Promoting Healthy Lifestyles: Alternative Models' Effects (PHLAME) is a research study to evaluate and compare two ways to promote healthy behaviors, (regular physical activity, less than 30% calories from fat, 5 or more servings of fruits plus vegetables each day and maintain a healthy weight). Unhealthy nutrition practices and sedentary (inactive) lifestyles are the two most common harmful behaviors in the United States. Our two health promotion methods are 1) a team-based approach and 2) a one-on-one approach involving meetings with a health counselor. A third group only receives the same evaluation and their results and is the control group. Study participants are firefighters from 36 fire stations in Oregon and Washington.
The goals of the study are increased physical activity and fitness, improved nutrition, and improved energy balance (reduced body fat). Changes in these factors can help lower risks for heart disease, some types of cancer, diabetes, hypertension and musculoskeletal injuries. Results from PHLAME will provide information on how best to help adults achieve and maintain healthy lifestyles.
Conditions
Conditions (4)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
Inclusion Criteria:
* All fit-for-duty fire fighters from Portland, OR, Salem, OR, Camas, WA, Battleground, WA and Brush Prairie, WA.
Exclusion Criteria:
* Fire fighters who are planning on leaving employment within 1 year.
References
Publications (22)
BACKGROUNDAmerican College of Sports Medicine. Guidelines for Exercise Testing and Prescription. 5th ed. Williams & Wilkins, 1995.
BACKGROUNDAmerican College of Sports Medicine position stand. The recommended quantity and quality of exercise for developing and maintaining cardiorespiratory and muscular fitness in healthy adults. Med Sci Sports Exerc. 1990 Apr;22(2):265-74. PMID 2355825
BACKGROUNDHankin JH, Wilkens LR. Development and validation of dietary assessment methods for culturally diverse populations. Am J Clin Nutr. 1994 Jan;59(1 Suppl):198S-200S. doi: 10.1093/ajcn/59.1.198S. PMID 8279423
BACKGROUNDKristal AR, Shattuck AL, Henry HJ. Patterns of dietary behavior associated with selecting diets low in fat: reliability and validity of a behavioral approach to dietary assessment. J Am Diet Assoc. 1990 Feb;90(2):214-20. PMID 2303658
BACKGROUNDMayer T, Gatchel R, Betancur J, Bovasso E. Trunk muscle endurance measurement. Isometric contrasted to isokinetic testing in normal subjects. Spine (Phila Pa 1976). 1995 Apr 15;20(8):920-6; discussion 926-7. PMID 7644957
BACKGROUNDNational Research Council (US) Committee on Diet and Health. Diet and Health: Implications for Reducing Chronic Disease Risk. Washington (DC): National Academies Press (US); 1989. Available from http://www.ncbi.nlm.nih.gov/books/NBK218743/ PMID 25032333
BACKGROUNDNi Mhurchu C, Margetts BM, Speller VM. Applying the stages-of-change model to dietary change. Nutr Rev. 1997 Jan;55(1 Pt 1):10-6. doi: 10.1111/j.1753-4887.1997.tb06115.x. PMID 9155212
BACKGROUNDPaffenbarger RS Jr, Hyde RT, Wing AL, Lee IM, Jung DL, Kampert JB. The association of changes in physical-activity level and other lifestyle characteristics with mortality among men. N Engl J Med. 1993 Feb 25;328(8):538-45. doi: 10.1056/NEJM199302253280804.
BACKGROUNDShannon J, Kristal AR, Curry SJ, Beresford SA. Application of a behavioral approach to measuring dietary change: the fat- and fiber-related diet behavior questionnaire. Cancer Epidemiol Biomarkers Prev. 1997 May;6(5):355-61. PMID 9149896
BACKGROUNDThe Fire Service Joint Labor Management Wellness/Fitness Initiative. International Association of Fire Fighters, 1997.
BACKGROUNDThompson FE, Byers T. Dietary assessment resource manual. J Nutr. 1994 Nov;124(11 Suppl):2245S-2317S. doi: 10.1093/jn/124.suppl_11.2245s. No abstract available. PMID 7965210
BACKGROUNDWing RR, Jeffery RW, Burton LR, Thorson C, Kuller LH, Folsom AR. Change in waist-hip ratio with weight loss and its association with change in cardiovascular risk factors. Am J Clin Nutr. 1992 Jun;55(6):1086-92. doi: 10.1093/ajcn/55.6.1086. PMID 1595579
BACKGROUNDMoe EL, Elliot DL, Goldberg L, Kuehl KS, Duncan TE, Johnson RKR, DeFrancesco CA, Dulacki KN, Onsanit A. The PHLAME (Promoting Healthy Lifestyles: Alternative Models' Effects) Program: Pilot Year Findings. Poster presentation at Sixth International Congress of Behavioral Medicine, 15-18 November 2000, Brisbane, Australia.
BACKGROUNDKuehl K, Elliot D, Goldberg L, Moe E, Johnson R, McGinnis W, Duncan T. PHLAME. Promoting Healthy Lifestyles: Alternative Models' Effects. Poster presentation at the National Cancer Institute's Health Promotion Branch Second Annual Meeting of Nutrition and Health Behavior Change Grantees, 9-10 September 2000, Washington, DC.
BACKGROUNDElliot D, Goldberg L, Kuehl K, Moe E, Johnson R, Butterworth S. PHLAME. Promoting Healthy Lifestyles: Alternative Models' Effects. Poster presentation at the Redmond Foundation's Fifteenth Symposium on the Occupational Health and Hazards of the Fire Service, 22-26 August 1999.
BACKGROUNDZamboni M, Armellini F, Sheiban I, De Marchi M, Todesco T, Bergamo-Andreis IA, Cominacini L, Bosello O. Relation of body fat distribution in men and degree of coronary narrowings in coronary artery disease. Am J Cardiol. 1992 Nov 1;70(13):1135-8. doi: 10.1016/0002-9149(92)90043-x. PMID 1414934
BACKGROUNDGreene G, Peterson K, Elliot D, Domas A, Toobert D, Resnicow K, Clark P, Breger R, Rossi S, Williams G, Nebeling L. Behavioral Change Consortium Dietary Validation Studies. Poster presentation at ISBNPA 2002 Annual Meeting, Seattle, Washington.
BACKGROUNDGoldschmidt MH, Elliot DL, Goldberg L, Moe E. Do carbohydrate cravers really differ? Poster session presented at the Second Scientific Meeting of the American Association of Health Behavior, Napa Valley, CA, March, 2002.
BACKGROUNDGoldschmidt MH, Elliot DL, Goldberg L, Moe E. More than mood: Is carbohydrate craving related to physical health? Poster session presented at the 2002 Annual Meeting of the American College of Sports Medicine, St. Louis, MO, May 2002.
BACKGROUNDOnsanit A, Elliot DL, Goldberg L, Kuehl KS, Moe EL, Duncan TE, Johnson RKR, DeFrancesco CA, Dulacki KN, Dolen S. PHLAME: Hot New Means to Change Behavior. Abstract and poster presented to the Oregon Chapter of the American College of Physicians- American Society of Internal Medicine, Nov. 2, 2000.
BACKGROUNDMoe EL, Elliot DL, Goldberg L, Kuehl KS, Stevens VJ, Breger RK, DeFrancesco CL, Ernst D, Duncan T, Dulacki K, Dolen S. Promoting Healthy Lifestyles: Alternative Models' Effects (PHLAME). Health Educ Res. 2002 Oct;17(5):586-96. doi: 10.1093/her/17.5.586. PMID 12408203
BACKGROUNDElliot DL, Goldberg L, Duncan TE, Kuehl KS, Moe EL, Breger RK, DeFrancesco CL, Ernst DB, Stevens VJ. The PHLAME firefighters' study: feasibility and findings. Am J Health Behav. 2004 Jan-Feb;28(1):13-23. doi: 10.5993/ajhb.28.1.2. PMID 14977155