Tsiampalis Thomas, Kouvari Matina, Belitsi Vasiliki, Kalantzi Vasiliki, Androutsos Odysseas, Bonoti Fotini, Panagiotakos Demosthenes B, Kosti Rena I
Department of Nutrition and Dietetics, School of Physical Education, Sports and Dietetics, University of Thessaly, 38221 Trikala, Greece.
Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, 17676 Athens, Greece.
Healthcare (Basel). 2023 Nov 18;11(22):2982. doi: 10.3390/healthcare11222982.
: Preventive cardiology aims to educate patients about risk factors and the importance of mitigating them through lifestyle adjustments and medications. However, long-term adherence to recommended interventions remains a significant challenge. This study explores how physician counselling contributes to successful behavior changes in various aspects of lifestyle. : A cross-sectional study conducted in Greece in 2022-2023 included 1988 participants. Validated questionnaires assessed patients' characteristics, dietary habits, and lifestyle choices. : The findings revealed that patients who received lifestyle advice from physicians demonstrated increased compliance with the Mediterranean diet and a higher involvement in physical activity. Notably, they were also less likely to be non-smokers. Importantly, physicians' recommendations had a more pronounced association with adherence level to the Mediterranean diet compared to other lifestyle behaviors. Additionally, specific dietary components like cereal, legume, and red meat consumption were significantly associated with physicians' guidance. : This study highlights the complex relationship between patients' cardiometabolic health, lifestyle decisions, and healthcare professionals' guidance. The substantial influence of physicians on Mediterranean diet adherence underscores the necessity for a multidisciplinary healthcare approach. Collaborative efforts involving physicians, dietitians, and fitness experts can offer comprehensive support to patients in navigating the intricate landscape of cardiometabolic health.
预防心脏病学旨在教育患者了解风险因素以及通过生活方式调整和药物治疗减轻这些因素的重要性。然而，长期坚持推荐的干预措施仍然是一项重大挑战。本研究探讨医生咨询如何在生活方式的各个方面促成成功的行为改变。
2022年至2023年在希腊进行的一项横断面研究纳入了1988名参与者。经过验证的问卷评估了患者的特征、饮食习惯和生活方式选择。
研究结果显示，接受医生生活方式建议的患者对地中海饮食的依从性有所提高，参与体育活动的程度也更高。值得注意的是，他们成为非吸烟者的可能性也较小。重要的是，与其他生活方式行为相比，医生的建议与地中海饮食的依从水平之间的关联更为显著。此外，谷类、豆类和红肉消费等特定饮食成分与医生的指导显著相关。
本研究突出了患者的心脏代谢健康、生活方式决策和医疗保健专业人员指导之间的复杂关系。医生对地中海饮食依从性的重大影响强调了多学科医疗方法的必要性。医生、营养师和健身专家的共同努力可以为患者在复杂的心脏代谢健康领域提供全面支持。
