MIND Foods and Aerobic Training in Black Adults With HTN

Korábbi kezelés

• drug use/abuse (excluding marijuana) per EMR

Más betegség

• diagnosis of dementia or Alzheimer disease or mild cognitive impairment; Parkinson disease; brain tumor/infection/surgery (within the last 10 years with residual symptoms and/or functional loss/deficit, such as impaired learning, memory, or communication); cancer with short life expectancy, or current chemotherapy or radiation therapy; psychosis, schizophrenia, or bipolar disorder
• ICD 10 code I11/hypertensive heart disease, ICD 10 code I12/hypertensive CKD, ICD 10 code I13/hypertensive heart disease and CKD, ICD 10 code I15, or ICD 10 code I16
• low communicative ability, functional status, or other disorders (examiner rated) that would interfere with interventions and assessments

Egyéb

• lives in nursing home
• current or past prescription of donepezil, memantine, rivastigmine, or galantamine
• alcohol consumption ≥ 8 drinks per week for women, or ≥15 drinks per week for men
• moving out of area during study timeline
• scheduling conflicts with intervention schedule
• unwilling to use a touchscreen
• unwilling to be on video conferencing
• unable to provide informed consent
• participation in any lifestyle modification/weight loss program (e.g., Weight Watchers, etc.)

• Fluent in English
• Marion County resident
• 35-75 years
• Self-identified non-Hispanic and Black/African-American/biracial including African-American
• Systolic BP of ≥140 in prior 12 months from a primary care visit
• Ability to see and read street signs (self report)
• Stable housing with independent access to kitchen, including functional stove or hotplate, oven, refrigerator, and freezer (self report)
• Activity independence per functional activities questionnaire (FAQ; <3 responses of "Require Assistance" and 0 responses of "Dependent")
• Normal cognition per six-item screener (SIS; score of ≥ 5)
• Less than 20min on usual day of moderate or vigorous physical activity
• Able to exercise safely per abbreviated Exercise Assessment for You (EASY) or primary care provider clearance
• Mean systolic BP of ≥130 from 3 standard BP measurements taken by research staff following standardized wait periods.