- 期刊
教育課程對成人代謝症候高危險群個案血液生化指標成效之評估
The Effect of an Education Program on Blood Indicators and Body Composition of Adults's High Risk of Metabolic Syndrome
摘要
Aim: Metabolic syndrome is generally referred to as ”diseases of the civilized resulting from an unhealthy lifestyle.” Risk factors are both genetic, eating habits and lack of physical activity. The best way to prevent this syndrome from developing is early modification of lifestyle. This study evaluated the effect of a medium-term health education program on blood indicators and body compositions in 69 adults at high risk of developing metabolic syndrome. Methods: For this quasi-experimental study, we conducted a community health screening in central Taiwan. Eligibility was being between 18 and 65 years old and being at risk of metabolic syndrome based on modified Metabolic Syndrome guidelines. We excluded subjects diagnosed with diabetics, high blood pressure, or high cholesterol or who were taking long-term medications. Sixty-nine of those eligible volunteered, and divided into health education group (n=40) and control group (n=29). The control group maintained their usual lifestyle and diet, the health education group received 12 weeks of health education involving one 2-hour educational session per week (30 min physical education and 1.5 h of dietary lecture). Check-ups on blood indicators, weight, waist circumference, body fat and blood pressure were conducted at baseline, mid-course and after the 12-week program. Patients were characterized descriptively using count, percentages, mean, and standard deviation. Results were analyzed by Chi-square, Fisher's exact test, independent sample t-set and paired t-test. Results: The medium-term health education had a marked impact on risks for metabolic syndrome. Significant improvements were achieved in all the blood indicators, body weight, body fat, waist measurement and blood pressure (p＜.05), but not fasting blood glucose. Conclusions: This program successfully reduced risk of metabolic syndrome. The results of this study may serve as useful guidance for community health professional designing health promotion plans related to high risk metabolic syndrome. We believe that regular exercise and diet style change will need at least 3 months to several years to achieve significant physiological improvement. Only complete and continuous education will increase the health knowledge of the communities and improve their knowledge toward disease, suitable food choices, exercise methods and the need for monitoring of various physiological parameters.
並列摘要
Aim: Metabolic syndrome is generally referred to as ”diseases of the civilized resulting from an unhealthy lifestyle.” Risk factors are both genetic, eating habits and lack of physical activity. The best way to prevent this syndrome from developing is early modification of lifestyle. This study evaluated the effect of a medium-term health education program on blood indicators and body compositions in 69 adults at high risk of developing metabolic syndrome. Methods: For this quasi-experimental study, we conducted a community health screening in central Taiwan. Eligibility was being between 18 and 65 years old and being at risk of metabolic syndrome based on modified Metabolic Syndrome guidelines. We excluded subjects diagnosed with diabetics, high blood pressure, or high cholesterol or who were taking long-term medications. Sixty-nine of those eligible volunteered, and divided into health education group (n=40) and control group (n=29). The control group maintained their usual lifestyle and diet, the health education group received 12 weeks of health education involving one 2-hour educational session per week (30 min physical education and 1.5 h of dietary lecture). Check-ups on blood indicators, weight, waist circumference, body fat and blood pressure were conducted at baseline, mid-course and after the 12-week program. Patients were characterized descriptively using count, percentages, mean, and standard deviation. Results were analyzed by Chi-square, Fisher's exact test, independent sample t-set and paired t-test. Results: The medium-term health education had a marked impact on risks for metabolic syndrome. Significant improvements were achieved in all the blood indicators, body weight, body fat, waist measurement and blood pressure (p＜.05), but not fasting blood glucose. Conclusions: This program successfully reduced risk of metabolic syndrome. The results of this study may serve as useful guidance for community health professional designing health promotion plans related to high risk metabolic syndrome. We believe that regular exercise and diet style change will need at least 3 months to several years to achieve significant physiological improvement. Only complete and continuous education will increase the health knowledge of the communities and improve their knowledge toward disease, suitable food choices, exercise methods and the need for monitoring of various physiological parameters.