domingo, 12 de abril de 2015

Preventing Chronic Disease | Improving Heart Healthy Lifestyles Among Participants in a Salud Para Su Corazón Promotores Model: The Mexican Pilot Study, 2009–2012 - CDC

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Preventing Chronic Disease | Improving Heart Healthy Lifestyles Among Participants in a Salud Para Su Corazón Promotores Model: The Mexican Pilot Study, 2009–2012 - CDC

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Improving Heart Healthy Lifestyles Among Participants in a Salud Para Su Corazón Promotores Model: The Mexican Pilot Study, 2009–2012

Héctor Balcázar, PhD; Ana Cecilia Fernández-Gaxiola, MSc; Ana Bertha Pérez-Lizaur, MSc; Rosa Adriana Peyron; Carma Ayala, RN, MPH, PhD

Suggested citation for this article: Balcázar H, Fernández-Gaxiola AC, Pérez-Lizaur AB, Peyron RA, Ayala C. Improving Heart Healthy Lifestyles Among Participants in a Salud Para Su Corazón Promotores Model: The Mexican Pilot Study, 2009–2012. Prev Chronic Dis 2015;12:140292. DOI: Web Site Icon.


In Mexico, cardiovascular disease and its risk factors are growing problems and major public health concerns. The objective of this study was to implement cardiovascular health promotion and disease prevention activities of the Salud para su Corazónmodel in a high-risk, impoverished, urban community in Mexico City.
We used a pretest–posttest (baseline to 12-week follow-up) design without a control group. Material from Salud para su Corazónwas validated and delivered by promotores (community health workers) to community members from 6 geographic areas. Two validated, self-administered questionnaires that assessed participants’ knowledge and behaviors relating to heart health were administered. We used t tests and χ2 tests to evaluate pretest and posttest differences, by age group (≤60 and >60 years), for participants’ 3 heart-healthy habits, 3 types of physical activity, performance skills, and anthropometric and clinical measurements.
A total of 452 (82%) adult participants completed the program. Heart-healthy habits from pretest to posttest varied by age group. “Taking action” to modify lifestyle behaviors increased among adults aged 60 or younger from 31.5% to 63.0% (P < .001) and among adults older than 60 from 30.0% to 45.0% (P < .001). Positive responses for cholesterol and fat consumption reduction were seen among participants 60 or younger (P = .03). Among those older than 60, salt reduction and weight control increased (P = .008). Mean blood glucose concentration among adults older than 60 decreased postintervention (P = .03).
Significant improvements in some heart-healthy habits were seen among adult participants. The model has potential to improve heart-healthy habits and facilitate behavioral change among high-risk adults.


We thank all the promotores and partners of the Santa Fe community for their work on and support for this project. The project was financed by the Sistema Universitario Jesuita, Fundación SERTULL AC, and the Department of Health of the Universidad Iberoamericana Mexico City.

Author Information

Corresponding Author: Héctor Balcázar, PhD, University of Texas, Health Science Center at Houston. School of Public Health, El Paso Regional Campus, 1101 N Campbell, CH 400, El Paso, TX 79902. Telephone: 915-747-8507. E-mail:
Author Affiliations: Ana Cecilia Fernández-Gaxiola, Ana Bertha Pérez-Lizaur, Rosa Adriana Peyron, Universidad Iberoamericana Ciudad de México, México City, México; Carma Ayala, Centers for Disease Control and Prevention, Atlanta, Georgia.


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