Impact of lifestyle intervention on body weight and the metabolic syndrome in home-care providers

Gerstel, Eric; Pataky, Zoltan; Busnel, Catherine; Rutschmann, Olivier Thierry; Guessous, Idris; Golay, Alain

doi:10.1016/j.diabet.2012.07.003

Cited by 17 publications

(14 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In terms of HbA1c, FBS, and TC slight improvement that was not significant was noted in the entire groups (Table 4) (Table 4). Additionally a study by Saboya et al [77], Blackford et al [75] and Gerstel et al [78] showed significant reduction in either metabolic parameters like BMI, WC, SBP after application of lifestyle programme done through nutrition education administered orally or through printed material or online interaction and are in support of the current study. Peer to peer support supporting chronic disease management like diabetes have been associated with reduced burden of the disease, weight loss, improved glycemic which may be due to behavior change and enhanced self-management [82][83][84][85][86].…”

Section: Participantssupporting

confidence: 87%

Effect of a nutrition education programme on metabolic risk factor and metabolic syndrome in adults with type 2 diabetes mellitus at a Level 5 Hospital in Kenya: “a randomized controlled trial”

THUITA-Wambugu¹,

Kiage²,

Onyango³

et al. 2019

Preprint

View full text Add to dashboard Cite

Background Type 2 diabetes mellitus; a chronic disorder characterized by poor glycemic control, is a life threatening condition of global public health concern which worsens in the presence of metabolic syndrome (MetS) and associated risks. However application of lifestyle intervention may reduce this risk. The aim of the current study was to evaluate the effect of nutrition education programme with inclusion of peer to peer support on MetS and Mets risk factors in type 2 diabetes mellitus patient. Methods This was a randomized controlled trial with two intervention groups and one control. The intervention groups included nutrition education peer to peer support group (NEP) (n=51) and nutrition education group (NE) (n=51) which participated in an eight week (2 h per week) group nutrition education sessions and follow-up sessions for six month. The NEP in addition had a peer to peer support component on weekly basis for the eight weeks of training and monthly support for six months. The control group (C) (n 51) received standard care. Outcomes were assessed at 6 months. An intention-to-treat analysis was conducted using analysis of co-variance (ANCOVA).Results: Differences in MetS were -38.1 and -31.7% (P<0.01) at 6 months in the NEP group as per Harmonized and WHO criteria respectively. Significant improvement was seen in number of participant achieving recommended waist circumference; WC (33.9 %) and high density lipoprotein; HDL (35.2%) in the NEP group and blood pressure; BP (reduction by 39.2 and 31.6) as per harmonized and WHO criteria respectively in the NE group. six month post intervention Statistical mean change was also noted six month post intervention in; weight lost (-6.26kg), BMI (-2.37 kg/m2), waist hip ratio; WHR (-0.03), WC (-14.51 cm) and HDL (+0.34mmol/l in the NEP group and diastolic blood pressure; DBP (-5.17 mmhg) in the NE group. Comparison of the NEP and NE with control showed that NEP and NE had better outcome.Conclusions: Nutrition education with inclusion of peer to peer support was of clinical benefit in reducing metabolic outcomes and MetS in Type 2 diabetes mellitus patient. Optimal goal setting and self-effective training could benefit future nutrition education programmes with peer to peer support component for people with Type 2 Diabetes and at risk of Mets.

show abstract

Section: Participantssupporting

confidence: 87%

Effect of a nutrition education programme on metabolic risk factor and metabolic syndrome in adults with type 2 diabetes mellitus at a Level 5 Hospital in Kenya: “a randomized controlled trial”

THUITA-Wambugu¹,

Kiage²,

Onyango³

et al. 2019

Preprint

View full text Add to dashboard Cite

show abstract

“…Individuals with obesity who participated in the program of health dietary and regular exercise had reduced CMS risk over time, demonstrating the potential value of lifestyle intervention [35–37]. The critical effect of psychological processes on the success of lifestyle change suggests that new psychological and patient-centeredness approach should be adopted in the lifestyle intervention, to help CMS patients develop their own favorite healthy lifestyle, and change their old and unhealthy behavior.…”

Section: Discussionmentioning

confidence: 99%

Effects of lifestyle intervention using patient-centered cognitive behavioral therapy among patients with cardio-metabolic syndrome: a randomized, controlled trial

Zhang

Mei

Yang

et al. 2016

BMC Cardiovasc Disord

View full text Add to dashboard Cite

BackgroundCardio-metabolic syndrome (CMS) is a highly prevalent condition. There is an urgent need to identify effective and integrated multi-disciplinary approaches that can reduce risk factors for CMS.MethodsSixty-two patients with a history of CMS were randomized 1:1 into two groups: a standard information -only group (control), or a self-regulated lifestyle waist circumference (patient-centered cognitive behavioral therapy) intervention group. A pretest and posttest, controlled, experimental design was used. Outcomes were measured at the baseline (week 0) and at the end of intervention (week 12). Comparisons were drawn between groups and over time.ResultsThe mean (standard deviation) age of the subjects was 48.6 (5.8) years ranging from 32 to 63, and 56.9% of the participants were female. Both groups showed no significant differences in Demographic variables and the metabolic syndrome indicators at baseline. While the control group only showed modest improvement after 12 weeks, compared to baseline, the intervention group demonstrated significant improvement from baseline. This study controlled for patients’ demographics and baseline characteristics when assessing the effects of intervention. After adjusting for age, education and baseline level, the experimental group and the control group were statistically significant different in the following post-treatment outcomes: WC (F = 35.96, P < 0.001), TG (F = 18.93, P < 0.001), RSBP (F = 33.89, P < 0.001) and SF-36(F = 157.93, P < 0.001). The results showed patients’ age and education were not strong predictors of patients’ outcome (including WC, TG, RSBP and SF-36).ConclusionsLifestyle intervention on patient-centered cognitive behavioral therapy can improve the physical and mental health conditions among individuals reporting a history of cardio-metabolic syndrome, and possibly provided preliminary benefits for the treatment of CMS.Trial registrationChinese Clinical Trial Register #, ChiCTR15006148.

show abstract

“…The aim is decrease the MetS´s progression, demanding, in most cases, polypharmacy (Kaur, 2014;Plaster et al, 2012). In this way, patient education through health professionals encourages changes in lifestyle and increases medications adherence (Gerstel et al, 2013). Pharmacist collaborates in the education process through guidance on the appropriate use of medicines, especially in primary care (Mendes, 2012, OPS/OMS, 2013Brasil, 2014).…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of home pharmaceutical interventions in metabolic syndrome: a randomized controlled trial

Azevedo

Pedrosa

Aoqui

et al. 2017

Braz. J. Pharm. Sci.

View full text Add to dashboard Cite

Metabolic syndrome (MetS) is a group of different risk factors that raises the chances of develop several health problems such, as cardiovascular disease and diabetes. There are few cases in literature of studies that specifically address the use of pharmaceutical care in MetS. The aim of study was to evaluate the effectiveness of home pharmaceutical interventions in patients with this syndrome. The randomized clinical trial was conducted in subjects with diagnosis of MetS treated in a basic unit of health from Cuité, Paraíba. The patients were randomized in a 1:1 ratio to two groups: intervention (IG) and control (CG). The IG received monthly individual pharmaceutical interventions, while the CG did not. The effectiveness of the intervention protocol was measured after six months, comparing the hemodynamic values, anthropometric, biochemistry, cardiovascular risk, medication adherence, drug related problems (DRP) and quality of life. The sample consisted of 63 individuals (33 IG and 30 CG) and older than 60 years. The majority of pharmaceutical interventions were educational and/or behavioral. In the intervention group, significant differences were observed in the parameters systolic and diastolic blood pressure, triglycerides, medication adherence and DRP. The pharmaceutical interventions at home were effective in improving medication adherence, decreasing DRPs and helping to control components of the metabolic syndrome. Uniterms: Metabolic syndrome/study. Pharmaceutical care/home. Pharmaceutical interventions. Drug related problems.

show abstract

Impact of lifestyle intervention on body weight and the metabolic syndrome in home-care providers

Cited by 17 publications

References 20 publications

Effect of a nutrition education programme on metabolic risk factor and metabolic syndrome in adults with type 2 diabetes mellitus at a Level 5 Hospital in Kenya: “a randomized controlled trial”

Effect of a nutrition education programme on metabolic risk factor and metabolic syndrome in adults with type 2 diabetes mellitus at a Level 5 Hospital in Kenya: “a randomized controlled trial”

Effects of lifestyle intervention using patient-centered cognitive behavioral therapy among patients with cardio-metabolic syndrome: a randomized, controlled trial

Effectiveness of home pharmaceutical interventions in metabolic syndrome: a randomized controlled trial

Contact Info

Product

Resources

About