Abstract:
BACKGROUND:The Women's Health Trial (WHT) was a feasibility study for a randomized controlled trial designed to test the hypothesis that a reduction in dietary fat reduces breast cancer incidence among women age 45 to 69. Between 1984 and 1988, 2,064 women participated in its two phases. METHODS:A follow-up study of 525 women who were randomized to receive the WHT dietary intervention program was conducted to assess maintenance of the diet 1 year on average after the trial ended. Among 448 participants, the mean percentage of energy from fat as measured by a food frequency questionnaire was 40.0% at baseline, 26.3% at the end of the trial, and 27.7% at follow-up. Based on 408 women with complete data, a recursive model was estimated, describing the influence of baseline characteristics of the women on attendance at intervention program sessions, adherence to the diet during the trial, and long-term maintenance of the diet after the trial ended. The effects of women's experiences during the trial on adherence and long-term maintenance were investigated as well. RESULTS:Attendance at the educational sessions was strongly related to adherence to the diet during the trial (P less than 0.001), and adherence was the most important predictor of long-term maintenance (P less than 0.001). The percentage of energy from dietary fat at baseline was an important correlate of both adherence (P less than 0.001) and long-term maintenance (P less than 0.001). College-educated women were more likely to adhere to the diet during the trial (P less than 0.001). Feelings of deprivation adversely affected long-term maintenance (P less than 0.01), primarily through their effect on adherence during the trial (P = 0.01). Costliness of the diet in time and money negatively influenced long-term maintenance (P less than 0.05). Development of a distaste for fat encouraged adherence (P = 0.06). CONCLUSIONS:The low-fat dietary pattern established during the WHT was maintained for as long as 20 months after the trial ended. A recursive model was useful in analyzing the process and correlates of long-term maintenance of dietary behavior change. Both predisposing variables and women's experiences while on a low-fat diet were associated with long-term maintenance. The results suggest that feelings of deprivation should be avoided, perhaps by use of low-fat substitutes, by those attempting to lower their dietary fat and that more research is needed on the development of a distaste for fat among individuals who adopt low-fat diets.
journal_name
Prev Medjournal_title
Preventive medicineauthors
Urban N,White E,Anderson GL,Curry S,Kristal ARdoi
10.1016/0091-7435(92)90027-fsubject
Has Abstractpub_date
1992-05-01 00:00:00pages
279-91issue
3eissn
0091-7435issn
1096-0260journal_volume
21pub_type
临床试验,杂志文章,随机对照试验abstract::In Canada, opioid-related overdose mortality has steeply increased in recent years; as a substantial number of opioid-related deaths are related to fentanyl products, this phenomenon has widely been described as the 'fentanyl epidemic', also implying that these deaths are largely caused by clandestinely produced illic...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2017.11.001
更新日期:2018-02-01 00:00:00
abstract:OBJECTIVE:This commentary offers a discussion of the paper by Bauman et al. (2011) published in Preventive Medicine. METHODS:We discuss the explanations for the findings of the manuscript by Bauman et al. (2011). RESULTS:We argue that there are social, commercial and environmental drivers of cycling rates and agree t...
journal_title:Preventive medicine
pub_type: 评论,杂志文章
doi:10.1016/j.ypmed.2011.12.011
更新日期:2012-02-01 00:00:00
abstract::Children and adolescents recently have become a group targeted for health promotion efforts. It is argued that early behavioral intervention will alter patterns of behavior that might place young people at increased risk for chronic diseases later in life. The Minnesota Heart Health Program is a longitudinal, communit...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/0091-7435(85)90064-7
更新日期:1985-05-01 00:00:00
abstract:OBJECTIVE:The objective of the study is to assess the socioeconomic status of the households affected by the tsunami of 2004 & to determine the factors associated with the recovery of household economic status. METHODS:The study was conducted in tsunami-affected areas in Malaysia in 2010-2011. A total of 193 household...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2012.12.024
更新日期:2013-01-01 00:00:00
abstract:OBJECTIVE:Obesity is the biggest challenge facing preventive medicine. Calorie-labelling has been suggested as a way of changing the architecture of an 'obesogenic' environment without limiting consumer choice. This study examined the effect of calorie-labelling on sales of food items at catering outlets on a city-cent...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2014.07.027
更新日期:2014-10-01 00:00:00
abstract:OBJECTIVE:The aim of this experiment was to examine the differential impact of a narrative and a non-narrative skin cancer message on health promoting actions and information-seeking behaviors. METHODS:Participants were 230 Flemish university students aged 18 to 25 years who participated in a web based experiment in F...
journal_title:Preventive medicine
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.ypmed.2010.04.019
更新日期:2010-08-01 00:00:00
abstract::Measures of well-being have proliferated over the past decades. Very little guidance has been available as to which measures to use in what contexts. This paper provides a series of recommendations, based on the present state of knowledge and the existing measures available, of what measures might be preferred in whic...
journal_title:Preventive medicine
pub_type: 杂志文章,评审
doi:10.1016/j.ypmed.2020.106004
更新日期:2020-02-01 00:00:00
abstract::Active travel (walking or cycling for transport) can generate personal and environmental benefits. We determined the frequency of participation in walking or cycling active travel by age and sex, as well as used multivariate analysis to find correlations with many other factors using a large cross-sectional 2016/17 su...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2019.03.043
更新日期:2019-06-01 00:00:00
abstract::In the Amsterdam Growth and Health Longitudinal Study (AGAHLS) biological risk factors for chronic diseases were measured on eight separate occasions over a period of 20 years in a group of apparently healthy males and females (n = 164). Data were first collected from participants at 13 years of age. At each of the ei...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.2002.1107
更新日期:2002-12-01 00:00:00
abstract:BACKGROUND:Previous research demonstrates that visual impairment (VI) is associated with increased all-cause mortality risk and is also associated with reduced physical activity participation. Although physical activity is reduced among those with VI, no studies have examined the relationship between physical activity ...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2016.02.005
更新日期:2016-06-01 00:00:00
abstract:BACKGROUND:Because of the ban on oral contraceptive use in Japan, only high-dose combined pills (HDCP), permitted as treatment for menstrual disorders, can be used as a contraceptive. We determined the prevalence of the use of such preparations in a community in Japan and assessed the health characteristics of the user...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1997.0176
更新日期:1997-07-01 00:00:00
abstract:OBJECTIVE:Examine if home environmental factors are associated with screen-viewing. METHODS:Data are for 2670, 3rd and 9th grade participants in Denmark, Portugal, Estonia and Norway collected between 1997 and 2000. Outcomes were spending >2 h after-school watching television (TV) and >1 h per day playing computer gam...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2008.07.016
更新日期:2008-11-01 00:00:00
abstract::The agenda for behavioral and social science research in cancer prevention and control needs to be assessed and interpreted within the context of a changing health care system. These changes present potential opportunities and barriers to an evolving research agenda. Opportunities include access to defined populations...
journal_title:Preventive medicine
pub_type: 杂志文章,评审
doi:10.1006/pmed.1997.0207
更新日期:1997-09-01 00:00:00
abstract::Group Health Cooperative (GHC) of Puget Sound is a prepaid health plan with 285,000 enrollees and 340 physicians. In 1978 a "criterion analysis" approach was instituted to develop medical staff recommendations about preventive care. By 1979, two recommendations evolved discouraging the "routine" use of: (a) chest X ra...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/0091-7435(83)90247-5
更新日期:1983-05-01 00:00:00
abstract:BACKGROUND:We evaluated the associations between putative occupational and epidemiologic determinants and influenza vaccine acceptance among health care workers during two consecutive seasons. METHODS:Multiple logistic regression models were developed to identify predictors of vaccine acceptance during 1991-1992, then...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1996.9991
更新日期:1997-01-01 00:00:00
abstract::Study of gene-environment interaction is important for improving accuracy and precision in the assessment of both genetic and environmental influences. This overview presents a simple definition of gene-environment interaction and suggests study designs for detecting it. Gene-environment interaction is defined as "a d...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1006/pmed.1996.0117
更新日期:1996-11-01 00:00:00
abstract:OBJECTIVE:To explore the temporal relationship between 9/11-related posttraumatic stress disorder (PTSD) and new-onset diabetes in World Trade Center (WTC) survivors up to 11 years after the attack in 2001. METHODS:Three waves of surveys (conducted from 2003 to 2012) from the WTC Health Registry cohort collected data ...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2014.05.016
更新日期:2014-09-01 00:00:00
abstract::China's one-child policy (1979-2015) has affected Chinese parenting practices and children's health behaviors and also may have contributed to increased childhood obesity. However, very limited research has investigated the association between one-child policy and childhood obesity. We examined characteristics of sing...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2017.07.018
更新日期:2017-10-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to investigate the association between self-efficacy, enjoyment, and volitional control with active commuting, as well as to analyze the impact of social support from parents, friends, and teachers with active commuting to school. METHODS:Participants in this cross-sectional study w...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2014.02.019
更新日期:2014-06-01 00:00:00
abstract:OBJECTIVE:To investigate whether political mistrust in the Riksdag (the national parliament in Sweden) is an independent characteristic of cannabis smokers, or whether it reflects low confidence in people in general, and therefore low social capital. METHOD:The 2004 public health survey in Skåne is a cross-sectional p...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2008.02.003
更新日期:2008-06-01 00:00:00
abstract:OBJECTIVE:1) To determine the influenza vaccination coverage required to establish herd immunity, and 2) to assess whether the percentages of vaccination coverage proposed and those registered in the United States and Europe are sufficient to establish herd immunity. METHODS:The vaccination coverage required to establ...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2012.02.015
更新日期:2012-07-01 00:00:00
abstract::Although cigarette and smokeless tobacco use are recognized as major problems among school-age youth, few nationwide or statewide data exist on the prevalence and patterns of use. To determine the patterns of tobacco use among children and adolescents in Missouri, self-report information was obtained from a representa...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/0091-7435(90)90018-f
更新日期:1990-03-01 00:00:00
abstract:OBJECTIVES:To measure community-level changes in the methods youth use to obtain cigarettes over time and to relate these methods to the progression of smoking. METHODS:We analyzed 2000-2003 data from the Minnesota Adolescent Community Cohort study, where youth (beginning at age 12), who were living in Minnesota at ba...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2007.07.016
更新日期:2007-12-01 00:00:00
abstract:BACKGROUND:Researchers have advocated mediational analysis for behavioral intervention studies to link the supporting theory used in an intervention with the mediating variables and with its ultimate success or failure. Few mediational analyses have been reported for school-based nutrition studies. The conduct of media...
journal_title:Preventive medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/j.ypmed.2004.03.022
更新日期:2004-11-01 00:00:00
abstract::Ethnic groups in the United States exhibit different patterns of cardiovascular disease and cancer morbidity and mortality. This has, in part, been attributed to differences in dietary intake. However, there is limited comparative information available regarding the dietary patterns of whites, blacks, and Hispanics re...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/0091-7435(88)90055-2
更新日期:1988-09-01 00:00:00
abstract::This report describes a systematic literature review of voucher and related monetary-based contingency management (CM) interventions for substance use disorders (SUDs) over 5.2years (November 2009 through December 2014). Reports were identified using the search engine PubMed, expert consultations, and published biblio...
journal_title:Preventive medicine
pub_type: 杂志文章,评审
doi:10.1016/j.ypmed.2016.08.008
更新日期:2016-11-01 00:00:00
abstract::The psychosocial environment and especially various psychosocial risks in childhood have been shown to predict later negative health behavior and health problems. In this study, we examined whether various psychosocial factor domains in childhood and adolescence: socioeconomic status, the emotional family environment ...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2016.12.023
更新日期:2017-04-01 00:00:00
abstract:OBJECTIVES:In the absence of raised intraocular pressure (IOP), haemodynamic parameters have been implicated in the development of normal tension glaucoma (NTG). The purpose of this study is to compare 24-hour IOP and haemodynamic parameters in NTG patients and non-glaucoma patients. METHODS:This is a cross sectional ...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2013.01.007
更新日期:2013-01-01 00:00:00
abstract:OBJECTIVES:Most research on falls among older persons focuses on health-related factors that affect the ability to maintain balance. The objective of the study is to determine the association between physical activity and occurrence of falls among community-dwelling older persons. METHODS:The distribution of falls and...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2008.01.017
更新日期:2008-06-01 00:00:00
abstract:BACKGROUND:The joint effect of family history of acute myocardial infarction (AMI) and selected adult life risk factors on the risk of the disease is not clear. METHODS:We used the combined data set from three Italian case-control studies including 1737 cases of incident, nonfatal AMI and 2317 hospital controls, aged ...
journal_title:Preventive medicine
pub_type: 杂志文章
doi:10.1016/j.ypmed.2003.11.019
更新日期:2004-04-01 00:00:00