Different Lifestyle Interventions in Adults From Underserved Communities
The FAMILIA Trial
Rodrigo Fernandez-Jimenez, Risa Jaslow, Sameer Bansilal, Raquel Diaz-Munoz, Monali Fatterpekar, Maribel Santana, Andrea Clarke-Littman, Jacqueline Latina, Ana V. Soto, Christopher A. Hill, Mohamed Al-Kazaz, Rajeev Samtani, Rajesh Vedanthan, Chiara Giannarelli, Jason C. Kovacic, Emilia Bagiella, Andrew Kasarskis, Zahi A. Fayad and Valentin Fuster
Effect of 2 Different Lifestyle Interventions in Underserved Communities
The FAMILIA (Family-Based Approach in a Minority Community Integrating Systems-Biology for Promotion of Health) trial enrolled 635 parents/caregivers of children attending preschools from an urban socioeconomically disadvantaged multiethnic community in New York City. Participants were randomized to intervention (individual-focused or peer-to-peer based lifestyle programs) for 12 months or control. The study did not show differences in the change of the nonlaboratory-based health Fuster-BEWAT score between control and intervention arms either at 12 months (immediate post-intervention) or at 24 months (sustainability). However, a dose-response relationship was observed with high-adherence participants exhibiting a significantly greater change. Furthermore, a potential contributory role of the presentation of atherosclerosis pictures was suggested.