Efficacy of CVD risk factor modification in a lower-middle class community in Pakistan: the Metroville Health Study

Asia Pac J Public Health. 2003;15(1):30-6. doi: 10.1177/101053950301500106.

Abstract

The Metroville Health Study aimed to reduce consumption of total cooking fats by 33%, salt by 25% and replace ghee with vegetable oil in a lower middle class urban community in Pakistan. Households (n=403) were randomly assigned to Intervention and Control groups. A baseline screening collected data on CVD risk factors, knowledge and attitudes and household consumption of cooking fats and salt. Intervention households received information about CVD and regular visits by social workers who measured cooking fats and salt and counselled cooks on the goals of intervention. Two years later, 291 households were re-screened. Intervention households reduced consumption of fats and salt compared to differences were total fat, 48% (p<0.0001); ghee, 37% (p=0.005); vegetable oil, 33% (p=0.0001); and salt, 41% (p=0.011). Household visits by trained social workers were effective in achieving reductions in consumption of cooking fat and salt in a lower class urban community.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Cardiovascular Diseases / blood
  • Cardiovascular Diseases / etiology
  • Cardiovascular Diseases / prevention & control*
  • Cooking / methods
  • Dietary Fats / administration & dosage
  • Dietary Fats / adverse effects
  • Feeding Behavior
  • Female
  • Health Behavior*
  • Health Knowledge, Attitudes, Practice*
  • Health Promotion / methods
  • Humans
  • Male
  • Pakistan
  • Risk Factors
  • Risk Reduction Behavior*

Substances

  • Dietary Fats