Elizabeth A J, Aruna J, Mercy P J
Vice Principal, Department of Medical Surgical Nursing, Sree Sudheendra College of Nursing, Ambalamedu, Ernakulam, Kerala, India.
Assistant Professor, Department of Nursing, Jazan University, Saudi Arabia.
Iran J Nurs Midwifery Res. 2024 Jul 2;29(3):373-378. doi: 10.4103/ijnmr.ijnmr_417_21. eCollection 2024 May-Jun.
Metabolic syndrome is one of the emerging health issues in developing countries. It includes diabetes, high Blood Pressure (BP), obesity, and elevated blood cholesterol.
This comparative study was conducted from March 2019 to February 2020 in selected areas of Ernakulam district, Kerala. The study used a quasi-experimental design with a nonequivalent control group. One-way analysis of variance and paired -tests were used for statistical analysis. Women (aged between 35 and 55 years) with metabolic syndrome were recruited by multistage sampling ( = 220) and randomly assigned into three groups: (a) control, (b) Lifestyle Interventions (LI), and (c) Multi Interventional Therapy (MIT). LI was given to the LI group, and reflexology foot massage along with LI was given to the MIT group for 12 weeks. The control group received routine care. Physiological variables were assessed before and after the intervention.
Women who received MIT and LI had significantly lower values of weight, Body Mass Index (BMI), and waist circumference after the treatment from baseline and compared with control ( = 12.09, 15.58, 22.37, < 0.001). A remarkable change in systolic and diastolic BP was found in the MIT group (pretest mean of systolic BP and diastolic BP in control: 142.3 and 90.1, LI: 141.7 and 89.7, MIT: 141.8 and 89.8, = 0.945, posttest means control: 142.6 and 90.4, LI: 131.5 and 85.5, MIT: 118.5 and 78.3, ( = 54.83, 57.87, < 0.001).
Both LI and MIT should be considered as interventions for reducing the physiological parameters of metabolic syndrome, such as body weight, BMI, and obesity. MIT was found to be more effective in reducing blood pressure.
代谢综合征是发展中国家新出现的健康问题之一。它包括糖尿病、高血压、肥胖和血液胆固醇升高。
本比较研究于2019年3月至2020年2月在喀拉拉邦埃尔讷古勒姆区的选定地区进行。该研究采用了带有非等效对照组的准实验设计。使用单因素方差分析和配对检验进行统计分析。通过多阶段抽样招募了患有代谢综合征的女性（年龄在35至55岁之间）（n = 220），并将她们随机分为三组：（a）对照组，（b）生活方式干预组（LI），（c）多干预治疗组（MIT）。对LI组进行生活方式干预，对MIT组进行足部反射按摩并结合生活方式干预，为期12周。对照组接受常规护理。在干预前后评估生理变量。
接受MIT和LI的女性在治疗后与基线相比以及与对照组相比，体重、体重指数（BMI）和腰围的值显著降低（分别为12.09、15.58、22.37，P < 0.001）。在MIT组中发现收缩压和舒张压有显著变化（对照组收缩压和舒张压的预测试均值：142.3和90.1，LI组：141.7和89.7，MIT组：141.8和89.8，F = 0.945，后测试均值对照组：142.6和90.4，LI组：131.5和85.5，MIT组：118.5和78.3，F分别为54.83、57.87，P < 0.001）。
LI和MIT都应被视为降低代谢综合征生理参数（如体重、BMI和肥胖）的干预措施。发现MIT在降低血压方面更有效。
