Lifestyle Intervention in Obese Arab Women

Kalter‐Leibovici, Ofra

doi:10.1001/archinternmed.2010.103

Cited by 48 publications

(45 citation statements)

References 26 publications

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“…Similarly, data from controlled randomized studies also confirm this association, revealing improvement in the MetS components, followed by better QOL scores after interventions to change lifestyle [28][29][30][31][32][33][34][35][36][37], in up to 24 months of follow-up [28]. Cohort studies assessing association between MetS and QOL corroborate these data, even though analyzing data in a different way.…”

Section: Introductionmentioning

confidence: 70%

Association between metabolic syndrome and quality of life

Saboya

Bodanese²,

Zimmermann³

et al. 2016

Sci Med

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Aims: Despite all progress made in understanding and treating metabolic syndrome, the study of its impact on quality of life is still controversial and not well understood. The aim of this study was to test the hypothesis that metabolic syndrome can be associated with a worse quality of life. Methods: A controlled cross-sectional study included individuals with metabolic syndrome, from the sub-analysis of a randomized clinical trial about lifestyle modification and cardiovascular risk factors, as well as individuals with no metabolic syndrome, attended as outpatients in several clinics at a general university hospital in Southern Brazil. Measurements were made in individual interviews and included data collection, laboratory tests, and application of general scales such as Mini-Mental State Examination and Medical Outcomes Study Short Form, General Health Survey (SF-36). Comparisons of quantitative data used the Student's t test, followed by analysis of covariance or multiple linear regression for adjustment, and correlation coefficient. For categorical data, the Chi-square or Fisher's exact test were used. Results: The study included 229 individuals, 118 metabolic syndrome and 111 no metabolic syndrome. In univariate analysis, metabolic syndrome was significantly associated with lower scores in the social functioning (p<0.001) and role emotional (p=0.019) quality of life domains, and with the Mental Component Summary score of the SF-36 (p=0.013). However, after adjustments for confounding factors, especially body mass index, the significance of these associations was lost. The only significant association between metabolic syndrome and quality of life that has remained after the adjustments was with worse QOL in the role emotional domain, but only in men (p=0.049). Conclusions: After adjusting for multiple variables, metabolic syndrome was significantly associated with decreased quality of life scores in men in the role emotional domain.Key woRds: metabolic syndrome X; risk factors; quality of life.RESuMO objetivos: Apesar dos avanços no entendimento e tratamento da síndrome metabólica, o estudo do seu impacto sobre a qualidade de vida é ainda controverso e inconclusivo. O objetivo deste estudo foi testar a hipótese de que a síndrome metabólica estaria associada à piora da qualidade de vida. Métodos: Um estudo transversal controlado incluiu indivíduos com síndrome metabólica, advindos da subanálise de um estudo controlado randomizado sobre modificação de estilo de vida e fatores de risco cardiovascular; e indivíduos sem síndrome metabólica, provenientes de diversos ambulatórios de um hospital geral no sul do Brasil. As medidas foram realizadas em entrevistas individuais, que incluíram coleta de dados demográficos, testes laboratoriais e aplicação do Exame do Estado Mental e o Medical Outcome Study Short Form, General Health Survey (SF-36). Para comparações entre dados quantitativos, foram utilizados teste t de Student, análise de covariância ou regressão linear múltipla para os ajustes dos fatores confu...

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Section: Introductionmentioning

confidence: 70%

Association between metabolic syndrome and quality of life

Saboya

Bodanese²,

Zimmermann³

et al. 2016

Sci Med

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“…Researchers have begun to test such individual-level interventions, adapted for the Arab context, with some success (30,(42)(43)(44) . However, given the sparse evidence available, further research on appropriate interventions for Arab populations is urgently needed.…”

Section: Discussionmentioning

confidence: 99%

Addressing physical inactivity in Omani adults: perceptions of public health managers

Mabry

Al-Busaidi

Reeves

et al. 2013

Public Health Nutr.

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Objective: To explore barriers and solutions to addressing physical inactivity and prolonged sitting in the adult population of Oman. Design: Qualitative study involving semi-structured interviews that took place from October 2011 to January 2012. Participants were recruited through purposive sampling. Data collection and analysis was an iterative process; later interviews explored emerging themes. Interviews were audio-recorded and transcribed and continued until data saturation; this occurred by the tenth interviewee. Thematic content analysis was carried out, guided by an ecological model of health behaviour. Setting: Muscat, Oman. Subjects: Ten mid-level public health managers. Results: Barriers for physical inactivity were grouped around four themes: (i) intrapersonal (lack of motivation, awareness and time); (ii) social (norms restricting women's participation in outdoor activity, low value of physical activity); (iii) environment (lack of places to be active, weather); and (iv) policy (ineffective health communication, limited resources). Solutions focused on culturally sensitive interventions at the environment (building sidewalks and exercise facilities) and policy levels (strengthening existing interventions and coordinating actions with relevant sectors). Participants' responses regarding sitting time were similar to, but much more limited than those related to physical inactivity, except for community participation and voluntarism, which were given greater emphasis as possible solutions to reduce sitting time. Conclusions: Given the increasing prevalence of chronic disease in Oman and the Arabian Gulf, urgent action is required to implement gender-relevant public health policies and programmes to address physical inactivity, a key modifiable risk factor. Additionally, research on the determinants of physical inactivity and prolonged sitting time is required to guide policy makers.

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“…Studies have also reported social and cultural obstacles to increased physical activity in Middle Eastern immigrant female populations [34]. Thus, prevention programmes targeting this high-risk group will also need to address these challenges to be successful [35,36].…”

Section: Glycaemic Control and Preventative Actionsmentioning

confidence: 99%