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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 -