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Rural Kentuckians Score a Win For Heart Health

Rural Kentuckians Score a Win For Heart Health

Researchers who went into one of the nation’s poorest regions to educate people about their health ended up getting a few lessons themselves — and together, they made some striking improvements.

The effort targeted Appalachian Kentucky, an area in the eastern part of the state that’s near the bottom in economic measures but in the top 1% for cardiovascular disease. Social conditions that contribute to poor health – food deserts, limited educational opportunities, lack of space for exercise – abound.

A team from the University of Kentucky enrolled 355 people, most of them women, who had at least two risk factors for heart disease. Participants chose the factor they wanted to focus on, then took part in a 12-week self-care course that monitored progress and gave feedback.

Researchers checked their progress a year later. Compared with a group of people who did not enroll in the course, participants succeeded in meeting their goals much more often in crucial measurements such as blood pressure (88% met their goal versus 18% in the control group), cholesterol levels (83% versus 10%) and body weight (36% versus 9%).

Study author Debra K. Moser, professor of nursing at the University of Kentucky, presented preliminary results from the study recently at the American Heart Association’s Scientific Sessions.

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I’m pleased because I don’t have to make a 4 ½-hour drive to get my infusion. It’s great that we can now have the therapy that I needed right here.


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They monitored me, they took care of me. The infection that was causing the pain began to go away. I can tell you now I’m able to stand on both legs. After the infusion therapy, I was able to resume the activity that I truly enjoy, playing the guitar and exploring the wonders of music.


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