The Relationship of Health Literacy and Adherence to Self-care Behaviors in Patients With Metabolic Syndrome

ObjectiveHigh as well as low levels of IGF1 have been associated with cardiovascular diseases (CVD). The relationship of IGF1 with (components of) the metabolic syndrome could help to clarify this controversy. The aims of this study were: i) to investigate the association of IGF1 concentration with prevalent (components of) the metabolic syndrome; and ii) to examine the role of (components of) the metabolic syndrome in the relationship between IGF1 and incident CVD during 11 years of follow-up.MethodsData were used from the Longitudinal Aging Study Amsterdam, a cohort study in a representative sample of the Dutch older population (≥65 years). Data were available in 1258 subjects. Metabolic syndrome was determined using the definition of the US National Cholesterol Education Program Adult Treatment Panel III. CVD were ascertained by self-reports and mortality data.ResultsLevels of IGF1 in the fourth quintile were associated with prevalent metabolic syndrome compared with the lowest quintile (odds ratio: 1.59, 95% confidence interval (CI) 1.09–2.33). The middle up to the highest quintile of IGF1 was positively associated with high triglycerides in women. Metabolic syndrome was not a mediator in the U-shaped relationship of IGF1 with CVD. Both subjects without the metabolic syndrome and low IGF1 levels (hazard ratio (HR) 1.75, 95% CI 1.12–2.71) and subjects with the metabolic syndrome and high IGF1 levels (HR 2.28, 95% CI 1.21–4.28) demonstrated increased risks of CVD.ConclusionsIn older people, high-normal IGF1 levels are associated with prevalent metabolic syndrome and high triglycerides. Furthermore, this study suggests the presence of different pathomechanisms for both low and high IGF1 levels and incident CVD.

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The relationship of parental health literacy to health outcomes of children with medical complexity

Journal of Pediatric Nursing ◽

10.1016/j.pedn.2021.02.014 ◽

2021 ◽

Vol 60 ◽

pp. 65-70

Author(s):

Patricia R. Lawrence ◽

Iris Feinberg ◽

Regena Spratling

Keyword(s):

Health Literacy ◽

Health Outcomes ◽

Children With Medical Complexity ◽

Parental Health ◽

Medical Complexity ◽

Relationship Of ◽

The Relationship

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The relationship between health literacy and self-care in patients with heart failure

British Journal of Cardiac Nursing ◽

10.12968/bjca.2020.0128 ◽

2021 ◽

pp. 1-10

Author(s):

Katie Nesbitt ◽

Huiyun Du ◽

Paul Nolan ◽

Susie Cartledge ◽

Parichat Wonggom ◽

...

Keyword(s):

Heart Failure ◽

Health Literacy ◽

Patient Group ◽

Care Management ◽

Self Care ◽

Randomised Control Trial ◽

Adequate Health Literacy ◽

Patients With Heart Failure ◽

Literacy Knowledge ◽

The Relationship

Background/Aims Research has shown that health literacy can influence an individual's ability to practise self-care, particularly for patients with heart failure. This study aimed to assess health literacy and its relationship with heart failure knowledge and self-care practices in this patient group. Methods An observational sub-study was conducted with the data from a large randomised control trial that evaluated the relationship between patients' health literacy, general literacy, knowledge of heart failure and self-care. Results A total of 36 participants were recruited, of which 33 (89.9%) had adequate levels of health literacy. Health literacy was positively associated with heart failure knowledge. However, 67.7% of participants with adequate health literacy were found to have inadequate levels of self-care management. Conclusions Health literacy may facilitate better heart failure knowledge, but it does not necessarily lead to improved self-care management in patients with heart failure. This suggest that clinicians need to put more emphasis on translating knowledge into behavioural changes for self-care in this patient group.

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The relationship of three common definitions of the metabolic syndrome with sub-clinical carotid atherosclerosis

Atherosclerosis ◽

10.1016/j.atherosclerosis.2007.09.007 ◽

2008 ◽

Vol 198 (1) ◽

pp. 228-236 ◽

Cited By ~ 14

Author(s):

Erica Paras ◽

G.B. John Mancini ◽

Scott A. Lear

Keyword(s):

Metabolic Syndrome ◽

Carotid Atherosclerosis ◽

The Metabolic Syndrome ◽

Relationship Of ◽

The Relationship

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The Relationship of Adiponectin/Leptin Ratio with Homeostasis Model Assessment Insulin Resistance Index and Metabolic Syndrome in Apparently Healthy Korean Male Adults

Korean Diabetes Journal ◽

10.4093/kdj.2010.34.4.237 ◽

2010 ◽

Vol 34 (4) ◽

pp. 237 ◽

Cited By ~ 39

Author(s):

Chan-Hee Jung ◽

Eun-Jung Rhee ◽

Ji-Hoon Choi ◽

Ji-Cheol Bae ◽

Seung-Hyun Yoo ◽

...

Keyword(s):

Insulin Resistance ◽

Metabolic Syndrome ◽

Resistance Index ◽

Model Assessment ◽

Homeostasis Model Assessment ◽

Insulin Resistance Index ◽

Relationship Of ◽

The Relationship ◽

Apparently Healthy

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Body Mass Index and Its Change from Adolescence to Adulthood Are Closely Related to the Risk of Adult Metabolic Syndrome in China

International Journal of Endocrinology ◽

10.1155/2021/8888862 ◽

2021 ◽

Vol 2021 ◽

pp. 1-7

Author(s):

Bingyang Liu ◽

Yue Li ◽

Jiamei Guo ◽

Yuting Fan ◽

Ling Li ◽

...

Keyword(s):

Metabolic Syndrome ◽

Body Mass Index ◽

Body Mass ◽

Glycosylated Hemoglobin ◽

Early Adulthood ◽

Study Groups ◽

Relationship Of ◽

Baseline Bmi ◽

The Relationship

Aims. To investigate the influence of body mass index (BMI) and its change from adolescence to adulthood (ΔBMI) on the risk of metabolic syndrome (MetS) in early adulthood. Methods. We selected 931 students from 12 to 16 years of age in Liaoyang City, China. Ninety-three participants from 18 to 22 years of age with complete baseline data were available for follow-up after 5 years. Statistical analysis determined the relationship of MetS at follow-up with baseline BMI (BMIb), ΔBMI, and follow-up BMI (BMIf). Results. ΔBMI was positively correlated with the change of waist circumference (ΔWC), systolic blood pressure (ΔSBP), triglycerides (ΔTG), uric acid, and glycosylated hemoglobin (ΔHbA1c) in follow-up ( p < 0.05 ). For every 1 kg/m2 increase in BMIb, ΔBMI, and BMIf, the risk of MetS at follow-up increased 1.201-fold, 1.406-fold, and 1.579-fold, respectively. Both BMIb and ΔBMI were predictive of MetS at follow-up, with prediction thresholds of 23.47 kg/m2 and 1.95 kg/m2. The participants were divided by the predicted BMIb and ΔBMI threshold values into four study groups. Interestingly, the group with lower BMI but a higher increase in BMI presented the same metabolic derangements and Mets% of the group with higher BMI but lower Δ BMI. Conclusion. Both BMI of adolescence and ΔBMI were predictive of MetS and cardiovascular risk factors in adulthood. Control of both variables in adolescents would be more effective in decreasing the risk of MetS in young adults than control of BMI alone.

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