apolipoprotein B), homocysteine, C-reactive protein, and cardiorespiratory fitness (VO2max). Resu... more apolipoprotein B), homocysteine, C-reactive protein, and cardiorespiratory fitness (VO2max). Results: We found that carotid IMT of the severely obese patients was significantly (pϽ0.05) greater than that of the lean controls, i.e. left carotid ϭ 0.64 vs. 0.53 for the severely obese and lean controls, respectively, and right carotid ϭ 0.58 and 0.51. The number of CVD risk factors of the severely obese patients, as compared to lean controls, was also higher and such obesityassociated factors were significantly (pϽ0.05) and positively correlated to carotid IMT. Conclusion: Severely obese surgical candidates have a greater carotid-IMT than their lean counterparts. CVD/stroke risk factors common to severe obesity may contribute to the association between body size and carotid-IMT. These findings suggest that an increased risk for stroke and CVD with severe obesity may result, in part, from a more progressive stage of atherosclerosis.
Objective. Food label use is associated with better food choices, an essential part of the manage... more Objective. Food label use is associated with better food choices, an essential part of the management of many chronic diseases. Previous studies suggest lack of comprehension of food labels. We studied a multimedia intervention to improve food label comprehension in a sample of low income patients in New York City. Methods. This randomized study took place at Gouverneur Healthcare Services from 2005 until 2007. The intervention group (n = 29) received a Nutrition Facts Label pocket card and viewed a video explaining card use. The control group (n = 27) received written materials. Participants completed a 12-item pre-and postintervention nutrition food label quiz. Quiz scores were analyzed using repeated measures analysis of variance. Results. The intervention group had greater improvement on the quiz than the control group (p b 0.001). There was a three way interaction by time with health literacy and treatment group where the greatest improvement occurred in patients with adequate health literacy in the intervention group (p b 0.05). There was no improvement in patients with limited health literacy. Conclusion. A multimedia intervention is an effective way to improve short-term food label comprehension in patients with adequate health literacy. Further research is necessary to improve understanding of food labels in patients with limited health literacy.
Food label use is associated with better food choices, an essential part of the management of man... more Food label use is associated with better food choices, an essential part of the management of many chronic diseases. Previous studies suggest lack of comprehension of food labels. We studied a multimedia intervention to improve food label comprehension in a sample of low income patients in New York City. This randomized study took place at Gouverneur Healthcare Services from 2005 until 2007. The intervention group (n=29) received a Nutrition Facts Label pocket card and viewed a video explaining card use. The control group (n=27) received written materials. Participants completed a 12-item pre- and post-intervention nutrition food label quiz. Quiz scores were analyzed using repeated measures analysis of variance. The intervention group had greater improvement on the quiz than the control group (p<0.001). There was a three way interaction by time with health literacy and treatment group where the greatest improvement occurred in patients with adequate health literacy in the intervention group (p<0.05). There was no improvement in patients with limited health literacy. A multimedia intervention is an effective way to improve short-term food label comprehension in patients with adequate health literacy. Further research is necessary to improve understanding of food labels in patients with limited health literacy.
Food label use is associated with better food choices, an essential part of the management of man... more Food label use is associated with better food choices, an essential part of the management of many chronic diseases. Previous studies suggest lack of comprehension of food labels. We studied a multimedia intervention to improve food label comprehension in a sample of low income patients in New York City. This randomized study took place at Gouverneur Healthcare Services from 2005 until 2007. The intervention group (n=29) received a Nutrition Facts Label pocket card and viewed a video explaining card use. The control group (n=27) received written materials. Participants completed a 12-item pre- and post-intervention nutrition food label quiz. Quiz scores were analyzed using repeated measures analysis of variance. The intervention group had greater improvement on the quiz than the control group (p<0.001). There was a three way interaction by time with health literacy and treatment group where the greatest improvement occurred in patients with adequate health literacy in the intervention group (p<0.05). There was no improvement in patients with limited health literacy. A multimedia intervention is an effective way to improve short-term food label comprehension in patients with adequate health literacy. Further research is necessary to improve understanding of food labels in patients with limited health literacy.
apolipoprotein B), homocysteine, C-reactive protein, and cardiorespiratory fitness (VO2max). Resu... more apolipoprotein B), homocysteine, C-reactive protein, and cardiorespiratory fitness (VO2max). Results: We found that carotid IMT of the severely obese patients was significantly (pϽ0.05) greater than that of the lean controls, i.e. left carotid ϭ 0.64 vs. 0.53 for the severely obese and lean controls, respectively, and right carotid ϭ 0.58 and 0.51. The number of CVD risk factors of the severely obese patients, as compared to lean controls, was also higher and such obesityassociated factors were significantly (pϽ0.05) and positively correlated to carotid IMT. Conclusion: Severely obese surgical candidates have a greater carotid-IMT than their lean counterparts. CVD/stroke risk factors common to severe obesity may contribute to the association between body size and carotid-IMT. These findings suggest that an increased risk for stroke and CVD with severe obesity may result, in part, from a more progressive stage of atherosclerosis.
Objective. Food label use is associated with better food choices, an essential part of the manage... more Objective. Food label use is associated with better food choices, an essential part of the management of many chronic diseases. Previous studies suggest lack of comprehension of food labels. We studied a multimedia intervention to improve food label comprehension in a sample of low income patients in New York City. Methods. This randomized study took place at Gouverneur Healthcare Services from 2005 until 2007. The intervention group (n = 29) received a Nutrition Facts Label pocket card and viewed a video explaining card use. The control group (n = 27) received written materials. Participants completed a 12-item pre-and postintervention nutrition food label quiz. Quiz scores were analyzed using repeated measures analysis of variance. Results. The intervention group had greater improvement on the quiz than the control group (p b 0.001). There was a three way interaction by time with health literacy and treatment group where the greatest improvement occurred in patients with adequate health literacy in the intervention group (p b 0.05). There was no improvement in patients with limited health literacy. Conclusion. A multimedia intervention is an effective way to improve short-term food label comprehension in patients with adequate health literacy. Further research is necessary to improve understanding of food labels in patients with limited health literacy.
Food label use is associated with better food choices, an essential part of the management of man... more Food label use is associated with better food choices, an essential part of the management of many chronic diseases. Previous studies suggest lack of comprehension of food labels. We studied a multimedia intervention to improve food label comprehension in a sample of low income patients in New York City. This randomized study took place at Gouverneur Healthcare Services from 2005 until 2007. The intervention group (n=29) received a Nutrition Facts Label pocket card and viewed a video explaining card use. The control group (n=27) received written materials. Participants completed a 12-item pre- and post-intervention nutrition food label quiz. Quiz scores were analyzed using repeated measures analysis of variance. The intervention group had greater improvement on the quiz than the control group (p<0.001). There was a three way interaction by time with health literacy and treatment group where the greatest improvement occurred in patients with adequate health literacy in the intervention group (p<0.05). There was no improvement in patients with limited health literacy. A multimedia intervention is an effective way to improve short-term food label comprehension in patients with adequate health literacy. Further research is necessary to improve understanding of food labels in patients with limited health literacy.
Food label use is associated with better food choices, an essential part of the management of man... more Food label use is associated with better food choices, an essential part of the management of many chronic diseases. Previous studies suggest lack of comprehension of food labels. We studied a multimedia intervention to improve food label comprehension in a sample of low income patients in New York City. This randomized study took place at Gouverneur Healthcare Services from 2005 until 2007. The intervention group (n=29) received a Nutrition Facts Label pocket card and viewed a video explaining card use. The control group (n=27) received written materials. Participants completed a 12-item pre- and post-intervention nutrition food label quiz. Quiz scores were analyzed using repeated measures analysis of variance. The intervention group had greater improvement on the quiz than the control group (p<0.001). There was a three way interaction by time with health literacy and treatment group where the greatest improvement occurred in patients with adequate health literacy in the intervention group (p<0.05). There was no improvement in patients with limited health literacy. A multimedia intervention is an effective way to improve short-term food label comprehension in patients with adequate health literacy. Further research is necessary to improve understanding of food labels in patients with limited health literacy.
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