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JHHWB Journal of Holistic Health & Well-Being
Research Article Peer Reviewed Open Access

Community-Based Holistic Wellness Programs and Cardiometabolic Risk Reduction in Urban Nigeria: A Cohort Study

James Okafor 1 *
  1. 1University of Lagos, Department of Community Health and Primary Care

* Correspondence: james.okafor@example.com

10.58786/jhhwb.2026.1.1.001 Published Apr 13, 2026 Vol. 1, No. 1 (2026) CC BY 4.0

Keywords

holistic wellnesscommunity healthcardiometabolicNigeriablood pressurecohort study

Highlights

  • Six-month CBHWP reduced systolic blood pressure by 8.4 mmHg vs. baseline.
  • Fasting glucose decreased significantly in the intervention cohort.
  • Program retained 87% of participants at six-month follow-up.
  • Low-cost, culturally adapted model suitable for scale-up.

Abstract

Objective: To evaluate the impact of a six-month community-based holistic wellness program (CBHWP) on cardiometabolic risk markers in an urban Nigerian population. Methods: 120 participants (aged 35-65) enrolled in CBHWP incorporating dietary counselling, movement therapy, stress management, and social support networks. Primary endpoints were systolic blood pressure, fasting glucose, and BMI at six months. Results: Significant reductions were observed in SBP (−8.4 mmHg, p<0.01), fasting glucose (−0.9 mmol/L, p<0.05), and BMI (−1.2 kg/m², p<0.05). Conclusion: Community-delivered holistic programs can meaningfully reduce cardiometabolic risk in resource-limited urban settings.

Statement of Significance

Holistic community wellness programs offer a scalable, culturally resonant strategy for reducing cardiometabolic burden in urban sub-Saharan Africa.

Author Contributions (CRediT)

James Okafor
ConceptualizationInvestigationMethodologyProject administrationWriting - original draft

Competing Interests

  • james.okafor@example.com: The author declares no competing interests.

Funding