TY - JOUR A1 - Englert, Heike A1 - Oetting-Roß, C A1 - Büscher, A T1 - Bedarf und Qualität von Beratung in der Langzeitpflege Nutzerperspektive auf Beratungsangebote in Deutschland JF - Zeitschrift für Gerontologie und Geriatrie Y1 - 2017 U6 - http://dx.doi.org/10.1007/s00391-016-1172-4 ER - TY - JOUR A1 - Ngo-Matip, M. E. A1 - Constant Anatole, P A1 - Azabji-K, Marcel AKN A1 - Colizzi, Vittorio A1 - Temgoua, E A1 - Nkenfack, G A1 - Englert, Heike A1 - Nya, PC A1 - Moukette, M B A1 - Fosso, PE A1 - Stefanini, Philippe A1 - Ngogang, Y J A1 - Mbofung, C. Moise T1 - Effects of Spirulina platensis supplementation on lipid profile in HIV-infected antiretroviral naive patients in Yaounde - Cameroon: a randomized trial study JF - Lipids in Health and Disease Y1 - 2014 U6 - http://dx.doi.org/10.1186/1476-511x-13-191 VL - 13 IS - 191 ER - TY - JOUR A1 - Müller-Nordhorn, J A1 - Muckelbauer, R A1 - Englert, Heike A1 - Grittner, U A1 - Berger, H A1 - Sonntag, F A1 - Völler, H A1 - Wegscheider, K A1 - Katus, H A1 - Willich, S T1 - Longitudinal association between body mass index and health-related quality of life JF - PLoS One Y1 - 2014 VL - 9 IS - 3 SP - 1 EP - 10 ER - TY - JOUR A1 - Nkengfack, G A1 - Torimiro, J A1 - Ngogang, J A1 - Englert, Heike T1 - Effects of nutritional education and lifestyle modification on the nutritional status of HIV positive patients: results of a cluster randomized intervention over a period of six months JF - Global Epidemic Obesity Y1 - 2013 VL - 5 IS - 1 SP - 1 EP - 8 ER - TY - JOUR A1 - Nkengfak, G A1 - Turimiro, J A1 - Nkongang, N A1 - Englert, Heike T1 - A review of nutrition in Cameroon: Food supply, factors influencing nutritional habit and impact on micronutrient (Vitamin A, Iodine, Iron) status JF - The Journal of Medicine and Health Sciences Y1 - 2011 VL - 12 IS - 1 ER - TY - JOUR A1 - Nkengfack, G A1 - Torimiro, J A1 - Ngogang, J A1 - Binting, S A1 - Roll, S A1 - Tinnemann, P A1 - Englert, Heike T1 - Effects of an HIV-Care-Program on immunological parameters in HIV-positive patients in Yaoundé, Cameroon: a cluster-randomized trial JF - Int J Public Health Y1 - 2014 U6 - http://dx.doi.org/10.1007/s00038-014-0547-9 VL - 59 SP - 509 EP - 517 ER - TY - JOUR A1 - Nkengfack, G A1 - Ngogang, J A1 - Englert, Heike T1 - Effects of "5 a day" fruit and vegetable intake on micronutrient level and oxidative stress markers in HIV positive patients in Yaoundé, Cameroon: A cluster randomized trial JF - Oxid Antioxid Med Sci Y1 - 2013 VL - 2 IS - 4 SP - 275 EP - 284 ER - TY - JOUR A1 - Wennehorst, K A1 - Diehl, H A1 - Mildenstein, K A1 - Saliger, B A1 - Tigges, C A1 - Keil, T A1 - Englert, Heike T1 - A Comprehensive Lifestyle Intervention to Prevent Type 2 Diabetes and Cardiovascular Diseases: The CHIP Germany Trial JF - Prevention Sciences Y1 - 2016 U6 - http://dx.doi.org/10.1007/s11121-015-0623-2 VL - 17 SP - 386 EP - 397 ER - TY - JOUR A1 - Weiß, L A1 - Tigges, C A1 - Wennehorst, K A1 - Saliger, B A1 - Englert, Heike T1 - Die Auswirkungen von CHIP-Germany auf die psychische Gesundheit JF - Diabetes Stoffw Herz Y1 - 2014 VL - 23 SP - 329 EP - 337 ER - TY - JOUR A1 - Tigges, C A1 - Wennehorst, K A1 - Saliger, B A1 - Englert, Heike T1 - Das sozial-kognitive Prozessmodell gesundheitlichen Handelns (HAPA) und die Verbesserung des Bewegungsverhaltens in einem Lebensstilcoaching zur Primär- und Sekundärprävention des Diabetes mellitus Typ 2 JF - Karger, Verhaltenstherapie Y1 - 2015 U6 - http://dx.doi.org/10.1159/000373899 VL - 25 IS - 1 SP - 23 EP - 30 ER - TY - JOUR A1 - Tigges, C A1 - Wennehorst, K A1 - Saliger, B A1 - Englert, Heike T1 - CHIP Deuschland – Einfluss eines Lebensstilschulungsprogramms zur Primär- und Sekundärprävention von Typ 2 Diabetes auf das Ernährungsverhalten und die Bedeutung der sozialkognitiven Variablen JF - Das Gesundheitswesen, Thieme Verlag Y1 - 2017 U6 - http://dx.doi.org/10.1055/s-0035-1555785 VL - 79 IS - 08/09 SP - 619 EP - 626 ER - TY - BOOK A1 - Englert, Heike T1 - Von der Ernährungsberatung zum Lebensstilcoaching Y1 - 2013 PB - Kellogg´s Deutschland ER - TY - BOOK A1 - Englert, Heike T1 - Lass los was dich dick macht Y1 - 2013 SN - 978-3-8338-2655-9 PB - GU Verlag ET - 2. Auflage ER - TY - CHAP A1 - Englert, Heike T1 - Antioxidants and HIV/AIDS T2 - Zampelas A, Micha E (Hg.), Antioxidants in Health and Disease Y1 - 2015 SN - 978-1-4665-8003-9 SP - 263 EP - 278 PB - Taylor & Francis Catalog ER - TY - JOUR A1 - Muckelbauer, Rebecca A1 - Englert, Heike A1 - Rieckmann, Nina A1 - Chen, Chih-Mei A1 - Wegscheider, Karl A1 - Völler, Heinz A1 - Hugo, A. A1 - Katus, Stefan A1 - Willich, N. A1 - Müller-Nordhorn, Jacqueline T1 - Long-term effect of a low-intensity smoking intervention embedded in an adherence program for patients with hypercholesterolemia: Randomized controlled trial JF - Preventive Medicine Y1 - 2015 U6 - http://dx.doi.org/10.1016/j.ypmed.2015.05.026 VL - 77 SP - 155 EP - 161 ER - TY - JOUR A1 - Muckelbauer, R A1 - CM, Hettler-Chen A1 - Englert, Heike A1 - Wegscheider, K A1 - Völler, H A1 - Katus, H A1 - Willich, S A1 - Müller-Nordhorn, J T1 - Type of association between body mass index and health-related quality of life differs by smoking status in high-risk cardiovascular patients JF - Eur J Epidemiol Y1 - 2015 VL - Supplement ER - TY - CHAP A1 - Englert, Heike T1 - Effect of an HIV-care-program on immunological parameters in HIV-positive patients in Yaounde, Cameroon: A cluster randomized trial. T2 - Health Care: Current Reviews; OMICS International Conferences Y1 - 2015 SN - 2375-4273 U6 - http://dx.doi.org/10.4172/2375-4273.C1.008 PB - HCCR (open access journal) CY - New Delhi, India ET - 3 ER - TY - CHAP A1 - Tigges, C A1 - Englert, Heike T1 - Impact of a Lifestyle Coaching Intervention on Nutritional Behavior and Physical Behavior Change in Prevention of Type 2 Diabetes and Importance of Social-Cognitive Variables T2 - Health Care: Current Reviews Y1 - 2015 SN - 2375-4273 U6 - http://dx.doi.org/10.4172/2375-4273.C1.008 PB - HCCR (open access journal) CY - New Delhi, India ET - 3 ER - TY - CHAP A1 - Englert, Heike A1 - Tigges, C T1 - GIG- Gesundheit in der Gesellschaft T2 - Wegener, Robert, Loebbert, Michael, Fritze, Agnès (Hg.). Zur Differenzierung von Coaching in Handlungsfeldern Y1 - 2015 PB - Springer Verlag CY - Wiesbaden ET - 1 ER - TY - BOOK A1 - Englert, Heike A1 - Siebert, Sigrid T1 - Vegane Ernährung Y1 - 2016 SN - 978-3-8252-4402-6 PB - Haupt UTB CY - Bern ET - 1. Auflage ER - TY - CHAP A1 - Englert, Heike T1 - Einführung: Vegane Ernährung-Entwicklungen und Aspekte der pflanzlichen Ernährung T2 - Heike Englert, Sigrid Siebert Vegane Ernährung Y1 - 2016 SN - 978-3-8252-4402-6 SP - 11 EP - 21 PB - Haupt UTB CY - Bern ET - 1. Auflage ER - TY - CHAP A1 - Englert, Heike T1 - Integrative Therapiekonzepte und Best Practice Beispiele auf der Basis veganer Ernährung T2 - Heike Englert, Sigrid Siebert Vegane Ernährung Y1 - 2016 SN - 978-3-8252-4402-6 SP - 199 EP - 208 PB - Haupt UTB CY - Bern ET - 1. Auflage ER - TY - CHAP A1 - Kraatz, Alwine A1 - Englert, Heike T1 - Vegane Lebensmittel/funktionelle Lebensmittel - lebensmittelrechtliche Aspekte, Kennzeichnungen und Zertifizierungen T2 - Heike Englert, Sigrid Siebert Y1 - 2016 SN - 978-3-8252-4402-6 SP - 215 EP - 233 PB - Haupt UTB CY - Bern ET - 1. Auflage ER - TY - CHAP A1 - Englert, Heike A1 - Nkengfack, Germaine T1 - Antioxidants in HIV patients in Africa: supplements, local diet and education T2 - Victor Preedy, HIV/AIDS: Oxidative Stress and Dietary Antioxidants Y1 - 2016 SP - 1 EP - 33 PB - King´s College London CY - London ET - 1. Auflage ER - TY - JOUR A1 - Wennehorst, K A1 - Mildenstein, K A1 - Saliger, B A1 - Keil, T A1 - Englert, Heike T1 - Does a holistic lifestyle intervention program improve health-related quality of life and psychological wellbeing in adults and diabetes risk? JF - Diabetes Managment Y1 - 2017 SN - 1758-1907 VL - 7 IS - 3 SP - 256 EP - 263 ER - TY - CHAP A1 - Koeder, Christian A1 - Englert, Heike T1 - Nutrient recommendations for vegans – what should we recommend? T2 - Kessler, C.: Complementary Medicine Research, Vol. 25, Suppl. 1 Y1 - 2018 U6 - http://dx.doi.org/10.1159/000488417 PB - S. Karger CY - Basel ER - TY - CHAP A1 - Englert, Heike T1 - Moving towards a plant-based diet T2 - Kessler, C.: Complementary Medicine Research, Vol. 25, Suppl. 1 Y1 - 2018 SN - 978-3-318-06374-5 U6 - http://dx.doi.org/10.1159/000488417 PB - S. Karger CY - Basel ER - TY - CHAP A1 - Englert, Heike A1 - Brune, M A1 - Kraatz, A T1 - The effects of a functional food, high in mono-, di-, oligo- and polysaccharids, on the blood sugar level in type 1 diabetics during a 10 km run T2 - Martirosyan D & Nishizawa M: Encounters of Functional Foods and Asian Traditional Medicine Y1 - 2018 SN - 97811727769241 PB - FSP CY - Osaka (Japan) ER - TY - CHAP A1 - Köder, Christian A1 - Englert, Heike ED - Eckert, Gunter P. ED - Wenzel, Uwe T1 - Einfluss eines community-basierten Lebensstilinterventionsprogramms mit pflanzenbasierter Ernährung auf kardiovaskuläre Risikoparameter T2 - Lebensjahre in Gesundheit – was leistet die Ernährung? Abstractband zum 56. Wissenschaftlichen Kongress N2 - Hintergrund: Kardiovaskuläre Erkrankungen (CVD) sind die führende Todesursache in Deutschland und weltweit. Die Konzentrationen von Gesamtcholesterin und LDL-Cholesterin im Blut sind mit einem höheren Risiko für CVD assoziiert. Die Intima-Media-Dicke der Arteria carotis communis (cIMT) ermöglicht es, den atherosklerotischen Prozess bereits im subklinischen Zustand und mittels einer schnell und einfach durchführbaren, nichtinvasiven sowie für den Probanden gesundheitlich unbedenklichen Messung zu erfassen. Fragestellung: Ist das durchgeführte community-basierte Lebensstil-Interventionsprogramm geeignet, um das CVDRisiko zu senken? Methoden: Zweijährige kontrollierte Interventionsstudie mit 6 Messzeitpunkten (0, 2, 6, 12, 18, 24 Monate). Für die Interventionsgruppe (N = 112) wurden ein individuelles Coaching sowie ein zehnwöchiges intensives Lebensstilprogramm mit anschließenden monatlichen Alumni-Treffen durchgeführt. Die Kontrollgruppe (N = 87) nimmt an keinem Programm teil. In beiden Gruppen werden u. a. die Parameter Körpergewicht, Bauchumfang, Blutdruck, Puls, Blutzucker, HbA1c, Insulin, Cholesterinwerte, Triglyzeride, cIMT sowie Parameter zum Gesundheitsverhalten erfasst. Ergebnisse: In der Interventionsgruppe zeigte sich bisher nach 10 Wochen eine Verbesserung der Gesamtcholesterin- und LDL-Cholesterin- sowie der Blutzucker- und Insulinwerte. Das Risikoprofil in der Kontrollgruppe veränderte sich nicht. Die Bestimmung der cIMT ist nach nur 10 Wochen nicht sinnvoll. Ergebnisse zur cIMT werden erst nach 6 Monaten erneut erfasst und es liegen hierzu bisher nur die Baseline-Werte vor. Schlussfolgerung: Das durchgeführte Lebensstilprogramm ist geeignet, um das kardiovaskuläre Risikoprofil zu verbessern. Eine potenzielle Veränderung der cIMT muss langfristig beobachtet werden. Zukünftige Studien sollten in Bezug auf gesunde, pflanzenbasierte Lebensstile den Wissenstransfer in die Bevölkerung hinein weiter optimieren. KW - Lebensstilintervention KW - Ernährung KW - Bewegung KW - Stressmanagement KW - Gemeinschaft Y1 - 2019 UR - https://www.dge.de/va/kongresse/wk56/programm/ SN - 978-3-88749-260-1 SP - 85 EP - 85 PB - Deutsche Gesellschaft für Ernährung e. V. (DGE) CY - Bonn ER - TY - CHAP A1 - Kranz, Ragna-Marie A1 - Englert, Heike T1 - Potenzial eines community-basierten Lebensstilprogramms zur Verbesserung gesundheitsökonomischer Parameter am Beispiel des LDL-Cholesterinspiegels und der Einnahme cholesterinsenkender Medikamente T2 - Lebensjahre in Gesundheit – was leistet die Ernährung? Abstractband zum 56. Wissenschaftlichen Kongress N2 - Potenzial eines community-basierten Lebensstilprogramms zur Verbesserung gesundheitsökonomischer Parameter am Beispiel des LDL-Cholesterinspiegels und der Einnahme cholesterinsenkender Medikamente Hintergrund: Nicht-übertragbare Zivilisationserkrankungen (NCDs) stellen eine enorme finanzielle Belastung für unser Gesundheitssystem dar. Erhöhte Lipidwerte, insbesondere der LDL-Cholesterinspiegel, gelten u. a. als Hauptrisikofaktoren für die Entstehung lebensstilabhängiger Erkrankungen und gehen nicht selten mit einer dauerhaften und kostenintensiven Medikation einher. Zahlreiche Studien konnten jedoch belegen, dass sich ein gesunder Lebensstil (gesunde Ernährung, Bewegung etc.) positiv auf den Verlauf kardiovaskulärer Risikofaktoren auswirkt. Vor diesem Hintergrund besteht ein gesundheits politisch großes Interesse an der Implementierung von nachhaltigen Lebensstilinterventionen mit dem Ziel, langfristig eine Reduktion der Medikamenteneinnahme und konsekutiv eine Senkung der Gesundheitsausgaben zu erreichen. Methoden: Die kontrollierte Interventionsstudie umfasst 6 Messzeitpunkte über einen Zeitraum von 24 Monaten. Für die Interventionsgruppe (n = 112) fanden individuelle Coachings und ein 10-wöchiges intensives Lebensstilprogramm mit anschließenden monatlichen Alumni-Treffen statt. Die Kontrollgruppe (n = 87) nahm an keinem Programm teil. In beiden Gruppen wurden, neben anthropometrischen, Vitalund Laborparametern (u. a. LDL-Cholesterin), gesundheitsökonomische Parameter mithilfe von Fragebögen erfasst. Ergebnisse: In der Interventionsgruppe zeigte sich bisher eine Verbesserung des LDL-Cholesterinspiegels nach 10 Wochen, wobei sich gleichzeitig eine Tendenz zu einer reduzierten Einnahme von cholesterinsenkenden Medikamenten abzeichnete. In der Kontrollgruppe wurden weder Veränderungen des LDLCholesterinspiegels noch Anpassungen der Medikamenteneinnahme beobachtet. Schlussfolgerung: Das community-basierte Lebens - stil programm eignet sich, um den LDL-Cholesterinspiegel im Blut zu senken und zeigt ein Potenzial zur verringerten Einnahme von cholesterinsenkenden Medikamenten auf. Zukünftig sollten die langfristigen Auswirkungen von Lebensstilinterventionen auf die Verbesserung des Lipid profils, die Reduktion der Medikamenteneinnahme sowie weitere gesundheitsökonomische Parameter fokussiert werden. KW - community-basiert KW - Lebensstilprogramm KW - Gesundheitsökonomie Y1 - 2019 UR - https://www.dge.de/fileadmin/public/doc/wk/2019/DGE-Proc-Germ-Nutr-Soc-Vol-25-2019.pdf SN - 978-3-88749-260-1 SP - 51 PB - DGE CY - Bonn ER - TY - CHAP A1 - Tigges, Corinna A1 - Englert, Heike ED - Eckert, Günter P ED - Wenzel, Uwe T1 - Einfluss eines gemeinschaftsbasierten Lebensstil-Interventionsprogramms auf das kardiometabolische Risikoprofil erwachsener Menschen unter besonderer Berücksichtigung des subjektiv wahrgenommenen Stresslevels T2 - Lebensjahre in Gesundheit – was leistet die Ernährung? Abstractband zum 56. Wissenschaftlichen DGE Kongress N2 - Hintergrund: Chronischen kardiometabolischen Krankheiten ist gemein, dass sie maßgeblich durch einen ungesunden Lebensstil (e.g. körperliche Inaktivität, hyperkalorische Ernährung mit ungünstigen Verzehrsmustern, chronische Stresszustände) begünstigt werden. Vor diesem Hintergrund ist es von großem Interesse, Interventionen zu entwickeln, die die Implementierung eines gesundheitsförderlichen Lebensstils ermöglicht. Fragestellung: Ist ein gemeinschaftsbasiertes Interventionsprogramm zur Förderung eines gesunden Lebensstils geeignet, das kardiometabolische Risikoprofil zu verbessern? Methoden: Die kontrollierte Interventionsstudie umfasst 6 Messzeitpunkte über den Zeitraum von insgesamt 24 Monaten. Für die Interventionsgruppe (N = 107) fanden individuelle Gesundheitscoachings sowie ein zehnwöchiges intensives Lebensstilprogramm mit anschließenden monatlichen Alumni-Treffen statt. Die Kontrollgruppe (N = 45) erhält keine Behandlung. Neben anthropometrischen, Vital- und Laborparametern zur Bestimmung des metabolischen Risikoprofils wurde das subjektiv wahrgenommene Stresslevel (PSS-10) erfasst. Ergebnisse: Die Probanden der Interventionsgruppe zeigten eine Verbesserung des kardiovaskulären Risikoprofils nach 10 Wochen – während sich das Risikoprofil in der Kontrollgruppe nicht veränderte. Die Parameter näherten sich auch in der Interventionsgruppe im weiteren Studienverlauf bis zum Messzeitpunkt t4 (nach 12 Monaten) wieder den Ausgangswerten an, erreichten das Ausgangniveau jedoch zumeist nicht. Schlussfolgerung: Das gemeinschaftsbasierte Lebensstilprogramm ist geeignet, um das kardiovaskuläre Risikoprofil erwachsener Menschen positiv zu beeinflussen. Zukünftig sollte der Fokus auf die nachhaltige Etablierung gesundheitsförderlicher Verhaltensweisen gelegt werden, um einen erneuten Anstieg des Risikos nach Beendigung der Intensivphase zu vermeiden. KW - Lebensstil, Stress Y1 - 2019 UR - https://www.dge.de/va/kongresse/wk56/programm/ SN - 978-3-88749-260-1 SP - 26 PB - Deutsche Gesellschaft für Ernährung e.V. CY - Bonn ER - TY - BOOK A1 - Hutting, Nathan A1 - Englert, Heike A1 - Bongaerts, Will A1 - Laakmann, Rolf T1 - Handbuch / Handboek Healthy Lifestyle Community Y1 - 2019 ER - TY - CHAP A1 - Köder, Christian A1 - Englert, Heike ED - Serra Majem, Lluis ED - Luz Fernández, María T1 - Influence of a Community-Based Lifestyle Intervention Program Including Recommendations for a Plant-Based Diet on Cardiovascular Risk Parameters T2 - Nutrients 2019: Nutritional Advances in the Prevention and Management of Chronic Disease N2 - Background: Cardiovascular disease (CVD) is the leading cause of death in industrialized countries and worldwide. The concentrations of serum total and LDL cholesterol as well as a higher intima media thickness of the common carotid artery (ccIMT) are associated with higher CVD risk. Measuring ccIMT makes it possible to already assess the atherosclerotic process at the subclinical stage. Methods: A two-year nonrandomized, controlled intervention study with 6 times of measurement (baseline; at 10 weeks; at 6, 12, 18, and 24 months). Participants of the intervention group (n = 112) took part in a ten-week intensive lifestyle program (including bi-weekly group sessions, workshops, and personal health coaching at baseline and at 10 weeks), followed by a less intensive phase (monthly lifestyle education group sessions). The control group (n = 87) did not take part in any program. In both groups, CVD-related parameters were assessed, including cholesterol (total, LDL, HDL), ccIMT (not assessed at 10 weeks), as well as health behavior (questionnaires). In between group means were compared with ANOVA using IBM SPSS 24. Results: After 10 weeks, the intervention group showed a reduction in total, LDL, and HDL cholesterol values compared to baseline (p < 0.01). In the control group, these parameters did not change. After 6 months, there was no statistically significant difference in ccIMT change between intervention and control. The 6-month blood results are not available yet. Conclusion: Our lifestyle program led to clinically relevant reductions in total and LDL cholesterol. Continued follow-up will show whether the improvement of cholesterol levels will be maintained in the intervention group and whether ccIMT will differ between intervention and control. KW - cholesterol, lifestyle medicine, intima media thickness, cardiovascular disease, atherosclerosis Y1 - 2019 UR - https://nutrients2019.sciforum.net/conferences_files/225/customs/e28f76e450e4716fccaa958564f81120.pdf SP - 185 EP - 185 PB - MDPI Nutrients 2019 Conference CY - Barcelona, Spain ER - TY - CHAP A1 - Husain, Sarah A1 - Anand, Corinna A1 - Musiol, Jennifer A1 - Bordewick-Dell, Ursula A1 - Englert, Heike ED - Majem, Lluis Serra ED - Fernández, María Luz T1 - Effect of a Community-Based Lifestyle Intervention Program on the Blood Plasma Levels of Lipid Peroxidation in a Rural German Population after 10 Weeks of Intensive Intervention T2 - Nutrients 2019: Nutritional Advances in the Prevention and Management of Chronic Disease N2 - Lifestyle diseases are linked with hyper-reactivity of inflammatory and immune cells. These cells generate free radicals in the patients, which results in oxidative stress. Recent studies have brought attention to the role of oxidative stress, defined as an imbalance between reactive oxygen species (ROS) and antioxidants. Our research was focused on studying the effects of a community-based lifestyle intervention program on oxidative stress paraments in the plasma of a rural German community. In our study, we examined 105 participants in the intervention group and 70 participants in the control group. The intervention group received 10 weeks of intensive intervention in the form of seminars and workshops. The plasma levels were analyzed at baseline and after 10 weeks of intervention. This is a first-of-itskind study which elucidates the impact of an intensive lifestyle intervention program on the oxidative stress markers in German rural participants. The primary focus of our study was to motivate and encourage participants to switch over toward a healthier lifestyle by improving their knowledge and making them more aware of the principles of healthy living. This may be a useful community program approach, modifiable for different communities by health-services planners in the coming future. KW - Oxidative stress, anti-oxidants,free radicals, lipid peroxidation, nutrition, lifestyle,health,intervention,community Y1 - 2019 UR - https://nutrients2019.sciforum.net/#custom889 SP - 219 EP - 219 PB - MDPI Nutrients 2019 Conference CY - Barcelona, Spain ER - TY - CHAP A1 - Kranz, Ragna-Marie A1 - Englert, Heike T1 - Effekt eines community-basierten Lebensstilprogramms auf Vitalparameter und gesundheitsökonomische Parameter T2 - Nieren- und Hochdruckkrankheiten. Hrsg. Deutsche Hochdruckliga e.V. DHL, Deutsche Gesellschaft für Hypertonie und Prävention N2 - Einleitung: Der globale Anstieg von Nicht-übertragbaren Zivilisationserkrankungen (NCDs) sowie die damit häufig verbundenen langfristigen Medikationen, führen zu einer enormen medizinischen und finanziellen Belastung für unser Gesundheitssystem. Erhöhte Ruhepuls- und Blutdruckwerte gelten als zentrale Risikofaktoren für NCDs, die sich jedoch u.a. durch ein gesundes Ernährungsverhalten und körperliche Aktivität positiv beeinflussen lassen. Dabei stellt sich die Frage, inwiefern eine nachhaltige Lebensstilintervention zu einer Verbesserung dieser Vitalparameter sowie zu einer verringerten Medikamenteneinnahme führen kann, um den individuellen Gesundheitszustand verbessern und potenzielle Kosteneinsparungen im Bereich der Gesundheitsökonomie erzielen zu können. Methode: Im Rahmen einer 24-monatigen, kontrollierten Interventionsstudie wurden zu sechs Messzeitpunkten umfangreiche Gesundheitsdaten von erwachsenen Personen in zwei im Münsterland lokalisierten Kommunen erfasst. In der Interventionsgruppe (n=112) wurden individuelle Coachings und ein 10-wöchiges intensives Lebensstilprogramm mit anschließenden monatlichen Alumni-Treffen angeboten. Das Lebensstilprogramm fokussierte die Bereiche "Ernährung", "Bewegung", "Stressmanagement" und "Gemeinschaft". Die Kontrollgruppe (n=87) erhielt keine Interventionsmaßnahmen. Zu Beginn (t0) und zum Ende der Interventionsphase (t1) sowie nach 6, 12, 18 und 24 Monaten (t2 – t5) wurden in beiden Gruppen Gesundheitschecks durchgeführt. Dabei wurden gesundheitsökonomische Parameter, wie Medikamenteneinnahmen und Erkrankungen, erfasst sowie der Blutdruck, der Ruhepuls und u.a. anthropometrische Daten und Laborparameter erhoben. Die Datenauswertung erfolgte mithilfe von IBM SPSS Statistics. Ergebnisse: In der Interventionsgruppe zeigten sich im Durchschnitt Verbesserungen des systolischen und diastolischen Blutdrucks sowie eine Senkung der Ruhepulswerte nach 10 Wochen (t1). Zu Beginn der Studie nahmen ca. 37% der Teilnehmer blutdrucksenkende Medikamente ein, wobei sich bereits zum zweiten Messzeitpunkt (t1) eine Tendenz zu einer verminderten Medikamentendosierung abzeichnete. In der Kontrollgruppe wurden ebenfalls Verbesserungen des systolischen und diastolischen Blutdrucks, jedoch keine Verbesserungen der Ruhepulswerte beobachtet. Etwa 31% der Teilnehmer in der Kontrollgruppe nahmen zur Baseline-Untersuchung (t0) blutdrucksenkende Medikamente ein, wobei kein Rückgang der Medikation in dieser Gruppe abgebildet werden konnte. Diskussion: Das community-basierte Lebensstilprogramm konnte zu einer Senkung der Ruhepuls- und Blutdruckwerte innerhalb von 10 Wochen (t0 – t1) beitragen. Gleichzeitig wurde ein Potenzial zur verringerten Einnahme von blutdrucksenkenden Medikamenten gezeigt, wodurch sich Kosteneinsparungen ergeben könnten. Im weiteren Studienverlauf können langfristige Veränderungen der Vitalparameter sowie Anpassungen der Medikamenteneinnahme und weiteren gesundheitsökonomischen Parametern aufgezeigt werden. KW - Vitalparameter KW - Gesundheitsökonomie KW - Lebensstilprogramm Y1 - 2019 SN - 0300-5224 SP - 564 PB - Dustri-Verlag CY - München-Deisenhofen ER - TY - CHAP A1 - Schröder, Carsten A1 - Englert, Heike A1 - Kurzhals, Kerstin A1 - Ritter, Guido T1 - Paneldiskussion zum Thema „Science with and for Society“, münster.land.leben Zwischenkonferenz, 5.4.2019, Münster. T2 - Panel discussion held at the münster.land.leben Zwischenkonferenz, 05.04.2019, Münster, Germany Y1 - 2019 ER - TY - JOUR A1 - Kranz, Ragna-Marie A1 - Englert, Heike T1 - Entwicklung des Lebensstilprogramms „Gemeinsam Gesund“ JF - Prävention und Gesundheitsförderung N2 - Zusammenfassung Hintergrund. Zivilisationserkrankungen (NCD) werden in Deutschland mit nahezu allen Sterbefällen assoziiert. Durch einen gesunden Lebensstil lässt sich das Erkran-kungsrisiko jedoch maßgeblich beeinflussen. Daraus leitet sich ein großes Potenzial für Lebensstilinterventionen zur Prävention und Gesundheitsförderung ab. Das community-basierte Lebensstilprogramm „Gemeinsam Gesund“ kombiniert verhaltens- und verhältnispräventive Maßnahmen zur NCD-Prävention. Fragestellung. Wie lässt sich das Programm „Gemeinsam Gesund“ mithilfe des Interven-tion-Mapping-Ansatzes (IMA) entwickeln und strukturieren? Methodik. Die Planung des Lebensstil-programms erfolgte mithilfe des IMA. Die theoretische Planungsmethode ermög-lichte eine in Teilschritte untergliederte Programmentwicklung, die von einer Analyse der Ausgangssituation und Zielfindung über die Maßnahmenfestlegung bis hin zur Evaluationsplanung reichte. Ergebnisse. Die Bedarfs- und Bestandsanalyse (Schritt I) konnte die Bedarfe und bereits eta-blierte Gesundheitsangebote der Community aufzeigen. Daraus konnten konkrete Ziele ent-wickelt (Schritt II) sowie Maßnahmenformate und -inhalte (Schritt III) festgelegt werden. Es wurden Gesundheitschecks und ein 10-wöchiges intensives Lebensstilprogramm mit anschließenden Alumni-Treffen konzipiert. Für alle Interventionsinhalte wurden Materialien entwickelt (Schritt IV) und die Akteure für die Implementierung vor Ort identifiziert (Schritt V). Für die Evaluation (Schritt VI) wurde eine Kombination aus einer Effekt- und Prozessevaluation geplant. Diskussion. Der IMA eignet sich gut zur Planung von komplexen Lebensstilprogram-men. Die Anwendung der Methode konnte zu einer sehr zielgruppenorientierten Inter-ventionsentwicklung beitragen, wenngleich einige Abweichungen von der normalen Vorgehensweise des IMA notwendig waren. KW - Prävention; Gesundheitsförderung; Intervention-Mapping-Ansatz; Interventionsentwicklung; Community Y1 - 2020 U6 - http://dx.doi.org/10.1007/s11553-020-00759-z SP - 1 EP - 7 ER - TY - CHAP A1 - Kranz, Ragna-Marie A1 - Englert, Heike T1 - Potenzial eines Community-basierten Lebensstilprogramms zur Prävention von Diabetes mellitus Typ 2 im gesundheitsökonomischen Kontext T2 - Proceedings of the German Nutrition Society N2 - Hintergrund: Der globale Anstieg von lebensstilabhängigen Erkrankungen, wie Diabetes mellitus Typ 2 (DMT2), führt zu enormen Belastungen für das Gesundheitssystem. Dabei er-weist sich insbesondere der DMT2 häufig durch regelmäßige Untersuchungen und Medikationen als sehr kostenintensiv. Vor diesem Hintergrund stellt sich die Frage, inwiefern ein Le-bensstilprogramm (LSP), durch die Senkung der Nüchternglu-cose und des HbA1c-Wertes, das DM2T-Risikoprofil verbessern und dem Übergang des Prädiabetes in einen DMT2 entgegen-wirken sowie sukzessive Kosteneinsparungen erzielen kann.Methoden: Das LSP umfasst eine 24-monatige, prospektive und kontrollierte Interventionsstudie mit Personen ≥18Jah-ren. Datenerhebungen wurden zur Baseline (t0) sowie nach 10 Wochen (t1) und 6, 12, 18 und 24 Monaten (t2–t5) festge-legt. Dabei werden u.a. Laborparameter (z.B. Nüchternglu-cose und HbA1c) sowie gesundheitsökonomische Parameter (z.B. Behandlungen und Medikationen) erfasst. In der Inter-ventionsgruppe (N=112) wurden individuelle Coachings, ein 10-wöchiges intensives LSP und monatliche Folgetreffen durchgeführt. Die Kontrollgruppe (N=87) erhielt ein „Treat-ment as usual“.Ergebnisse: In der Interventionsgruppe zeigte sich eine kon-tinuierliche Verringerung der Nüchternglucose (p<0,05), bis-her jedoch keine signifikante HbA1c-Reduktion, innerhalb der ersten 3 Messzeitpunkte (t0–t2). In der Kontrollgruppe wurde eine geringere Senkung der Nüchternglucose (p<0,01) sowie ein leichter Anstieg des HbA1c-Wertes (p<0,01) beobachtet (t0–t2).Schlussfolgerung: Das LSP konnte bisher zu einer Verbes-serung des DMT2-Risikoprofils führen (t0–t2) und kann sich präventiv auf die Manifestation und den Übergang eines Prä-diabetes in einen DMT2 auswirken. Daraus können Kosten-einsparungen abgeleitet werden. Die Auswertung weiterer Messzeitpunkte kann die langfristigen Auswirkungen des LSPs auf die Verbesserung von DMT2-assoziierten Parametern und damit verbundenen gesundheitsökonomischen Parame-tern aufzeigen. KW - Prävention; Diabetes mellitus Typ 2; Gesundheitsökonomie Y1 - 2020 UR - https://www.dge.de/fileadmin/public/doc/wk/2020/DGE-Proc-Germ-Nutr-Soc-Vol-26-2020.pdf SN - 978-3-88749-267-0 SP - 73 ER - TY - CHAP A1 - Englert, Heike A1 - Nkengfack, Germaine A1 - Mahmoudi, Maryam T1 - Selenium and Immunity T2 - Nutrition and Immunity. Herausgeber: Maryam Mahmoudi, Nima Rezai, Springer Verlag, 2019 Y1 - 2019 SN - 978-3-030-16073-9 SP - 159 EP - 166 ER - TY - BOOK A1 - Englert, Heike T1 - Lass los was dich dick macht Y1 - 2012 SN - 978-3-8338-2655-9 PB - GU-Verlag ER - TY - JOUR A1 - Merrill, R. A1 - Aldana, S. A1 - Greenlaw, R. A1 - Diehl, H. A1 - Salberg, A. A1 - Englert, Heike T1 - Can Newly Scientific Acquired Healthy Behaviors Persist? An Analysis of Health Behaviour Decay JF - Preventing Chronic Disease Y1 - 2008 SN - 1545-1151 VL - 5 IS - 1 SP - 13 EP - 28 ER - TY - JOUR A1 - Müller-Nordhorn, J. A1 - Englert, Heike A1 - Wegscheider, K. A1 - Berger, H. A1 - Sonntag, F. A1 - Völler, H. A1 - Meyer-Sabellek, W. A1 - Reinhold, T. A1 - Windler, E. A1 - Katus, HA. A1 - Willich, SN. T1 - Productivity loss as a major component of disease-related costs in patients with hypercholesterolemia in Germany JF - Clin Res Cardiol Y1 - 2008 SN - 1861-0692 VL - 97 SP - 152-9 EP - - ER - TY - JOUR A1 - Müller-Nordhorn, J. A1 - Englert, Heike A1 - Wegscheider, K. A1 - Berger, H. A1 - Sonntag, F. A1 - Völler, H. A1 - Meyer-Sabellek, W. A1 - Windler, E. A1 - Katus, H. A1 - Willich, S. T1 - Is patient self-report an adequate tool for monitoring cardiovascular conditions in patients with hypercholesterolemia? – Results of the ORBITAL Study JF - J Public Health (Oxf) Y1 - 2010 SN - 1741-3850 VL - 32 IS - 3 SP - 387 EP - 394 ER - TY - JOUR A1 - Müller-Nordhorn, J. A1 - Englert, Heike A1 - Wegscheider, K. A1 - Berger, H. A1 - Sonntag, F. A1 - Völler, H. A1 - Meyer-Sabellek, W. A1 - Reinhold, T. A1 - Windler, E. A1 - Katus, HA. A1 - Willich, SN. T1 - Effect of an adherence-enhancing program on health-related quality of life in patients with hypercholesterolemia JF - Eur J Integrative Med Y1 - 2008 SN - 1876-3820 VL - 1 IS - 1 SP - 24 EP - - ER - TY - JOUR A1 - Ahlers, CJ. A1 - Schaefer, GA. A1 - Mundt, IA. A1 - Roll, S. A1 - Englert, Heike A1 - Willich, SN. A1 - Beier, KM. T1 - How unusual are the contents of paraphilias? Paraphilia-associated sexual arousal patterns in a community-based sample of men JF - J Sex Med Y1 - 2011 SN - 1743-6095 VL - 8 SP - 1362 EP - 1370 ER - TY - JOUR A1 - Nkengfak, G. A1 - Turimiro, J. A1 - Nkongang, N. A1 - Englert, Heike T1 - A review of nutrition in Cameroon: Food supply, factors influencing nutritional habit and impact on micronutrient (Vitamin A, Iodine, Iron) status JF - Les Annales Universitaires de la Faculté de Médécines et des Sciences Biomédicales Y1 - 2011 SP - - EP - - ER - TY - JOUR A1 - Thieszen, C. A1 - Aldana, S. A1 - Diehl, H. A1 - Mahoney, M. A1 - Greenlaw, R. A1 - Vermeersch, D. A1 - Englert, Heike T1 - The Coronary Health Improvement Project (CHIP) for Lowering and Improving Psychological Health JF - Psychological Reports N2 - This study extends previous research evaluating the association between the CHIP intervention, change in body weight, and change in psychological health. A randomized controlled health intervention study lasting 4 wk. was used with 348 participants from metropolitan Rockford, Illinois; ages ranged from 24 to 81 yr. Participants were assessed at baseline, 6 wk., and 6 mo. The Beck Depression Inventory (BDI) and three selected psychosocial measures from the SF-36 Health Survey were used. Significantly greater decreases in Body Mass Index (BMI) occurred after 6 wk. and 6 mo. follow-up for the intervention group compared with the control group, with greater decreases for participants in the overweight and obese categories. Significantly greater improvements were observed in BDI scores, role-emotional and social functioning, and mental health throughout follow-up for the intervention group. The greater the decrease in BMI through 6 wk., the better the chance of improved BDI score, role-emotional score, social functioning score, and mental health score, with odds ratios of 1.3 to 1.9. Similar results occurred through 6 mo., except the mental health variable became nonsignificant. These results indicate that the CHIP intervention significantly improved psychological health for at least six months afterwards, in part through its influence on lowering BMI. Y1 - 2011 SN - 0033-2941 VL - 109 IS - 1 SP - 338 EP - 352 ER - TY - BOOK A1 - Englert, Heike T1 - Untersuchungen zum Einfluss des nasal applizierten Kalzitonins auf die Knochendichte und Frakturinzidenz bei postmenopausalen Frauen unter Berücksichtigung ernährungsphysiologischer Aspekte Y1 - 1997 PB - Tectum Verlag CY - Marburg ER - TY - BOOK A1 - Vauth, C. A1 - Englert, Heike A1 - Fischer, T. A1 - Greiner, W. A1 - Willich, SN. A1 - Stroever, B. A1 - von Schulenburg, JM. T1 - Sonographische Diagnostik beim akuten Abdomen bei Kindern und Erwachsenen Y1 - 2005 PB - DIMDI CY - Köln ER - TY - JOUR A1 - Aldana, S. A1 - Greenlaw, R. A1 - Diehl, H. A1 - Salberg, A. A1 - Merrill, R. M. A1 - Englert, Heike A1 - Jorgenson, R. T1 - Improvements in Cardiovascular Disease Risk Factors from Lifestyle Change: A Real World Application JF - Am J Health Promotion Y1 - 2007 SN - 0890-1171 VL - 21 IS - 6 SP - 510 EP - 516 ER - TY - JOUR A1 - Vauth, C. A1 - Englert, Heike A1 - Schulenburg, J. A1 - Greiner, W. A1 - Fischer, T. T1 - The economic perspective of sonography in the acute abdomen JF - Italian J Public Health Y1 - 2005 SN - 1723-7815 VL - 2 IS - 1 SP - 171 EP - - ER - TY - JOUR A1 - Willich, SN. A1 - Englert, Heike A1 - Schäfer, GA. A1 - Roll, S. A1 - Beier, KM. T1 - Association between cardiovascular risk factors and erectile dysfunction – a population-based study JF - Eur Heart J Y1 - 2006 SN - 0195-668X VL - 27 (Suppl.) SP - 361 EP - - ER - TY - JOUR A1 - Englert, Heike A1 - Diehl, HA. A1 - Greenlaw, RL. A1 - Willich, SN. A1 - Aldana, S. T1 - The effect of a community-based coronary risk reduction: The Rockford CHIP JF - Prev Med Y1 - 2007 SN - 1096-0260 VL - 44 SP - 513 EP - 519 ER - TY - JOUR A1 - Englert, Heike A1 - Schäfer, GA. A1 - Roll, S. A1 - Ahlers, CJ. A1 - Beier, K. A1 - Willich, SN. T1 - Prevalence of erectile dysfunction among middle-aged men in a metropolitan area in Germany JF - Int J Impotence Res Y1 - 2007 SN - 0955-9930 VL - 19 SP - 183 EP - 188 ER - TY - JOUR A1 - Aldana, S. A1 - Greenlaw, R. A1 - Diehl, H. A1 - Merrill, R. A1 - Salberg, A. A1 - Englert, Heike T1 - A video-based lifestyle intervention and changes in coronary risk JF - Health Education Res Y1 - 2008 SN - 0268-1153 VL - 23 IS - 1 SP - 115 EP - 124 ER - TY - JOUR A1 - Merrill, R. A1 - Aldana, S. A1 - Greenlaw, R. A1 - Salberg, A. A1 - Englert, Heike T1 - Chronic disease risk reduction with a community based lifestyle change program JF - Health Education Journal Y1 - 2008 SN - 0017-8969 VL - 67 IS - 3 SP - 219 EP - 230 ER - TY - JOUR A1 - Englert, Heike A1 - Diehl, HA. A1 - Greenlaw, RL. T1 - Rationale and Design of the Rockford CHIP, a Community-based Coronary Risk Reduction Program JF - Prev Med Y1 - 2004 SN - 1096-0260 VL - 38 SP - 432 EP - 441 ER - TY - JOUR A1 - Müller-Nordhorn, J. A1 - Englert, Heike A1 - Sonntag, F. A1 - Völler, H. A1 - Windler, E. A1 - Meyer-Sabellek, W. A1 - Katus, H. A1 - Wegscheider, K. A1 - Willich, SN. T1 - Disease-related costs in patients with hypercholesterolemia JF - J Epi Community Health Y1 - 2004 SN - 0143-005X VL - 58 (Suppl.) SP - 20 EP - - ER - TY - JOUR A1 - Englert, Heike A1 - Vauth, C. A1 - Fischer, T. A1 - Greiner, W. A1 - Willich, S. T1 - Ultrascound diagnostics in adults and children with acute abdomen JF - Italian J Public Health Y1 - 2005 SN - 1723-7815 VL - 2 IS - 1 SP - 293 EP - - ER - TY - JOUR A1 - Willich, SN. A1 - Müller-Nordhorn, J. A1 - Englert, Heike A1 - Sonntag, F. A1 - Völler, H. A1 - Meyer-Sabellek, W. A1 - Wegscheider, K. A1 - Windler, E. A1 - Katus, H. T1 - Cost-of-illness analysis in patients with hypercholesterolemia JF - Circulation Y1 - 2005 SN - 2574-8300 VL - 111 SP - 342 EP - 343 ER - TY - JOUR A1 - Aldana, S. A1 - Greenlaw, R. A1 - Englert, Heike A1 - Jackson, R. A1 - Diehl, H. T1 - Impact of the Coronary Health Improvement Project (CHIP) on several Employee Populations JF - J Occup Environment M Y1 - 2002 SN - 1076-2752 VL - 44 SP - 9 EP - 15 ER - TY - JOUR A1 - Englert, Heike A1 - Wirsam, B. A1 - Leitzmann, C. T1 - Influence of Lifestyle Intervention on the Dynamic of Lipid Changes Stratified by Apolipoprotein E Geno-Type JF - Ann Nutr Metab Y1 - 2003 SN - 0250-6807 VL - 47 SP - 490 EP - - ER - TY - JOUR A1 - Willich, SN A1 - Müller-Nordhorn, J. A1 - Englert, Heike A1 - Upmeier, H. A1 - Meyer-Sabellek, W. A1 - Wegscheider, K. T1 - Disease-related costs in patients with hypercholesterolaemia JF - Eur Heart J Y1 - 2003 SN - 0195-668X VL - 24 SP - 586 EP - - ER - TY - JOUR A1 - Schaefer, GA. A1 - Englert, Heike A1 - Ahlers, ChJ. A1 - Roll, S. A1 - Willich, SN. A1 - Beier, KM. T1 - Erektionsstörung und Lebensqualität – Erste Ergebnisse der Berliner Männer-Studie BMS-I JF - Sexuologie Y1 - 2003 SN - 0944-7105 VL - 10 IS - 2/3 SP - 50 EP - 60 ER - TY - JOUR A1 - Englert, Heike A1 - Schaefer, GA. A1 - Roll, S. A1 - Beier, K. A1 - Willich, SN. T1 - Prevalence of Erectile Dysfunction in a Metrolpolitan Population of Men Aged 40-79 JF - Gac Sanit Y1 - 2003 SN - 1578-1283 VL - 17 (Suppl 2) SP - 175 EP - - ER - TY - JOUR A1 - Englert, Heike A1 - Schaefer, GA. A1 - Roll, S. A1 - Ahlers, C. A1 - Beier, K. A1 - Willich, SN. T1 - Association between erectile dysfunction and cardiac risk factors in Berlin men aged 40-79 JF - Biometrical J Y1 - 2004 SN - 1521-4036 VL - 46 (Suppl.) SP - 132 EP - - ER - TY - JOUR A1 - Englert, Heike A1 - Schaefer, GA. A1 - Roll, S. A1 - Beier, KM. A1 - Willich, SN. T1 - Results of the Berlin Male Study JF - Am J Epidemiol Y1 - 2004 SN - 0002-9262 SP - 90 EP - - ER - TY - JOUR A1 - Englert, Heike A1 - Schaefer, GA. A1 - Roll, S. A1 - Beier, K. A1 - Willich, SN. T1 - The Prevalence of Erectile Dysfunction using different Definitions JF - J Epi Community Health Y1 - 2004 SN - 0143-005X VL - 58 SP - 20 EP - - ER - TY - CHAP A1 - Koeder, Christian A1 - Hahn, Andreas A1 - Englert, Heike T1 - A plant-based diet and healthy lifestyle lower C-reactive protein levels T2 - Complement Med Res N2 - Introduction: Many disease processes are accompanied and promoted by increased inflammation in the body. Increased concentrations of high-sensitivity C-reactive protein (hs-CRP) in the blood are an indicator of subclinical inflammation, increased disease risk, and an increased risk of early death. A healthy plant-based diet and increased physical activity have been shown to reduce hs-CRP concentrations. Objectives: Our objective was to test if a healthy lifestyle intervention program can improve hs-CRP levels and other risk factors. Methodology: We are conducting a non-randomized, controlled intervention study with 6 times of measurement (baseline, after 2.5, 6, 12, 18 and 24 months). Participants in the intervention group (n = 104) took part in a 2.5-month intensive lifestyle program focusing on a plant-based diet (PBD), physical activity, stress management and group support. Currently they are in the less intensive phase (monthly seminars) which will be completed after 24 months. The control group (n = 62) did not take part in any program. In both groups hs-CRP was assessed, and participants with an infection/common cold at any of the times of measurement were excluded from the analyses. Results: In the intervention group (n = 97) we observed a reduction in hsCRP from baseline to 2.5 months (p < 0.001). In the control group (n = 46) hs-CRP levels increased non-significantly. The changes from baseline to 2.5 months were significantly different between intervention and control (p < 0.01). Conclusion: Our program led to a clinically relevant reduction in hs-CRP. Continued follow-up will show if this improvement can be maintained in the intervention group. Our study confirms that a PBD and healthier lifestyle choices can lower hs-CRP. KW - plant-based diet KW - inflammation KW - cardiovascular disease KW - cancer Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-131847 UR - https://pubmed.ncbi.nlm.nih.gov/33631741/ SP - 6 EP - 7 ER - TY - JOUR A1 - Koeder, Christian A1 - Hahn, Andreas A1 - Englert, Heike T1 - Effect of a 6-Month Controlled Lifestyle Intervention on Common Carotid Intima-Media Thickness JF - The journal of nutrition, health & aging KW - plant-based diet KW - cardiovascular disease KW - kardiovaskuläre Erkrankungen KW - Prävention Y1 - 2021 U6 - http://dx.doi.org/10.1007/s12603-021-1628-0 ER - TY - CHAP A1 - Englert, Heike A1 - Anand, Corinna A1 - Köder, Christian T1 - Das Healthy-Lifestyle-Community-Programm: ein Community-basiertes, ganzheitliches Lebensstil-Interventionsprojekt zum gesunden Leben und Arbeiten T2 - Gesundheitsförderung und Versorgung im ländlichen Raum: Grundlagen, Strategien und Interventionskonzepte Y1 - 2021 SN - 9783456859798 U6 - http://dx.doi.org/10.1024/85979-000 SP - 295 EP - 308 PB - Hogrefe ER - TY - JOUR A1 - Koeder, Christian A1 - Hahn, Andreas A1 - Englert, Heike T1 - No clear association of sleep duration or bedtime with common carotid intima-media thickness JF - Atherosclerosis KW - intima-media thickness, atherosclerosis, cardiovascular disease, sleep, lifestyle medicine Y1 - 2021 U6 - http://dx.doi.org/10.1016/j.atherosclerosis.2021.06.452 SP - e150 EP - e151 ER - TY - CHAP A1 - Koeder, Christian A1 - Husain, Sarah A1 - Kranz, Ragna-Marie A1 - Hahn, Andreas A1 - Englert, Heike T1 - How to achieve sustainable eating in the general population? T2 - The 9th World Sustainability Forum Program and Abstract Book N2 - Introduction: Moving towards a more plant-based dietary pattern would likely be beneficial in terms of a variety of sustainability dimensions. Methodology: We conducted a 2-year intervention study with six measurement time points (baseline, 10 weeks, 6 months, 1 year, 1½ years, 2 years) in rural northwest Germany. The intervention consisted of a lifestyle programme, and dietary recommendations were to move towards a healthy, plant-based diet. The control group received no intervention. Diet quality was assessed with the healthful plant-based diet index (hPDI). Results: In the intervention group (n = 67), the 2-year trajectory of hPDI was significantly higher compared to control (n = 39; p 0.001; between-group difference: 5.7 (95% CI 4.0, 7.3) food portions/day; adjusted for baseline). The 2-year trajectory of meat intake was significantly lower in the intervention group (n = 79) compared to control (n = 40; p 0.001; between-group difference: -0.7 (95% CI -0.9, -0.5) portions/day; adjusted for baseline). Conclusion: Our study confirms that plant-based nutrition education in the general population is likely to result in at least modest dietary improvements in terms of general healthfulness and meat reduction. KW - plant-based diet KW - sustainability Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-140455 UR - https://wsf-9.sciforum.net/ SP - 57 EP - 57 PB - MDPI ER - TY - JOUR A1 - Kranz, Ragna-Marie A1 - Englert, Heike T1 - Effect of a community-based lifestyle intervention programme on quality of life among German women JF - European Journal of Public Health N2 - Background Quality of life is an important concept in the field of health, which can be influenced by various lifestyle factors. The objective was to test if a community-based lifestyle programme would beneficially affect the health-related quality of life of German women. Methods The controlled intervention study had a total duration of 24 months. Quality of life (EQ-5D-3L), anthropometrics, vital and blood parameters as well as diagnosed diseases and health economic parameters were collected at baseline (t0), after 10 weeks (t1) and after 6 months (t2). For the intervention group (n = 65) a 10-week intensive lifestyle programme followed by monthly alumni meetings were conducted. The intensive phase consisted of 14 consecutive seminars about a healthy lifestyle, which focused on a plant-based diet, physical activity, stress management and community support. The control group (n = 35) received no intervention. Results The first descriptive health profile results of the subgroup analysis showed that 59% women of the intervention group at t0 (t1: 37%; t2: 48%) and 60% of the control group at t0 (t1: 54%; t2: 49%) reported problems in at least one of the EQ-5D dimensions (mobility, selfcare, activities, pain, and anxiety). A significant difference in EQ VAS change between women in intervention (7,15 [95% CI 4,32; 9,98]; EQ VAS t0: 75,35 [SD 13,71]) and control group (-2,63 [95% CI -5,40; 0,15]; EQ VAS t0: 78,80 [SD 18,51]) from t0 to t1 was observed (p < 001; adjusted for baseline). No significant differences in mean EQ VAS change from t0 to t2 and in mean EQ-5D index change from t0 to t1 and t0 to t2 between the groups were observed (p > 0,05; adjusted for baseline). Conclusions The preliminary results suggest that the lifestyle intervention programme can have a positive short-time effect on some aspects of quality of life, such as the health profile and EQ VAS. However, the long-term results will be shown in the future. Key messages - A healthy lifestyle can affect the quality of life in a positive way. - The community-based lifestyle programme had a short-time influence on the descriptive health profile and EQ VAS of German women, whereby the EQ index didńt change significantly between the groups. KW - health-related quality of life KW - plant-based diet KW - economics KW - community KW - healthy lifestyle Y1 - 2021 U6 - http://dx.doi.org/10.1093/eurpub/ckab165.389 VL - Volume 31 ER - TY - JOUR A1 - Koeder, Christian A1 - Hahn, Andreas A1 - Englert, Heike T1 - Is fruit intake associated with common carotid intima-media thickness? JF - European Journal of Public Health N2 - Background Common carotid intima-media thickness (ccIMT) is an established risk marker for cardiovascular events, including myocardial infarction and stroke, which are of high public health relevance. While a higher fruit intake is generally considered beneficial for cardiovascular health, recent studies have shown that a fruit intake of > 2 portions per day may be harmful. Therefore, we tested if there is an association between categories of fruit intake and mean ccIMT. Methods We conducted an exploratory, non-prespecified, cross-sectional analysis of baseline values of 167 mostly middle-aged participants of a controlled lifestyle intervention, recruited from the general population in rural northwest Germany (male: n = 58; female: n = 109). Fruit intake was classified into low (<1 portion of fruit/day), intermediate (1-2 portions of fruit/day), and high (>2 portions of fruit/day). Mean ccIMT was measured in accordance with the Mannheim consensus. Between-group differences in mean ccIMT were assessed with analysis of covariance. Results Mean age was 57.3 ± 0.7 years (mean ± SEM). Mean fruit intake was 1.6 ± 0.1 portions/day. Average mean ccIMT was 0.679 ± 0.010 mm. There was a significant difference in mean ccIMT between subjects with low (0.676 ± 0.020 mm; n = 50), intermediate (0.653 ± 0.014 mm; n = 72), and high fruit intake (0.724 ± 0.019 mm; n = 45; p = 0.016). But this difference was attenuated when adjusting for age, sex, and homocysteine (p = 0.418). Conclusions We found only a non-significant association between consuming >2 portions of fruit per day and ccIMT. Thus, our study could not confirm a negative effect of fruit intake on ccIMT. Age, sex, and homocysteine may confound this association. Key messages Current recommendations of 2 portions of fruit per day seem adequate and do not negatively influence carotid intima-media thickness. Future studies should address confounding of the association between fruit intake and cardiovascular risk markers. KW - plant-based diet KW - carotid intima-media thickness KW - fruit Y1 - 2021 U6 - http://dx.doi.org/10.1093/eurpub/ckab165.391 ER - TY - JOUR A1 - Koeder, Christian A1 - Kranz, Ragna-Marie A1 - Anand, Corinna A1 - Husain, Sarah A1 - Alzughayyar, Dima A1 - Schoch, Nora A1 - Hahn, Andreas A1 - Englert, Heike T1 - Effect of a 1-year controlled lifestyle intervention on body weight and other risk markers (the Healthy Lifestyle Community Programme, cohort 2) JF - Obesity Facts KW - Adipositas KW - Lebensstil KW - pflanzenbasierte Ernährung Y1 - 2021 U6 - http://dx.doi.org/10.1159/000521164 ER - TY - JOUR A1 - Kent, Lillian A1 - Rankin, Paul A1 - Morton, Darren A1 - Rankin, Rebekah A1 - Greenlaw, Roger A1 - Englert, Heike T1 - Volunteers: An Effective Medium for Delivering Therapeutic Lifestyle Interventions JF - American Journal of Health Promotion Y1 - 2021 U6 - http://dx.doi.org/10.1177/08901171211062581 ER - TY - JOUR A1 - Anand, Corinna A1 - Kranz, Ragna-Marie A1 - Husain, Sarah A1 - Koeder, Christian A1 - Schoch, Nora A1 - Karam Alzughayyar, Dima A1 - Gellner, Reinhold A1 - Hengst, Karin A1 - Englert, Heike T1 - Bridging the gap between science and society: long-term effects of the Healthy Lifestyle Community Programme (HLCP, cohort 1) on weight and the metabolic risk profile: a controlled study JF - BMJ Nutrition, Prevention & Health N2 - Background The potential of adopting a healthy lifestyle to fight non-communicable diseases (NCDs) is not fully used. We hypothesised that the Healthy Lifestyle Community Programme (HLCP, cohort 1) reduces weight and other risk markers compared with baseline and control. Methods 24-month, non-randomised, controlled intervention trial. Intervention: intensive 8-week phase with seminars, workshops and coaching focusing on a healthy lifestyle (eg, plant-based diet, physical activity, stress management) and group support followed by a 22-month alumni phase. Weight reduction as the primary outcome and other NCD risk parameters were assessed at six time points. Participants were recruited from the general population. Multiple linear regression analyses were conducted. Results 143 participants (58±12 years, 71% female) were enrolled (91 in the intervention (IG) and 52 in the control group (CG)). Groups’ baseline characteristics were comparable, except participants of IG were younger, more often females, overweight and reported lower energy intake (kcal/day). Weight significantly decreased in IG at all follow-ups by −1.5 ± 1.9 kg after 8 weeks to −1.9 ± 4.0 kg after 24 months and more than in CG (except after 24 months). Being male, in the IG or overweight at baseline and having a university degree predicted more weight loss. After the intervention, there were more participants in the IG with a ‘high’ adherence (+12%) to plant-based food patterns. The change of other risk parameters was most distinct after 8 weeks and in people at elevated risk. Diabetes-related risk parameters did not improve. Conclusion The HLCP was able to reduce weight and to improve aspects of the NCD risk profile. Weight loss in the IG was moderate but maintained for 24 months. Participants of lower educational status might benefit from even more practical units. Future interventions should aim to include more participants at higher risk. Trial registration number DRKS00018821. Y1 - 2022 U6 - http://dx.doi.org/10.1136/bmjnph-2021-000340 ER - TY - JOUR A1 - Koeder, Christian A1 - Husain, Sarah A1 - Kranz, Ragna-Marie A1 - Anand, Corinna A1 - Alzughayyar, Dima A1 - Schoch, Nora A1 - Hahn, Andrea A1 - Englert, Heike T1 - Healthy lifestyle changes favourably affect common carotid intima-media thickness: the Healthy Lifestyle Community Programme (cohort 2) JF - Journal of Nutritional Science N2 - Common carotid intima-media thickness (ccIMT) progression is a risk marker for cardiovascular disease (CVD), whereas healthy lifestyle habits are associated with lower ccIMT. The objective of the present study was to test whether a healthy lifestyle intervention can beneficially affect ccIMT progression. A community-based non-randomised, controlled lifestyle intervention was conducted, focusing on a predominantly plant-based diet (strongest emphasis), physical activity, stress management and social health. Assessments of ccIMT were made at baseline, 6 months and 1 year. Participants had an average age of 57 years and were recruited from the general population in rural northwest Germany (intervention: n 114; control: n 87). From baseline to 1 year, mean ccIMT significantly increased in both the intervention (0⋅026 [95 % CI 0⋅012, 0⋅039] mm) and control group (0⋅045 [95 % CI 0⋅033, 0⋅056] mm). The 1-year trajectory of mean ccIMT was lower in the intervention group (P = 0⋅022; adjusted for baseline). In a subgroup analysis with participants with high baseline mean ccIMT (≥0⋅800 mm), mean ccIMT non-significantly decreased in the intervention group (−0⋅016 [95 % CI −0⋅050, 0⋅017] mm; n 18) and significantly increased in the control group (0⋅065 [95 % CI 0⋅033, 0⋅096] mm; n 12). In the subgroup, the 1-year trajectory of mean ccIMT was significantly lower in the intervention group (between-group difference: −0⋅051 [95 % CI −0⋅075, −0⋅027] mm; P < 0⋅001; adjusted for baseline). The results indicate that healthy lifestyle changes may beneficially affect ccIMT within 1 year, particularly if baseline ccIMT is high. KW - plant-based diet KW - carotid intima-media thickness KW - cardiovascular disease KW - atherosclerosis KW - lifestyle Y1 - 2022 UR - https://www.cambridge.org/core/journals/journal-of-nutritional-science/article/healthy-lifestyle-changes-favourably-affect-common-carotid-intimamedia-thickness-the-healthy-lifestyle-community-programme-cohort-2/DD29870A14031B1EB3DF112B2A381695#article U6 - http://dx.doi.org/10.1017/jns.2022.46 VL - 11 ER - TY - JOUR A1 - Anand, Corinna A1 - Hengst, Karin A1 - Gellner, Reinhold A1 - Englert, Heike T1 - Eight weeks of lifestyle change: What are the effects of the Healthy Lifestyle Community Programme (cohort 1) on Cortisol Awakening Response (CAR) and perceived stress? JF - Chronic Stress Y1 - 2022 U6 - http://dx.doi.org/10.1177/24705470221099206 SP - accepted ER - TY - JOUR A1 - Anand, Corinna A1 - Hengst, Karin A1 - Gellner, Reinhold A1 - Englert, Heike T1 - Effects of the healthy lifestyle community program (cohort 1) on stress-eating and weight change after 8 weeks: a controlled study JF - Scientific Reports N2 - Stress-eating (eating more or more unhealthily in order to accommodate to stress), contributes to the development and maintenance of obesity. The effect of comprehensive weight loss interventions on changes in stress-eating as well as the contributing role of stress-eating on weight reduction has not been examined. The impact of the 8-week intensive phase of the Healthy Lifestyle Community Programme (HLCP, cohort 1) on emotional, external and restrained eating, as expressions of stress-eating was evaluated in a non-randomized controlled trial. Intervention: 14 seminars (twice per week, including practical units), complemented by stress-regulation and cooking workshops and coaching sessions empowering participants to change their behaviour towards a healthy plant-based diet (ad libitum), stress regulation, regular exercise and to focus on social support. Participants were recruited from the general population. In the intervention group, 91 participants (IG; age: 56 ± 10, 77% female) and in the control group, 52 (CG; age: 62 ± 14, 57% female) were enrolled. At baseline, participants of the IG reported higher levels of stress (9.7 ± 5.4 points [P] vs. 7.6 ± 6.2; p < 0.011), and of emotional eating (27.9 ± 9.4 vs. 20.0 ± 7.1; p < 0.001) and external eating (29.1 ± 4.9 vs. 25.5 ± 5.6; p < 0.001) than participants of the CG. Within 8 weeks, in the IG, scores of emotional eating (− 3.5 ± 5.4 P) and external eating significantly decreased (= − 2.0 ± 3.8 P), while restrained eating increased (2.7 ± 5.0 P; p for all < 0.001). Weight change was negatively correlated with change of external eating (R2 = 0.045; CC = − 0.285; p = 0.014), indicating that a greater weight change was associated with a smaller change of external eating. This is the first study to prospectively investigate the role of stress-eating on the weight reduction effect of comprehensive lifestyle interventions. Our data confirm that overweight is associated with EE and external eating and suggest that the HLCP is capable to reduce both, weight and stress-eating. KW - stress-eating, weight, lifestyle Y1 - 2023 U6 - http://dx.doi.org/10.1038/s41598-022-27063-4 VL - 13 SP - 1 EP - 12 ER - TY - JOUR A1 - Anand, Corinna A1 - Hengst, Karin A1 - Gellner, Reinhold A1 - Englert, Heike T1 - Eight Weeks of Lifestyle Change: What are the Effects of the Healthy Lifestyle Community Programme (Cohort 1) on Cortisol Awakening Response (CAR) and Perceived Stress? JF - Chronic stress N2 - Background: Stress and cortisol dysregulation are linked to NCDs. Moreover, stress favours unhealthy lifestyle patterns, which increase the risk for NCDs. The role of the Cortisol Awakening Response (CAR) and the effect of lifestyle interventions on the same remain unclear. Methods: The impact of the intensive 8-week phase of the Healthy Lifestyle Community Programme (HLCP, cohort 1) on parameters of the CAR, ie cortisol values 0 (sample [S]1), 30), 45 and 60 minutes post-awakening, average peak, S1-peak delta and area under the increase curve (AUCI), and perceived stress levels (PSL) was evaluated in a non-randomized, controlled trial. Covariates of the CAR (eg sleep measures) and irregularities in sampling were assessed. The intervention focussed on stress management, a healthy diet, regular exercise, and social support. Participants were recruited from the general population. Multiple linear regression analyses were conducted. Results: 97 participants (age: 56 ± 10 years; 71% female), with 68 in the intervention group (IG; age: 55 ± 8, 77% female) and 29 participants in the control group (CG; age: 59 ± 12, 59% female), were included in the analysis. The baseline characteristics of both groups were comparable, except participants of IG were younger. On average, the PSL at baseline was low in both groups (IG: 9.7 ± 5.4 points; CG: 8.5 ± 6.9 points; p = .165), but 22% (n = 15) in the IG and 20% (n = 6) in the CG reported a high PSL. Most participants reported irregularities in CAR sampling, eg interruption of sleep (IG: 80% CG: 81%). After 8 weeks, most CAR parameters and the PSL decreased in the IG and CG, resulting in no differences of change between the groups. In the IG only, a decrease of PSL was linked to an increase of CAR parameters, eg AUCI (correlation coefficient = −0.307; p = .017). Conclusion: The HLCP may potentially reduce PSL and change the CAR, but results cannot be clearly attributed to the programme. Methodological challenges and multiple confounders, limit suitability of the CAR in the context of lifestyle interventions. Other measures (eg hair-cortisol) may give further insights. Trial registration: German Clinical Trials Register (DRKS); DRKS00018821; www.drks.de KW - cortisol, weight, lifestyle, stress Y1 - 2022 U6 - http://dx.doi.org/10.1177/24705470221099206 VL - 2022 IS - 6 SP - 1 EP - 13 ER - TY - JOUR A1 - Husain, Sarah A1 - Hillmann, Katharina A1 - Hengst, Karin A1 - Englert, Heike T1 - Effects of a lifestyle intervention on the biomarkers of oxidative stress in non-communicable diseases: A systematic review JF - Frontiers in Aging N2 - Oxidative stress plays a critical role in the pathogenesis of chronic diseases. Therefore, improvement of oxidative stress status through lifestyle intervention can play a vital role in preventing and treating chronic diseases. This systematic review aims to provide an overview of articles published in the last decade examining the association between lifestyle intervention and oxidative stress biomarkers in the context of non-communicable diseases. The electronic databases PubMed and Web of Science were searched for relevant studies, following the PRISMA (Preferred Reporting of Systematic Reviews and Meta-Analyses) guidelines. This systematic review focused on the four important oxidative stress biomarkers; glutathione (GSH), superoxide dismutase (SOD), catalase, and malondialdehyde. 671 articles were identified, of which nine met the inclusion criteria. A trend emerged, showing that lifestyle modifications that focus on diet and physical health can improve oxidative stress in the form of an increase in superoxide dismutase and CAT levels and a decrease in Malondialdehyde levels in participants with non-communicable diseases (NCDs), GSH levels were not affected. However, the results are difficult to compare because of the heterogeneity of the methods of the biomarkers studied. Our review indicates that oxidative stress can be influenced by lifestyle modifications and may be an effective tool for the prevention and management of non-communicable diseases. This review also elucidated the importance of analyzing multiple oxidative stress biomarkers to evaluate oxidative stress, it further highlights the need to conduct long-term lifestyle intervention studies on oxidative stress biomarkers to understand the connection between oxidative stress biomarkers, NCDs and Lifestyle intervention. KW - oxidative stress, lifestyle intervention, lifestyle diseases, antioxidants, non-communicable diseases, prevention, ageing, immunity Y1 - 2023 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-160827 PB - Frontiers Journal CY - Germany ER - TY - JOUR A1 - Kranz, Ragna-Marie A1 - Kettler, Carmen A1 - Anand, Corinna A1 - Koeder, Christian A1 - Husain, Sarah A1 - Schoch, Nora A1 - Buyken, Anette A1 - Englert, Heike T1 - Effect of a controlled lifestyle intervention on medication use and costs: The Healthy Lifestyle Community Program (cohort 2) JF - Nutrition and Health N2 - Background: Establishing a healthy lifestyle has a great potential to reduce the prevalence of non-communicable diseases (NCDs) and their risk factors. NCDs contribute immensely to the economic costs of the health care system arising from therapy, medication use, and productivity loss. Aim: The aim of this study was to evaluate the effect of the Healthy Lifestyle Community Program (cohort 2; HLCP-2) on medication use and consequently on medication costs for selected NCDs (diabetes, hypertension, and dyslipidemia). Methods: Data stem from a 24-month non-randomised, controlled intervention trial aiming to improve risk factors for NCDs. Participants completed questionnaires at six measurement time points assessing medication use, from which costs were calculated. The following medication groups were included in the analysis as NCD medication: glucose-lowering medications (GLM), antihypertensive drugs (AHD) and lipid-lowering drugs (LLD). Statistical tests for inter- and intra-group comparison and multiple regression analysis were performed. Results: In total, 118 participants (intervention group [IG]: n = 79; control group [CG]: n = 39) were considered. Compared to baseline medication use decreased slightly in the IG and increased in the CG. Costs for NCD medication were significantly lower in the IG than in the CG after 6 (p = 0.004), 12 (p = 0.040), 18 (p = 0.003) and 24 months (p = 0.008). After multiple regression analysis and adjusting for confounders, change of costs differed significantly between the groups in all final models. Conclusion: The HLCP-2 was able to moderately prevent an increase of medication use and thus reduce costs for medication to treat NCDs with the greatest impact on AHD. Y1 - 2023 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-162176 SN - 2047-945X PB - Sage Publications ER - TY - JOUR A1 - Koeder, Christian A1 - Anand, Corinna A1 - Husain, Sarah A1 - Kranz, Ragna-Marie A1 - Schoch, Nora A1 - Alzughayyar, Dima A1 - Bitterlich, Norman A1 - Hahn, Andreas A1 - Englert, Heike T1 - Exploratory analysis of the effect of a controlled lifestyle intervention on inflammatory markers – the Healthy Lifestyle Community Programme (cohort 2) JF - BMC Nutrition N2 - Background Chronic low-grade inflammation is associated with an increased risk of chronic disease and mortality. The objective of the study was to test the effect of a healthy lifestyle intervention on biomarkers of inflammation (among other risk markers). Methods We conducted a non-randomized controlled trial with mostly middle-aged and elderly participants from the general population in rural northwest Germany (intervention: n = 114; control: n = 87). The intervention consisted of a 1-year lifestyle programme focusing on diet (largely plant-based; strongest emphasis), physical activity, stress management, and social support. High-sensitivity C-reactive protein (hs-CRP) was assessed at baseline, 10 weeks, 6 months, and 1 year. Homocysteine (Hcy) was assessed at baseline, 10 weeks, and 1 year. Adiponectin (Apn) was assessed at baseline and 10 weeks. An exploratory analysis of these inflammatory markers assessing the between-group differences with ANCOVA was conducted. Results The 1-year trajectory of hs-CRP was significantly lower in the intervention group compared to control (between-group difference: -0.8 (95% CI -1.2, -0.3) mg/l; p = 0.001; adjusted for baseline). The 1-year trajectory of Hcy was non-significantly higher in the intervention compared to control (between-group difference: 0.2 (95% CI -0.3, 0.7) µmol/l; p = 0.439; adjusted for baseline). From baseline to 10 weeks, Apn decreased significantly more in the intervention group compared to control (between-group difference: -1.6 (95% CI -2.7, -0.5) µg/ml; p = 0.004; adjusted for baseline). Conclusions Our study shows that healthy lifestyle changes can lower hs-CRP and Apn levels and are unlikely to significantly affect Hcy levels within 1 year. Trial registration German Clinical Trials Register (DRKS; reference: DRKS00018775, registered 12 Sept 2019; retrospectively registered; www.drks.de). Y1 - 2023 U6 - http://dx.doi.org/10.1186/s40795-023-00684-2 SN - 2055-0928 VL - 9 IS - 25 ER - TY - JOUR A1 - Koeder, Christian A1 - Alzughayyar, Dima A1 - Anand, Corinna A1 - Kranz, Ragna-Marie A1 - Husain, Sarah A1 - Schoch, Nora A1 - Hahn, Andreas A1 - Englert, Heike T1 - The healthful plant-based diet index as a tool for obesity prevention – the Healthy Lifestyle Community Program cohort 3 study JF - Obesity Science and Practice N2 - Background Worldwide the prevalence of obesity is high, and promoting a shift towards more healthful and more plant-based dietary patterns appears to be one promising strategy to address this issue. A dietary score to assess adherence to a healthy plant-based diet is the healthful plant-based diet index. While there is evidence from cohort studies that an increased healthful plant-based diet index is associated with improved risk markers, evidence from intervention studies is still lacking. Methods A lifestyle intervention was conducted with mostly middle-aged and elderly participants from the general population (n = 115). The intervention consisted of a 16-month lifestyle program focusing on a healthy plant-based diet, physical activity, stress management, and community support. Results After 10 weeks, significant improvements were seen in dietary quality, body weight, body mass index, waist circumference, total cholesterol, measured and calculated LDL cholesterol, oxidized LDL particles, non-HDL cholesterol, remnant cholesterol, glucose, insulin, blood pressure, and pulse pressure. After 16 months, significant decreases were seen in body weight (-1.8 kg), body mass index (-0.6 kg/m2), and measured LDL cholesterol (-12 mg/dl). Increases in the healthful plant-based diet index were associated with risk marker improvements. Conclusions The recommendation of moving towards a plant-based diet appears acceptable and actionable and may improve body weight. The healthful plant-based diet index can be a useful parameter for intervention studies. Y1 - 2022 U6 - http://dx.doi.org/10.1002/osp4.649 ER - TY - CHAP A1 - Englert, Heike A1 - Diehl, H. A1 - Greenlaw, R. A1 - Aldana, S. T1 - The Effects of Lifestyle Modification on Glycemic Levels and Medication Intake:The Rockford CHIP T2 - Dr. Oreste Capelli, Primary Care at a Glance - Hot Topics and New Insights N2 - Introduction: The high prevalence of cardiovascular disease (CVD) in the past 50 years has led to intense research, resulting in many improvements in treatment. At the same time, type 2 diabetes, with its concomitant increase in vascular complications, has become a serious, exploding and costly public health concern . Diabetes now affects 285 million adults worldwide and 344 million with pre-diabetes. Of these, 25.8 million diabetics and 79 million pre-diabetics are found in the United States alone.The current cost of diabetes in the US is likely to exceed the $174 billion estimate, which includes 2/3 for direct medical costs and 1/3 for indirect costs, such as disability, work loss, and premature death, but omits the social cost of intangibles (e.g. pain, suffering, lower quality of life). The diabetes epidemic has been accompanied by a similarly drastic increase in obesity. Although the relationship between the two developments is a matter of debate, both are presumably caused by changes in dietary habits and an increasingly sedentary modern lifestyle . Compelling evidence has shown that lifestyle changes can effectively prevent or delay the occurrence of type 2 diabetes. Because individuals at risk for this disease can usually be identified during the pre-diabetic phase of impaired glucose tolerance, early intervention and lifestyle change offer a logical approach to preventing this disease and its devastating vascular complications. Additionally, community-based lifestyle interventions for high risk groups and for the general population are a cost-effective way of curbing the growing burden of the disease. Solidifying the scientific basis for the prevention, treatment and control of this disease and its implementation on a national level, however, remains a difficult challenge. Moreresearch is needed to provide comprehensive and more effective strategies for weight-loss,especially over time. Therefore, the objectives of this study were to identify diabetics and those at risk (prediabetics) out of the total cohort of 1,517 who selected themselves into an intensive community-based lifestyle intervention program, and to assess its clinical efficacy ineffecting medication status as determined and managed by their personal physicians. Y1 - 2012 SN - 979-953-307-556-2 U6 - http://dx.doi.org/10.25974/fhms-571 SP - 323 EP - 336 PB - InTech CY - Rijeka, Rumänien ER - TY - JOUR A1 - Nkengfak, G. A1 - Torimiro, J. A1 - Nkongang, N. A1 - Englert, Heike T1 - A review: Effects of antioxidants on CD4 and viral load in HIV-infected women in sub-Saharan Africa - dietary supplements vs. local diet. JF - International Journal for Vitamin and Nutrition Research N2 - Abstract In sub-Sahara Africa, micronutrient deficiency, especially of antioxidant micronutrients including vitamins A, C, and E, beta-carotene, selenium, zinc, and polyphenols is very common in HIV-positive patients. Amongst adults, women are the most vulnerable. Antioxidants are known to play a vital role in the immune system, reducing oxidative stress. Oxidative stress is induced by excess production of reactive oxygen species (ROS), due to the HIV infection. Such damage may be prevented or moderated through adequate oral intake of antioxidants, scavenging ROS, as well as protecting cells and tissues against oxidative stress. Antioxidants can be provided to the body through locally available antioxidant rich-diets such as fruit-and-vegetable-based diets and/or dietary supplements. Provision of antioxidants through local diets or dietary supplements exercise beneficial effects on biological markers of the immune system (CD4 and viral load). However, while dietary supplements represent a costly and short-term strategy to limiting antioxidant deficiency, local diets, combined with adequate nutritional education, can provide a low-cost and long-term strategy to reduce oxidative stress, prevent micronutrient deficiency, and slow down HIV disease progression. The former can be applicable in countries around the West, Central, and South coast of Africa, which are rich in natural food resources. In contrast with significant evidence that dietary supplements confer benefits in HIV patients, fewer data are available relating to the benefits of local diets. Thus the need to do more research in this area arises. This review compares available data on effects of antioxidants on CD4 and viral load in HIV-positive women noneligible for antiretroviral therapy. Intake of antioxidants though dietary supplements and local diet, associated with nutritional education, is compared. Studies conducted in sub-Sahara Africa are considered. Y1 - 2012 SN - 0300-9831 VL - 82 SP - 63 EP - 72 ER - TY - JOUR A1 - Willich, S. N. A1 - Englert, Heike A1 - Sonntag, F. A1 - Völler, H. A1 - Meyer-Sabellek, W. A1 - Wegscheider, K. A1 - Windler, E. A1 - Katus, H. A. A1 - Müller-Nordhorn, J. T1 - Impact of a compliance program on cholesterol control: results of the randomized ORBITAL study in 8108 patients treated with rosuvastatin JF - Eur J Cardiovasc Prev Rehabil N2 - Abstract This study extends previous research evaluating the association between the CHIP intervention, change in body weight, and change in psychological health. A randomized controlled health intervention study lasting 4 wk. was used with 348 participants from metropolitan Rockford, Illinois; ages ranged from 24 to 81 yr. Participants were assessed at baseline, 6 wk., and 6 mo. The Beck Depression Inventory (BDI) and three selected psychosocial measures from the SF-36 Health Survey were used. Significantly greater decreases in Body Mass Index (BMI) occurred after 6 wk. and 6 mo. follow-up for the intervention group compared with the control group, with greater decreases for participants in the overweight and obese categories. Significantly greater improvements were observed in BDI scores, role-emotional and social functioning, and mental health throughout follow-up for the intervention group. The greater the decrease in BMI through 6 wk., the better the chance of improved BDI score, role-emotional score, social functioning score, and mental health score, with odds ratios of 1.3 to 1.9. Similar results occurred through 6 mo., except the mental health variable became nonsignificant. These results indicate that the CHIP intervention significantly improved psychological health for at least six months afterwards, in part through its influence on lowering BMI. Y1 - 2009 VL - 16 SP - 180 EP - 187 ER - TY - RPRT A1 - Englert, Heike A1 - Müller-Nordhorn, Jacqueline A1 - Seewald, Sebastian A1 - Sonntag, Frank A1 - Völler, Hans A1 - Meyer-Sabellek, Wolfgang A1 - Wegscheider, Karl A1 - Windler, Eberhard A1 - Katus, Hugo A1 - Willich, Stefan N. T1 - Is patient self-report an adequate tool for monitoring cardiovascular conditions in patients with hypercholesterolemia? N2 - ABSTRACT Background: To determine the accuracy of patient self-reports of specific cardiovascular diagnoses and to identify individual patient characteristics that influence the accuracy. Methods: This investigation was conducted as a part of the randomized controlled ORBITAL study. Patients with hypercholesterolemia were enrolled in 1961 primary-care centers all over Germany. Self-reported questionnaire data of 7640 patients were compared with patients' case report forms (CRFs) and medical records on cardiovascular diseases, using k statistics and binomial logit models. Results: k values ranged from 0.89 for diabetes to 0.04 for angina. The percentage of overreporting varied from 1 percent for diabetes to 17 percent for angina, whereas the percentage of underreporting varied from 8.0 percent for myocardial infarction to 57 percent for heart failure. Individual characteristics such as choice of individual general practitioner, male gender and age were associated with the accuracy of self-report data. Conclusion: Since the agreement between patient self-report and CRFs/medical records varies with specific cardiovascular diagnoses in patients with hypercholesterolemia, the adequacy of this tool seems to be limited. However, the authors recommend additional data validation for certain patient groups and consideration of individual patient characteristics associated with over- and underreporting. Keywords agreement, cardiovascular disease, case report forms, general practitioner information, medical records, orbital study, overreporting, patient self-report, underreporting Y1 - 2010 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-5761 PB - Oxford University Press ER - TY - CHAP A1 - Nkengkfack, Germaine A1 - Englert, Heike A1 - Czech, Marion T1 - Einfluss eines HIV-Care-Programms auf den Ernährungsstatus von HIV- infizierten Patienten in Kamerun T2 - Zusammenfassung DGE-Kongress, 2012 N2 - Einfluss eines HIV-Care-Programms auf den Ernährungsstatus von HIV- infizierten Patienten in Kamerun B. Sc. Marion Czech, G. Nkengkfack, H. Englert, Oerlinghausen Zusammenfassung Weltweit sind über 33,3 Millionen Menschen mit dem HI-Virus infiziert (vgl. WHO, 2009). Die Subsahara zählt mit 24,5 Millionen Infizierten zu den Ländern mit der größten HIV-Rate. Allein in Kamerun sind ca. 5,5 prozent der Bevölkerung betroffen (vgl. UNAIDS, 2007). Die Ernährung kann hierbei den Krankheitsverlauf positiv beeinflussen und somit das Auftreten der charakteristischen Symptome von Aids sowie den Beginn der teuren antiretroviralen Therapie verzögern (vgl. Eckert, 2006, Immel, 2006). Durch zahlreiche Faktoren der HIV- Infektion ist bei 20-30 prozent der Patienten bereits in der asymptomatischen Phase der Infektion eine Mangelernährung zu beobachten. Neben dem Absinken des Körpergewichtes kommt es häufig zu einem reduziertem Plasmavitaminspiegel Proteinmangel sowie zu vermehrtem oxidativen Stress (vgl. Biesalski,Fürst, Kasper et. al., 1995, S. 417). Ziel dieser Arbeit ist es die Auswirkungen eines HIV- Care- Programmes auf den Ernährungszustand von HIV- Infizierten Personen in Kamerun im Vergleich zu einer Kontrollgruppe darzulegen. Dafür erfolgt eine Messung des Ernährungszustands vor Beginn des HIV- Care- Programmes, sowie nach drei- monatiger Durchführung des Programmes. Parallel finden diese Erhebungen auch bei den Patienten der Kontrollgruppe statt. Für die Erfassung des Body- Mass. Index werden Daten von 30 Patienten der Interventionsgruppe vor Beginn und nach 3- monatiger Durchführung des HIV- Care- Programmes miteinander verglichen. Anhand eines 3- Tage- Protokolls werden von 31 Patienten der Interventionsgruppe, sowie von 31 Patienten der Kontrollgruppe jeweils vor Beginn der Schulungen und nach drei Monaten der Durchführung die Parameter Gesamtenergiezufuhr und Zufuhr der Antioxidantien Vitamin A, C, E, sowie Zink miteinander verglichen. Parallel erfolgt von diesen je 31 Patienten je Gruppe auch die Beurteilung der Verzehrshäufigkeit einzelner Lebensmittelgruppen anhand eines Food Frequency Questionnaires. Der Body- Mass. Index von den 30 Personen der Interventionsgruppe verringerte sich zwischen T0 und T1 nur minimal um 0,33. Bei der Auswertung des 3- Tage- Protokolles zeigte sich eine Erhöhung der Zufuhr der Antioxidantien. Die Vitamine A und C wurden nach drei- monatiger Durchführung des HIV- Care Programms in höheren Mengen zu sich genommen, während sich die Aufnahme dieser Mikronährstoffe innerhalb der Kontrollgruppe nicht in größerem Ausmaß veränderte. Hinsichtlich der Verzehrshäufigkeit lässt sich nach drei Monaten. Y1 - 2012 ER - TY - JOUR A1 - Kranz, Ragna-Marie A1 - Kettler, Carmen A1 - Koeder, Christian A1 - Husain, Sarah A1 - Anand, Corinna A1 - Schoch, Nora A1 - Englert, Heike T1 - Health Economic Evaluation of a Controlled Lifestyle Intervention: The Healthy Lifestyle Community Program (Cohort 2; HLCP-2) JF - Nutrients N2 - Non-communicable diseases (NCD) are associated with high costs for healthcare systems. We evaluated changes in total costs, comprising direct and indirect costs, due to a 24-month non-randomized, controlled lifestyle intervention trial with six measurement time points aiming to improve the risk profile for NCDs. Overall, 187 individuals from the general population aged ≥18 years were assigned to either the intervention group (IG; n = 112), receiving a 10-week intensive lifestyle intervention focusing on a healthy, plant-based diet; physical activity; stress management; and community support, followed by a 22-month follow-up phase including monthly seminars, or a control group (CG; n = 75) without intervention. The complete data sets of 118 participants (IG: n = 79; CG: n = 39) were analyzed. At baseline, total costs per person amounted to 67.80 ± 69.17 EUR in the IG and 48.73 ± 54.41 EUR in the CG per week. The reduction in total costs was significantly greater in the IG compared to the CG after 10 weeks (p = 0.012) and 6 months (p = 0.004), whereas direct costs differed significantly after 10 weeks (p = 0.017), 6 months (p = 0.041) and 12 months (p = 0.012) between the groups. The HLCP-2 was able to reduce health-related economic costs, primarily due to the reduction in direct costs. Y1 - 2023 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-174544 ER - TY - CHAP A1 - Kettler, Carmen A1 - Kranz, Ragna-Marie A1 - Anand, Corinna A1 - Husain, Sarah A1 - Köder, Christian A1 - Michaelsen, Maren M. A1 - Esch, Tobias A1 - Englert, Heike T1 - Effekt eines community-basierten Lebensstil-Interventionsprogramms auf die Selbstwirksamkeitserwartung von Bürger*innen in Bezug auf eine gesunde Ernährung T2 - Proceedings of the German Nutrition Society Y1 - 2024 SP - 93 EP - 93 PB - Deutsche Gesellschaft für Ernährung e.V. (DGE) CY - Bonn ER -