Abstract P018: Lifestyle Interventions that Benefit the Heart Also Improve Depression Among Geriatrics
Objective: Plant-based nutrition, exercise, proper rest, relaxation techniques and other healthy behaviors can be beneficial to the cardiovascular system. We assess the impact that this healthy behaviors have before and after an 8-week educational community-based program.
Participants and Methods: The program was developed by the Nedley Clinic in Ardmore, Oklahoma, USA. This medical clinic trained and certified lay and professional people around the world in 4 continents. The program does not create a doctor-patient relationship. Recruitment is done by, for example radio, TV, handouts, newspaper and word of mouth. Those who chose to participate met once a week for 8 weeks for a 2 hour program, it consisted of a 45 minute DVD presentation by a physician experienced in lifestyle interventions and a facilitated small group discussion together with weekly practical assignments. The program was available in Spanish and English. The Nedley Depression Recovery Program Assessment Test (registration TX 7-398-022) was used. It assessed depression level based on DSM-5 [The Diagnostic and Statistical Manual of Mental Disorders Volume 5] criteria, demographics, anxiety, emotional intelligence and patient history. The depression was classified into 4 categories as the DSM-5, as none (0-6), mild (7-10), moderate (11-19) or severe (20 or more). Participants that finished the program from 2007 to 2016 that were of geriatric age (55 years old and older at baseline) were included. Both depressed and non-depressed participated on the program.
Results: From 5997 participants that finished the program n=2928 were geriatrics. Mean age 64.7 SD 7.2, n=2075 (70.8%) were females. Demographic were White 2598 (88.7%), Black 107 (3.6%), Hispanic 144 (4.9%) and other (2.8%). Participants were from Africa, Europe, Oceania and America. At baseline mean group depression was 11.2 (Moderate), SD 7.3. That group was composed of 960 (32.7%) with none depression, 474 (16.1%) with mild depression, 981 (33.5%) with moderate depression and 513 (17.5%) with severe depression. By the end of the 8-weeks mean depression was 6 (none), SD 5.7. That group was composed of 1854 (69.3%) with none depression, 476 (16.2%) with mild depression, 506 (17.2%) with moderate depression and 92 (3.1%) with severe depression.
Conclusion: It seems that the intervention effectively improves mental health in this geriatric population with different levels of depression responding well to the program. This seems to be an effective way to apply community wide interventions to improve population-wide health. A control group and further follow up would be recommended.
Author Disclosures: F.E. Ramirez: None. N. Nedley: F. Ownership Interest; Modest; Nedley Health Solutions.
- © 2017 by American Heart Association, Inc.