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HEALTH STATUS IMPROVEMENTS IN AT-RISK CVD SUBJECTS FOLLOWING A STUDENT INTERVENTION

Abstract

HEALTH STATUS IMPROVEMENTS IN AT-RISK CVD SUBJECTS FOLLOWING A STUDENT INTERVENTION

E.N. Simpson, S.E. Gaskill, FASCM.

The University of Montana, Missoula, MT

Lifestyle behavior changes are often effective methods to reduce the risk of cardiovascular disease (CVD). The Health and Human Performance Department at the University of Montana offers a free stress testing program with behavior change counseling by undergraduate students as part of a service learning class. PURPOSE: The purpose of this study was to evaluate changes in community members following a cardiovascular stress test and behavior-change intervention led by undergraduate students in the Exercise, Disease, and Aging class at the University of Montana. METHODS: Over the course of 20 semesters (fall 2003- spring 2013), 715 subjects (age 58 3.8 years) from the Missoula community participated in stress testing. Prior to testing, subjects filled out a Par-q, quality of life questionnaire, and consented to the testing. Subjects were administered a Bruce protocol treadmill test with full ECG to 85% HRmax or symptom limited endpoints. Body composition, blood lipids and cholesterol, blood glucose, flexibility and strength measurements were also made. Students then worked with clients to change lifestyle behaviors to reduce risk factors for CVD. RESULTS: Three year follow-up data showed clients lost significant weight (-21.7±2.2 lbs), improved quality of life (60±4.8%), and increased physical activity from 48.7 to 145.9 minutes per week. Additionally, lipid profiles improved, lowering total cholesterol from 250.5±6.0mg/dL to 201.1±6.6mg/dL, pre and post, respectively. CONCLUSIONS: These data show that the service learning class can effectively aid community members in implementing lifestyle changes that may have significant, positive effects on cardiovascular and overall health.

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