scholarly journals An Overview of Factors Associated with Adherence to Lifestyle Modification Programs for Weight Management in Adults

Author(s):  
Alice W. Y. Leung ◽  
Ruth S. M. Chan ◽  
Mandy M. M. Sea ◽  
Jean Woo
2020 ◽  
Author(s):  
KENAN BOSCO NYALILE ◽  
Emmanuel HP Mushi ◽  
Epiphania Moshi ◽  
Beatrice J. Leyaro ◽  
Sia E Msuya ◽  
...  

Abstract Background: Erectile dysfunction (ED) has a negative impact on ones’ relationships with poor quality of life as inevitable result. Men’s sexual health has been forgotten in most developing countries and therefore the burden of ED and associated risk factors are not known in these settings. This study aimed to determine the prevalence and factors associated with erectile dysfunction among adult men in Moshi municipality, northern Tanzania. Methodology: A community based cross-sectional study was conducted in July 2019. Multi stage sampling technique was used to enroll men aged 18 years and above infour wards of Moshi municipality. The 5-item version of the International Index of Erectile Function (IIEF-5) scale was used to assess erectile dysfunction. Multivariate logistic regression was done to get factors associated with ED. Results: The mean age of the 381 men was 39.6 (SD ±16.8) years. Theoverall prevalence of ED on this study was 29.7%. The severity of ED among study participants was 13.4 % (51), 9.7 % (37), 3.7 % (14), 2.9% (11) participants had mild, mild to moderate, moderate and severe erectile dysfunction respectively. Age, tobacco use, overweight, hypertension and diabetes all showed significance association with ED. However, in multivariate logistic analysis only age ≥40 years and hypertension remain statistically significant associated with ED [(OR 5.2, 95% CI 2.68-10.21, P<0.001), (OR 11.5, 95% CI 5.8-22.76, P<0.001) and (OR 2.5, 95% CI 1.06-5.86, P=0.035) ] respectively. Conclusion: About one in three men in Moshi municipal had ED. High prevalence of ED among hypertensive individuals suggest a need to establish ED screening program during their routine clinic for early detection and treatment. Furthermore, education should be given on lifestyle modification to prevent hypertension and diabetes in the community. The outcome will be improvement of patient’s quality of life. Key words: Erectile dysfunction, Diabetes mellitus, Hypertension, Physical activities, Prevalence, Predictors, Tanzania


Author(s):  
Aparajita Dasgupta ◽  
Sembagamuthu Sembiah ◽  
Bobby Paul ◽  
Ayon Ghosh ◽  
Bijit Biswas ◽  
...  

Background: Hypertension, also known as high blood pressure is a global public health concern. It is an important modifiable risk factor for cardiovascular disease and stroke. It remains silent, being generally asymptomatic during its clinical course and it accounts for a large proportion of cardiovascular deaths; lifestyle modification is the first line of intervention for all patients with hypertension, yet it was never been empirical. The aim of the study was to assess the pattern of self-care practices, if any and also to find out the factors associated with it, among the hypertensive patients in the outpatient department. Methods: A clinic-based, observational, cross-sectional study was conducted at health center under RHU & TC, Singur, which is the rural field practice area of All India Institute of Hygiene and Public Health, Kolkata among 124 hypertensive subjects. Binary logistic regression was done to find out the factors associated with the self-care practices using SPSS software. Results: In the present study, 62.9% of study participants suffering from hypertension had unfavourable self-care practices. Logistic regression showed age above 60 years (OR-3.1), primary level education (OR-5.6), poor socio economic status (OR-2.4), widow/separated (OR-3.3) and people with self-perceived poor health status (OR-2.8)had significant association with unfavourable self-care practices. After adjusting with other variables, age (AOR-2.3) and education (AOR-3.8) remained significant predictor of outcome. Conclusions: The findings revealed that the self-care practices among hypertensive patients were unfavourable in rural area. This calls for a deep need in increasing the awareness about healthy lifestyle among hypertensive patients. This study provides key elements to affect policy changes and social interventions. 


2013 ◽  
Vol 37 ◽  
pp. S269-S270 ◽  
Author(s):  
Penny Deck ◽  
Philippe Giabbanelli ◽  
Diane T. Finegood

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Heather Patton ◽  
Raoul Burchette ◽  
Stephanie Tovar ◽  
Jose Pio ◽  
Jiaxiao Shi ◽  
...  

Abstract Background A care pathway for nonalcoholic fatty liver disease (NAFLD) in Kaiser Permanente San Diego, California was instituted in August 2017 to improve efficiency of disease staging and promote lifestyle modification. Methods The NAFLD Care Pathway includes: (1) patient education (2) vibration controlled transient elastography (VCTE) examination (3) hepatology consultation for VCTE ≥ 8 kPa and (4) referral to weight management (WM). Patients referred to the pathway during the first 6 months of its implementation were studied for adherence to its components and impact on weight change and ALT values in the 12 months following referral. Retrospective assessment of WM participation, change in weight, and change in ALT were evaluated in the 12-months following referral and compared to changes 12-months prior. Student’s t-test or Wilcoxon signed rank test were used as appropriate (p < 0.05). Results 632 patients were included. 575 (91.0%) completed VCTE examination with mean liver stiffness 8.5 kPa (SD 9.2). 52 patients had mean liver stiffness ≥ 15 kPa. 180/632 (28.5%) attended NAFLD education. 153/632 (24.2%) were offered hepatology clinic and 136/153 (88.9%) completed at least 1 appointment. Participation in WM was 24/632 (3.8%) prior to referral and 67/632 (10.6%) after referral and increased among patients who attended NAFLD education. Mean weight change following referral was − 0.69 kg (SD 6.58 kg) among patients without WM and − 7.78 kg (SD 13.43 kg) with WM. Overall, 44.2% of participants experienced weight gain after referral, 40.8% had weight loss < 5% and 15% had weight loss ≥ 5%. Variables associated with weight loss included WM (p < 0.0001) and higher liver stiffness (p = 0.0066). Mean ALT change was − 15.2 (SD 38.5) U/L without WM and − 28.8 (SD 29.6) U/L with WM. Conclusions A care pathway for NAFLD within a large, integrated healthcare system provides non-invasive disease staging and minimizes hepatology clinic utilization to those with more advanced disease. Referral was associated with increased enrollment in WM, weight loss, and decreased ALT. Given its impact on healthcare resources, strategies to improve NAFLD identification, staging, and promotion of lifestyle modification are imperative.


Author(s):  
Guna Lee ◽  
Hye Young Choi

The increased prevalence of metabolic syndrome (MetS) among menopausal women necessitates successful management strategies such as applying dietary restrictions and engaging in physical activity to improve their health and quality of life. We investigate factors associated with dietary control and physical activity in 564 menopausal Korean women classified as having MetS who partook in the 2016 and 2017 Korean National Health and Nutrition Examination Survey (KNHANES). To determine socio-demographic characteristics, lifestyle features, and MetS-related characteristics associated with dietary control and physical activity, multiple logistic regression analysis was performed. Of the women with MetS 36.1% applied diet control and 39.5% engaged in physical activity. Women who applied dietary control strategies to improve their health were more likely to be in the 40–49 age group (odds ratio (OR): 3.38; 95% confidence interval (CI): 1.25–9.18), to engage in physical activity (OR: 2.24; CI: 1.43–3.52), and to take hypertension medication (OR: 1.66; CI: 1.04–2.67) or diabetes mellitus medication (OR: 2.99; CI: 1.80–4.97). Physically active menopausal women with MetS were more likely to also engage in dieting (OR: 2.32; CI: 1.42–3.51). Accordingly, suggestions can be provided to healthcare workers in designing, not only individual approaches to lifestyle modification but also comprehensive interventions including dietary control and physical activity for menopausal MetS women. Health-care interventions like dietary control, which provide additional support to vulnerable MetS women, should target women aged 60 or above or those who do not take medicines for hypertension and diabetes mellitus.


Sign in / Sign up

Export Citation Format

Share Document