THERAPEUTIC LIFESTYLE CHANGES IN THE MANAGEMENT OF OBESITY

The metabolic syndrome (MetS) is a cluster of risk factors that predispose individuals to cardiovascular disease. Therapeutic lifestyle changes, including increased physical activity, are recommended for the prevention and treatment of MetS. The purpose of this study was to examine the relationship between physical activity and MetS in Canada. The sample included 6406 men and 6475 women aged 18-64 y who were participants in the Canadian Heart Health Surveys (1986-1992). MetS was classified using criteria modified from the US National Cholesterol Education Program. Participants were deemed physically active if they were active at least once each week for at least 30 min, engaging in strenuous activity some of the time. The relationship between physical activity and MetS was assessed using logistic regression, with age, smoking, alcohol consumption, and income adequacy as covariates. A total of 14.4% of Canadians had MetS and 33.6% were physically active. The odds ratio for MetS was 0.73 (95% confidence interval (CI): 0.54-0.98; p < 0.05) for physically active vs. physically inactive participants. The corresponding odds ratios were 0.45 (95% CI: 0.29-0.69; p < 0.001) and 0.67 (95% CI: 0.44-1.02; p = 0.06) for men and women, respectively. In summary, physical activity was associated with lower odds of MetS, particularly in men. Further research is required to determine the effectiveness of physical activity in the treatment of MetS.Key words: metabolic syndrome, physical activity, Canadian Heart Health Surveys.

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Counseling Male Members of the Canadian Forces

Ethical Human Psychology and Psychiatry ◽

10.1891/1559-4343.16.3.158 ◽

2014 ◽

Vol 16 (3) ◽

pp. 158-166

Author(s):

Jonathan E. Prousky

Keyword(s):

Well Being ◽

Lifestyle Changes ◽

Psychological Resilience ◽

Canadian Forces ◽

Civilian Life ◽

Masculine Ideology ◽

Acculturation Process ◽

Counseling Interventions ◽

Therapeutic Lifestyle Changes ◽

The Military

The lives of men working in the Canadian Forces (CF) are vastly different from civilian life. The hardships and competition they endure often results in impersonal and alienating feelings. Such a life demands that their personal needs are subsumed by the overarching goals of the institution, necessitating that all men embrace the dictums of the CF. As a result of these unique hardships, the psychological well-being among the regular forces is generally worse compared to civilian workers. Counselors need to attune psychotherapy to the specific psychological and sociocultural adaptation stresses that these men have experienced as part of the military acculturation process that shifts them to embrace a more “militarized” worldview. Counselors should alter their approach to accommodate the traditional masculine ideology that underlies how these military men interface with the world. Lastly, counselors should rely on counseling interventions that promote therapeutic lifestyle changes and build on psychological resilience, such as skills building, therapeutic enactment, and mindfulness-based therapies.

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Therapeutic Lifestyle Changes for Cardiovascular Disease

The Physician and Sportsmedicine ◽

10.3810/psm.2012.02.1957 ◽

2012 ◽

Vol 40 (1) ◽

pp. 109-115 ◽

Cited By ~ 5

Author(s):

Randell Wexler ◽

Adam Pleister ◽

Subha V. Raman ◽

James R. Borchers

Keyword(s):

Cardiovascular Disease ◽

Lifestyle Changes ◽

Therapeutic Lifestyle Changes

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Assessment of Metformin as an Additional Treatment to Therapeutic Lifestyle Changes in Pediatric Patients with Metabolic Syndrome

Cholesterol ◽

10.1155/2012/961410 ◽

2012 ◽

Vol 2012 ◽

pp. 1-5 ◽

Cited By ~ 1

Author(s):

Rebecca M. Raub ◽

Stanley J. Goldberg

Keyword(s):

Metabolic Syndrome ◽

Pediatric Population ◽

Additional Treatment ◽

Lifestyle Changes ◽

Control Group ◽

Average Dose ◽

Z Score ◽

Positive Direction ◽

Metformin Group ◽

Therapeutic Lifestyle Changes

Objective. To assess the effectiveness of metformin and therapeutic lifestyle changes (TLCs) in a clinical setting, compared to TLC alone in adolescents with metabolic syndrome (MS). Methodology. This study was a retrospective trial consisting of 60 patients, aged 8–18 years, who were treated for MS at an outpatient clinic. Two groups were formed: the metformin group (M group) and the control group (C group). The M group had been given metformin along with TLC, and the C group had been given TLC alone. Several outcome measures were obtained; the main outcome measure was measuring the change in percentile and z-score of weight and BMI. Results. There were no significant differences between the two groups at the conclusion of the study, except for height percentile (P=0.02) and z-score (P=0.03). Both groups showed promising significant intragroup decreases in weight z-score but BMI percentile and z-score were only significantly decreased in the M group. Conclusion. Metformin at an average dose of 1033 mg, when added to TLC, did not show any clinically important efficacy compared to TLC alone in a pediatric population with MS. However, both groups made significant changes in a positive direction, which may be solely due to TLC.

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Therapeutic Lifestyle Changes (TLCs) Improve the Quality of Life in the Elderly with Hypertension

Open Journal of Nursing ◽

10.4236/ojn.2016.69077 ◽

2016 ◽

Vol 06 (09) ◽

pp. 767-775

Author(s):

Kuslan Sunandar ◽

Tati Suheti ◽

Achmad Husni

Keyword(s):

Quality Of Life ◽

The Elderly ◽

Lifestyle Changes ◽

Therapeutic Lifestyle Changes

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Mehr Bewegung für alle – Ansätze zur Veränderung von Lebensstil und Gesundheitsprofil

Kinder- und Jugendmedizin ◽

10.1055/s-0037-1617824 ◽

2004 ◽

Vol 04 (04) ◽

pp. 139-145

Author(s):

Andreas Berg ◽

Ingrid Frey ◽

Georg Predel ◽

Aloys Berg

Keyword(s):

Körperliche Aktivität ◽

Lifestyle Changes ◽

Adult Treatment ◽

Adult Treatment Panel ◽

Therapeutic Lifestyle Changes ◽

Prävention Und Therapie

ZusammenfassungSozialpolitisch ist es unumgänglich, in Eigenverantwortung das individuelle Gesundheitsrisiko zu verringern, um darüber Risikofaktoren und die Progression chronischer Erkrankungen zu senken sowie vor allem das wachsende Problem des Übergewichts zu lösen. Hierzu ist allerdings die dauerhafte Umstellung des Ernährungs- und Aktivitätsverhaltens in Richtung auf eine energetisch ausgeglichene Lebensweise und eine gleichzeitige Verbesserung der Ernährungsqualität Voraussetzung. Dies zeigen uns Daten aus der Epidemiologie und Intervention, in denen Zusammenhänge zwischen Diabetes-, KHK-Inzidenz und Übergewicht in Abgrenzung von klassischen Risikofaktoren, wie Hypertonie, Dyslipoproteinämie und familiäre Belastung, geprüft wurden. Aktuell stehen damit körperliche Aktivität und die beanspruchte Muskulatur im Mittelpunkt der Regulation von Körperkomposition und Energieumsatz. Dies hat entscheidende Konsequenzen in der Ausbildung von atherogenen und entzündlichen Risikofaktoren und der darüber gebahnten Entwicklung von chronischen Folgeerkrankungen. Über den Erhalt oder Verlust an Muskelmasse wird langfristig aber auch der Altersverlauf signifikant beeinflusst. Konsequenterweise legen aktuelle Empfehlungen wie die »Adult Treatment Panel (ATP) III guideliness« des NCEP-Expertenausschusses vermehrt Wert auf therapeutische Lebensstilveränderungen (therapeutic lifestyle changes, TLC), die das persönliche Verhalten mit Kontrolle der Freizeitaktivität, der Ernährungsgewohnheiten und des Körpergewichts miteinbeziehen. Beispielhaft versucht dies auch das neue Schulungsprogramm der Deutschen Gesellschaft für Sportmedizin und Prävention (DGSP e. V.), das unter dem Namen M.O.B.I.L.I.S. für übergewichtige Erwachsene angeboten wird. Die vorliegende Übersicht betont einmal mehr die zentrale Bedeutung der körperlichen Aktivität in der Regulation von Körperkomposition sowie Schutz- und Risikofaktoren und will motivieren, regelmäßige körperliche Aktivität mehr als bisher zur Lebensstiländerung und in der Prävention und Therapie des Übergewichts zu nutzen.

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