TY  - JOUR
AU  - Grilo, Stephanie A.
AU  - Shallcross, Amanda J.
AU  - Ogedegbe, Gbenga
AU  - Odedosu, Taiye
AU  - Levy, Natalie
AU  - Lehrer, Susan
PY  - 2015
TI  - Food Insecurity and Effectiveness of Behavioral Interventions to Reduce Blood Pressure, New York City, 2012-2013
T2  - Preventing Chronic Disease
JO  - Prev Chronic Dis
SP  - E16
VL  - 12
CY  - Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA.
N2  - 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.
SN  - 1545-1151
UR  - http://dx.doi.org/10.5888/pcd12.140368
DO  - 10.5888/pcd12.140368
ER  - 
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