Abstract
Introduction: Food insecurity is associated with diet-sensitive diseases and may be a barrier to successful chronic disease self-management. To evaluate the impact of food insecurity on blood pressure reduction in a pilot clinical trial, we tested the effectiveness of 2 behavioral interventions for hypertension in people with and without food security. Methods: A group of 28 men and women with type 2 diabetes and uncontrolled hypertension were randomized to either 1) home blood pressure telemonitoring alone or 2) home blood pressure telemonitoring plus telephone-based nurse case management. The primary outcome was 6-month change in systolic blood pressure. Results: The 2 interventions resulted in modest, nonsignificant blood pressure reductions. Food-secure patients experienced clinically and statistically significant reductions in blood pressure, whereas no significant change was seen among food-insecure patients. Conclusion: Screening for food insecurity may help identify patients in need of tailored disease management interventions.
Original language | English (US) |
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Article number | 140368 |
Journal | Preventing Chronic Disease |
Volume | 12 |
Issue number | 2 |
DOIs | |
State | Published - 2015 |
ASJC Scopus subject areas
- Health Policy
- Public Health, Environmental and Occupational Health