Abstract
The Balance Study is a randomized controlled trial designed to reduce cardiovascular disease (CVD) risk in 200 American Indian (AI) participants with metabolic syndrome who reside in southwestern Oklahoma. Major risk factors targeted include weight, diet, and physical activity. Participants are assigned randomly to one of two groups, a guided or a self-managed group. The guided group attends intervention meetings that comprise education and experience with the following components: diet, exercise, AI culture, and attention to emotional wellbeing. The self-managed group receives printed CVD prevention materials that are generally available. The duration of the intervention is 24 months. Several outcome variables will be compared between the two groups to assess the effectiveness of the intervention program.
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Acknowledgments
We thank the AI tribes (Apache, Caddo, Comanche, Delaware, Fort Sill Apache, Kiowa, and Wichita) and communities in southwestern Oklahoma for their support, cooperation, and assistance. We also thank the Indian Health Service Oklahoma City Area Office, the Lawton Indian Hospital and its clinics at Anadarko and Carnegie and the Balance Study staff for their support and diligent work. The opinions expressed in this article are those of the authors and do not necessarily reflect the view or official position of the Indian Health Service or the National Heart, Lung, and Blood Institute. The Balance Study is funded by a cooperative agreement between the National Heart, Lung, and Blood Institute, National Institutes of Health (Grant U01HL087354) and the University of Oklahoma Health Sciences Center.
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Lee, E.T., Jobe, J.B., Yeh, J. et al. A Cardiovascular Risk Reduction Program for American Indians with Metabolic Syndrome: The Balance Study. J Primary Prevent 33, 187–196 (2012). https://doi.org/10.1007/s10935-012-0273-0
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DOI: https://doi.org/10.1007/s10935-012-0273-0