title: Metabolic syndrome--community nursing evaluation and intervention: the CroHort study.
abstract: This prospective study of 1277 participants investigated patient risk self-assessment, motivation for changes in main determinants of the metabolic syndrome and the impact of community nursing intervention on cardiovascular risk reduction. Observed values of metabolic syndrome determinants indicated an elevated cardiovascular risk. Participants showed greatest motivation for positive changes regarding blood pressure, (3.70 +/- 1.26) then hyperglycemia (3.55 +/- 1.28), hyperlipidemia (3.46 +/- 1.30), overweight and obesity (3.43 +/- 1.28), and physical activity habits (3.29 +/- 1.31). Changes in physical activity and nutritional habits were not related to self-reported motivation regardless of the age and sex (p > 0.05). The most pronounced median improvements were observed in cholesterol (men 4.43%, women 4.89%) and triglycerides (men 3.41%, women 1.49%), with only slight changes in BMI (men 1.08%, women 1.18%) and no change in waist-to-hip ratio and glucose. This study revealed that, although aware and motivated, patients often do not succeed in changing habits. Concomitant changes of the environment and multisectoral prevention approach is necessary.
authors.affiliation: University of Zagreb, Merkur University Hospital, Vuk Vrhovac University Clinic, Zagreb, Croatia. Tamara.Poljicanin@idb.hr
authors.forename: Tamara
authors.initials: T
authors.lastname: Poljicanin
authors.forename: Mario
authors.initials: M
authors.lastname: Sekerija
authors.forename: Jozo
authors.initials: J
authors.lastname: Boras
authors.forename: Silvija
authors.initials: S
authors.lastname: Canecki-Varzić
authors.forename: Zeljko
authors.initials: Z
authors.lastname: Metelko
authors.forename: Josipa
authors.initials: J
authors.lastname: Kern
authors.forename: Silvije
authors.initials: S
authors.lastname: Vuletić
mesh_terms: D000368:Aged; D001794:Blood Pressure; D015992:Body Mass Index; D015331:Cohort Studies; D003152:Community Health Nursing; D017523:Croatia / Q000453:epidemiology; D015444:Exercise; D005260:Female; D006801:Humans; D006943:Hyperglycemia / Q000150:complications; D006949:Hyperlipidemias / Q000150:complications; D008297:Male; D024821:Metabolic Syndrome / Q000150:complications / Q000453:epidemiology*; D008875:Middle Aged; D009765:Obesity / Q000150:complications; D015397:Program Evaluation; D012307:Risk Factors