Lifestyle intervention using the psychoeducational approach is associated with greater cardiometabolic benefits and retention of individuals with worse health status

Autor(es)

Cezaretto, Adriana ; de Barros, Camila Risso ; de Almeida-Pititto, Bianca ; Siqueira-Catania, Antonela ; Monfort-Pires, Milena ; Dias Folchetti, Luciana Gavilan ; Gouvea Ferreira, Sandra Roberta

• Tipo de documento: Artigo Científico
• Fonte: ARCHIVES OF ENDOCRINOLOGY METABOLISM; v. 61, n. 1, p. 36-44, FEB 2017.
• Citações Web of Science: 2

Resumo

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. (AU)

• Processo FAPESP: 07/55120-0 - Analise do perfil de risco cardiometabolico de amostra populacional do municipio de sao paulo e implementacao de programa de intervencao para prevencao de diabetes.
• Beneficiário: Sandra Roberta Gouvea Ferreira Vivolo
• Modalidade de apoio: Auxílio à Pesquisa - Regular
• Processo FAPESP: 11/06376-7 - Análise da associação entre depressão e doenças cardiometabólicas via marcadores inflamatórios em intervenção para prevenção de diabetes tipo 2
• Beneficiário: Adriana Cezaretto
• Modalidade de apoio: Bolsas no Brasil - Doutorado