title: Food insecurity and effectiveness of behavioral interventions to reduce blood pressure, New York City, 2012-2013.
abstract: BACKGROUND
  Food insecurity is associated with diet-sensitive diseases and may be a barrier to successful chronic disease self-management. To evaluate the impact of food insecurity on blood pressure reduction in a pilot clinical trial, we tested the effectiveness of 2 behavioral interventions for hypertension in people with and without food security.
  
  
  METHODS
  A group of 28 men and women with type 2 diabetes and uncontrolled hypertension were randomized to either 1) home blood pressure telemonitoring alone or 2) home blood pressure telemonitoring plus telephone-based nurse case management. The primary outcome was 6-month change in systolic blood pressure.
  
  
  RESULTS
  The 2 interventions resulted in modest, nonsignificant blood pressure reductions. Food-secure patients experienced clinically and statistically significant reductions in blood pressure, whereas no significant change was seen among food-insecure patients.
  
  
  CONCLUSIONS
  Screening for food insecurity may help identify patients in need of tailored disease management interventions.
authors: Yale School of Public Health, New Haven, Connecticut.
authors: Stephanie A
authors: SA
authors: Grilo
authors: New York University School of Medicine, New York, New York.
authors: Amanda J
authors: AJ
authors: Shallcross
authors: New York University School of Medicine, New York, New York.
authors: Gbenga
authors: G
authors: Ogedegbe
authors: Bellevue Hospital Center, New York, New York.
authors: Taiye
authors: T
authors: Odedosu
authors: Bellevue Hospital Center, New York, New York.
authors: Natalie
authors: N
authors: Levy
authors: Health and Home Care, Health and Hospitals Corporation, New York, New York.
authors: Susan
authors: S
authors: Lehrer
authors: St John's University, Queens, New York.
authors: William
authors: W
authors: Chaplin
authors: New York University School of Medicine, 227 East 30th St, Room 640, New York, NY 10016. Email: Tanya.spruill@nyumc.org.
authors: Tanya M
authors: TM
authors: Spruill
mesh_terms: D001521:Behavior Therapy / Q000379:methods*; D001794:Blood Pressure / Q000502:physiology*; D018660:Blood Pressure Monitoring, Ambulatory / Q000379:methods*; D019468:Disease Management; D005260:Female; D005523:Food Supply; D006801:Humans; D006973:Hypertension / Q000453:epidemiology / Q000503:physiopathology / Q000534:rehabilitation*; D008297:Male; D008875:Middle Aged; D009519:New York City / Q000453:epidemiology; D015995:Prevalence; D012189:Retrospective Studies; D014505:Urban Population