An integrative review of interventions to reduce peripheral arterial disease risk factors in African Americans
Language: 
English
Abstract: 

The purpose of this integrative review is to describe and assess randomized controlled trials of interventions to reduce peripheral arterial disease (PAD) risk factors among African Americans, given the high morbidity and mortality associated with PAD and the poorer outcomes in African Americans with PAD. The reviewed studies include non-pharmacological interventions aimed at the reduction of hemoglobin A1c, blood pressure and lipids in African-American patients with the causal PAD risk factors of diabetes, hypertension and hyperlipidemia. Database searches identified 21 studies that met the inclusion criteria for the review. These studies included interventions utilizing four different strategies: education/enhanced care, diet, physical activity and meditation. Though between-group differences were seen in a minority of the studies, changes within groups was demonstrated more frequently. Overall, the interventions with the education/enhanced care focus had the greatest effects. The review highlighted the need for additional research involving younger patients, the need for enrolling more African-American males in these types of interventional studies and the need to increase recruiting among African Americans who do not have primary healthcare. Given the limited knowledge about PAD and associated risk factors, African Americans' efforts to increase knowledge about PAD risk factors and risk reduction aimed at these factors is extremely important in an aging American population.

Author(s): 
Eastridge, Diana K.
Item Type: 
Journal Article
Publication Title: 
Journal of Vascular Nursing: Official Publication of the Society for Peripheral Vascular Nursing
Journal Abbreviation: 
J Vasc Nurs
Publication Date: 
2009-06
Publication Year: 
2009
Pages: 
31-45
Volume: 
27
Issue: 
2
ISSN: 
1532-6578
DOI: 
10.1016/j.jvn.2009.02.003
Library Catalog: 
PubMed
Extra: 
PMID: 19486853

Turabian/Chicago Citation

Diana K. Eastridge. 2009-06. "An integrative review of interventions to reduce peripheral arterial disease risk factors in African Americans." Journal of Vascular Nursing: Official Publication of the Society for Peripheral Vascular Nursing 27: 2: 31-45. 10.1016/j.jvn.2009.02.003.

Wikipedia Citation

<ref> {{Cite journal | doi = 10.1016/j.jvn.2009.02.003 | issn = 1532-6578 | volume = 27 | pages = 31-45 | last = Eastridge | first = Diana K. | coauthors = | title = An integrative review of interventions to reduce peripheral arterial disease risk factors in African Americans | journal = Journal of Vascular Nursing: Official Publication of the Society for Peripheral Vascular Nursing | date = 2009-06 | pmid = | pmc = }} </ref>