Effects of individual components of multiple behavior changes: the PREMIER trial

Am J Health Behav. 2007 Sep-Oct;31(5):545-60. doi: 10.5555/ajhb.2007.31.5.545.

Abstract

Objectives: To assess contributions of individual lifestyle changes on systolic blood pressure (SBP) changes.

Methods: We examined associations between lifestyle behavior changes and SBP after 6 and 18 months in 782 PREMIER trial participants.

Results: In multivariate models omitting weight, predicted SBP reductions ranged from (1)/2 to 1(1)/2 mm Hg for reduced urinary sodium, improved fitness, and adherence to the DASH diet (except sodium at 18 months). With weight included, only fitness change additionally predicted SBP at 18 months.

Conclusions: Several lifestyle behavior changes are important for BP lowering, but are difficult to detect when weight is included in multivariate models.

Publication types

  • Multicenter Study
  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Alcohol Drinking / prevention & control
  • Behavior Therapy*
  • Blood Pressure*
  • Body Mass Index
  • Body Weight
  • Combined Modality Therapy
  • Diet, Fat-Restricted
  • Diet, Sodium-Restricted
  • Energy Intake
  • Exercise
  • Female
  • Follow-Up Studies
  • Health Behavior*
  • Heart Rate*
  • Humans
  • Hypertension / therapy*
  • Life Style*
  • Male
  • Multivariate Analysis
  • Physical Fitness
  • Sodium / urine
  • Weight Loss

Substances

  • Sodium