title: A salutogenic approach to prevention of metabolic syndrome: a mixed methods population study.
abstract: OBJECTIVE
  To find a salutogenic approach for prevention of metabolic syndrome in primary care practice.
  
  
  METHODS
  An explanatory sequential mixed-methods procedure was used to find salutogenic approaches for lifestyle change by assessing individual need, potential, and personal motivation. Data from a population health survey and interviews that focused on a sense of coherence were analysed.
  
  
  METHODS
  Altogether 480 Finnish subjects participated in a population health survey, and 43 of them were interviewed. The 43 interviewees' data were included in the final analysis.
  
  
  METHODS
  With the health survey participants' liability for MetS was assessed, and the objective need for lifestyle intervention was determined. Through the focused interviews potential and personal motivation for lifestyle modification were explored. Finally the data of the 43 interviewed subjects were merged.
  
  
  RESULTS
  Four possible lifestyle intervention approaches were identified for specific intervention. First, subjects with a strong sense of coherence only need encouragement to maintain a healthy lifestyle; second, professional support was found important for subjects with gaps in health awareness to improve health understanding; third, strengthening of social support for lifestyle change is necessary for subjects with various practical constraints in their everyday life; and fourth, strengthening of stress adaptation is important for subjects with redundant concerns about their health.
  
  
  CONCLUSIONS
  Salutogenic client-centred lifestyle modification approaches should be part of primary care practice. Further, a cross-disciplinary approach is needed in primary care research and practice to combat the exploding lifestyle illnesses.
authors.affiliation: Institute of Public Health and Clinical Nutrition, University of Eastern Finland , Kuopio , Finland.
authors.forename: Juhani
authors.initials: J
authors.lastname: Miettola
authors.forename: Anna Maria
authors.initials: AM
authors.lastname: Viljanen
mesh_terms: D000328:Adult; D000368:Aged; D005069:Evaluation Studies as Topic; D005260:Female; D015438:Health Behavior; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D008297:Male; D024821:Metabolic Syndrome / Q000517:prevention & control*; D008875:Middle Aged
keywords: Finland; general practice; metabolic syndrome; mixed-methods research; salutogenesis