Food insecurity and effectiveness of behavioral interventions to reduce blood pressure, New York City, 2012-2013

Stephanie A. Grilo, Amanda J. Shallcross, Gbenga Ogedegbe, Taiye Odedosu, Natalie Levy, Susan Lehrer, William Chaplin, Tanya M. Spruill

Research output: Contribution to journalArticle

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 languageEnglish (US)
Article number140368
JournalPreventing Chronic Disease
Volume12
Issue number2
DOIs
StatePublished - 2015

ASJC Scopus subject areas

  • Health Policy
  • Public Health, Environmental and Occupational Health

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    Grilo, S. A., Shallcross, A. J., Ogedegbe, G., Odedosu, T., Levy, N., Lehrer, S., Chaplin, W., & Spruill, T. M. (2015). Food insecurity and effectiveness of behavioral interventions to reduce blood pressure, New York City, 2012-2013. Preventing Chronic Disease, 12(2), [140368]. https://doi.org/10.5888/pcd12.140368