8 results on '"CHASAN-TABER, LISA"'
Search Results
2. Proyecto Mamá: a lifestyle intervention in overweight and obese Hispanic women: a randomised controlled trial – study protocol
- Author
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Chasan-Taber, Lisa, Marcus, Bess H, Rosal, Milagros C, Tucker, Katherine L, Hartman, Sheri J, Pekow, Penelope, Stanek, Edward, Braun, Barry, Solomon, Caren G, Manson, JoAnn E, Goff, Sarah L, and Markenson, Glenn
- Subjects
Reproductive Medicine ,Biomedical and Clinical Sciences ,Public Health ,Health Sciences ,Behavioral and Social Science ,Cardiovascular ,Obesity ,Diabetes ,Prevention ,Nutrition ,Clinical Trials and Supportive Activities ,Clinical Research ,Prevention of disease and conditions ,and promotion of well-being ,3.1 Primary prevention interventions to modify behaviours or promote wellbeing ,Cancer ,Stroke ,Reproductive health and childbirth ,Metabolic and endocrine ,Good Health and Well Being ,Adult ,Exercise ,Feeding Behavior ,Female ,Hispanic or Latino ,Humans ,Overweight ,Postnatal Care ,Poverty ,Pregnancy ,Pregnancy Complications ,Prenatal Care ,Risk Reduction Behavior ,Weight Gain ,Weight Reduction Programs ,Young Adult ,Lifestyle intervention ,Randomised controlled trial ,Healthy eating ,Diet ,Latina ,Physical activity ,Postpartum ,Gestational diabetes mellitus ,Nursing ,Paediatrics and Reproductive Medicine ,Public Health and Health Services ,Obstetrics & Reproductive Medicine ,Reproductive medicine ,Midwifery - Abstract
BackgroundThe proportion of women entering pregnancy overweight or obese has been rising and, in turn, is associated with adverse maternal and fetal outcomes. Gestational weight gain (GWG) exceeding Institute of Medicine (IOM) guidelines further increases health risks and has been independently associated with postpartum weight retention. Hispanic women are disproportionately affected by overweight and obesity, but have had limited access to interventions that promote healthy lifestyles due to cultural, socioeconomic, and language barriers. Therefore, the overall goal of this randomized controlled trial is to test the efficacy of a culturally and linguistically modified, individually-tailored lifestyle intervention to reduce excess GWG, increase postpartum weight loss, and improve maternal metabolic status among overweight/obese Hispanic women.Methods/designOverweight/obese Hispanic women are recruited in early pregnancy and randomly assigned to a Lifestyle Intervention (n = 150) or a Comparison Health and Wellness (control) intervention (n = 150). Multimodal contacts (i.e., in-person, telephone counseling, and mailed print-based materials) are used to deliver the intervention from early pregnancy (12 weeks gestation) to 6 months postpartum, with follow-up to 1 year postpartum. Targets of the intervention are to achieve IOM Guidelines for GWG and postpartum weight loss; American Congress of Obstetrician and Gynecologist guidelines for physical activity; and American Diabetes Association guidelines for diet. The intervention draws from Social Cognitive Theory and the Transtheoretical Model and includes strategies to address the specific social, cultural, and economic challenges faced by low-income Hispanic women. Assessments are conducted at baseline (~10 weeks gestation), mid pregnancy (24-28 weeks gestation), late pregnancy (32-34 weeks gestation) and postpartum at 6-weeks, 6-months, and 12-months by bicultural and bilingual personnel blinded to the intervention arm. Efficacy is assessed via GWG, postpartum weight loss, and biomarkers of glycemic control, insulin resistance, and cardiovascular disease risk factors. Changes in physical activity and diet are measured via 7-day accelerometer data and 24-h dietary recalls at each assessment time period.DiscussionHispanic women are the fastest growing minority group in the U.S. and are disproportionately affected by overweight and obesity. This randomised trial uses a high-reach, low-cost strategy that can readily be translated into clinical practice in underserved and minority populations.Trial registrationNCT01868230 May 29, 2013.
- Published
- 2015
3. Physical activity and depressive symptoms during pregnancy among Latina women: a prospective cohort study
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Szegda, Kathleen, Bertone-Johnson, Elizabeth R., Pekow, Penelope, Powers, Sally, Markenson, Glenn, Dole, Nancy, and Chasan-Taber, Lisa
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- 2018
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4. The impact of an exercise intervention on C - reactive protein during pregnancy: a randomized controlled trial.
- Author
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Hawkins M, Braun B, Marcus BH, Stanek E 3rd, Markenson G, and Chasan-Taber L
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- Adolescent, Adult, Biomarkers blood, Body Mass Index, Diabetes, Gestational prevention & control, Female, Health Behavior, Humans, Motivation, Pregnancy, Surveys and Questionnaires, Young Adult, C-Reactive Protein analysis, Exercise, Prenatal Care methods
- Abstract
Background: C-reactive protein (CRP) during pregnancy has been associated with adverse maternal outcomes such as preeclampsia and gestational diabetes mellitus. Randomized trials suggest that exercise programs may be associated with reductions in CRP in non-pregnant populations; however, such studies have not been conducted among pregnant women. The purpose of this study was to evaluate the impact of an individually-tailored motivationally-matched exercise intervention on CRP in pregnant women., Methods: The Behaviors Affecting Baby and You study was a randomized controlled trial of prenatal physical activity to prevent the development of gestational diabetes mellitus in women at increased risk. Women were randomized to either a 12-week exercise intervention (n = 84) or a comparison health and wellness intervention (n = 87). High sensitivity CRP (mg/dL) was measured using a commercial immunoassay kit. Physical activity was measured using the Pregnancy Physical Activity Questionnaire. Mixed model analyses were used to evaluate the impact of the intervention on change in CRP using an intent-to-treat approach., Results: CRP decreased (-0.09 mg/dL, 95 % CI: -0.25, 0.07) from pre- to post-intervention in the exercise arm (p = 0.14) and increased (0.08 mg/dL, 95 % CI: -0.07, 0.24) (p = 0.64) in the health and wellness arm; however the between group difference was not statistically significant (p = 0.14). Findings did not differ according to ethnic group or pre-pregnancy body mass index. In a secondary analysis based on self-reported physical activity, women who decreased their time spent in sports/exercise experienced a mean increase in CRP (0.09 mg/dL, 95 % CI: -0.14, 0.33), whereas women who maintained or increased their sports/ exercise experienced a mean decrease in CRP (-0.08 mg/dL, 95 % CI: -0.23, 0.08) (p = 0.046)., Conclusions: Findings from this randomized trial in an ethnically and socio-economically diverse population of pregnant women were consistent with a positive impact of the exercise intervention on CRP levels, but not of statistical significance., Clinical Trial Registration: ClinicalTrials.gov: NCT00728377 . Registered 2 August 2008.
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- 2015
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5. Estudio Parto: postpartum diabetes prevention program for hispanic women with abnormal glucose tolerance in pregnancy: a randomised controlled trial - study protocol.
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Chasan-Taber L, Marcus BH, Rosal MC, Tucker KL, Hartman SJ, Pekow P, Braun B, Moore Simas TA, Solomon CG, Manson JE, and Markenson G
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- Adult, Blood Glucose metabolism, Diabetes, Gestational blood, Diabetes, Gestational ethnology, Female, Glucose Intolerance blood, Glucose Intolerance ethnology, Humans, Incidence, Life Style, Pregnancy, Risk Factors, United States epidemiology, Diabetes, Gestational prevention & control, Feeding Behavior, Glucose Intolerance prevention & control, Hispanic or Latino, Insulin Resistance, Postnatal Care methods, Postpartum Period
- Abstract
Background: Diabetes and obesity have reached epidemic proportions in the U.S. with rates consistently higher among Hispanics as compared to non-Hispanic whites. Among Hispanic women diagnosed with gestational diabetes mellitus (GDM), 50% will go on to develop type 2 diabetes within 5 years of the index pregnancy. Although randomised controlled trials among adults with impaired glucose tolerance have shown that diet and physical activity reduce the risk of type 2 diabetes, such programs have not been tested in high-risk postpartum women. The overall goal of this randomised controlled trial is to test the efficacy of a culturally and linguistically modified, individually-tailored lifestyle intervention to reduce risk factors for type 2 diabetes and cardiovascular disease among postpartum Hispanic women with a history of abnormal glucose tolerance during pregnancy., Methods/design: Hispanic pregnant women who screen positive for GDM will be recruited and randomly assigned to a Lifestyle Intervention (n = 150) or a Health & Wellness (control) Intervention (n = 150). Multimodal contacts (i.e., in-person, telephone, and mailed materials) will be used to deliver the intervention from late pregnancy (29 weeks gestation) to 12 months postpartum. Targets of the intervention are to achieve Institute of Medicine Guidelines for postpartum weight loss; American Congress of Obstetrician and Gynecologist guidelines for physical activity; and American Diabetes Association guidelines for diet. The intervention draws from Social Cognitive Theory and the Transtheoretical Model and addresses the specific cultural and environmental challenges faced by low-income Hispanic women. Assessments will be conducted at enrollment, and at 6-weeks, 6-months, and 12-months postpartum by trained bicultural and bilingual personnel blinded to the intervention arm. Efficacy will be assessed via postpartum weight loss and biomarkers of insulin resistance and cardiovascular risk. Changes in physical activity and diet will be measured via 7-day actigraph data and three unannounced 24-hour dietary recalls at each assessment time period., Discussion: Hispanic women are the fastest growing minority group in the U.S. and have the highest rates of sedentary behavior and postpartum diabetes after a diagnosis of GDM. This randomised trial uses a high-reach, low-cost strategy that can readily be translated into clinical practice in underserved and minority populations., Trial Registration: NCT01679210.
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- 2014
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6. Acculturation and gestational weight gain in a predominantly Puerto Rican population.
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Tovar A, Chasan-Taber L, Bermudez OI, Hyatt RR, and Must A
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- Adolescent, Adult, Cohort Studies, Dominican Republic ethnology, Female, Gestational Age, Hispanic or Latino psychology, Humans, Massachusetts epidemiology, Obesity complications, Overweight complications, Pregnancy, Prospective Studies, Puerto Rico ethnology, Residence Characteristics statistics & numerical data, Surveys and Questionnaires, Young Adult, Acculturation, Hispanic or Latino statistics & numerical data, Obesity ethnology, Overweight ethnology, Pregnancy Complications ethnology, Weight Gain
- Abstract
Background: Identifying risk factors that affect excess weight gain during pregnancy is critical, especially among women who are at a higher risk for obesity. The goal of this study was to determine if acculturation, a possible risk factor, was associated with gestational weight gain in a predominantly Puerto Rican population., Methods: We utilized data from Proyecto Buena Salud, a prospective cohort study of Hispanic women in Western Massachusetts, United States. Height, weight and gestational age were abstracted from medical records among participants with full-term pregnancies (n=952). Gestational weight gain was calculated as the difference between delivery and prepregnancy weight. Acculturation (measured via a psychological acculturation scale, generation in the US, place of birth and spoken language preference) was assessed in early pregnancy., Results: Adjusting for age, parity, perceived stress, gestational age, and prepregnancy weight, women who had at least one parent born in Puerto Rico/Dominican Republic (PR/DR) and both grandparents born in PR/DR had a significantly higher mean total gestational weight gain (0.9 kg for at least one parent born in PR/DR and 2.2 kg for grandparents born in PR/DR) and rate of weight gain (0.03 kg/wk for at least one parent born in PR/DR and 0.06 kg/wk for grandparents born in PR/DR) vs. women who were of PR/DR born. Similarly, women born in the US had significantly higher mean total gestational weight gain (1.0 kg) and rate of weight gain (0.03 kg/wk) vs. women who were PR/ DR born. Spoken language preference and psychological acculturation were not significantly associated with total or rate of pregnancy weight gain., Conclusion: We found that psychological acculturation was not associated with gestational weight gain while place of birth and higher generation in the US were significantly associated with higher gestational weight gain. We interpret these findings to suggest the potential importance of the US "obesogenic" environment in influencing unhealthy pregnancy weight gains over specific aspects of psychological acculturation.
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- 2012
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7. Smoking during pregnancy and risk of abnormal glucose tolerance: a prospective cohort study.
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Haskins AE, Bertone-Johnson ER, Pekow P, Carbone E, Fortner RT, and Chasan-Taber L
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- Adolescent, Adult, Diabetes, Gestational blood, Diabetes, Gestational etiology, Female, Glucose Intolerance blood, Glucose Intolerance etiology, Glucose Tolerance Test, Humans, Logistic Models, Massachusetts epidemiology, Pregnancy, Pregnancy Trimester, First blood, Pregnancy Trimester, Second blood, Prospective Studies, Puerto Rico ethnology, Risk Factors, Young Adult, Diabetes, Gestational ethnology, Glucose Intolerance ethnology, Hispanic or Latino, Smoking adverse effects
- Abstract
Background: Disturbances in glucose metabolism during pregnancy are associated with negative sequalae for both mother and infant. The association between smoking and abnormal glucose tolerance (AGT) remains controversial. Therefore, the aim of this study was to examine the relationship between smoking prior to and during pregnancy and risk of AGT., Methods: We utilized data from a prospective cohort of 1,006 Hispanic (predominantly Puerto Rican) prenatal care patients in Western Massachusetts. Women reported pre- and early pregnancy smoking at recruitment (mean = 15 weeks) and mid pregnancy smoking at a second interview (mean = 28 weeks). AGT was defined as > 135 mg/dL on the routine 1-hour glucose tolerance test (1-hr OGTT). We used multivariable regression to assess the effect of pre, early, and mid-pregnancy smoking on risk of AGT and screening plasma glucose value from the 1-hr OGTT., Results: In age-adjusted models, women who smoked > 0-9 cigarettes/day in pre-pregnancy had an increased risk of AGT (OR = 1.90; 95% CI 1.02-3.55) compared to non-smokers; this was attenuated in multivariable models. Smoking in early (OR = 0.48; 95% CI 0.21-1.10) and mid pregnancy (OR = 0.38; 95% CI 0.13-1.11) were not associated with AGT in multivariable models. Smoking during early and mid pregnancy were independently associated with lower glucose screening values, while smoking in pre-pregnancy was not., Conclusions: In this prospective cohort of Hispanic women, we did not observe an association between smoking prior to or during pregnancy and risk of AGT. Findings from this study, although based on small numbers of cases, extend prior research to the Hispanic population.
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- 2010
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8. Strategies for recruiting Hispanic women into a prospective cohort study of modifiable risk factors for gestational diabetes mellitus.
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Chasan-Taber L, Fortner RT, Hastings V, and Markenson G
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- Adult, Advertising, Age Factors, Cohort Studies, Community-Institutional Relations, Diabetes, Gestational prevention & control, Female, Humans, Pregnancy, Prospective Studies, Socioeconomic Factors, Young Adult, Diabetes, Gestational ethnology, Health Knowledge, Attitudes, Practice, Hispanic or Latino statistics & numerical data, Patient Acceptance of Health Care ethnology, Patient Education as Topic methods, Patient Selection
- Abstract
Background: The purpose of this article was to describe effective strategies for recruitment of Hispanic women into a prospective cohort study of modifiable risk factors for gestational diabetes mellitus (GDM). Although Hispanic women have two to four times the risk of developing GDM compared with non-Hispanic white women, few GDM prevention studies have included Hispanic women., Methods: The study was conducted in the ambulatory obstetrical practices of Baystate Medical Center located in a socioeconomically and ethnically diverse city in Massachusetts. The study employed a range of strategies to recruit Hispanic women based on a review of the literature as well as prior experience with the study population., Results: Over a period of 32 months, a total of 851 Hispanic prenatal care patients were recruited. Among eligible women, 52.4% agreed to participate. Participants were young (70% <25 years), with low levels of education, and on public health insurance (81.5%); 88% were unmarried. Study design features such as use of bilingual recruiters, a flexible recruitment process, training recruiters to be culturally sensitive, use of culturally tailored materials, prescreening participants, participant compensation, seeking the cooperation of clinic staff, and continuous monitoring of recruitment goals emerged as important issues influencing recruitment., Conclusions: Findings suggest that investigators can successfully recruit pregnant women from ethnic minority groups of low socioeconomic status into observational studies. The study provides culturally appropriate recruitment strategies useful for practice-based settings recruiting Hispanic research participation.
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- 2009
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