Effects of lifestyle intervention using patient-centered cognitive behavioral therapy among patients with cardio-metabolic syndrome: a randomized, controlled trialReportar como inadecuado




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BMC Cardiovascular Disorders

, 16:227

Hypertension and Cardiovascular Risk

Abstract

BackgroundCardio-metabolic syndrome CMS is a highly prevalent condition. There is an urgent need to identify effective and integrated multi-disciplinary approaches that can reduce risk factors for CMS.

MethodsSixty-two patients with a history of CMS were randomized 1:1 into two groups: a standard information -only group control, or a self-regulated lifestyle waist circumference patient-centered cognitive behavioral therapy intervention group. A pretest and posttest, controlled, experimental design was used. Outcomes were measured at the baseline week 0 and at the end of intervention week 12. Comparisons were drawn between groups and over time.

ResultsThe mean standard deviation age of the subjects was 48.6 5.8 years ranging from 32 to 63, and 56.9% of the participants were female. Both groups showed no significant differences in Demographic variables and the metabolic syndrome indicators at baseline. While the control group only showed modest improvement after 12 weeks, compared to baseline, the intervention group demonstrated significant improvement from baseline. This study controlled for patients’ demographics and baseline characteristics when assessing the effects of intervention. After adjusting for age, education and baseline level, the experimental group and the control group were statistically significant different in the following post-treatment outcomes: WC F = 35.96, P < 0.001, TG F = 18.93, P < 0.001, RSBP F = 33.89, P < 0.001 and SF-36F = 157.93, P < 0.001. The results showed patients’ age and education were not strong predictors of patients’ outcome including WC, TG, RSBP and SF-36.

ConclusionsLifestyle intervention on patient-centered cognitive behavioral therapy can improve the physical and mental health conditions among individuals reporting a history of cardio-metabolic syndrome, and possibly provided preliminary benefits for the treatment of CMS.

Trial registrationChinese Clinical Trial Register #, ChiCTR15006148.

KeywordsChina Patient-centered Cognitive behavioral therapy Cardio-metabolic syndrome Randomised controlled trial AbbreviationsBPBodily pain

CMSCardio-metabolic syndrome

CVDCardiovascular disease

GHGeneral health

IDFInternational diabetes foundation

IRBInstitutional Review Board

MHMental health

PC-CBTPatient-centered cognitive behavioral therapy

PFPhysical functioning

RERole-emotional

RPRole –physical

RSBPResting systolic blood tension

SFSocial functioning

TGFasting serum-triglycerides

VTVitality

WCWaist circumference

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Autor: Ying Zhang - Songli Mei - Rui Yang - Ling Chen - Hang Gao - Li Li

Fuente: https://link.springer.com/



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