Lifestyle Intervention Using the Psychoeducational Approach is Associated with Greater Cardiometabolic Benefits and Retention of Individuals with Worse Health Status

Overview

Journal Arch Endocrinol Metab

Specialty Endocrinology

Date 2017 Mar 9

PMID 28273202

Citations 2

Authors

Adriana Cezaretto

Camila Risso de Barros

Bianca de Almeida-Pititto

Antonela Siqueira-Catania

Milena Monfort-Pires

Luciana Gavilan Dias Folchetti

Sandra Roberta Gouvea Ferreira

Affiliations

Soon will be listed here.

Abstract

Objective: This study aimed to compare the effects of two lifestyle intervention programs for type 2 diabetes mellitus (T2DM) prevention - traditional or interdisciplinary psychoeducation-based intervention - in daily habits and cardiometabolic risk factors and investigate the role of the psychoeducational approach for the retention of individuals in the program.

Subjects And Methods: Between 2008 and 2010, in a public health service, 183 pre-diabetic individuals were allocated to two 18-month interventions involving diet and physical activity. Physical activity, diet, quality of life (QOL) and depression and biochemical measurements were obtained. Linear mixed-effect models were used to assess the effect of the interventions. A student t test was used to compare dropouts versus non-dropouts.

Results: Improvements in energy intake and physical activity were greater in the interdisciplinary than the traditional intervention. A decrease in fat mass and blood pressure was more pronounced with interdisciplinary intervention. Dropouts from the traditional intervention only had higher BMI and lower fiber intake and QOL than non-dropouts.

Conclusion: The interdisciplinary psychoeducation-based intervention revealed useful for reducing cardiometabolic risk and retaining individuals with worse health profiles. This approach represents a feasible strategy for motivating high-risk individuals to adopt a long-term healthy lifestyle.

Citing Articles

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Effects of Long-Term Multimodal Psychosocial Treatment on Antipsychotic-Induced Metabolic Changes in Patients With First Episode Psychosis.

Rojnic Kuzman M, Bosnjak Kuharic D, Kekin I, Makaric P, Madzarac Z, Koricancic Makar A Front Psychiatry. 2018; 9:488.

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