The 4th International Conference on Nursing

Author :

(1) Siti Zuhaidah Shahadan; (1) Azlina Daud, (2) Muhammad Lokman Md. Isa; (3) Muhammad Ibrahim; (4) Samsul Deraman

Affiliation :

(1) Department of Medical Surgical Nursing, Kulliyyah of Nursing, IIUM, Kuantan, Malaysia; (2) Department of Basic Medical Sciences for Nursing, Kulliyyah of Nursing, IIUM, Kuantan, Malaysia; (3) Department of Nutrition, Kulliyyah of Allied Health Sciences, IIUM, Kuantan, Malaysia; (4) Department of Family Medicine, Kulliyyah of Medicine, IIUM, Kuantan, Malaysia

Abstract :

Introduction 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 two groups; intervention group who received a 6-month LMI with a motivational approach, and a control group who received a 6-month standard LMI. The T-test (independent and paired) are used to determine the significant differences in the CMR profile within and between the intervention and control group after six months. Results The findings showed that the obese adults in the intervention group (n=40) had 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 rise in fasting blood glucose level (p=0.012), low-density lipoprotein and the high-sensitivity C-reactive protein 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.

Keywords :

Lifestyle Modification Intervention; Cardio Metabolic Risk Profile; Obese