Efeitos da modificação do estilo de vida nos parâmetros metabólicos e na qualidade de vida de pacientes com síndrome metabólica

Detalhes bibliográficos
Ano de defesa: 2014
Autor(a) principal: Saboya, Patrícia Maria Hoefel Pozas lattes
Orientador(a): Bodanese, Luiz Carlos lattes
Banca de defesa: Não Informado pela instituição
Tipo de documento: Tese
Tipo de acesso: Acesso aberto
Idioma: por
Instituição de defesa: Pontifícia Universidade Católica do Rio Grande do Sul
Programa de Pós-Graduação: Programa de Pós-Graduação em Medicina e Ciências da Saúde
Departamento: Faculdade de Medicina
País: BR
Palavras-chave em Português:
Área do conhecimento CNPq:
Link de acesso: http://tede2.pucrs.br/tede2/handle/tede/1794
Resumo: Purpose : Lifestyle intervention programs can reduce the prevalence of Metabolic Syndrome (MS) and, therefore, reduce the risk for cardiac disease: one of the main public health problems nowadays. The aim was to compare the effects of three types of approach for lifestyle change programs in the reduction of metabolic parameters and identify its impact on quality of life (QOL) of individuals with MS. Methods : A randomized controlled trial included 125 individuals with MS between 30-59 years old, from the MERC Study at Hospital São Lucas of PUC-RS. Individuals were randomized into three groups of interdisciplinary intervention: Standard Intervention (SI), control group, Group Intervention (GI) and Individual Intervention (II), during 12 weeks. The primary outcome was change in the metabolic parameters and, secondarily, the improvement in QOL measures at three moments: baseline, 3 and 9 months. Results : Only 72 individuals concluded the study: SI: 19, GI: 25 and II: 28. GI and II resulted in significant reduction of body mass index, waist circumference, SBP at 3 months and the improvement of QOL, although it was significantly associated with the physical functioning domain. However, these changes did not remain 6 months after the end of intervention. Depression and anxiety were significantly associated with worse QOL, although they have not shown effect on the response to intervention. Conclusion : Interdiscliplinary intervention, especially in a group, might be an effective and economically feasible strategy in the control of metabolic parameters of MS and improvement of QOL compared to SI, even in a dose-effect relationship.