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Improving Dietary Habits in Disadvantaged Women With HIV/AIDS: The SMART/EST Women's Project
Authors:C. J. Segal-Isaacson  Jonathan N. Tobin  Stephen M. Weiss  Elizabeth Brondolo  Anita Vaughn  Cuiling Wang  Joanne Camille  Yolene Gousse  Mary Ishii  Deborah Jones  Arthur LaPerriere  David Lydston  Neil Schneiderman  Gail Ironson
Affiliation:(1) Albert Einstein College of Medicine of Yeshiva University, 1308C Belfer Building 1300, Morris Park Avenue Bronx, New York, 10461, USA;(2) Clinical Directors Network, New York, USA;(3) University of Miami, Florida, USA;(4) Saint John's University, New York, USA;(5) Clinical Directors Network., New York, USA;(6) Clinical Directors Network, New York, USA;(7) University of Miami, Florida, USA
Abstract:
There is a lack of information on whether brief nutrition education can succeed in improving longer-term dietary patterns in disadvantaged populations with HIV/AIDS. In the SMART/EST II Women's Project 466 disadvantaged women with HIV/AIDS were randomized to one of four groups and received a two-phase training consisting of a coping skills/stress management and nutrition education provided either in a group or individually. At baseline the majority of participants had excessive fat and sugar consumption and suboptimal intakes of vegetables, fruits, calcium-rich foods and whole grains. Dietary patterns for all participants improved after the nutrition intervention primarily due to decreases in high fat and high sugar foods such as soda and fried foods and were still significantly better 18 months later. There were only short-term differences in improvements between the four groups. These findings support the value of even brief nutrition education for disadvantaged women living with HIV/AIDS.
Keywords:HIV  AIDS  Nutrition  Women  Cognitive-behavioral stress management
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