Benefits on quality of life concomitant to metabolic improvement in intervention program for prevention of diabetes mellitus
Contribuinte(s) |
UNIVERSIDADE DE SÃO PAULO |
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Data(s) |
07/11/2013
07/11/2013
2012
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Resumo |
To evaluate whether an interdisciplinary intervention program on lifestyle results in better quality of life (QoL) and lower frequencies of depression and binge eating disorder (BED) in individuals at risk for type 2 diabetes mellitus. A total of 177 individuals (32.2% men, age 55.4 +/- A 12.5 years) at risk for diabetes were allocated to a 9-month traditional (TI) or intensive interdisciplinary intervention (II) on dietary habits and physical activity including psychoeducative groups. They were submitted to questionnaires and clinical and laboratory examinations. Predictors of non-adherence were analyzed by logistic regression. Only individuals submitted to II had blood pressure and plasma glucose levels reduced. Frequencies of depression reduced in both interventions but of BED only in II (28.0-4.0%, P < 0.001). Increments in the scores of SF-36 domains (physical functioning: 11.1 +/- A 14.0 vs. 5.3 +/- A 13.0, role-emotional: 20.4 +/- A 40.2 vs. 6.2 +/- A 43.8, P = 0.05) were greater in the II than in TI, respectively. Changes in SF-36 correlated with decreases in anthropometry, blood pressure and glucose levels, depression and BED scores. Male gender was independently associated with non-adherence to the II. In addition to metabolic benefits, an interdisciplinary approach may induce desirable extrametabolic effects, favoring the control of psychiatric disorders and improving the QoL of individuals at risk for diabetes. |
Identificador |
QUALITY OF LIFE RESEARCH, DORDRECHT, v. 21, n. 1, pp. 105-113, FEB, 2012 0962-9343 http://www.producao.usp.br/handle/BDPI/42807 10.1007/s11136-011-9919-2 |
Idioma(s) |
eng |
Publicador |
SPRINGER DORDRECHT |
Relação |
QUALITY OF LIFE RESEARCH |
Direitos |
closedAccess Copyright SPRINGER |
Palavras-Chave | #INTERVENTION #PREVENTION #DIABETES MELLITUS #QUALITY OF LIFE #BINGE EATING #DEPRESSION #ADHERENCE #BINGE-EATING DISORDER #BECK DEPRESSION INVENTORY #RANDOMIZED-TRIAL #STYLE INTERVENTION #GLUCOSE-TOLERANCE #PRIMARY-CARE #WEIGHT-LOSS #TYPE-2 #PREVALENCE #HEALTH #HEALTH CARE SCIENCES & SERVICES #PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH #NURSING |
Tipo |
article original article publishedVersion |