Original scientific paper
Metabolic Syndrome – Community Nursing Evaluation and Intervention: the CroHort Study
Tamara Poljičanin
Mario Šekerija
Jozo Boras
Silvija Canecki-Varžić
Željko Metelko
Josipa Kern
Silvije Vuletić
Abstract
This prospective study of 1277 participants investigated patient risk self-assessment, motivation for changes in main determinants of the metabolic syndrome and the impact of community nursing intervention on cardiovascular risk reduction. Observed values of metabolic syndrome determinants indicated an elevated cardiovascular risk. Participants showed greatest motivation for positive changes regarding blood pressure, (3.70±1.26) then hyperglycemia (3.55±1.28), hyperlipidemia (3.46±1.30), overweight and obesity (3.43±1.28), and physical activity habits (3.29±1.31). Changes in physical activity and nutritional habits were not related to self-reported motivation regardless of the age and sex (p>0.05).
The most pronounced median improvements were observed in cholesterol (men 4.43%, women 4.89%) and triglycerides (men 3.41%, women 1.49%), with only slight changes in BMI (men 1.08%, women 1.18%) and no change in waist-to-hip ratio and glucose. This study revealed that, although aware and motivated, patients often do not succeed in changing habits. Concomitant changes of the environment and multisectoral prevention approach is necessary.
Keywords
metabolic syndrome; prevention; cardiovascular disease; community nursing intervention; CroHort study
Hrčak ID:
75586
URI
Publication date:
2.1.2012.
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