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http://dx.doi.org/10.14367/kjhep.2015.32.4.37

Effectiveness of lifestyle interventions to prevent diabetes and cardiovascular diseases in a health promoting hospital  

Kim, Hyekyeong (Department of Health Education and Management Ewha Womans University)
Nah, Eunhee (Health Promotion Research Institute, Korea Association of Health Promotion)
Publication Information
Korean Journal of Health Education and Promotion / v.32, no.4, 2015 , pp. 37-46 More about this Journal
Abstract
Objectives: This study was conducted to expand evidence-base for the effectiveness of lifestyle intervention programs to prevent the onset of diabetes and cardiovascular diseases. Methods: Seven intervention studies between 2006 and 2014 at Korea Association of Health Promotion were analyzed. All the studies were randomized controlled trials(RCTs) and included multi-component behavioral interventions. The participants of the programs were 2,172 adults with risk factors regarding metabolic syndrome criteria. The proportions of normalized participants were compared within and across the studies using odds ratio effect sizes. Results: The reductions in the prevalence of metabolic syndrome were from 49.6% to 65.1% in intervention groups, and from 38.7% to 52.3% in comparison groups. Significant differences in effectiveness between groups were found in two studies, one in 2006 with odds ratio of 1.69(p<0.01) and another in 2009 with odds ratio of 2.36(p<0.001). Proportions of normalized participants were higher in blood pressure(31.9% to 52.5% in the intervention groups and 23.0% to 43.3% in comparison groups) than other risk factors. Abdominal obesity showed weakest improvement after the intervention in both groups. Conclusions: Lifestyle modification program is an effective method to reduce diabetes and cardiovascular risks in adults by decreasing the prevalence of metabolic syndrome and its components.
Keywords
Lifestyle intervention; diabetes; cardiovascular disease; metabolic syndrome; prevention;
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1 Arima, H., Murakami, Y., Lam, T. H., Kim, H. C., Ueshima, H., Woo, J., . . . Woodward, M. (2012). Effects of prehypertension and hypertension subtype on cardiovascular disease in the Asia-Pacific Region. Hypertension, 59, 1118-23.   DOI   ScienceOn
2 Bo, S., Ciccone, G., Baldi, C., Benini, L., Dusio, F., Forastiere, G., . . . Paqano, G. (2007). Effectiveness of a lifestyle intervention on metabolic syndrome. A randomized controlled trial. Journal of General Internal Medicine, 22, 1695-703.   DOI
3 Bradley, F., Wiles, R., Kinmonth, A. L., Mant, D., & Gantley, M. (1999). Development and evaluation of complex interventions in health services research: Case study of the Southampton heart integrated care project (SHIP). The SHIP Collaborative Group. British Medical Journal, 318, 711-715.   DOI
4 Briss, P. A., Zaza, S., Pappaioanou, M., Fielding, J., Wright-De Aguero, L., Truman, B. I., . . . Harris, J. R. (2000). Developing an evidence-based guide to community preventive services- methods. American Journal of Preventive Medicine, 18(1), 35-43.   DOI   ScienceOn
5 Carroll, C., Patterson, M., Wood, S., Booth, A., Rick, J., & Balain, S. (2007). A conceptual framework for implementation fidelity. Implementation Science, 2:40.   DOI   ScienceOn
6 Crutzen, R., Viechtbauerb, W., Spigtac, M., & Kotzad, D. (2015). Differential attrition in health behaviour change trials: A systematic review and meta-analysis. Psychology and Health, 30(1), 122-134.   DOI   ScienceOn
7 Davis, M. J., & Addis, M. E. (1999). Predictors of attrition from behavioral medicine treatments. Annals of Behavior Medicine, 21, 339-349.   DOI   ScienceOn
8 Despres, J. P., & Lemieux, I. (2006). Abdominal obesity and metabolic syndrome. Nature, 444(7121), 881-887.   DOI   ScienceOn
9 Green, J. (2002). The role of theory in evidence-based health promotion practice. Health Education Research, 15(2), 125-129.   DOI
10 Harris, P. M. (1998). Attrition revisited. American Journal of Evaluation, 19, 293-305.   DOI
11 Hasson, H. (2010). Systematic evaluation of implementation fidelity of complex interventions in health and social care. Implementation Science, 5, 67.   DOI   ScienceOn
12 Institute for Health Metrics and Evaluation at the Washington University. (2010). Healthy life expectancy in Koreans. Retrieved from: http://chosunilbousa.com/life/linfo.cfm?id=26249
13 Johnson, S. S., Paiva, A. L., Cummins, C. O., Johnson, J. L., Dyment, S. J. Wright, J. A., Prochaska, J. O., . . . Sherman, K. (2008). Transtheoretical model-based multiple behavior intervention for weight management: Effectiveness on a population basis. Preventive Medicine, 46(3), 238-246.   DOI   ScienceOn
14 Jung, Y., Suh, M., Lee, J., Jeong, H., Ko, S., Chae, S., & Kim, M. (2006). Determinants of health in Korea. Korea Institute for Health and Social Affairs.
15 Karlson, C. W., & Rapoff, M. A. (2009). Attrition in randomized controlled trials for pediatric chronic conditions. Journal of Pediatric Psychology, 34(7), 782-793.   DOI   ScienceOn
16 Kim, H., Yoon, S., Lee, K., Oh, S., Ryu, H., Choo, J., . . . Park, D. (2011). Effects of a self-management program for metabolic syndrome-a metabolic syndrome management program in Seoul. Korean Journal of Health Education and Promotion, 28, 51-62.
17 Kim, S. J., Lee, J., Nam, C. M., Jee, S. H., Park, I. S., Lee, K. J., & Lee, S. Y. (2011). Progression rate from new-onset pre-hypertension to hypertension in Korean adults. Circulation Journal, 75, 135-40.   DOI   ScienceOn
18 Korea Centers for Disease Control and Prevention. (2014). Results from Korea National Health and Nutrition Examination Survey IV.
19 Korean Endocrine Society, & Korean Society for the Study of Obesity. (2010). Management of Obesity, 2010 Recommendation. Endocrinology and Metabolism, 25(4), 301-304.   DOI
20 Lim, S., Shin, H., Song, J. H., Kwak, S. H., Kang, S. M., Yoon, J. W., . . . Koh, K. K. (2011). Increasing prevalence of metabolic syndrome in Korea: The Korean National Health and Nutrition Examination Survey for 1998-2007. Diabetes Care, 34, 1323-1328.   DOI   ScienceOn
21 Marcellus, L. (2004). Are we missing anything? Pursuing research on attrition. Canadian Journal of Nursing Research, 36, 82-98.
22 Meigs, J. B. (2002). Epidemiology of the metabolic syndrome. American Journal of Management Care, 8(11), S283-292.
23 Mitchell, G. K., & Abernethy, A. P. (2005). A comparison of methodologies from two longitudinal community based randomization controlled trials of similar interventions in palliative care: What worked and what did not? Journal of Palliative Medicine, 8, 1226-1235.   DOI   ScienceOn
24 National Health Insurance Service. (2012). National Health Screening Statistical Yearbook. Korea.
25 National Institute of Health. (2002). National Cholesterol Education Program/National Heart, Lung and Blood Institute. Third of the expert panel on detection, evaluation, and treatment of high blood cholesterol in adults(Adults Treatment Panel III). 2002.
26 Oh, D., Lee, S., Lee, J. G., Kim, Y. J., Kim, Y., & Cho, B. M. (2009). Health Behavior and Metabolic Syndrome. Korean Journal of Family Medicine, 30, 120-128.   DOI
27 Oh, E. G., Kim, S. H., Hyun, S. S., Kang, M. S., & Bang, S. Y. (2007). The analysis of intervention studies for patients with metabolic syndrome. Journal of Korean Academy of Nursing, 37, 72-80.   DOI
28 Rossi, P. H., Lipsey, M. W., & Freeman, H. E. (2004). Evaluation: A systematic approach. Thousand Oaks, CA: Sage Publications Inc.
29 Oh, S. W. (2011). Obesity and metabolic syndrome in Korea. Diabetes and Metabolism Journal, 35, 561-6.   DOI   ScienceOn
30 Prochaska, J. J., Spring, B., & Nigg, C. R. (2008). Multiple health behavior change research: An introduction and overview. Preventive Medicine, 46(3), 181-188.   DOI   ScienceOn
31 Sattar, N., Gaw, A., Scherbakova, O., Ford, I., O'Reilly, D. S., Haffner, S. M., . . . Shepherd, J. (2003). Metabolic syndrome with and without C-reactive protein as a predictor of coronary heart disease and diabetes in the West of Scotland Coronary Prevention Study. Circulation, 108(4), 414-419.   DOI   ScienceOn
32 Seo, J. R., & Bae, S. S. (2011). The effect of metabolic syndrome management program in a public health center. Journal of Agricultural Medicine and Community Health, 36, 264-79.   DOI   ScienceOn
33 Statistics Korea. (2014). Retrieved from http://kostat.go.kr/portal/korea/kor_nw/2/1/index.board?bmode=read&aSeq=330181)
34 USDHHS. JNC 7 Express. (2003). Prevention, detection, evaluation and treatment of high blood pressure.
35 U.S. Preventive Services Task Force. (2014). Final research plan for healthful diet and physical activity for CVD prevention: Behavioral counseling. Retrieved from: http://www.uspreventiveservicestaskforce.org/Page/Document/final-research-plan154/healthful-diet-and-physical-activity-for-cardiovascular-disease-prevention-in-adults-without-known-risk-factors-behavioral-counseling.