Benefits on quality of life concomitant to metabolic improvement in intervention program for prevention of diabetes mellitus

Abstract

Objective To evaluate whether an interdisciplinary intervention program on lifestyle results in better quality of life (QoL) and lower frequencies of depression and binge eating disorder (BED) in individuals at risk for type 2 diabetes mellitus. Methods A total of 177 individuals (32.2% men, age 55.4 ± 12.5 years) at risk for diabetes were allocated to a 9-month traditional (TI) or intensive interdisciplinary intervention (II) on dietary habits and physical activity including psychoeducative groups. They were submitted to questionnaires and clinical and laboratory examinations. Predictors of non-adherence were analyzed by logistic regression. Results Only individuals submitted to II had blood pressure and plasma glucose levels reduced. Frequencies of depression reduced in both interventions but of BED only in II (28.0-4.0%, P \ 0.001). Increments in the scores of SF-36 domains (physical functioning: 11.1 ± 14.0 vs. 5.3 ± 13.0, role-emotional: 20.4 ± 40.2 vs. 6.2 ± 43.8, P = 0.05) were greater in the II than in TI, respectively. Changes in SF-36 correlated with decreases in anthropometry, blood pressure and glucose levels, depression and BED scores. Male gender was independently associated with non-adherence to the II. Conclusions In addition to metabolic benefits, an interdisciplinary approach may induce desirable extrametabolic effects, favoring the control of psychiatric disorders and improving the QoL of individuals at risk for diabetes.

Lifestyle intervention using the psychoeducational approach is associated with greater cardiometabolic benefits and retention of individuals with worse health status

“…Our group has reported benefits in QOL from lifestyle interventions in individuals at cardiometabolic risk treated under the Brazilian public health system (18). Psychoeducational techniques were applied in the interdisciplinary group sessions, whose participants showed greater improvement in QOL domains than those submitted to the traditional doctor-based intervention.…”

Dietary Interventions and Blood Pressure in Latin America - Systematic Review and Meta-Analysis

“…The low efficacy of dietary interventions of developed countries replicated in developing countries has been discussed 9 . In addition, in Latin American countries, there are high prevalence of risk factors for CVD and a reduced number of population studies, which result in an insufficient number of prevention programs aimed at reducing cardiovascular risks 25,37 .…”

Implementação de programa estruturado de hábitos de vida saudáveis para redução de risco cardiometabólico

“…Mudanças sustentadas de comportamentos de risco estão entre os maiores desafios dos profissionais e dos órgãos internacionais de saúde. Este é o momento de ampliar esforços para encontrar estratégias que atinjam esse fim, o que resultará não apenas em prevenção do DM2, mas provavelmente em melhora da qualidade de vida em geral (8).…”

“…O bom resultado do PDM obtido com a técni-ca psicoeducativa pôde ser constatado não apenas com base no feedback dos pacientes, mas também diante dos benefícios observados na qualidade de vida destes, resultados esses previamente publicados (8 …”