engleski

Metabolic syndrome – community nursing evaluation and intervention : the CroHort Study

This prospective study of 1277 participants investigated patient risk self-assessment, motivation for changes in main determinants of the metabolic syndrome and the impact of community nursing intervention on cardiovascular risk reduction. Observed values of metabolic syndrome determinants indicated an elevated cardiovascular risk. Participants showed greater motivation for positive changes regarding blood pressure (3.70±1.26) then hyperglycemia (3.55±1.28), hyperlipidemia (3.46±1.30), overweight and obesity (3.43±1.28), and physical activity habits (3.29±1.31). Changes in physical activity and nutritional habits were not related to self-reported motivation regardless of the age and sex (p>0.05). The most pronounced changes were observed in cholesterol (men 4.43%, women 4.89%) and triglycerides (men 3.41%, women 1.49%), with only slight changes in BMI (men 1.08%, women 1.18%) and no change in waist-to-hip ratio and glucose. This study revealed that, although aware and motivated, patients often do not succeed in changing habits. Concomitant changes of the environment and multisectoral prevention approach is necessary.

metabolic syndrome; prevention; cardiovascular disease; community nursing intervention; CroHort study

nije evidentirano