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The long-term effects of lifestyle change on blood pressure: One-year follow-up of the ENCORE study.

Publication ,  Journal Article
Hinderliter, AL; Sherwood, A; Craighead, LW; Lin, P-H; Watkins, L; Babyak, MA; Blumenthal, JA
Published in: Am J Hypertens
May 2014

BACKGROUND: There is a paucity of data describing the sustained benefits of lifestyle interventions on health behaviors and blood pressure (BP). METHODS: We examined the persistence of changes in health habits and BP in the ENCORE study, a trial in which 144 overweight individuals with above-normal BP were randomized to one of the following 16-week interventions: Dietary Approaches to Stop Hypertension (DASH) diet alone (DASH-A), DASH diet plus a behavioral weight management intervention (DASH-WM), or Usual Care. Follow-up assessments were conducted 8 months after the end of treatment. RESULTS: At 16 weeks, systolic BP was reduced by 16.1 (95% confidence interval (CI) = 13.0-19.2) mm Hg in the DASH-WM group, 11.2 (95% CI = 8.1-14.3) mm Hg in the DASH-A group, and 3.4 (95% CI = 0.4-6.4) mm Hg in the Usual Care group. A decrease in BP persisted for 8 months, with systolic BP lower than baseline by 11.7 (95% CI = 8.1-15.3) mm Hg in the DASH-WM group, 9.5 (95% CI = 6.7-12.1) mm Hg in the DASH-A group, and 3.9 (95% CI = 0.5-7.3) mm Hg in the Usual Care group (P < 0.001 for active treatments vs. Usual Care). DASH-WM subjects lost 8.7 kg during the intervention and remained 6.3 kg lighter on follow-up examination. Changes in diet content were sustained in both DASH intervention groups. Among those who participated in DASH-WM, however, caloric intake was no longer lower, and only 21% reported still exercising regularly 8 months after completing the intervention. CONCLUSIONS: Changes in dietary habits, weight, and BP persisted for 8 months after completion of the 16-week ENCORE program, with some attenuation of the benefits. Additional research is needed to identify effective methods to promote long-term maintenance of the benefits of lifestyle modification programs. CLINICAL TRIAL REGISTRATION: Clinicaltrials.gov identifier: NCT00571844.

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Published In

Am J Hypertens

DOI

EISSN

1941-7225

Publication Date

May 2014

Volume

27

Issue

5

Start / End Page

734 / 741

Location

United States

Related Subject Headings

  • Weight Reduction Programs
  • Weight Loss
  • Treatment Outcome
  • Time Factors
  • Sedentary Behavior
  • Risk Reduction Behavior
  • Risk Factors
  • Overweight
  • North Carolina
  • Middle Aged
 

Citation

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Hinderliter, A. L., Sherwood, A., Craighead, L. W., Lin, P.-H., Watkins, L., Babyak, M. A., & Blumenthal, J. A. (2014). The long-term effects of lifestyle change on blood pressure: One-year follow-up of the ENCORE study. Am J Hypertens, 27(5), 734–741. https://doi.org/10.1093/ajh/hpt183
Hinderliter, Alan L., Andrew Sherwood, Linda W. Craighead, Pwa-Hwa Lin, Lana Watkins, Michael A. Babyak, and James A. Blumenthal. “The long-term effects of lifestyle change on blood pressure: One-year follow-up of the ENCORE study.Am J Hypertens 27, no. 5 (May 2014): 734–41. https://doi.org/10.1093/ajh/hpt183.
Hinderliter AL, Sherwood A, Craighead LW, Lin P-H, Watkins L, Babyak MA, et al. The long-term effects of lifestyle change on blood pressure: One-year follow-up of the ENCORE study. Am J Hypertens. 2014 May;27(5):734–41.
Hinderliter, Alan L., et al. “The long-term effects of lifestyle change on blood pressure: One-year follow-up of the ENCORE study.Am J Hypertens, vol. 27, no. 5, May 2014, pp. 734–41. Pubmed, doi:10.1093/ajh/hpt183.
Hinderliter AL, Sherwood A, Craighead LW, Lin P-H, Watkins L, Babyak MA, Blumenthal JA. The long-term effects of lifestyle change on blood pressure: One-year follow-up of the ENCORE study. Am J Hypertens. 2014 May;27(5):734–741.
Journal cover image

Published In

Am J Hypertens

DOI

EISSN

1941-7225

Publication Date

May 2014

Volume

27

Issue

5

Start / End Page

734 / 741

Location

United States

Related Subject Headings

  • Weight Reduction Programs
  • Weight Loss
  • Treatment Outcome
  • Time Factors
  • Sedentary Behavior
  • Risk Reduction Behavior
  • Risk Factors
  • Overweight
  • North Carolina
  • Middle Aged