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

Autor: Zoltan Pataky, Catherine Zumwald, Eric Gerstel, C Busnel, Alain Golay, Idris Guessous, Olivier Thierry Rutschmann
Jazyk: angličtina
Rok vydání: 2013
Předmět:
Blood Glucose
Male
Questionnaires
Time Factors
Endocrinology
Diabetes and Metabolism
Endocrinology
Switzerland/epidemiology
Risk Factors
Surveys and Questionnaires
Biological Markers/blood
Metabolic Syndrome
Cholesterol
HDL/blood
Incidence (epidemiology)
General Medicine
Home Care Services
Weight Reduction Programs
Cholesterol
LDL/blood
Workforce
Home Care Services/manpower
Metabolic Syndrome X/blood/epidemiology/prevention & control
Female
Switzerland
medicine.medical_specialty
Waist
education
Weight Reduction Programs/methods
Intervention (counseling)
Internal Medicine
medicine
Humans
Obesity
Exercise
Cognitive Therapy/methods
ddc:613
Cognitive Behavioral Therapy
Blood Glucose/metabolism
business.industry
Obesity/blood/epidemiology/prevention & control
Cholesterol
HDL
Cholesterol
LDL
Anthropometry
Patient Acceptance of Health Care
medicine.disease
Institutional repository
Blood pressure
Physical therapy
Metabolic syndrome
business
Energy Intake
Risk Reduction Behavior
Biomarkers
Zdroj: Diabetes & Metabolism, Vol. 39, No 1 (2013) pp. 78-84
ISSN: 1262-3636
Popis: The study evaluated the impact of lifestyle intervention on body weight, metabolic syndrome parameters, nutrition and physical activity in home-care providers (HCPs).Of 551 screened employees of a nursing agency, 173 were eligible to participate and were assigned to either the intervention (n=129) or the control (n=44) group. Participants in the intervention group followed an educational programme that encouraged physical activity and healthy nutrition, and were equipped with bicycles free of charge. Anthropometric, biological and lifestyle parameters were assessed at baseline, and after 6 and 12 months.Body weight, waist circumference and systolic blood pressure significantly decreased at 12 months in both study groups. Incidence of the metabolic syndrome in the intervention group at 12 months was reduced by 50% (from 17 to 9.2%; P=0.04). There were also decreases in LDL cholesterol (-0.36 mmol/L; P0.01), total cholesterol/HDL cholesterol ratio (-0.57; P0.01) and fasting glucose (-0.4 mmol/L; P0.05), and an increase in HDL cholesterol (+0.22 mmol/L; P0.01) in the intervention group. At 12 months, a decrease in daily caloric intake (-391 kcal/day; P0.001) and an increase in the percentage of participants engaging in physical activity (+3.4%; P0.05) were also observed in the intervention group.Lifestyle changes among HCPs are possible with relatively modest behavioural education and within a short period of time. Educational strategies and workshops are effective, efficient and easy to perform, and should be encouraged in HCPs to promote the implementation of lifestyle modifications in their patients.
Databáze: OpenAIRE
Externí odkaz: