Peiris Casey, Harding Katherine, Porter Judi, Shields Nora, Gilfillan Chris, Taylor Nicholas
School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Australia.
Eastern Health, Allied Health Clinical Research Office, Box Hill, Australia.
Disabil Rehabil. 2023 May;45(9):1471-1479. doi: 10.1080/09638288.2022.2065540. Epub 2022 Apr 27.
To determine the prevalence of metabolic syndrome in patients attending outpatient community rehabilitation in Melbourne, Australia and to compare health literacy, physical activity, and dietary intake of people with and without metabolic syndrome.
A cross-sectional, multi-centre, observational study of adults ( = 193) presenting to rehabilitation with various health complaints. Metabolic syndrome was determined according to the International Diabetes Federation joint consensus worldwide definition. Health literacy was assessed using the Rapid Estimate of Adult literacy in Medicine (REALM) and the Short Test of Functional Health Literacy in Adults (S-TOFHLA). Physical activity was assessed using accelerometers and dietary intake was assessed using a food frequency questionnaire.
One hundred and twenty three participants (64%) had metabolic syndrome. Of these, only three (2%) knew they had it. People with metabolic syndrome scored lower on health literacy (S-TOFHLA MD -2.10, 95% confidence interval (CI) -3.98 to -0.22) and took 1311 (95%CI 375 to 2246) fewer daily steps than those without metabolic syndrome. There were no differences in dietary intake.
Metabolic syndrome is a prevalent and under-recognised condition in community rehabilitation. Community healthcare professionals and health services may need to consider a broader approach to management including lifestyle assessment and intervention of patients with various conditions. Implications for rehabilitationAlmost two-thirds of adults in community rehabilitation had underlying, undetected metabolic syndrome.Adults with metabolic syndrome completed less objectively measured physical activity and had lower health literacy levels than those without metabolic syndrome.A broader approach to management may need to be considered in community rehabilitation where patients presenting for rehabilitation of various conditions would likely benefit from lifestyle assessment and intervention.
确定澳大利亚墨尔本参加门诊社区康复的患者中代谢综合征的患病率，并比较有无代谢综合征患者的健康素养、身体活动及饮食摄入量。
对因各种健康问题前来康复治疗的193名成年人进行一项横断面、多中心观察性研究。根据国际糖尿病联盟全球联合共识定义确定代谢综合征。使用医学成人识字率快速评估法（REALM）和成人功能性健康素养简短测试法（S-TOFHLA）评估健康素养。使用加速度计评估身体活动，并使用食物频率问卷评估饮食摄入量。
123名参与者（64%）患有代谢综合征。其中，只有3人（2%）知道自己患有该病。患有代谢综合征的人在健康素养方面得分较低（S-TOFHLA平均差-2.10，95%置信区间（CI）-3.98至-0.22），且每天步数比没有代谢综合征的人少1311步（95%CI 375至2246）。饮食摄入量没有差异。
代谢综合征在社区康复中普遍存在且未得到充分认识。社区医疗专业人员和卫生服务机构可能需要考虑更广泛的管理方法，包括对各种疾病患者进行生活方式评估和干预。对康复的启示社区康复中近三分之二的成年人患有潜在的、未被发现的代谢综合征。患有代谢综合征的成年人客观测量的身体活动量比没有代谢综合征的人少，健康素养水平也较低。在社区康复中可能需要考虑更广泛的管理方法，因为因各种疾病前来康复的患者可能会从生活方式评估和干预中受益。
