2021-06-17

Research says that attention to emotions is the key to improving heart health in obese people

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Research says that attention to emotions is the key to improving heart health in obese people

“We focus on changing behaviors and improving the relationship between people and food,” study author, National University of Ireland Ge Said Aisling Harris, a heart and weight management nutritionist at the Heart and Stroke Center in Alway Croi. “Many participants have tried strict diets and are afraid of the foods they cannot eat. Our plan does not have a diet or meal plan, nor does it exclude any food. Everyone sets their own goals and does it every week. One review, our approach is non-judgmental, which builds rapport and gains trust.”

“There are many reasons for the development of obesity, and blaming someone for their weight will stop them Get medical care and advice,” Harris said. “It can lead to emotional eating and feeling too selfish and afraid to exercise. By identifying the triggers for each person, we can develop alternative coping strategies, all in the context of their work, nursing responsibilities, external pressure, etc. For some people, participating in such groups may be their only social contact within a week or years. People share experiences and support their peers.”

Overweight and obesity are related to The increased risk of cardiovascular disease is associated. Weight loss is recommended to lower blood pressure, blood lipids, and the risk of type 2 diabetes, thereby reducing the risk of heart disease. This study analyzed the impact of a community-based lifestyle adjustment program on the physical and mental health of obese patients referred by the Bariatric Specialist Service of Galway Hospital, National University of Ireland. The researchers reviewed the data of 1122 participants from 2013 to 2019.

At the beginning of the 10-week Croí CLANN (Activity and Nutritional Lifestyle Change) program, a nurse, dietitian, and physical therapist will assess weight, blood pressure, cholesterol, blood sugar, physical fitness, and The levels of anxiety and depression were measured at baseline. Work with each patient to agree on a personalized goal and management plan.

Participants participate in a 2.5-hour treatment once a week for 8 weeks. The first 30 minutes are used for one-on-one goal setting. Next is a 1-hour exercise class led by a physical therapist. This was followed by a 1-hour health promotion seminar. The topics included healthy eating, serving size, reading food labels, emotional and physical hunger, stress management techniques (such as meditation), physical activity, sedentary behavior, cardiovascular risk factors, and making and Keep changing. Participants used activity trackers and kept food diaries to identify triggers for emotional eating.

In the last week, the patient conducted an end-of-project assessment with nurses, nutritionists and physical therapists to understand the results. They were then transferred back to the hospital.

At baseline, the average body mass index (BMI) was 47.0 kg/m2, and 56.4% of the participants had a BMI higher than 45 kg/m2. In addition, 26.7% had type 2 diabetes and 31.4% had a history of depression.

More than three-quarters of the participants (78%) completed the program. Socio-psychological health is assessed using a 21-point Hospital Anxiety and Depression Scale (HADS), where 0-7 points are normal, 8-10 points are mild, 11-15 points are moderate, and 16-21 points are severe. During the project, the scores for anxiety and depression dropped by 1.5 and 2.2 points, respectively. At the beginning, the proportion of anxiety scores greater than 11 was 30.8%, and then it fell to 19.9%; the corresponding proportion of depression was 21.8%, and then it fell to 9.5%.

In general, the weight of the participants lost an average of 2.0 kg, and 27.2% of the participants lost more than 3% of their initial weight. The proportion of reaching the recommended physical activity level rose by 31%. Total cholesterol, low-density lipoprotein (LDL) cholesterol, and blood pressure all dropped significantly. The proportion of patients with hypertension dropped from 37.4% at baseline to 31.1% at 10 weeks. Among patients with type 2 diabetes, the proportion of reaching the recommended blood glucose target rose from 47.6% to 57.4%.

Harris concluded: “Nearly 80% of people completed this project, which shows that the content and format of the project are acceptable. We have observed that in a relatively short period of time, all social and psychological Both health and health outcomes have improved, indicating that this can be a model for other centers to provide services.”