--- title: "Evaluating two lifestyle interventions for obesity reduction in a low- | Sutter Health" description: "This project is a randomized clinical trial designed to evaluate the clinical and cost-effectiveness of two obesity reduction lifestyle interventions." url: "https://www.sutterhealth.org/research/publications/lifestyle-interventions-obesity-low-income-latino-1055312679" --- 1. [Home](https://www.sutterhealth.org/) / 2. [Research](https://www.sutterhealth.org/research) / 3. [Research publications](https://www.sutterhealth.org/research/publications) / 4. Evaluating two lifestyle interventions for obesity reduction in a low- # Evaluating two lifestyle interventions for obesity reduction in a low-income Latino neighborhood: Vivamos Activos Fair Oaks Program Drieling RL, Ma J, & Stafford RS. _BMC Public Health. 11:98. doi: 10.1186/1471-2458-11-98._ 2011-02-14 ## Abstract #### BACKGROUND: Obesity exerts an enormous health impact through its effect on coronary heart disease and its risk factors. Primary care-based and community-based intensive lifestyle counseling may effectively promote weight loss. There has been limited implementation and evaluation of these strategies, particularly the added benefit of community-based intervention, in low-income Latino populations. #### DESIGN: The Vivamos Activos Fair Oaks project is a randomized clinical trial designed to evaluate the clinical and cost-effectiveness of two obesity reduction lifestyle interventions: clinic-based intensive lifestyle counseling, either alone (n = 80) or combined with community health worker support (n = 80), in comparison to usual primary care (n = 40). Clinic-based counseling consists of 15 group and four individual lifestyle counseling sessions provided by health educators targeting behavior change in physical activity and dietary practices. Community health worker support includes seven home visits aimed at practical implementation of weight loss strategies within the person's home and neighborhood. The interventions use a framework based on Social Cognitive Theory, the Transtheoretical Model of behavior change, and techniques from previously tested lifestyle interventions. Application of the framework was culturally tailored based on past interventions in the same community and elsewhere, as well as a community needs and assets assessment. The interventions include a 12-month intensive phase followed by a 12-month maintenance phase. Participants are obese Spanish-speaking adults with at least one cardiovascular risk factor recruited from a community health center in a low-income neighborhood of San Mateo County, California. Follow-up assessments occur at 6, 12, and 24 months for the primary outcome of percent change in body mass index at 24 months. Secondary outcomes include specific cardiovascular risk factors, particularly blood pressure and fasting glucose levels. #### DISCUSSION AND CONCLUSIONS: If successful, this study will provide evidence for broad implementation of obesity interventions in minority populations and guidance about the selection of strategies involving clinic-based case management and community-based community health worker support. [PubMed abstract](http://www.ncbi.nlm.nih.gov/pubmed/?term=Evaluating+two+lifestyle+interventions+for+obesity+reductio) ## Research topics - [Health Disparities](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Health+Disparities%5C%22%22) - [Obesity](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Obesity%5C%22%22) ## Related publications [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) - Publication ### [Practical research strategies for reducing social and racial/ethnic disparities in obesity.](https://www.sutterhealth.org/research/publications/research-strategies-reduce-disparities-in-obesity-1055312894) Rosas LG, Stafford RS. Int J Obes (Lond). (2):s16-s22 2012 Jul 01 - Publication ### [Acculturation and overweight-related attitudes and behavior among obese Hispanic adults in the United States](https://www.sutterhealth.org/research/publications/attitudes-behavior-among-obese-hispanic-adults-1055312606) New C, Xiao L, Ma J. Obesity (Silver Spring). doi: 10.1002/oby.20146. 2012 Nov 06 - Publication ### [Variations between obese Latinos and Whites in weight-related counseling during preventive clinical visits in the U.S.](https://www.sutterhealth.org/research/publications/obese-latinos-whites-weight-related-counseling-1055312591) Ma J, Xiao L, Yank V. Obesity (Silver Spring). 21(8):1734-41. doi: 10.1002/oby.20285. Epub 2013 May 21. 2013 Aug 01 - Publication ### [Weight counseling for elderly patients in primary care: how often and how much time.](https://www.sutterhealth.org/research/publications/wt-counseling-elders-primary-care-1055312562) Tai-Seale T, Tai-Seale M, Zhang W. J Health Human Serv Adm. 30(4):420-440. 2008 Apr 01 - Publication ### [Obesity and depression in US women: results from the 2005–2006 National Health and Nutritional Examination Survey.](https://www.sutterhealth.org/research/publications/obesity-depression-women-2005-2006-nhnes-1055312870) Ma J, Xiao L. Obesity. 18(2):347–353. 2010 Feb 01 [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) ```json {"@context":"https://schema.org","@type":"MedicalOrganization","name":"Sutter Health","@id":"https://www.sutterhealth.org/#medicalorganization","url":"https://www.sutterhealth.org","logo":"https://www.sutterhealth.org/static/images/sutter-health-logo.svg","address":{"@type":"PostalAddress","streetAddress":"2200 River Plaza Drive","addressLocality":"Sacramento","addressRegion":"CA","postalCode":"95833","addressCountry":"US"},"areaServed":{"@type":"AdministrativeArea","name":"California"},"sameAs":["https://www.facebook.com/SutterHealth","https://www.instagram.com/sutterhealth/","https://x.com/SutterHealth","https://www.youtube.com/sutterhealth","https://www.linkedin.com/company/sutter-health","https://en.wikipedia.org/wiki/Sutter_Health"]} ``` ```json {"@context":"https://schema.org","@type":"BreadcrumbList","@id":"https://www.sutterhealth.org/research/publications/lifestyle-interventions-obesity-low-income-latino-1055312679#breadcrumblist","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https://www.sutterhealth.org/"},{"@type":"ListItem","position":2,"name":"Research","item":"https://www.sutterhealth.org/research"},{"@type":"ListItem","position":3,"name":"Research publications","item":"https://www.sutterhealth.org/research/publications"},{"@type":"ListItem","position":4,"name":"Evaluating two lifestyle interventions for obesity reduction in a low-"}]} ``` ```json {"@context":"https://schema.org","@type":"MedicalScholarlyArticle","@id":"https://www.sutterhealth.org/research/publications/lifestyle-interventions-obesity-low-income-latino-1055312679#medicalscholarlyarticle","name":"Evaluating two lifestyle interventions for obesity reduction in a low-income Latino neighborhood: Vivamos Activos Fair Oaks Program","headline":"Evaluating two lifestyle interventions for obesity reduction in a low-","abstract":"BACKGROUND: Obesity exerts an enormous health impact through its effect on coronary heart disease and its risk factors. Primary care-based and community-based intensive lifestyle counseling may effectively promote weight loss. There has been limited implementation and evaluation of these strategies, particularly the added benefit of community-based intervention, in low-income Latino populations. DESIGN: The Vivamos Activos Fair Oaks project is a randomized clinical trial designed to evaluate the clinical and cost-effectiveness of two obesity reduction lifestyle interventions: clinic-based intensive lifestyle counseling, either alone (n = 80) or combined with community health worker support (n = 80), in comparison to usual primary care (n = 40). Clinic-based counseling consists of 15 group and four individual lifestyle counseling sessions provided by health educators targeting behavior change in physical activity and dietary practices. Community health worker support includes seven home visits aimed at practical implementation of weight loss strategies within the person's home and neighborhood. The interventions use a framework based on Social Cognitive Theory, the Transtheoretical Model of behavior change, and techniques from previously tested lifestyle interventions. Application of the framework was culturally tailored based on past interventions in the same community and elsewhere, as well as a community needs and assets assessment. The interventions include a 12-month intensive phase followed by a 12-month maintenance phase. Participants are obese Spanish-speaking adults with at least one cardiovascular risk factor recruited from a community health center in a low-income neighborhood of San Mateo County, California. Follow-up assessments occur at 6, 12, and 24 months for the primary outcome of percent change in body mass index at 24 months. Secondary outcomes include specific cardiovascular risk factors, particularly blood pressure and fasting glucose levels. 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