Health Behavior Adherence in a Metropolitan-Based Metabolic Syndrome Management Program During the COVID-19 Pandemic

Details

• Personal Author:
  Collins E ; Ferrans CE ; Hong OS ; Park CG ; Park S ; Quinn L
• Description:
  Background: The COVID-19 pandemic increased the worldwide prevalence of metabolic syndrome. The purpose of this study was to assess health behavior adherence during the pandemic in adults who had engaged in a metabolic syndrome management program for at least 6 months. This assessment included an evaluation of health behavior changes, factors influencing adherence, and clinical parameters. The city-wide program was operated by the Seoul Metropolitan Government. Methods: Baseline and follow-up data were compared in 116 participants who engaged in the program for at least 6 months prior to the pandemic. Health behaviors and clinical parameters were examined. Generalized estimating equation analysis was used to identify sociodemographic variables influencing health behavior adherence over time. Results: Systolic blood pressure, waist circumference, and blood glucose improved (all P<0.05), and risk factors decreased (P<0.001) from baseline to follow-up (mean +/- standard deviation, 1.13 +/- 0.91 years). All six health behaviors, physical activity and weight control, eating habits, alcohol consumption and smoking, stress management, sleep and rest, and medication compliance and medical examination improved (all P<0.001) from baseline to follow-up (2.37 +/- 1.05 years). Smoking and employment negatively influenced adherence to health behaviors (P<0.05). Participants felt the most beneficial part of the program was receiving sequential medical examination results with follow-up consultations by public health professionals without charge. Conclusion: Our study demonstrated the durability of the impact of the Seoul Program on all six targeted health behaviors as well as clinical parameters. Findings encourage participation in such broad-based programs and development of novel approaches to facilitate success for smokers and employed participants. [Description provided by NIOSH]
• Subjects:
  Behavior Blood Body Weight Health Promotion Hematologic Diseases Occupational Health Safety
• Keywords:
  Author Keywords: Metabolic Syndrome Blood Pressure Blood Sugar Disorders Body Weight Disease Management Guideline Adherence Health Behavior Health Programs Metabolic Disorders Republic Of Korea
• ISSN:
  2508-6235
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  California ; Illinois ; Michigan ; OSHA Region 5 ; OSHA Region 9
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  166-176
• Volume:
  33
• Issue:
  2
• NIOSHTIC Number:
  nn:20069270
• Citation:
  J Obes Metab Syndr 2024 Jun; 33(2):166-176
• Contact Point Address:
  Sungwon Park, Department of Health Behavior and Biological Sciences, School of Nursing, Michigan Society of Fellows 2022-2025, University of Michigan, 400 North Ingalls Street, Ann Arbor, MI 48109, USA
• Email:
  sungwonp@umich.edu
• Federal Fiscal Year:
  2024
• Performing Organization:
  University of California, Berkeley
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  Journal of Obesity & Metabolic Syndrome
• End Date:
  20250630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:689ccc96ad5763cfa36bf1ea5ae24bf44b95e2231dd5dafda139e8485af66497b39689902374ae24b7b8bc705d371bbb419c2f9491d9da903eab806743c48031
• Download URL:
  https://stacks.cdc.gov/view/cdc/207776/cdc_207776_DS1.pdf
• File Type:
  [PDF - 352.42 KB ]