scholarly journals Associated Factors with Dietary Adherence among People with Cardiovascular Metabolic Risk Factors based on PRECEDE Framework: a Mixed-Method Study

2021 ◽  
Vol 8 (2) ◽  
pp. 97-104
Author(s):  
Leila Sabzmakan ◽  
Tahereh Kamalikhah ◽  
Mosharafeh Chaleshgar Kordasiabi ◽  
Mojgan Nourian ◽  
◽  
...  
2016 ◽  
Vol 67 (2) ◽  
pp. 59-65 ◽  
Author(s):  
Fereshteh Baygi ◽  
Olaf C. Jensen ◽  
Mostafa Qorbani ◽  
Aliasghar Farshad ◽  
Seyed Ali Salehi ◽  
...  

2019 ◽  
Author(s):  
Leila Sabzmakan ◽  
Mohammad Asghari Jafarabadi ◽  
Akbar Nikpajoh ◽  
Tahereh Kamalikhah

Abstract Background: Healthy eating plays a vital role in the management of metabolic risk factors, such as diabetes, hypertension, and dyslipidemia. The aim of this study was to investigate the factors associated with healthy eating among people with cardiovascular metabolic risk factors. Method: This study was a mixed method research (qualitative and quantitative). In the qualitative phase, 50 people who had at least a metabolic risk factor and referred to the Diabetes Centers of Karaj, Iran were interviewed based on PRECEDE framework to explain the causes of following/not following healthy eating. In the quantitative phase, first, we developed a questionnaire based on the findings of the qualitative phase, and its validity and reliability was assessed. Then 450 samples completed the questionnaire in order to identify factors related to healthy eating. The qualitative data analysis was done using directed content analysis. In addition, SPSS ver.17 and AMOS ver.18 software were used to analyze the quantitative data. Results: The results of quantitative part showed only 51.07% of participants followed healthy eating behaviors. Both the findings of the quantitative and qualitative indicated that predisposing factor was the most important determinant of healthy eating behaviors. There was a significant relationship with large effect size between predisposing factor and healthy eating behaviors (β=1, P=0.001). Among predisposing factors, self-efficacy (β=0.49, P=0.001) and perceived barriers (β=- 0.33, P=0.001) were the most significant predictors. However, the findings of quantitative and qualitative phases did not confirm each other for enabling and reinforcing factors. This means in the qualitative phase, enabling factor was perceived as a deep structural determinant of healthy eating, but in the quantitative phase, reinforcing factor (β=0.67, P=0.001) was reported as a significant social predictor. Conclusion: Although personal determinants were the most dominant determinants of healthy eating behaviors, not sufficient to explain eating behaviors. Therefore, social and structural factors have to be considered for promotion of healthy eating behaviors.


2015 ◽  
Vol 114 (4) ◽  
pp. 645-653 ◽  
Author(s):  
Terumi Nishimura ◽  
Kentaro Murakami ◽  
M. Barbara E. Livingstone ◽  
Satoshi Sasaki ◽  
Kazuhiro Uenishi ◽  
...  

While Japanese diets have attracted considerable attention because of, for example, the long-life expectancy in Japan, their health benefits have not been examined. In the present study, we cross-sectionally examined whether adherence to the food-based Japanese dietary guidelines is associated with metabolic risk factors in 1083 Japanese women aged 18–22 years. Based on the Japanese Food Guide Spinning Top, adherence to the food-based Japanese dietary guidelines was assessed using dietary information on consumed servings of grain dishes, vegetable dishes, fish and meat dishes, milk and fruits and energy from snacks and alcoholic beverages during the preceding month, which was derived from a comprehensive diet history questionnaire. Higher dietary adherence was associated with higher intakes of protein, carbohydrate, dietary fibre, Na, K and vitamin C, and lower intakes of total and saturated fat. There was also an inverse association between dietary adherence and dietary energy density. After adjustment for potential confounding factors, dietary adherence was inversely associated with waist circumference (P for trend = 0·002). It also showed an inverse association with LDL-cholesterol concentrations (P for trend = 0·04). There was no association with the other metabolic risk factors examined, including BMI, systolic and diastolic blood pressure, total and HDL-cholesterol, TAG, glucose, glycated Hb and insulin concentrations. In conclusion, higher adherence to the food-based Japanese dietary guidelines, which was characterised by favourable dietary intakes of foods and nutrients as well as lower energy density, was associated with lower waist circumference and LDL-cholesterol concentrations in this group of young Japanese women.


2020 ◽  
Vol 29 (2) ◽  
pp. 175-179
Author(s):  
Melania Macarie ◽  
Simona Bataga ◽  
Simona Mocan ◽  
Monica Pantea ◽  
Razvan Opaschi ◽  
...  

Background and Aims: The importance of sessile serrated lesions (SSLs) in the pathogenesis of colorectal carcinoma has been recently established. These are supposed to cause the so-called “interval cancer”, having a rapidly progressive growth and being difficult to detect and to obtain an endoscopic complete resection. We aimed to establish the most important metabolic risk factors for sessile serrated lesions. Methods: We performed a retrospective case-control study, on a series of 2918 consecutive patients who underwent colonoscopy in Gastroenterology and Endoscopy Unit, County Clinical Emergency Hospital, Târgu-Mureș, Romania between 1 st of January 2015-31 th of December 2017. In order to evaluate the metabolic risk factors for polyps’ development, enrolled participants were stratified in two groups, a study group, 33 patients with SSLs lesions, and a control group, 138 patients with adenomatous polyps, selected by systematic sampling for age and anatomical site. Independent variables investigated were: gender, smoking, alcohol consumption, obesity, arterial hypertension, diabetes, hypercholesterolemia, hypertriglyceridemia, hyperuricemia, nonalcoholic liver disease. Results: For SSLs the most common encountered localization was the right colon in 30.55% of cases. By comparative bivariate analysis between SSLs group and control group, it was observed that hypertension (p=0.03, OR 2.33, 95 %CI 1.03-5.24), obesity (p=0.03, OR 2.61, 95 %CI 1.08-6.30), hyperuricemia (p=0.04, OR 2.72, 95 %CI 1.28-7.55), high cholesterol (p=0.002, OR 3.42; 95 %CI 1.48-7.87), and high triglycerides level (p=0.0006, OR 5.75; 95 %CI 1.92-17.2) were statistically associated with SSLs development. By multivariate analysis hypertension and hypertriglyceridemia retained statistical significance. Conclusions: Our study showed that the highest prevalence of SSLs was in the right colon and hypertension and increased triglycerides levels were associated with the risk of SSLs development. These risk factors are easy to detect in clinical practice and may help identifying groups with high risk for colorectal cancer, where screening is recommended.


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