Motivational approach to lifestyle modification intervention on cardiometabolic risk profiles among obese adults: a randomized controlled trial

Motivational approach to lifestyle modification intervention on cardiometabolic risk profiles among obese adults: a randomized controlled trial

Background: Lifestyle modification intervention (LMI) is effective in promoting cardiometabolic risk (CMR) reduction. However, the current standard LMI for obese adults in Malaysia has only a periodic review. Hence, this study aims to determine the effect of LMI with a motivational approach on CMR p...

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Main Author: Shahadan, Siti Zuhaidah
Format: Conference or Workshop Item
Language:English
Published: 2018
Subjects:
RT Nursing
Online Access:http://irep.iium.edu.my/72725/
http://irep.iium.edu.my/72725/
http://irep.iium.edu.my/72725/8/72725%20Motivational%20Approach%20to%20Lifestyle%20Modification.pdf
id iium-72725
recordtype eprints
spelling iium-727252019-07-23T00:49:20Z http://irep.iium.edu.my/72725/ Motivational approach to lifestyle modification intervention on cardiometabolic risk profiles among obese adults: a randomized controlled trial Shahadan, Siti Zuhaidah RT Nursing Background: Lifestyle modification intervention (LMI) is effective in promoting cardiometabolic risk (CMR) reduction. However, the current standard LMI for obese adults in Malaysia has only a periodic review. Hence, this study aims to determine the effect of LMI with a motivational approach on CMR profiles among obese adults. Methods: This is a randomized controlled trial with an intervention group who received a 6-month LMI with a motivational approach and a control group, who received a 6-month standard LMI. The independent sample and paired t-test are used to determine the significant differences in the CMR profile between the intervention and control group after six months and between the pre- and post-intervention assessment, respectively. Results: The findings showed that the obese adults in the intervention group (n=40) had a positive outcomes to the CMR profile through a significant reduction in the body mass index (p=0.002) and a significant rise in high-density lipoprotein level (p=0.021) after six months. Additionally, the intervention group also achieved a reduction in the low-density lipoprotein and high-sensitivity C-reactive protein level after six months. Contrariwise, the control group (n=39) had an unexpected significant rise in fasting blood glucose level (p=0.012) and the low-density lipoprotein and high-sensitivity C-reactive protein level was increased after six months. Both the intervention and control group also had a significant reduction in the waist circumference measurement after six months (p<0.05). Conclusions: The LMI with the motivational approach is clinically more effective than the standard treatment to improve the CMR profile of obese adults after six months. Consequently, larger trials with specific sub-groups of obese adults, such as those with pre-diabetes or pre-hypertension, are warranted. 2018 Conference or Workshop Item NonPeerReviewed application/pdf en http://irep.iium.edu.my/72725/8/72725%20Motivational%20Approach%20to%20Lifestyle%20Modification.pdf Shahadan, Siti Zuhaidah (2018) Motivational approach to lifestyle modification intervention on cardiometabolic risk profiles among obese adults: a randomized controlled trial. In: The 4th International Conference on Nursing (ICON) 2018, 8th-9th September 2018, Malang, Indonesia. (Unpublished) https://icon-nursing.ub.ac.id/index.php/icon/icon2018
repository_type Digital Repository
institution_category Local University
institution International Islamic University Malaysia
building IIUM Repository
collection Online Access
language English
topic RT Nursing
spellingShingle RT Nursing
Shahadan, Siti Zuhaidah
Motivational approach to lifestyle modification intervention on cardiometabolic risk profiles among obese adults: a randomized controlled trial
description Background: Lifestyle modification intervention (LMI) is effective in promoting cardiometabolic risk (CMR) reduction. However, the current standard LMI for obese adults in Malaysia has only a periodic review. Hence, this study aims to determine the effect of LMI with a motivational approach on CMR profiles among obese adults. Methods: This is a randomized controlled trial with an intervention group who received a 6-month LMI with a motivational approach and a control group, who received a 6-month standard LMI. The independent sample and paired t-test are used to determine the significant differences in the CMR profile between the intervention and control group after six months and between the pre- and post-intervention assessment, respectively. Results: The findings showed that the obese adults in the intervention group (n=40) had a positive outcomes to the CMR profile through a significant reduction in the body mass index (p=0.002) and a significant rise in high-density lipoprotein level (p=0.021) after six months. Additionally, the intervention group also achieved a reduction in the low-density lipoprotein and high-sensitivity C-reactive protein level after six months. Contrariwise, the control group (n=39) had an unexpected significant rise in fasting blood glucose level (p=0.012) and the low-density lipoprotein and high-sensitivity C-reactive protein level was increased after six months. Both the intervention and control group also had a significant reduction in the waist circumference measurement after six months (p<0.05). Conclusions: The LMI with the motivational approach is clinically more effective than the standard treatment to improve the CMR profile of obese adults after six months. Consequently, larger trials with specific sub-groups of obese adults, such as those with pre-diabetes or pre-hypertension, are warranted.
format Conference or Workshop Item
author Shahadan, Siti Zuhaidah
author_facet Shahadan, Siti Zuhaidah
author_sort Shahadan, Siti Zuhaidah
title Motivational approach to lifestyle modification intervention on cardiometabolic risk profiles among obese adults: a randomized controlled trial
title_short Motivational approach to lifestyle modification intervention on cardiometabolic risk profiles among obese adults: a randomized controlled trial
title_full Motivational approach to lifestyle modification intervention on cardiometabolic risk profiles among obese adults: a randomized controlled trial
title_fullStr Motivational approach to lifestyle modification intervention on cardiometabolic risk profiles among obese adults: a randomized controlled trial
title_full_unstemmed Motivational approach to lifestyle modification intervention on cardiometabolic risk profiles among obese adults: a randomized controlled trial
title_sort motivational approach to lifestyle modification intervention on cardiometabolic risk profiles among obese adults: a randomized controlled trial
publishDate 2018
url http://irep.iium.edu.my/72725/
http://irep.iium.edu.my/72725/
http://irep.iium.edu.my/72725/8/72725%20Motivational%20Approach%20to%20Lifestyle%20Modification.pdf
first_indexed 2023-09-18T21:43:04Z
last_indexed 2023-09-18T21:43:04Z
_version_ 1777413269737177088

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