scholarly journals Socioeconomic Status and Improvements in Lifestyle, Coronary Risk Factors, and Quality of Life: The Multisite Cardiac Lifestyle Intervention Program

2009 ◽  
Vol 99 (7) ◽  
pp. 1263-1270 ◽  
Author(s):  
Sarah R. Govil ◽  
Gerdi Weidner ◽  
Terri Merritt-Worden ◽  
Dean Ornish
2020 ◽  
Author(s):  
Chu Shan Elaine Chew ◽  
Eric Andrew Finkelstein ◽  
Courtney Davis

BACKGROUND Use of a mobile health tool as a waitlist intervention combined with in-person weight management clinic visits may increase participant engagement and be an effective treatment strategy for adolescent obesity. OBJECTIVE The aim of this study was to assess the effectiveness of and adolescent engagement with a mobile application-based lifestyle intervention program as a waitlist intervention prior to their engagement with a multidisciplinary weight management clinic METHODS This single-arm feasibility study recruited adolescents with obesity, aged 10-16 year old, to a waitlist intervention using a mobile app-based lifestyle intervention program with routine clinical care. Primary outcomes were adolescents’ engagement with the mobile application and BMI z-score at 6 months. Secondary outcomes included health behaviours, physical activity levels , quality of life and disordered eating behaviours. RESULTS We enrolled 40 adolescents with mean age of 13.8 ± 1.7 years and BMI z-score of 2.07 ± 0.30. Participants were ethnically diverse with 45% Chinese, 33% Malay, 15% Indians and 10% of other ethnicity. 83% of the participants had a household income level that was below the national median levels. 83% of the participants engaged with the mobile app-based lifestyle intervention program. There was no significant differences in the BMI z-score and disordered eating behaviours of the participants at 6 months. Participants had significant improvement in quality of life (P=0.044) and physical activity level (P=0.026) with reduction of total caloric intake (P=0.018) and fat percentage (P=0.018) at 6 months. CONCLUSIONS Use of a mobile app-based lifestyle intervention program combined with multidisciplinary clinical care is feasible strategy to provide obesity management services to a low-income and racially diverse Asian population and improves quality of life, physical activity levels and reduces fat percentage and total caloric intake. CLINICALTRIAL ClinicalTrials.gov NCT03561597


2020 ◽  
Vol 10 (01) ◽  
pp. 26-31
Author(s):  
Syulce Luselya Tubalawony ◽  
Fransiska Dewi Prabawati

Pendahuluan: Era modern yang terjadi menyebabkan perubahan gaya hidup seperti tingginya pola konsumsi fast food dan kurangnya aktivitas fisik menyebabkan peningkatan penyakit kronis salah satunya Diabetes Melitus (DM). Tujuan penelitian ini adalah untuk menganalisis efektivitas Community-Based Healthy Lifestyle Intervention Program (Co-HELP) Modification terhadap kualitas hidup, kadar gula darah puasa dan tekanan darah pasien DM. Metode: Rancangan quasy experiment digunakan dengan melibatkan 76 responden yang terbagi atas 51 responden kelompok intervensi dan 25 responden kelompok kontrol yang dipilih dengan teknik purposive sampling. Kualitas Hidup responden diukur menggunakan kuesioner diabetes quality of life. Analisa hasil penelitian dengan uji Wilcoxon dan uji Mann-Whitney Hasil: Mayoritas responden kategori dewasa madya, perempuan (77,6%), lama menderita DM >5 tahun (67,1%), pekerjaan ringan (82,9%). Setelah 6 minggu diberikan intervensi Co-HELP Modification didapatkan hasil menujukan ada perbedaan yang signifikan pada kualitas hidup (p=0,000), kadar gula darah puasa (p=0,000), namun hasil uji untuk tekanan sistole dan tekanan diastole tidak ada perbedaan. Hasil uji regresi logistik ordinal menunjukkan bahwa intervensi Co-HELP Modification, umur, jenis kelamin, lama menderita/sakit DM dan pekerjaan secara simultan berpengaruh terhadap kualitas hidup (p= 1,000), kadar gula darah puasa (p=0,975), tekanan sistole (p=1,000) dan tekanan diastole (p=0,315). Kesimpulan :Penelitian ini merekomendasikan perlunya menerapkan Co-HELP Modification sebagai langkah mencegah komplikasi sehingga kualitas hidup pasien meningkat.


2006 ◽  
Vol 97 (9) ◽  
pp. 1267-1273 ◽  
Author(s):  
Claudia R. Pischke ◽  
Gerdi Weidner ◽  
Melanie Elliott-Eller ◽  
Larry Scherwitz ◽  
Terri A. Merritt-Worden ◽  
...  

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