Gender Differences in Effectiveness of the Complete Health Improvement Program (CHIP) Lifestyle Intervention: An Australasian Study

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avondale-bepress-to-dspace.facultyNursing
avondale-bepress-to-dspace.licensehttp://creativecommons.org/licenses/by-nc-nd/4.0/
avondale-bepress-to-dspace.peer_review_statusPeer reviewed before publication
avondale-bepress.abstract<p><strong>Issue addressed:</strong> Complete Health Improvement Program (CHIP) is a lifestyle modification program that promotes healthy diet, physical activity and stress management techniques. Among US CHIP participants, differences in gender responsiveness to improvements in chronic disease risk factors were demonstrated. This study examined gender differences in outcomes to the CHIP intervention in Australasia.</p> <p><strong>Methods:</strong> Changes in body weight, blood pressure (BP), blood lipid profile and fasting plasma glucose (FPG) were assessed in 925 participants (34.3% men, mean age = 56.0 ± 12.5 years; 65.7% women, mean age = 54.4 ± 13.5 years) 30 days after program commencement.</p> <p><strong>Results:</strong> Significant reductions (<em>P</em> < 0.001) in all biometrics measured were found for men and women but were greater among men for total (TC) and low-density lipoprotein cholesterol (LDL), triglycerides (TG), FPG, body mass index (BMI) and TC/high-density lipoprotein cholesterol (HDL) ratio. Participants with highest baseline classifications of BMI, systolic BP, blood lipids and FPG showed greatest reductions in 30 days.</p> <p><strong>Conclusions:</strong> CHIP more effectively reduced chronic disease risk factors among men than women. All participants, but particularly men, entering the program with the greatest risk achieved the largest reductions. Possible physiological or behavioural factors include food preferences, making commitments and differential support modes.</p> <p><strong>So what?:</strong> Developers of lifestyle intervention programs should consider gender differences in physiological and behavioural factors when planning interventions. In particular, developers should manage expectations of people entering lifestyle interventions to increase awareness that men tend to respond better than women. In addition, this is a call for further research to identify the underlying mechanisms responsible for the disproportionate responsiveness of males.</p>
avondale-bepress.articleid1074
avondale-bepress.authorsLillian Kent
avondale-bepress.authorsDarren Morton
avondale-bepress.authorsPaul Rankin
avondale-bepress.authorsBrett G Mitchell
avondale-bepress.authorsEsther Chang
avondale-bepress.authorsHans Diehl
avondale-bepress.context-key6431241
avondale-bepress.coverpage-urlhttps://research.avondale.edu.au/nh_papers/74
avondale-bepress.document-typearticle
avondale-bepress.field.author_faculty_disciplineNursing
avondale-bepress.field.comments<p>Used by permission: the author(s).</p> <p>Health Promotion Journal of Australia published by Wiley Publishing Asia Ltd on behalf of the Australian Health Promotion Association.</p> <p><a href="http://www.publish.csiro.au/?paper=HE14041"><br /></a></p>
avondale-bepress.field.custom_citation<p>Kent, L., Morton, D. P., Rankin, P. M., Mitchell, B. G., Chang, E. & Diehl, H. (2014). Gender differences in effectiveness of the Complete Health Improvement Program (CHIP) lifestyle intervention: an Australasian study.<em> Health Promotion Journal of Australia</em>, <em>25</em>(3), 222-229. doi:10.1071/HE14041</p>
avondale-bepress.field.distribution_licensehttp://creativecommons.org/licenses/by-nc-nd/4.0/
avondale-bepress.field.doihttps://doi.org/10.1071/HE14041
avondale-bepress.field.embargo_date2014-12-07T00:00:00Z
avondale-bepress.field.field_of_education06 Health
avondale-bepress.field.for111104 Public Nutrition Intervention
avondale-bepress.field.issn1036-1073
avondale-bepress.field.issue_number3
avondale-bepress.field.journalHealth Promotion Journal of Australia
avondale-bepress.field.page_numbers222-229
avondale-bepress.field.peer_reviewBefore publication
avondale-bepress.field.publication_date2014-12-05T00:00:00Z
avondale-bepress.field.reportable_itemsC1
avondale-bepress.field.research_centreLifestyle Research Centre
avondale-bepress.field.source_fulltext_urlhttps://doi.org/10.1071/HE14041
avondale-bepress.field.source_publication<p>This article was originally published as:</p> <p>Kent, L., Morton, D. P., Rankin, P. M., Mitchell, B. G., Chang, E. & Diehl, H. (2014). Gender differences in effectiveness of the Complete Health Improvement Program (CHIP) lifestyle intervention: an Australasian study.<em> Health Promotion Journal of Australia</em>, <em>25</em>(3), 222-229. doi:10.1071/HE14041</p> <p>ISSN:1036-1073</p>
avondale-bepress.field.staff_classificationContract
avondale-bepress.field.volume_number25
avondale-bepress.fulltext-urlhttps://research.avondale.edu.au/cgi/viewcontent.cgi?article=1074&amp;context=nh_papers&amp;unstamped=1
avondale-bepress.keywordsAustralia
avondale-bepress.keywordschronic disease
avondale-bepress.keywordsgender
avondale-bepress.keywordsNew Zealand
avondale-bepress.keywordsrisk factors
avondale-bepress.label74
avondale-bepress.publication-date2014-12-05T00:00:00Z
avondale-bepress.publication-titleNursing and Health Papers and Journal Articles
avondale-bepress.statepublished
avondale-bepress.submission-date2014-12-07T16:29:05Z
avondale-bepress.submission-pathnh_papers/74
avondale-bepress.titleGender Differences in Effectiveness of the Complete Health Improvement Program (CHIP) Lifestyle Intervention: An Australasian Study
avondale-bepress.typearticle
dc.contributor.authorDiehl, Hans
dc.contributor.authorChang, Esther
dc.contributor.authorMitchell, Brett G.
dc.contributor.authorRankin, Paul
dc.contributor.authorMorton, Darren
dc.contributor.authorKent, Lillian
dc.date.accessioned2023-11-01T00:38:48Z
dc.date.available2023-11-01T00:38:48Z
dc.date.issued2014-12-05
dc.date.submitted2014-12-07T16:29:05Z
dc.description.abstract<p><strong>Issue addressed:</strong> Complete Health Improvement Program (CHIP) is a lifestyle modification program that promotes healthy diet, physical activity and stress management techniques. Among US CHIP participants, differences in gender responsiveness to improvements in chronic disease risk factors were demonstrated. This study examined gender differences in outcomes to the CHIP intervention in Australasia.</p> <p><strong>Methods:</strong> Changes in body weight, blood pressure (BP), blood lipid profile and fasting plasma glucose (FPG) were assessed in 925 participants (34.3% men, mean age = 56.0 ± 12.5 years; 65.7% women, mean age = 54.4 ± 13.5 years) 30 days after program commencement.</p> <p><strong>Results:</strong> Significant reductions (<em>P</em> < 0.001) in all biometrics measured were found for men and women but were greater among men for total (TC) and low-density lipoprotein cholesterol (LDL), triglycerides (TG), FPG, body mass index (BMI) and TC/high-density lipoprotein cholesterol (HDL) ratio. Participants with highest baseline classifications of BMI, systolic BP, blood lipids and FPG showed greatest reductions in 30 days.</p> <p><strong>Conclusions:</strong> CHIP more effectively reduced chronic disease risk factors among men than women. All participants, but particularly men, entering the program with the greatest risk achieved the largest reductions. Possible physiological or behavioural factors include food preferences, making commitments and differential support modes.</p> <p><strong>So what?:</strong> Developers of lifestyle intervention programs should consider gender differences in physiological and behavioural factors when planning interventions. In particular, developers should manage expectations of people entering lifestyle interventions to increase awareness that men tend to respond better than women. In addition, this is a call for further research to identify the underlying mechanisms responsible for the disproportionate responsiveness of males.</p>
dc.description.versionBefore publication
dc.identifier.citation<p>Kent, L., Morton, D. P., Rankin, P. M., Mitchell, B. G., Chang, E. & Diehl, H. (2014). Gender differences in effectiveness of the Complete Health Improvement Program (CHIP) lifestyle intervention: an Australasian study.<em> Health Promotion Journal of Australia</em>, <em>25</em>(3), 222-229. doi:10.1071/HE14041</p>
dc.identifier.doihttps://doi.org/10.1071/HE14041
dc.identifier.issn1036-1073
dc.identifier.urihttps://research.avondale.edu.au/handle/123456789/06431241
dc.language.isoen_us
dc.provenance<p>This article was originally published as:</p> <p>Kent, L., Morton, D. P., Rankin, P. M., Mitchell, B. G., Chang, E. & Diehl, H. (2014). Gender differences in effectiveness of the Complete Health Improvement Program (CHIP) lifestyle intervention: an Australasian study.<em> Health Promotion Journal of Australia</em>, <em>25</em>(3), 222-229. doi:10.1071/HE14041</p> <p>ISSN:1036-1073</p>
dc.rights<p>Used by permission: the author(s).</p> <p>Health Promotion Journal of Australia published by Wiley Publishing Asia Ltd on behalf of the Australian Health Promotion Association.</p> <p><a href="http://www.publish.csiro.au/?paper=HE14041"><br /></a></p>
dc.rights.licensehttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectAustralia
dc.subjectchronic disease
dc.subjectgender
dc.subjectNew Zealand
dc.subjectrisk factors
dc.titleGender Differences in Effectiveness of the Complete Health Improvement Program (CHIP) Lifestyle Intervention: An Australasian Study
dc.typeJournal Article
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