The Effects of Diet and Exercise Program on Biomarkers, Health-Promoting Lifestyle and Perceived Health Status Among Community Residents with Metabolic Syndrome in South Taiwan

Monday, 30 July 2012

Yu-Hua Lin, PhD
Department of Nursing, I-Shou University, Kaohsiung, Taiwan
Li-Ling Chu, RN, MSN
Nursing, Community Health Center Gueiren District, Tainan, Taiwan
Chia-Chan Kao, RN, PhD
Department of Healthcare Administration, I-Shou University, Kaohsiung, Taiwan

Learning Objective 1: The learner will be able to understand the biomarkers of metabolic syndrome, health-promoting Lifestyle, and perceived health status among community residents.

Learning Objective 2: The learner will be able to understand the effects of diet and exercise program on community residents with metabolic syndrome.

Purpose: The purpose of this study was to compare the effects of diet and exercise program on biomarkers, health-promoting Lifestyle, and perceived health status among community residents with metabolic syndrome.

Methods: This was a two groups compared study design. All participants were over 40 years of age and with metabolic syndrome. Outcome measurements included biomarkers (blood pressure, waistline, buttocks, BMI, blood sugar, cholesterol, and triglycerine), Health-Promoting Lifestyle Profile Short-form (HPLP-S), perceived health status scale, and personal demographics. Participants were distributed into with a diet and exercise group (n=210) or without a diet and exercise group (n=185). Participants in the diet and exercise group were taught how to eat at least five fruits and vegetables per day, and exercise three times per week and at least thirty every time. The without diet and exercise group participants diet and exercise as usual. We examined outcome variables at three months after diet and exercise program.

Results: The two-related sample test showed that participants in the diet and exercise group were had a lower blood pressure (systolic z=-17.01, p < .001; diastolic z=-17.02, p < .001), waistline (z=-16.90, p < .001), buttocks (z=-16.90, p < .001), BMI (z=-16.96, p < .001), blood sugar (z=-17.14, p < .001), cholesterol (z=-17.14, p < .001), and triglyceride (z=-17.14, p < .001) when compared with the non diet and exercise group. The higher health-promotion lifestyle (t=-10.31, p < .001), and lower perceived health status (t= 24.50, p < .001) also found among diet and exercise group.

Conclusion: This study demonstrated that diet and exercise program is an effectiveness strategy on community residents with metabolic syndrome. Clear and concise information related the metabolic syndrome and related strategy should addresses to community residents for health promotion.