Author: Ng, Fung Leung Bacon
Title: Effect on lifestyle modification using complementary and alternative medicine approach to reduce the risk of those with pre-clinical metabolic syndrome
Degree: DHSc
Year: 2017
Subject: Hong Kong Polytechnic University -- Dissertations
Metabolic syndrome -- Prevention
Department: Faculty of Health and Social Sciences
Pages: xiv, 188 pages : color illustrations
Language: English
Abstract: This study evaluates the effectiveness of a lifestyle modification program with circadian patterns based on an East-meets-West approach to reducing the risk of middle age and older adults with risk of pre-clinical metabolic syndrome. The lifestyle modification program consists of four educational sessions and a 12-week implementation involving lifestyle changes. With consideration of circadian pattern of work, a prototype of healthy lifestyle was developed based on the best available evidence in accordance to the Meridian Health Clock Theory derived from Traditional Chinese Medicine (TCM) and the Model of Human Occupation (MOHO). A total of 51 participants were recruited and randomly assigned to the control group (n = 26) and the treatment group (n = 25). There were no significant differences between these two groups on their sociodemographic characteristics. Similarly, the baseline of biological outcome measures on HbA1c, total cholesterol, triglyceride, low-density and high-density lipoprotein ratio, physiological outcomes on systolic and diastole blood pressure, Body Mass Index (BMI), weight, waist and hip circumference, and behavioural and psychosocial outcomes on daily lifestyle using Occupational Questionnaire, Health Self-rating Questionnaire, WHO, Quality of Life, WHO-5 and Perceived Stress Scale (PSS) was assessed and found to have no significant differences between the two groups except three out of 27 lifestyle activities (i.e., adopting noon nap habit, low-salt diet, and sleep on the right-side. At the end of the 12-week program, a follow-up assessment was conducted for both groups. Significant changes with more improvement in the intervention group than the control group in the dimensions of Glycated haemoglobin, Total Cholesterol, Percentage of Body Fat, Overall QOL, and Physical QOL Score were found. The treatment group had significant reduction in consuming saturated fat than the control group. Furthermore, a significant improvement in invention and learning were resulted for the treatment group. Twelve activities were found either correlated or demonstrated significant desirable changes during statistical comparison. A revised model of lifestyle modification program with emphasis on circadian lifestyle pattern seems to produce positive outcomes for reduction of the risk of developing pre-clinical metabolic syndrome. Directions of further studies are discussed.
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