Τίτλος:
Telephone counseling intervention improves dietary habits and metabolic parameters of patients with the metabolic syndrome: A randomized controlled trial
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Aim: To evaluate the effectiveness of a telephone-delivered intervention in improving lifestyle habits and metabolic parameters in metabolic syndrome (MetSyn) patients compared to a similar face-to-face or a usual care intervention. Methods: Eighty-seven MetSyn patients recruited from the outpatient clinic of a major public hospital were randomly assigned to one of the three intervention groups: "usual care", "telephone" or "face-to-face". At the beginning of the study all patients were provided with a hypocaloric Mediterranean-type diet. Then, patients in the telephone group received 7 dietary counseling calls, patients in the face-to-face group participated in 7 one-to-one dietary counseling sessions, and patients in the usual care group received no other contact, until the end of the study, 6 months later. All patients underwent full medical and nutritional evaluation at the beginning and at the end of the intervention. Results: At the end of the intervention, 42% of the participants no longer had the MetSyn; resolution rates differed significantly between the groups (p = 0.024), with those in the face-to-face and telephone group exhibiting similar rates (52 and 54%, respectively, vs. 21% in the usual care group). Between-group analysis revealed that the face-to-face group achieved the greatest improvement in metabolic parameters, while the telephone group had the greatest improvement in dietary adherence compared to the usual care group. Conclusions: Telephone counseling may be an effective way for implementing behavioral counseling aiming at improving lifestyle habits to MetSyn patients.
Συγγραφείς:
Fappa, E.
Yannakoulia, M.
Ioannidou, M.
Skoumas, Y.
Pitsavos, C.
Stefanadis, C.
Περιοδικό:
The Review of Diabetic Studies : RDS
Εκδότης:
SBDR - Society for Biomedical Diabetes Research
Λέξεις-κλειδιά:
glucose; triacylglycerol, adult; article; behavior modification; caloric restriction; cereal; cholesterol intake; controlled study; diastolic blood pressure; dietary fiber; dietary intake; female; food frequency questionnaire; fruit; health status; human; hypercholesterolemia; hypertension; intermethod comparison; legume; lifestyle modification; low fat diet; major clinical study; male; Mediterranean diet; metabolic syndrome X; nutritional status; patient care; patient counseling; physical activity; randomized controlled trial; salt intake; systolic blood pressure; telephone counseling; treatment outcome; vegetable; waist circumference
DOI:
10.1900/RDS.2012.9.36
