Cent Eur J Nurs Midw 2014, 5(4):161-168 | DOI: 10.15452/CEJNM.2014.05.0012
The effect of education on lifestyle changes and metabolic syndrome components
- 1 Institute of Nursing, Faculty of Medicine, Pavol Jozef Šafárik University in Košice, Slovakia
- 2 Vranov Hospital, Vranov nad Topľou, Slovakia
Aim: To assess the impact of education in adult patients meeting the criteria for metabolic syndrome (MS) on their lifestyle, blood pressure and selected anthropometric and laboratory indicators.
Design: The study had an experimental character.
Methods: The study group consisted of 55 patients before the education and 46 patients three months after the education who met the criteria for MS according to the International Diabetes Federation for European population. Their lifestyle was assessed by a modified version of the standardized questionnaire Health-Promoting Lifestyle Profile II. Blood pressure and selected anthropometric and laboratory indicators were also assessed.
Results: In patients after education, the amount of fresh fruits, fresh vegetables, dairy products, whole grain products, and steamed vegetables in the diet statistically significantly increased (p ≤ 0.05) and the proportion of white bread, processed meat, starchy foods and sweets significantly decreased. Significant improvement was observed in physical activity (p ≤ 0.05). After the education, systolic blood pressure was significantly improved (-9.46 mm Hg, p = 0.000). In women, waist circumference (-5.09 cm, p = 0.05), levels of high-density lipoproteins cholesterol (p = 0.022) and glucose levels (p = 0.048) were improved, but we did not see significant changes in men.
Conclusion: The results show the positive impact of education on patient adherence to recommendations relating to lifestyle changes and improvement of selected components of MS.
Keywords: metabolic syndrome, education, nutrition, physical activity
Received: September 16, 2014; Accepted: November 7, 2014; Published: September 30, 2014 Show citation
ACS | AIP | APA | ASA | Harvard | Chicago | Chicago Notes | IEEE | ISO690 | MLA | NLM | Turabian | Vancouver |
References
- Adachi Y. Behavioral therapy for obesity. Japan Medical Association Journal. 2005;48(11):539-544.
Go to original source...
- Babio N, Bullo M, Basora J, Martinez-Gonza´lez MA, Fernandez-Ballart J, Marquez-Sandoval F, Molina C, Salas-Salvado J on behalf of the Nureta-PREDIMED investigators. Adherence to the Mediterranean diet and risk of metabolic syndrome and its components. Nutrition, Metabolism & Cardiovascular Diseases. 2009;19(8):563- 570.
Go to original source...
Go to PubMed...
- Baráková A. Epidemiologická situácia v SR - choroby obehovej sústavy a ich rizikové faktory. Via practica. 2009;6(1):17-21. (in Slovak)
- Beňo I. Náuka o výžive. Martin: Osveta; 2008. (in Slovak) Corbalán, MD, Morales EM, Canteras M, Espallardo A, Herna ́ndez T, Garaulet M. Effectiveness of cognitive- behavioral therapy based on the Mediterranean diet for the treatment of obesity. Nutrition. 2009;25(7-8):861-869.
Go to original source...
- Dunstan DW, Salmon J, Owen N, Armstrong T, Zimmet PZ, Welborn TA, Cameron AJ, Dwyer T, Jolley D, Shaw JE. Associations of TV viewing and physical activity with the metabolic syndrome in Australian adults. Diabetologia. 2005;48(11):2254-61.
Go to original source...
Go to PubMed...
- Fappa F, Yannakoulia M, Pitsavos Ch, Skoumas I, Valourdou S, Stefanadis Ch. Lifestyle intervention in the management of metabolic syndrome: could we improve adherence issues? Nutrition. 2008;24(3):286-291.
Go to original source...
Go to PubMed...
- Ford ES, Harold WK III, Ali HM., Umed AA. Sedentary behavior, physical activity, and the metabolic syndrome among U.S. adults. Obesity Research. 2005;13(3):608- 614.
Go to original source...
Go to PubMed...
- Gerstel E, Pataky Z, Busnel C, Rutschmann O, Guessous I, Zumwald C, Golay A. Impact of lifestyle intervention on body weight and the metabolic syndrome in home-care providers. Diabetes and Metabolism. 2013;39(1):78-84.
Go to original source...
Go to PubMed...
- Grave RD, Calugi S, Centis E, Ghoch ME, Marchesini G. Cognitive-Behavioral Strategies to Increase the Adherence to Exercise in theManagement of Obesity. Journal of Obesity. 2011;2011:348293.
Go to original source...
Go to PubMed...
- Grundy SM, Cleeman JI, Daniels SR, Donato KA, Eckel RH, Franklin BA. Diagnosis and management of the metabolic syndrome: an American Heart Association/National Heart, Lung, and Blood Institute Scientific Statement. Circulation. 2005;112(17):2735- 2752.
- Hainer V et al. Základy klinické obezitologie. Praha: Grada Publishing a.s., 2011. (in Czech)
- Chandola T, Brunner E, Marmot M. Chronic stress at work and the metabolic syndrome: prospective study. British Medical Journal. 2006;332(7540):521-525.
Go to original source...
Go to PubMed...
- Cho ER, Shin A, Kim J, Jee SH, Sung J. Leisure-time physical activity is associated with a reduced risk for metabolic syndrome. Annals of Epidemiology. 2009;19,(11):784-792.
Go to original source...
Go to PubMed...
- Kastorini CM, Milionis HJ, Esposito K, Giugliano D, Goudevenos J, Panagiotakos DB. The effect of Mediterranean diet on metabolic syndrome and its components. Journal of the American College of Cardiology. 2011;57(11):1299-1313.
Go to original source...
Go to PubMed...
- Kesse-Guyot E, Ahluwalia N, Lassale C, Hercberg S, Fezeu L, Lairon D. Adherence to Mediterranean diet reduces the risk of metabolic syndrome: A 6-year prospective study. Nutrition, Metabolism and Cardiovascular Diseases. 2013;23(7):677-683.
Go to original source...
Go to PubMed...
- Laaksonen DE, Lakka HM, Salonen JT, Niskanen LK, Rauramaa R, Lakka TA. Low levels of leisure-time physical activity and cardiorespiratory fitness predict development of the metabolic syndrome. Diabetes Care. 2002;25(9):1612-1618.
Go to original source...
Go to PubMed...
- Lakka TA, Laaksonen DE. Physical activity in prevention and treatment of the metabolic syndrome. Applied Physiology, Nutrition and Metabolism. 2007;32(1):76-88.
Go to original source...
Go to PubMed...
- Mujica V, Urzua A, Leiva E, Diaz N, Moore-Carrasco R, Vasquez M, Rojas R, Icaza G, Toro C, Orrego R, Palomo I. Intervention with education and exercise reverse sthe metabolic syndrome in adults. Journal of the American Society of Hypertension. 2010;4(3):148-153.
Go to original source...
Go to PubMed...
- Nemcová J, Hlinková E, Kelčíková S, Lepiešová M, Pokorná A, Tomašíková M, Urbanová E. Moderná edukácia v ošetrovateľstve. Martin: Osveta; 2010. (in Slovak)
- Oliveira EP, McLellan KCP, de Arruda Silveira LV, Burini RC. Dietary factors associated with metabolic syndrome in Brazilian adults. Nutrition Journal. 2012;11:13.
Go to original source...
Go to PubMed...
- Räikkönen K, Matthews KA, Kuller LH. Depressive Symptoms and Stressful Life Events Predict Metabolic Syndrome Among Middle-Aged Women. Diabetes Care. 2007;30(10):872- 877.
Go to original source...
Go to PubMed...
- Svačina Š. et al. Metabolický syndrom. 3. vyd. Praha: Triton, 2006. (in Czech)
- Thompson PD, Buchner D, Pina IL, Balady GJ, Williams MA, Marcus BH, Berra K, Blair SN, Costa F, Franklin B, Fletcher GF, Gordon NF, Pate RR, Rodriguez BL, Yancey AK, Wenger NK; American Heart Association Council on Clinical Cardiology Subcommittee on Exercise, Rehabilitation, and Prevention; American Heart Association Council on Nutrition, Physical Activity, and Metabolism Subcommittee on Physical Activity. Exercise and physical activity in the prevention and treatment of atherosclerotic cardiovascular disease: a statement from the Council on Clinical Cardiology (Subcommittee on Exercise, Rehabilitation, and Prevention) and the Council on Nutrition, Physical Activity, and Metabolism (Subcommittee on Physical Activity). Circulation. 2003;107(24):3109-16.
Go to original source...
Go to PubMed...
- Tsiros MD, Sinn N, Brennan L, Coates AM, Walkley JW, Petkov P, Howe PRC, Buckley JD. Cognitive behavioral therapy improves diet and body composition in overweight and obese adolescents. The American Journal of Clinical Nutrition. 2008;87(5):1134-40.
Go to original source...
Go to PubMed...
- Walker SN, Sechrist KR, Pender NJ. The HealthPromoting Lifestyle Profile II; 1987 [cited 2012 Sept 11]. Available from: http://www.unmc.edu/nursing/Health_Promoting_Lifestyle_Profile_II.htm
This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0), which permits non-comercial use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.