The Effect of Theory Based Nutritional Education on Fat Intake, Weight and Blood Lipids

Ali, Kamran; Sharifirad, Gholamreza; Heydari, Heshmatolah; Sharifian, Elham

doi:10.19082/3333

Cited by 8 publications

(26 citation statements)

References 59 publications

(63 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Of the 15 studies included ( Table 1 ), 1 study was a cluster randomized trial, 23 10 individual RCTs, 17 , 18 , 19 , 20 , 21 , 22 , 24 , 25 , 26 , 27 and another 4 were before and after studies. 28 , 29 , 30 , 31 There were 2 studies each from South Africa, 23 , 24 Brazil, 17 , 22 and China, 18 , 27 1 each from India, 25 Malaysia, 21 Russia, 20 and Turkey. 19 One study was carried out as a multicenter trial in India and Pakistan.…”

Section: Resultsmentioning

confidence: 99%

“… 19 One study was carried out as a multicenter trial in India and Pakistan. 26 The before and after studies were carried out 2 each, in Iran, 28 , 31 and 1 each from Mexico 29 and Thailand. 30 The earliest study in the review was reported in 2005, 17 and the most recent study was reported in 2017.…”

Section: Resultsmentioning

confidence: 99%

“… Denman et al Mexico, 2012 29 Before and after Low-income participants with high risk for developing CVD CHW 166 Community health centers, 13 wk Health education classes by CHW for heart healthy lifestyle vs Pasos Adelante outcomes Anthropometric waist and hip circumference, weight for calculating BMI (kg/m2); clinical biomarkers fasting blood glucose, HDL-c, LDL-c-, total cholesterol, and triglycerides and lifestyle questionnaire Significant changes from baseline to conclusion in LDL-c (7.93 [95% CI, 1.02–14.8] mg/dL), and triglycerides (−26.4 [95% CI, −40.4 to −12.4] mg/dL). Navicharern et al , Thailand, 2009 30 Before and after Diabetes Nurse 40, I = 20 C = 20 Two red cross health stations, 12 wk Nurse coaching vs routine care HbA1c, blood pressure and LDL-c-testing, and satisfaction with nursing intervention questionnaire No significant results for LDL-c. Kamran et al 2016, Iran 31 Before and after Individuals with hypertension Health promotion specialist 138, I = 68 C = 70 Rural health center, 6 mo Nutritional advice by health promotion specialist vs routine care with instructional booklets Mean change in total fat intake, saturated fat, dietary cholesterol and weight. Clinical outcomes such as HDL-c, TC < LDL-c, SBP and DBP.…”

Section: Resultsmentioning

confidence: 99%

“…One study exclusively included dyslipidemia participants. 21 Other studies included obese participants, 17 individuals with hypertension, 31 heart failure, 20 and acute coronary syndromes. 25 …”

Section: Resultsmentioning

confidence: 99%

“…The participants were patients with diabetes visiting a diabetic clinic in Iran, 28 2 health stations in Bangkok, 30 individuals with hypertension 31 referred to rural health center and low-income residents of an urban area of Northern Mexico. 29 Of the 4 studies, 2 used nurses 28 , 30 for delivering interventions.…”

Section: Resultsmentioning

confidence: 99%

See 4 more Smart Citations

Task-sharing interventions for cardiovascular risk reduction and lipid outcomes in low- and middle-income countries: A systematic review and meta-analysis

Anand

Joseph

Geetha

et al. 2018

Journal of Clinical Lipidology

View full text Add to dashboard Cite

BackgroundOne of the potential strategies to improve health care delivery in understaffed low- and middle-income countries (LMICs) is task sharing, where specific tasks are transferred from more qualified health care cadre to a lesser trained cadre. Dyslipidemia is a major risk factor for cardiovascular disease but often it is not managed appropriately.ObjectiveWe conducted a systematic review with the objective to identify and evaluate the effect of task sharing interventions on dyslipidemia in LMICs.MethodsPublished studies (randomized controlled trials and observational studies) were identified via electronic databases such as PubMed, Embase, Cochrane Library, PsycINFO, and CINAHL. We searched the databases from inception to September 2016 and updated till 30 June 2017, using search terms related to task shifting, and cardiovascular disease prevention in LMICs. All eligible studies were summarized narratively, and potential studies were grouped for meta-analysis.ResultsAlthough our search yielded 2938 records initially and another 1628 in the updated search, only 15 studies met the eligibility criteria. Most of the studies targeted lifestyle modification and care coordination by involving nurses or allied health workers. Eight randomized controlled trials were included in the meta-analysis. Task sharing intervention were effective in lowering low-density lipoprotein cholesterol (−6.90 mg/dL; 95% CI −11.81 to −1.99) and total cholesterol (−9.44 mg/dL; 95% CI −17.94 to −0.93) levels with modest effect size. However, there were no major differences in high-density lipoprotein cholesterol (−0.29 mg/dL; 95% CI −0.88 to 1.47) and triglycerides (−14.31 mg/dL; 95% CI −33.32 to 4.69). The overall quality of evidence based on Grading of Recommendations Assessment, Development and Evaluation was either “low” or “very low”.ConclusionAvailable data are not adequate to make recommendations on the role of task sharing strategies for the management of dyslipidemia in LMICs. However, the studies conducted in LMICs demonstrate the potential use of this strategy especially in terms of reduction in low-density lipoprotein cholesterol and total cholesterol levels. Our review calls for the need of well-designed and large-scale studies to demonstrate the effect of task-sharing strategy on lipid management in LMICs.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Task-sharing interventions for cardiovascular risk reduction and lipid outcomes in low- and middle-income countries: A systematic review and meta-analysis

Anand

Joseph

Geetha

et al. 2018

Journal of Clinical Lipidology

View full text Add to dashboard Cite

show abstract

Task sharing with non-physician health-care workers for management of blood pressure in low-income and middle-income countries: a systematic review and meta-analysis

Anand

Joseph

Geetha

et al. 2019

The Lancet Global Health

147

145

View full text Add to dashboard Cite

Background Task sharing for the management of hypertension could be useful for understaffed and resource-poor health systems. We assessed the effectiveness of task-sharing interventions in improving blood pressure control among adults in low-income and middle-income countries. Methods We searched the Cochrane Library, PubMed, Embase, and CINAHL for studies published up to December 2018. We included intervention studies involving a task-sharing strategy for management of blood pressure and other cardiovascular risk factors. We extracted data on population, interventions, blood pressure, and task sharing groups. We did a meta-analysis of randomised controlled trials. Findings We found 3012 references, of which 54 met the inclusion criteria initially. Another nine studies were included following an updated search. There were 43 trials and 20 before-and-after studies. We included 31 studies in our meta-analysis. Systolic blood pressure was decreased through task sharing in different groups of health-care workers: the mean difference was-5•34 mm Hg (95% CI-9•00 to-1•67, I²=84%) for task sharing with nurses,-8•12 mm Hg (-10•23 to-6•01, I²=57%) for pharmacists,-4•67 mm Hg (-7•09 to-2•24, I²=0%) for dietitians,-3•67 mm Hg (-4•58 to-2•77, I²=24%) for community health workers, and-4•85 mm Hg (-6•12 to-3•57, I²=76%) overall. We found a similar reduction in diastolic blood pressure (overall mean difference-2•92 mm Hg,-3•75 to-2•09, I²=80%). The overall quality of evidence based on GRADE criteria was moderate for systolic blood pressure, but low for diastolic blood pressure. Interpretation Task-sharing interventions are effective in reducing blood pressure. Long-term studies are needed to understand their potential impact on cardiovascular outcomes and mortality. Funding Wellcome Trust/DBT India Alliance.

show abstract

Interventions in hypertension: systematic review and meta-analysis of natural and quasi-experiments

2022

View full text Add to dashboard Cite

Background Hypertension is an urgent public health problem. Consistent summary from natural and quasi-experiments employed to evaluate interventions that aim at preventing or controlling hypertension is lacking in the current literature. This study aims to summarize the evidence from natural and quasi-experiments that evaluated interventions used to prevent or control hypertension. Methods We searched PubMed, Embase and Web of Science for natural and quasi-experiments evaluating interventions used to prevent hypertension, improve blood pressure control or reduce blood pressure levels from January 2008 to November 2018. Descriptions of studies and interventions were systematically summarized, and a meta-analysis was conducted. Results Thirty studies were identified, and all used quasi-experimental designs including a difference-in-difference, a pre-post with a control group or a propensity score matching design. Education and counseling on lifestyle modifications such as promoting physical activity (PA), promoting a healthy diet and smoking cessation consultations could help prevent hypertension in healthy people. The use of computerized clinical practice guidelines by general practitioners, education and management of hypertension, the screening for cardiovascular disease (CVD) goals and referral could help improve hypertension control in patients with hypertension. The educating and counseling on PA and diet, the monitoring of patients’ metabolic factors and chronic diseases, the combination of education on lifestyles with management of hypertension, the screening for economic risk factors, medical needs, and CVD risk factors and referral all could help reduce blood pressure. In the meta-analysis, the largest reduction in blood pressure was seen for interventions which combined education, counseling and management strategies: weighted mean difference in systolic blood pressure was − 5.34 mmHg (95% confidence interval [CI], − 7.35 to − 3.33) and in diastolic blood pressure was − 3.23 mmHg (95% CI, − 5.51 to − 0.96). Conclusions Interventions that used education and counseling strategies; those that used management strategies; those that used combined education, counseling and management strategies and those that used screening and referral strategies were beneficial in preventing, controlling hypertension and reducing blood pressure levels. The combination of education, counseling and management strategies appeared to be the most beneficial intervention to reduce blood pressure levels.

show abstract

The Effect of Theory Based Nutritional Education on Fat Intake, Weight and Blood Lipids

Cited by 8 publications

References 59 publications

Task-sharing interventions for cardiovascular risk reduction and lipid outcomes in low- and middle-income countries: A systematic review and meta-analysis

Task-sharing interventions for cardiovascular risk reduction and lipid outcomes in low- and middle-income countries: A systematic review and meta-analysis

Task sharing with non-physician health-care workers for management of blood pressure in low-income and middle-income countries: a systematic review and meta-analysis

Interventions in hypertension: systematic review and meta-analysis of natural and quasi-experiments

Contact Info

Product

Resources

About