{"id":11613,"date":"2019-09-08T14:25:17","date_gmt":"2019-09-09T00:25:17","guid":{"rendered":"https:\/\/uhphawaii.org\/?p=11613"},"modified":"2020-02-14T03:53:21","modified_gmt":"2020-02-14T13:53:21","slug":"hypertension-reduction-hula","status":"publish","type":"post","link":"https:\/\/uhphawaii.org\/index.php\/hypertension-reduction-hula\/","title":{"rendered":"Native Hawaiian Health: Hypertension in Native Hawaiians sharply reduced by intervention including hula"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"11613\" class=\"elementor elementor-11613\" data-elementor-post-type=\"post\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3b813a3c elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3b813a3c\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-7d654680\" data-id=\"7d654680\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6a650906 elementor-widget elementor-widget-heading\" data-id=\"6a650906\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-large\">Native Hawaiian Health: Hypertension in Native Hawaiians sharply reduced by intervention including hula<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4735c766 elementor-align-center elementor-widget elementor-widget-post-info\" data-id=\"4735c766\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"post-info.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-inline-items elementor-icon-list-items elementor-post-info\">\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-repeater-item-46f67bb elementor-inline-item\" itemprop=\"author\">\n\t\t\t\t\t\t<a href=\"https:\/\/uhphawaii.org\/author\/hi-vizibility-marketing\/\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-user-circle\"><\/i>\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text elementor-post-info__item elementor-post-info__item--type-author\">\n\t\t\t\t\t\t\t\t\t\tUniversity Health Partners of Hawaii\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t<\/li>\n\t\t\t\t<li class=\"elementor-icon-list-item elementor-repeater-item-a474e5f elementor-inline-item\" itemprop=\"datePublished\">\n\t\t\t\t\t\t<a href=\"https:\/\/uhphawaii.org\/index.php\/2019\/09\/08\/\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-calendar\"><\/i>\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text elementor-post-info__item elementor-post-info__item--type-date\">\n\t\t\t\t\t\t\t\t\t\t<time>September 8, 2019<\/time>\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t<\/li>\n\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5beebd8a elementor-widget elementor-widget-image\" data-id=\"5beebd8a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"600\" height=\"400\" src=\"https:\/\/i0.wp.com\/uhphawaii.org\/wp-content\/uploads\/2019\/09\/6x4_KaHOLO-project-dancers-at-JABSOM.jpg?fit=600%2C400&amp;ssl=1\" class=\"attachment-large size-large wp-image-11614\" alt=\"\" srcset=\"https:\/\/i0.wp.com\/uhphawaii.org\/wp-content\/uploads\/2019\/09\/6x4_KaHOLO-project-dancers-at-JABSOM.jpg?w=600&amp;ssl=1 600w, https:\/\/i0.wp.com\/uhphawaii.org\/wp-content\/uploads\/2019\/09\/6x4_KaHOLO-project-dancers-at-JABSOM.jpg?resize=150%2C100&amp;ssl=1 150w, https:\/\/i0.wp.com\/uhphawaii.org\/wp-content\/uploads\/2019\/09\/6x4_KaHOLO-project-dancers-at-JABSOM.jpg?resize=300%2C200&amp;ssl=1 300w\" sizes=\"(max-width: 600px) 100vw, 600px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1aa8fca1 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1aa8fca1\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-57c59a69\" data-id=\"57c59a69\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-749ec009 elementor-widget elementor-widget-spacer\" data-id=\"749ec009\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5ccbe302 elementor-widget elementor-widget-text-editor\" data-id=\"5ccbe302\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><small>Pictured: Dancers from one of the study sites performed at the research conclusion preview for the community at JABSOM on August 23. Deborah Manog Dimaya photos.<\/small><\/p><blockquote><p>UH medical school study shows participants lowered their 10-year risk for heart disease.<\/p><\/blockquote><p>(via <a href=\"mailto:sheltont@hawaii.edu\">Tina Shelton<\/a>, UH Med Now)<\/p><p><strong>September 8, 2019 &#8212;<\/strong> In findings so significant they are being presented this weekend at the national meeting of the American Heart Association (AHA), a 5 yearlong study by the University of Hawai\u02bbi M\u0101noa (UHM) medical school has found that a program to reduce blood pressure which incorporated hula produced a dramatic, lasting reduction in hypertension among Native Hawaiians.<\/p><p>The UHM John A. Burns School of Medicine (JABSOM) recruited 263 Native Hawaiians in nine communities on three islands. All were given three-hour sessions of hypertension education that included information on diet, exercise and the use of medications. Then, participants were randomly assigned to a control group that received no additional intervention, or to a hula intervention.<\/p><p>Hula participants attended one-hour group hula classes twice a week for three months, followed by one monthly lesson for three additional months with self-directed practice, as well as group activities to reinforce hypertension education and healthy behaviors. All participants continued their usual medical treatment during the study.<\/p><p>Those who participated in the program incorporating hula lowered their blood pressure far below what those who were not assigned to the hula intervention were able to accomplish. On average, they lowered their systolic blood pressure 17mmHg, significantly reducing their 10-year risk of getting heart disease. Further, they were able to sustain improvements in their blood pressure after one-year \u2014 which was six months\u00a0<em>after<\/em>\u00a0the study\u2019s hula classes ended.<\/p><div id=\"attachment_69572\" class=\"wp-caption aligncenter\"><p><img decoding=\"async\" data-recalc-dims=\"1\" height=\"300\" width=\"300\" class=\"size-medium wp-image-69572 img-responsive\" src=\"https:\/\/i0.wp.com\/jabsom.hawaii.edu\/\/srv\/htdocs\/wp-content\/uploads\/2019\/09\/arma-oana-200x300.jpg?fit=300%2C300\" sizes=\"(max-width: 200px) 100vw, 200px\" srcset=\"https:\/\/jabsom.hawaii.edu\/\/srv\/htdocs\/wp-content\/uploads\/2019\/09\/arma-oana-200x300.jpg 200w, https:\/\/jabsom.hawaii.edu\/\/srv\/htdocs\/wp-content\/uploads\/2019\/09\/arma-oana-356x534.jpg 356w, https:\/\/jabsom.hawaii.edu\/\/srv\/htdocs\/wp-content\/uploads\/2019\/09\/arma-oana.jpg 427w\" alt=\"\" \/><\/p><p class=\"wp-caption-text\"><small>\u201cI would have probably had a heart attack or stroke by now, because I know exactly what I didn\u2019t do,\u201d I didn\u02bbt exercise,\u201d said Arma Oana, a study participant.<\/small><\/p><\/div><p>\u201cI don\u2019t want to say I would be dead, but I would have probably had a heart attack or stroke by now, because I know exactly what I didn\u2019t do,\u201d said Arma Oana, a study participant. \u201cI didn\u2019t exercise until I came to the program. I didn\u2019t think I could.\u201d<\/p><p>Principal Investigator for the study Dr. Keawe\u02bbaimoku Kaholokula, Chair of the medical school\u2019s Department of Native Hawaiian Health (DNHH), said his researchers have found that Native Hawaiians want group-based and culturally relevant lifestyle interventions that resonate with their cultural values and perspectives.<\/p><p>\u201cHula is fun, it\u2019s something you can do at an older age as well as a young age,\u201d said Kaholokula. \u201cIt can be adjusted, modified for people with different physical capacity. You can do the Merrie Monarch competition duck walks for younger people and you can do the slower, gentle side-to-side (motion) for older folks; so I think it\u2019s a type of physical activity that makes sense, that we can really use for health promotion.\u201d<\/p><blockquote><p>\u201cHula is great for your health, mind, body and spirit,\u201d said Mele Look, the study\u2019s Co-Principal Investigator.<\/p><\/blockquote><p>Co-Investigator Mele Look emphasized that more than just the hula movements was at work improving the participants\u2019 health.<\/p><p>\u201cWhat the kumu hula (teachers of hula) have been telling us is that hula integrates your mind, body and spirit. The hula environment creates really strong social connections between the kumu and the participant and the participants with each other, and all that together helped reinforce them to make changes in their lifestyle; maybe improve their commitment to taking their medications, inspire them to continue practicing the hula, even the stress management component \u2014 knowing you have friends supporting you,\u201d said Look, DNHH Director of Community Engagement. \u201cHula is great for your health, mind, body and spirit.\u201d<\/p><div id=\"attachment_69573\" class=\"wp-caption aligncenter\"><p><img decoding=\"async\" data-recalc-dims=\"1\" height=\"300\" width=\"300\" class=\"size-medium wp-image-69573 img-responsive\" src=\"https:\/\/i0.wp.com\/jabsom.hawaii.edu\/\/srv\/htdocs\/wp-content\/uploads\/2019\/09\/Kumu-De-Silva-200x300.jpg?fit=300%2C300\" sizes=\"(max-width: 200px) 100vw, 200px\" srcset=\"https:\/\/jabsom.hawaii.edu\/\/srv\/htdocs\/wp-content\/uploads\/2019\/09\/Kumu-De-Silva-200x300.jpg 200w, https:\/\/jabsom.hawaii.edu\/\/srv\/htdocs\/wp-content\/uploads\/2019\/09\/Kumu-De-Silva-356x534.jpg 356w, https:\/\/jabsom.hawaii.edu\/\/srv\/htdocs\/wp-content\/uploads\/2019\/09\/Kumu-De-Silva.jpg 427w\" alt=\"\" \/><\/p><p class=\"wp-caption-text\"><small>Kumu hula M\u0101puana de Silva assisted with the study.<\/small><\/p><\/div><p>Eleven kumu hula were involved in the study, guided by Mapuana de Silva from H\u0101lau M\u014dhala \u02bbIlimia, who partnered with the researchers. Six community organizations joined the study, named The KaHOLO Project. Before the research was presented to the AHA in New Orleans on September 7, 2019, the researchers met with participants in Hawai\u02bbi to inform them of the results and congratulate them on their success.<\/p><div id=\"attachment_69571\" class=\"wp-caption aligncenter\"><p><img loading=\"lazy\" decoding=\"async\" data-recalc-dims=\"1\" height=\"300\" width=\"300\" class=\"size-medium wp-image-69571 img-responsive\" src=\"https:\/\/i0.wp.com\/jabsom.hawaii.edu\/\/srv\/htdocs\/wp-content\/uploads\/2019\/09\/Luana-Albino-Study-Participant-300x200.jpg?fit=300%2C300\" sizes=\"(max-width: 300px) 100vw, 300px\" srcset=\"https:\/\/jabsom.hawaii.edu\/\/srv\/htdocs\/wp-content\/uploads\/2019\/09\/Luana-Albino-Study-Participant-300x200.jpg 300w, https:\/\/jabsom.hawaii.edu\/\/srv\/htdocs\/wp-content\/uploads\/2019\/09\/Luana-Albino-Study-Participant-150x100.jpg 150w, https:\/\/jabsom.hawaii.edu\/\/srv\/htdocs\/wp-content\/uploads\/2019\/09\/Luana-Albino-Study-Participant.jpg 640w\" alt=\"\" \/><\/p><p class=\"wp-caption-text\"><small>\u201cIt gets you involved with other people, it gets you moving and you\u2019re doing your own culture,\u201d said Luana Albino.<\/small><\/p><\/div><p>One of the study participants, Luana Albino of Waimanalo said, \u201cIt gets you involved with other people, it gets you moving and you\u2019re doing your own culture.\u201d<\/p><p>The study was funded by the National Heart, Lung, and Blook Institute of the National Institutes of Health. The Department of Native Hawaiian Health is the only clinical department within an accredited U.S. medical school specifically dedicated to the health of an indigenous people. Its researchers believe being asked to share their findings at the heart association convention is an acknowledgement of their work and a sign that health officials nationwide are realizing that to improve health in minority populations it helps to address those populations in ways that are culturally relevant to them, ways that meet them where they are in their communities.<\/p><p><img loading=\"lazy\" decoding=\"async\" data-recalc-dims=\"1\" class=\"aligncenter size-medium wp-image-69574 img-responsive\" src=\"https:\/\/i0.wp.com\/jabsom.hawaii.edu\/\/srv\/htdocs\/wp-content\/uploads\/2019\/09\/48626590986_4f6cbcc3fb_z-300x200.jpg?resize=300%2C200\" sizes=\"(max-width: 300px) 100vw, 300px\" srcset=\"https:\/\/jabsom.hawaii.edu\/\/srv\/htdocs\/wp-content\/uploads\/2019\/09\/48626590986_4f6cbcc3fb_z-300x200.jpg 300w, https:\/\/jabsom.hawaii.edu\/\/srv\/htdocs\/wp-content\/uploads\/2019\/09\/48626590986_4f6cbcc3fb_z-150x100.jpg 150w, https:\/\/jabsom.hawaii.edu\/\/srv\/htdocs\/wp-content\/uploads\/2019\/09\/48626590986_4f6cbcc3fb_z.jpg 640w\" alt=\"Another picture of dancers from the study group\" width=\"300\" height=\"200\" \/><\/p><p>\u201cThis study is a great example of how interventions can be more effective when they are tailored for cultural relevance to participants,\u201d said the American Heart Association\u2019s Chief Medical Officer for Prevention Eduardo Sanchez, M.D., M.P.H. \u201cNot only are individuals achieving health-promoting levels of physical activity, they are also having fun, engaging in a valued cultural practice, and connecting with their community in the group classes \u2014 all important for well-being. This is an approach that can easily be applied to other groups and dancing styles, such as ballroom dancing, line dancing or salsa dancing, and supports the American Heart Association\u2019s philosophy to meet people where they are to help them live longer, healthier lives.\u201d<\/p><p>Dr. Kaholokula, lead study author, said partners in the study already are hoping to convince health insurance companies to offer coverage similar to that currently offered for gym memberships for certified programs that incorporate hula to reduce heart disease.<\/p><p>Co-authors of the KaHOLO Project study are Tricia M. Mabellos, Dr.P.H.; So Yung Choi, M.S.; Todd B. Seto, M.D.; Thomas Wills, Mapuana de Silva, B.A., Ph.D.; Adrienne Dillard, Ph.D., M.S.W., L.S.W.; Joseph Gonsalves, B.A.; A. Aukahi Austin Seabury, Ph.D.; J. Kahaulahilahi Vegas, M.P.H.; Stacy L. Haumea, D.B.H., R.D.N., L.D., C.D.E.; Donna-Marie Palakiko, Ph.D.; and Mele A. Look, M.B.A.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-18c35e62 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"18c35e62\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-ebde454\" data-id=\"ebde454\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-58d06149 elementor-widget elementor-widget-button\" data-id=\"58d06149\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/uhphawaii.org\/index.php\/news-all\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">&lt;&lt;   &nbsp;Return To News<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>September 8, 2019 &#8212; A research study done by the Department of Native Hawaiian Health shows hula as a way of reducing blood pressure. <\/p>\n","protected":false},"author":21740,"featured_media":11614,"comment_status":"open","ping_status":"open","sticky":false,"template":"elementor_header_footer","format":"standard","meta":{"nf_dc_page":"","_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[1],"tags":[42],"class_list":["post-11613","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized","tag-department-of-native-hawaiian-health"],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/uhphawaii.org\/wp-content\/uploads\/2019\/09\/6x4_KaHOLO-project-dancers-at-JABSOM.jpg?fit=600%2C400&ssl=1","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/uhphawaii.org\/index.php\/wp-json\/wp\/v2\/posts\/11613","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/uhphawaii.org\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/uhphawaii.org\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/uhphawaii.org\/index.php\/wp-json\/wp\/v2\/users\/21740"}],"replies":[{"embeddable":true,"href":"https:\/\/uhphawaii.org\/index.php\/wp-json\/wp\/v2\/comments?post=11613"}],"version-history":[{"count":4,"href":"https:\/\/uhphawaii.org\/index.php\/wp-json\/wp\/v2\/posts\/11613\/revisions"}],"predecessor-version":[{"id":12953,"href":"https:\/\/uhphawaii.org\/index.php\/wp-json\/wp\/v2\/posts\/11613\/revisions\/12953"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/uhphawaii.org\/index.php\/wp-json\/wp\/v2\/media\/11614"}],"wp:attachment":[{"href":"https:\/\/uhphawaii.org\/index.php\/wp-json\/wp\/v2\/media?parent=11613"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/uhphawaii.org\/index.php\/wp-json\/wp\/v2\/categories?post=11613"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/uhphawaii.org\/index.php\/wp-json\/wp\/v2\/tags?post=11613"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}