Coronary Health Improvement Program CHIP Clinical Trial

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Coronary Health Improvement Program
(CHIP)Clinical Trial
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Typical CHIP Meeting
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• Participants met for 2 hours, four times a week
  for 4 weeks
• There was 86 attendance

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Topics

• modern medicine and health myths
• atherosclerosis and coronary risk factors
• obesity
• dietary fat and fiber
• diabetes
• hypertension
• cholesterol

• exercise
• osteoporosis
• cancer
• lifestyle and health
• the Optimal Diet
• behavioral change and self-worth

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The Optimal Diet

• Plant-food based diet that emphasizes largely
  unrefined food-as-grown (whole grains, legumes,
  fresh fruits and vegetables)
• High in unrefined complex carbohydrates
• Low in fat, animal protein, sugar, and salt
• High in fiber, antioxidants and micronutrients
  and very low in cholesterol
• Low in dairy and meat

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Regular Physical Activity

• Accumulate 30 minutes of exercise daily

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Health Education and motivation
Behavior Change Skills
Nutrition Behavior
Physical Activity Behavior
Improved Health Risks
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6 Month Lifestyle Clinical Trial

• N348
• Intervention group measured at
• Baseline
• 6 weeks
• 6 months
• 12 months
• 18 months
• Control group measured at Baseline, 6 weeks, and
  6 months
• At 6 months control group starts the lifestyle
  intervention and is followed for 6 months (also
  serving as their own control)

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Outcomes

• Block 97 nutrition screener
• Biometric variables
• Pedometers
• Blood chemistries
• SF36 quality of life scale
• Beck depression scale

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Steps
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Total Calories
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Fruit and Vegetable Servings
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Whole Grain Servings
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Percent of Calories from Fat
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Grams of Saturated Fat
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Sodium (mg)
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Body Mass Index of Obese
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After 6 months

• There was a 14 decrease in the number of
  participants who were obese.
• The number of normal weight participants
  increased from 24 to 36.

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Systolic Blood Pressure of Hypertensives
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Diastolic Blood Pressure of Hypertensives
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Total Cholesterol for Those with Elevated Blood
Cholesterol
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• Some of the large improvements in blood
  cholesterol at 6 weeks disappeared at 6 months,
  even though nutrition and physical activity
  behaviors remained ideal.

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Blood Glucose Changes for Those with Elevated
Blood Glucose
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Reality Check

• Very effective at helping adults change behaviors
• Rather intensive programming
• Good community integration and support
• Dr. Hans Diehl, is a great one man show,
  entertaining, and motivating
• Dissemination potential is questionable

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10 to 20 years of extended, high-quality living
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• www.culpritandcure.com