. Current results were compared to normative test da...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.73.3.277
更新日期:1983-03-01 00:00:00
abstract::The design of a community's built environment influences the physical and mental health of its residents. Because few studies have investigated this relationship, the Centers for Disease Control and Prevention hosted a workshop in May 2002 to help develop a scientific research agenda on these issues. Workshop particip...
journal_title:American journal of public health
pub_type: 共识发展会议,杂志文章,评审
doi:10.2105/ajph.93.9.1500
更新日期:2003-09-01 00:00:00
abstract::The purpose of this study was to investigate the extent of consumer demand for patient-oriented pharmacy services. Data, collected via a self-administered questionnaire distributed to 300 households, were analyzed using Kruskal's program for additive conjoint analysis. The results indicate substantial consumer demand ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.74.6.609
更新日期:1984-06-01 00:00:00
abstract:OBJECTIVES:This study examined trends and differentials in US childhood mortality from 1950 through 1993 according to sex, race/ethnicity, education, family income, and cause of death. METHODS:Log-linear, multiple regression, and Cox proportional hazards regression models were applied to the data from the National Vit...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.86.4.505
更新日期:1996-04-01 00:00:00
abstract::Utilizing data from a field study of psychiatric disorder, the study examined sex differences in patterns of response to interviewers in contrasting status positions. The dependent variables in the analysis were mean scores on nosological scales measuring three dimensions of symptomotology identified in a factor analy...
journal_title:American journal of public health
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.2105/ajph.69.5.485
更新日期:1979-05-01 00:00:00
abstract:OBJECTIVES:We assessed the effectiveness of an intervention targeting home food and activity environments to reduce energy intake and increase physical activity among overweight and obese patients from 3 community health centers in rural Georgia. METHODS:We conducted a randomized controlled trial (n = 349) from 2011 t...
journal_title:American journal of public health
pub_type: 杂志文章,随机对照试验
doi:10.2105/AJPH.2015.302942
更新日期:2016-01-01 00:00:00
abstract::The degree to which national expert panel survey ratings of the appropriateness of hysterectomy differed from those of a random sample of practicing community gynecologists was determined. Community gynecologists rated hysterectomy as more appropriate on six of eight cervical dysplasia scenarios. Experts agreed among ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.85.8_pt_1.1125
更新日期:1995-08-01 00:00:00
abstract:OBJECTIVES:This report documents the effect of not having had a Papanicolaou (Pap) test on survival with uterine cervical squamous carcinoma. METHODS:Data were derived from Charity Hospital of Louisiana at New Orleans Tumor Registry reports for 1984-1987 and 1996. RESULTS:During the 5 study years, 101 of 213 women (4...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.90.4.620
更新日期:2000-04-01 00:00:00
abstract::In suicidal behavior emergency room admissions of 13- to 17-year olds at the Brockton Hospital (Massachusetts), females predominated over males by almost two to one. For subclassification of life-threatening behaviors, frequency was about the same for males and females, but for suicide attempts and suicide gestures, f...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.75.1.90
更新日期:1985-01-01 00:00:00
abstract:OBJECTIVES:To evaluate the impact of the partial repeal of Michigan's universal motorcycle helmet law on helmet use, fatalities, and head injuries. METHODS:We compared helmet use rates and motorcycle crash fatality risk for the 12 months before and after the April 13, 2012, repeal with a statewide police-reported cras...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2016.303525
更新日期:2017-01-01 00:00:00
abstract::This report describes the first four years of operation of the Extended MPH Degree Program of the University of Washington School of Public Health and Community Medicine and the features that might explain its initial success. The format of the curriculum is radically different from the traditional two-year program of...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.74.11.1258
更新日期:1984-11-01 00:00:00
abstract::We used an agent-based model to examine the impact of the walking school bus (WSB) on children's active travel to school. We identified a synergistic effect of the WSB with other intervention components such as an educational campaign designed to improve attitudes toward active travel to school. Results suggest that t...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.301896
更新日期:2014-07-01 00:00:00
abstract::To avoid exploitation of host communities, many commentators argue that subjects must receive the best methods available worldwide. Others worry that this requirement may block important research intended to improve health care, especially in developing countries. To resolve this dilemma, we propose a framework for th...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.94.6.923
更新日期:2004-06-01 00:00:00
abstract:OBJECTIVES:This study assessed the effectiveness of a family planning intervention with and without husband's participation in reducing pregnancy and abortion rates in Shanghai, China. METHODS:In this 3-arm randomized trial among 1800 nonsterilized married women, educational interventions targeting both spouses and ta...
journal_title:American journal of public health
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.2105/ajph.88.4.646
更新日期:1998-04-01 00:00:00
abstract:OBJECTIVES:To examine trends and socioeconomic disparities for preventable dental-related emergency department (ED) visits in Nevada. METHODS:We pooled retrospective data containing 66 267 ED visits involving dental conditions from Nevada hospital ED databases from 2009 to 2015. The dependent variable was nontraumatic...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2017.304242
更新日期:2018-03-01 00:00:00
abstract::To understand the social distribution of environmental hazards, methods to assess cumulative effects and their health implications are needed. We developed a cumulative environmental hazard index integrating environmental data on pollution sites, air quality, and pesticide use; a social vulnerability index to measure ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300466
更新日期:2012-05-01 00:00:00
abstract::Along with the rest of Central and Eastern Europe, Croatia has begun to dismantle its long-standing socialist health care system and to replace it with a market-based approach. Marketization's advocates maintain that the market will bring efficiency and quality to the Croatian health care system. Nevertheless, data fr...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/ajph.88.8.1156
更新日期:1998-08-01 00:00:00
abstract::The unusual resistance of the "unconventional viruses" to inactivation by the commonly used disinfectants has led to a high degree of apprehension regarding patients with any form of dementia. The rapid adaptation of a newly acquired isolate of the agent of Creutzfeldt-Jakob Disease (CJD) to mice made possible this la...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.73.6.661
更新日期:1983-06-01 00:00:00
abstract:OBJECTIVES:We used data from the National Health Interview Survey to compare health care access among individuals involved in same-sex versus opposite-sex relationships. METHODS:We conducted descriptive and logistic regression analyses from pooled data on 614 individuals in same-sex relationships and 93418 individuals...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.062661
更新日期:2006-06-01 00:00:00
abstract:OBJECTIVES:To evaluate how met need for accessibility and availability of primary care among nonelderly individuals in Georgia will be affected by the Patient Protection and Affordable Care Act (ACA) over the next 10 years. METHODS:We used a stock-and-flow model to predict the number of available visits from 2013 to 2...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2016.303222
更新日期:2016-08-01 00:00:00
abstract::The World Bank began operations on June 25, 1946. Although it was established to finance European reconstruction after World War II, the bank today is a considerable force in the health, nutrition, and population (HNP) sector in developing countries. Indeed, it has evolved from having virtually no presence in global h...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章
doi:10.2105/AJPH.2004.042002
更新日期:2005-01-01 00:00:00
abstract::We assessed the nonmedical use of prescription opioids (NMUPO) among adolescents who participate in competitive sports. Using data from Monitoring the Future, we found that adolescent participants in high-injury sports had 50% higher odds of NMUPO than adolescents who did not participate in these types of sports (i.e....
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301242
更新日期:2013-05-01 00:00:00
abstract:OBJECTIVES:The aim of this study was to examine relationships between income and mortality, focusing on the predictive utility of single-year and multiyear measures of income, the shape of the income gradient in mortality, trends in this gradient over time, the impact of income change on mortality, and the joint effect...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.87.9.1476
更新日期:1997-09-01 00:00:00