Sometimes, adhering to healthy lifestyle changes can be challenging for clients, but a recent study confirms that those who succeed see results. More than 23,000 women participated in the American Heart Association’s “Choose to Move” program, which began in 1998 and focused on reducing the risk factors for cardiovascular disease. Participants in this nationwide health program received a free handbook with tips on how to gradually incorporate better nutrition and 30 minutes of exercise into daily life over 12 weeks. Participants were asked to send in progress reports during the program and after it was over. Unfortunately, of the 23,171 women who signed up, 19,396 weren’t heard from at the end. However, most of the women who did complete the program reported that they had significantly increased their levels of physical activity, reduced their consumption of high-fat foods and increased their knowledge and awareness of cardiovascular disease and its symptoms. The results of the study were published in the October 8, 2001, issue of Archives of Internal Medicine.