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September 2004, Vol 94, No. 9 | American Journal of Public Health 1538-1543
© 2004 American Public Health Association

RESEARCH AND PRACTICE

Improvements in Heart Health Behaviors and Reduction in Coronary Artery Disease Risk Factors in Urban Teenaged Girls Through a School-Based Intervention: The PATH Program

Marcia Bayne-Smith, DSW, Paul S. Fardy, PhD, Ann Azzollini, MS, John Magel, PhD, Kathryn H. Schmitz, PhD and Denise Agin, EdD

Marcia Bayne-Smith is with the Department of Urban Studies, Queens College, City University of New York (CUNY), Flushing, New York. Paul S. Fardy, Ann Azzollini, and John R. Magel are with the Department of Family Nutrition and Exercise Sciences, Queens College, CUNY, Flushing, New York. Kathryn H. Schmitz is with the Division of Epidemiology, University of Minnesota, Minneapolis, Minn. Denise Agin is with the Department of Health and Physical Education, York College–CUNY, Jamaica, New York.

Correspondence: Requests for reprints should be sent to Marcia Bayne-Smith, DSW, MSW, Department of Urban Studies, Powdermaker Hall–Room 250 R, Queens College, CUNY, 65–30 Kissena Blvd, Flushing, NY 11367 (e-mail: marcia_smith{at}qc.edu).

Objectives. We sought to assess the effects of a school-based intervention program on cardiovascular disease risk factors in urban girls.

Methods. We compared heart health knowledge, health behaviors, cardiovascular risk factors, and physical fitness among a group of 442 multiethnic teenaged girls (310 experimental participants vs 132 control participants). Testing was conducted before and after a 12-week program of vigorous exercises integrated with lectures and discussions on diet, exercise, stress, and smoking.

Results. Significant differences in body fat, systolic and diastolic blood pressure, heart health knowledge, and whether breakfast was eaten were observed between experimental participants and control participants.

Conclusions. An integrated program of exercise and heart health–related lectures and discussions had a beneficial effect on health knowledge, health behaviors, and onset of risk factors for coronary artery disease among urban girls.




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