Long-term effects of a Swedish lifestyle intervention programme on lifestyle habits and quality of life in people with increased cardiovascular risk

2017 ◽  
Vol 46 (6) ◽  
pp. 613-622 ◽  
Author(s):  
Matthias Lidin ◽  
Elin Ekblom-Bak ◽  
Monica Rydell Karlsson ◽  
Mai-Lis Hellénius
Keyword(s):  
Quality Of Life ◽  
Cardiovascular Risk ◽  
Dietary Habits ◽  
Behavioural Change ◽  
University Hospital ◽  
Intervention Programme ◽  
Lifestyle Habits ◽  
Group Sessions ◽  
One Year

Aims: The aim of this study was to evaluate the effects of a structured intervention programme on lifestyle habits and quality of life after six months and one year in participants with increased cardiovascular risk. Methods: Participants aged ≥18 years with increased cardiovascular risk were referred from primary health care and hospitals. The programme was launched at an outpatient clinic in a department of cardiology at a university hospital. It consisted of individual visits to a nurse for a health check-up and lifestyle counselling at baseline, after six months and at one year. In addition, five group sessions – focusing on nicotine, alcohol, physical activity, eating habits, stress, sleep and behavioural change – were offered to the participants and their relatives or friends. Lifestyle habits and quality of life were assessed with questionnaires at baseline, after six months and at one year. Results: One hundred participants (64 women, 36 men, age 58±11 years) were included in the programme. Compared with the baseline, significant and favourable changes in reported lifestyle habits were noted. Exercise levels were higher after one year and sedentary time decreased from 7.4 to 6.3 h/day. Dietary habits improved and the number of participants with a high consumption of alcohol decreased. Quality of life improved after one year. Conclusions: Participating in a structured lifestyle programme resulted in improved lifestyle habits and quality of life over one year in people with increased cardiovascular risk. Components such as an inter-professional teamwork, a focus on lifestyle rather than the disease, and combining individual visits and group sessions, might be central to the positive outcome of the programme.

scholarly journals Quality of life, symptoms and dietary habits in oncology outpatients with malnutrition: A cross-sectional study

2021 ◽  
Vol 38 (2) ◽  
Author(s):  
Mira Sonneborn-Papakostopoulos ◽  
Clara Dubois ◽  
Viktoria Mathies ◽  
Mara Heß ◽  
Nicole Erickson ◽  
...  
Keyword(s):  
Quality Of Life ◽  
At Risk ◽  
Side Effects ◽  
Dietary Habits ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
University Hospital ◽  
Cross Sectional ◽  
European Organization

AbstractCancer-related malnutrition has a high prevalence, reduces survival and increases side effects. The aim of this study was to assess oncology outpatients and risk of malnutrition. Reported symptoms and quality of life (QoL) in patients found to be at risk of malnutrition or malnourished were compared to patients without malnutrition. Using a standardized questionnaire, the European Organization for Research and Treatment of Cancer Questionnaire for Quality of Life and the Mini Nutritional Assessment (MNA), patients in an outpatient cancer clinic undergoing chemotherapy treatment at a German University Hospital were assessed for nutrition, risk of malnutrition and quality of life. Based on the MNA, 39 (45.9%) patients were categorized as malnourished or at risk for malnutrition. Loss of appetite (n = 37.6%, p < 0.001) and altered taste sensation (n = 30,3%, p < 0.001) were the symptoms most frequently associated with reduced food intake. Patients with risk of malnutrition scored lower on the global health status (n = 48.15%, p = 0.001). Side effects of cancer treatments lead to a higher risk of malnutrition and as a consequence lower QoL. These side effects should be addressed more efficiently in cancer care.

A cardiovascular risk score for hypertensive patients previously admitted to hospital

2019 ◽  
Vol 18 (6) ◽  
pp. 492-500 ◽  
Author(s):  
Ana M Martínez-Díaz ◽  
Antonio Palazón-Bru ◽  
David M Folgado-de la Rosa ◽  
Dolores Ramírez-Prado ◽  
Patricia Llópez-Espinós ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cardiovascular Disease ◽  
Cardiovascular Risk ◽  
Cox Regression ◽  
External Validation ◽  
Arterial Disease ◽  
Internal Validation ◽  
Hypertensive Patients ◽  
One Year

Background: Cardiovascular risk scales in hypertensive populations have limitations for clinical practice. Aims: To develop and internally validate a predictive model to estimate one-year cardiovascular risk for hypertensive patients admitted to hospital. Methods: Cohort study of 303 hypertensive patients admitted through the Emergency Department in a Spanish region in 2015–2017. The main variable was the onset of cardiovascular disease during follow-up. The secondary variables were: gender, age, educational level, family history of cardiovascular disease, Charlson score and its individual conditions, living alone, quality of life, smoking, blood pressure, physical activity and adherence to the Mediterranean diet. A Cox regression model was constructed to predict cardiovascular disease one year after admission. This was then adapted to a points system, externally validated by bootstrapping (discrimination and calibration) and implemented in a mobile application for Android. Results: A total of 93 patients developed cardiovascular disease (30.7%) over a mean period of 1.68 years. The predictors in the points system were: gender, age, myocardial infarction, heart failure, peripheral arterial disease and daily activity (quality of life). The internal validation by bootstrapping was satisfactory. Conclusion: A novel points system was developed to predict short-term cardiovascular disease in hypertensive patients after hospital admission. External validation studies are needed to corroborate the results obtained.

scholarly journals Quality of life of men with AIDS and the model of social determinants of health

2015 ◽  
Vol 23 (2) ◽  
pp. 183-191 ◽  
Author(s):  
Gilmara Holanda da Cunha ◽  
Maria Luciana Teles Fiuza ◽  
Elucir Gir ◽  
Priscila de Souza Aquino ◽  
Ana Karina Bezerra Pinheiro ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Cross Sectional Study ◽  
Determinants Of Health ◽  
University Hospital ◽  
Cross Sectional ◽  
Institutional Review ◽  
One Year

OBJECTIVE: to analyze the quality of life (QoL) of men with AIDS from the perspective of the model of social determinants of health (MSDH). METHOD: cross-sectional study conducted in an outpatient infectious diseases clinic from a Brazilian university hospital over the course of one year with a sample of 138 patients. A form based on the MSDH was used to collect sociodemographic data addressing individual, proximal, intermediate determinants and the influence of social networks together with an instrument used to assess the QoL of people with HIV/AIDS. The project was approved by the Institutional Review Board (Protocol No. 040.06.12). RESULTS: according to MSDH, most men with AIDS were between 30 and 49 years old (68.1%), mixed race (59.4%), heterosexual (46.4%), single (64.5%), Catholic (68.8%), had a bachelor's degree (39.2%), had no children (61.6%), and had a formal job (71.0%). The perception of QoL in the physical, level of independence, environment, and spirituality domains was intermediate, while QoL was perceived to be superior in the domains of psychological and social relationship. A perception of lower QoL was presented by homosexual (p=0.037) and married men (p=0.077), and those with income below one times the minimum wage (p=0.042). A perception of greater QoL was presented by those without a religion (p=0.005), living with a partner (p=0.049), and those who had a formal job (p=0.045). CONCLUSION: social determinants influence the QoL of men with AIDS.

scholarly journals Effects of Structured Lifestyle Education Program for Individuals With Increased Cardiovascular Risk Associated With Educational Level and Socioeconomic Area

2020 ◽  
Vol 15 (1) ◽  
pp. 28-38
Author(s):  
Matthias Lidin ◽  
Mai-Lis Hellenius ◽  
Monica Rydell Karlsson ◽  
Elin Ekblom-Bak
Keyword(s):  
Quality Of Life ◽  
Socioeconomic Status ◽  
Cardiovascular Risk ◽  
Education Program ◽  
Educational Level ◽  
Disease Risk ◽  
Lifestyle Habits ◽  
University Degree ◽  
Lifestyle Education

Background. Differences in socioeconomic status contribute to inequalities in lifestyle habits and burden of noncommunicable diseases. We aimed to examine how the effects of a 1-year structured lifestyle education program associate with the participant’s educational level and socioeconomic area (SEA) of residence. Methods. One hundred individuals (64% women) with high cardiovascular risk were included. Education level (nonuniversity vs university degree) was self-reported and SEA (low vs high) defined by living in different SEAs. Lifestyle habits and quality of life were self-reported, cardiovascular risk factors and Framingham 10-year cardiovascular disease risk were measured at baseline and after 1 year. Results. Sedentary behavior decreased in both nonuniversity degree and low SEA group over 1 year, with a significantly greater improvement in daily activity behavior in low- compared with high-SEA group. Abdominal obesity decreased significantly more in the nonuniversity compared with the university degree group. Cardiovascular risk and quality of life improved in all groups, however, with greater discrimination when using educational level as the dichotomization variable. Conclusion. The results are clinically and significantly relevant, suggesting that low socioeconomic status measured both as educational level and SEA are no barriers for changing unhealthy lifestyle habits and decreasing cardiovascular risk after participation in a lifestyle program.

Recurrent acute otitis media detracts from health-related quality of life

2017 ◽  
Vol 131 (2) ◽  
pp. 128-137 ◽  
Author(s):  
T Kujala ◽  
O-P Alho ◽  
A Kristo ◽  
M Uhari ◽  
M Renko ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Otitis Media ◽  
Acute Otitis Media ◽  
University Hospital ◽  
Healthy Children ◽  
Recurrent Acute Otitis Media ◽  
Related Quality ◽  
Health Related ◽  
One Year

AbstractObjective:Acute otitis media causes discomfort to children and inconvenience to their parents. This study evaluated the quality of life in children with recurrent acute otitis media aged less than 24 months.Methods:Quality of life was evaluated in 149 children aged 10 to 24 months who were referred to the Oulu University Hospital on account of recurrent acute otitis media. The children were treated with or without surgery. Age-matched controls were selected randomly from the general child population. Parents completed the Child Health Questionnaire.Results:The children with recurrent acute otitis media had a significantly poorer quality of life than control children. The control children with a history of a few acute otitis media episodes had a significantly poorer quality of life than those without any such history. The quality of life of the children with recurrent acute otitis media improved during the one-year follow up, regardless of the treatment, but did not reach the same level as healthy children.Conclusion:Acute otitis media detracted from quality of life when a generic measure was used. The mode of treatment used to prevent further recurrences of acute otitis media did not influence quality of life improvement.

Nurses’ and Physicians’ Opinions on Aggressiveness of Treatment for General Ward Patients

2006 ◽  
Vol 13 (2) ◽  
pp. 147-162 ◽  
Author(s):  
Mia Svantesson ◽  
Peter Sjökvist ◽  
Håkan Thorsén ◽  
Gerd Ahlström
Keyword(s):  
Quality Of Life ◽  
University Hospital ◽  
Professional Status ◽  
Structured Interviews ◽  
Full Treatment ◽  
Nurses And Physicians ◽  
One Year ◽  
A Minor ◽  
General Wards

The aim of this study was to evaluate agreement between nurses’ and physicians’ opinions regarding aggressiveness of treatment and to investigate and compare the rationales on which their opinions were based. Structured interviews regarding 714 patients were performed on seven general wards of a university hospital. The data gathered were then subjected to qualitative and quantitative analyses. There was 86% agreement between nurses’ and physicians’ opinions regarding full or limited treatment when the answers given as ‘uncertain’ were excluded. Agreement was less (77%) for patients with a life expectancy of less than one year. Disagreements were not associated with professional status because the physicians considered limiting life-sustaining treatment as often as the nurses. A broad spectrum of rationales was given but the results focus mostly on those for full treatment. The nurses and the physicians had similar bases for their opinions. For the majority of the patients, medical rationales were used, but age and quality of life were also expressed as important determinants. When considering full treatment, nurses used quality-of-life rationales for significantly more patients than the physicians. Respect for patients’ wishes had a minor influence.

scholarly journals Quality of life of women with gynecologic and breast cancer undergoing chemotherapy

Rev Rene ◽  
2015 ◽  
Vol 16 (2) ◽  
Author(s):  
Verônica Aparecida Ferreira ◽  
Isis Do Nascimento Teixeira Silveira ◽  
Nathália Silva Gomes ◽  
Mariana Torreglosa Ruiz ◽  
Sueli Riul da Silva
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Adjuvant Chemotherapy ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Quality Of Life Measures ◽  
One Year

Objective: analyzing the quality of life of women with gynecologic and breast cancer, undergoing antineoplasticchemotherapy for at least one year after treatment completion. Methods: a descriptive, cross-sectional study conductedin a University Hospital. To analyze quality of life, a sociodemographic and clinical data questionnaire and WHOQOL-brefwere used. Results: 30 women with an average age of 52 years were interviewed; most were diagnosed with breast cancerand received adjuvant chemotherapy. Regarding quality of life, the most negatively affected domains were the physical andpsychological domains, followed by environmental and social domains. Conclusion: including quality of life measures inclinical practice appears to be crucial in promoting comprehensive care to patients and their families.

One-year cardiovascular risk and quality of life changes in participants of a health trainer service

2013 ◽  
Vol 134 (3) ◽  
pp. 135-144 ◽  
Author(s):  
Christopher J Gidlow ◽  
Thomas Cochrane ◽  
Rachel Davey ◽  
Marion Beloe ◽  
Ruth Chambers ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cardiovascular Risk ◽  
Life Changes ◽  
One Year

scholarly journals Determinants and consequences of malnutrition in hospitalized patients at a Norwegian University Hospital

2020 ◽  
Vol 79 (OCE2) ◽  
Author(s):  
Marte A. Trollebo ◽  
Ingrid Revheim ◽  
Hanne Rosendahl-Riise ◽  
Mette H. Morken ◽  
Randi J. Tangvik ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Food Intake ◽  
Dietary Habits ◽  
Hospitalized Patients ◽  
Screening Tools ◽  
University Hospital ◽  
Nutritional Risk ◽  
Control Group ◽  
High Degree

AbstractBackground:Malnutrition is a serious condition that is frequent in hospitalized patients even in countries with high healthcare standards, and may affect up to 30% of all hospitalized patients in tertiary hospitals. Malnutrition or risk of malnutrition (hereafter referred to as malnutrition) strongly relate to clinical outcomes and mortality, even after adjustment for age and co-morbidities. There is a great need for improved methods for detecting and treating malnutrition in this population.Objective:Investigate factors that are associated with malnutrition at hospitalization, and provide data on specific nutrient deficiencies that are associated with malnutrition. Analyse the association of malnutrition with nutritional biomarkers, quality of life, disease-related functions and re-hospitalization, morbidity and mortality.Design:The study is s a prospective case-control study including patients from different Departments of a tertiary hospital (Haukeland University Hospital, Bergen, Norway). As part of the patients security programme, all hospitalized patients are routinely screened for nutritional risk using NRS-2002. The result allocates the patient to either the case- or the control group. Included patients undergo extensive examinations; standardized assessments of quality of life, socio-economic status, lifestyle habits, dietary habits and food intake, and anthropometric measurements (mid-upper arm circumference, waist circumference and body composition by bioelectrical impedance analysis). Blood and urine samples are collected to assess nutritional biomarkers related to malnutrition.Results:The study recruitment is ongoing and up to April 2019, 220 patients have been recruited (n = 90 (41%) at nutritional risk, n = 130 (59%) not at nutritional risk. Most of the patients are recruited from the Department of Heart Disease, n = 69 (31%) and Thoracic Medicine, n = 98 (45%). The recruitment of patients faces many challenges, including a high degree of non-participation (about one in four patients), and a high degree of misclassification (patients falsely categorized as ‘not at nutritional risk’).Conclusion:The study is unique due to the integration of patient-derived data on quality of life, food intake, and socio-economic factors with multiple and complementary nutritional biomarkers. A first result from the recruitment period is the need for specification of the specificity and sensitivity of screening tools for malnutrition in hospitals under realistic circumstances. This should ideally be tested in a multicentre study

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