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Abordagem telefônica para promoção da saúde.; Telephonic approach for the promotion of a healthy lifestyle.

Oyama, Silvia Maria Ribeiro
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 19/06/2006 PT
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A adoção de hábitos saudáveis como a prática de atividades físicas, alimentação equilibrada, sono saudável e a cessação do tabagismo tem sido apontada como importante medida para melhorar a saúde, a qualidade de vida e facilitar a prevenção e controle de algumas doenças crônicas na população. Assim, intervenções em saúde que visam orientar e facilitar a adoção de tais hábitos são componentes importantes e necessários no planejamento de programas de promoção da saúde. Mesmo que desconsiderássemos qualquer outro benefício além do financeiro, este já seria suficiente para justificar ações voltadas para a promoção da saúde por possibilitarem otimização dos recursos materiais e humanos nas intervenções em saúde . Visando ampliar ainda mais este benefício, novas tecnologias capazes de reduzir custos e manter qualidade de atendimento têm sido pesquisadas. É neste contexto que a abordagem telefônica para promover saúde surge como uma opção. Este estudo tem a finalidade de avaliar a efetividade da abordagem telefônica na promoção da saúde. O estudo foi realizado no Centro de Promoção da Saúde da Faculdade de Medicina da Universidade de São Paulo, com 46 indivíduos. Foram feitos de 3 a 5 contatos por pessoa...

Fatores preditores do alcance das metas do programa de intervenção no estilo de vida em nipo-brasileiros de Bauru, SP; Predictors of accomplishment to the goals in a lifestyle intervention study among Japanese-Brazilians. Bauru - SP.

Camargo, Marilia Alessi Guena de
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 08/12/2008 PT
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DE CAMARGO, M. A. G. Fatores preditores do alcance das metas do programa de intervenção no estilo de vida em nipo-brasileiros de Bauru - SP. 2008. 99 f. Dissertação (Mestrado em Saúde na Comunidade). Faculdade de Medicina de Ribeirão Preto-USP. Objetivos: Identificar fatores associados ao alcance das metas de um programa de intervenção no estilo de vida em Nipo-Brasileiros de Bauru, SP. Metodologia: Os fatores associados ao alcance das metas (perda de peso de 5%, prática de 150 minutos de atividades físicas semanal, consumo alimentar com teor de gordura saturada inferior a 10% das calorias totais, consumo diário de 400g de frutas, verduras e legumes), após 12 meses de intervenção foram investigados em modelos de regressão logística ajustados, As avaliações do estilo de vida e perfil de saúde foram conduzidas no início do estudo e após 12 meses de seguimento. Resultados: No total, 458 nipo-brasileiros, 56% do sexo feminino, 84% de 2ª geração, idade média (DP) de 60 (11) anos foram analisados. Foram incluídos nos modelos múltiplos para cada desfecho investigado os indivíduos com excesso de peso (n=329), que reportaram não terem o hábito da prática de 150 minutos de atividades físicas semanal (n=278), consumo alimentar com teor de gordura saturada superior a 10% das calorias totais (n=107) e consumo diário inferior a 400g de frutas...

Estilo de vida e sua associação com a longevidade de idosos muito velhos de Aracaju, SE; Lifestyle and its association to longevity of very old elderly of Aracaju, SE

Lima, Wilma Resende
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 25/04/2014 PT
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A longevidade é um processo inevitável, irreversível e de extrema importância para a civilização. A população de idosos de 80 anos ou mais tem aumentado, demandando atenção e compromisso por parte dos profissionais de saúde. Conhecer o processo de envelhecimento envolve o estudo de vários fatores, dentre eles, o estilo de vida que pode estar relacionado a maior longevidade desses idosos muito velhos. Portanto, o objetivo geral deste estudo foi avaliar o estilo de vida e sua associação com a longevidade de idosos muito velhos do município de Aracaju-SE. Metodologia: estudo descritivo-exploratório, transversal, com abordagem quantitativa. O cenário de estudo foi o município de Aracaju, uma das capitais do nordeste que apresentou crescimento acelerado do número de idosos nos últimos 40 anos. Os critérios de inclusão para a população foram: idosos cadastrados nas Unidades de Saúde da Família, de ambos os sexos, com 80 anos ou mais, que deveriam atingir o mínimo de 19 pontos no Mini-Exame do Estado Mental (MEEM). Foram realizadas entrevistas estruturadas por meio de três formulários: um com dados do MEEM; outro com dados socioeconômico e demográfico, de saúde, de nutrição e de longevidade e o terceiro com dados do Perfil do Estilo de Vida Individual (PEVI)-Pentáculo do Bem-Estar. Para a análise dos dados...

Boas notícias – um retrato de Lifestyle Journalism em Portugal

Marques, Ana Cristina Cirne
Fonte: Instituto Superior de Ciências Sociais e Políticas Publicador: Instituto Superior de Ciências Sociais e Políticas
Tipo: Dissertação de Mestrado
Publicado em 08/05/2012 POR
Relevância na Pesquisa
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Dissertação de Mestrado em Comunicação Social na vertente de Jornalismo; A dissertação de mestrado em causa visa apurar a realidade nacional de um género de jornalismo ainda pouco explorado – Jornalismo de Lifestyle. Dada a escassa bibliografia, pelo menos em Portugal, foram considerados outros elementos para uma análise mais profunda, tais como entrevistas com três profissionais da área – duas jornalistas e um fotógrafo -, os quais foram sujeitos a três entrevistas distintas. Para compreender a prática do mesmo, a análise de conteúdo incidiu, também, em diferentes artigos de seis revistas mensais de lifestyle (à excepção de uma semanal). A escrita neles embebida foi escrutinada e dos textos foram extraídas determinadas características associadas à narração literária, bem como ao Jornalismo Literário.; The dissertation in question seeks to establish the national reality of a journalistic genre that has been little studied - Lifestyle Journalism. Given the sparse literature, at least in Portugal, other elements were considered for further analysis, such as interviews with three professionals - two journalists and a photographer - who were subject to three separate interviews. To understand its practice...

The Advent of Lifestyle Medicine

Yeh, Byung-Il; Kong, In Deok
Fonte: Institute of Lifestyle Medicine, Yonsei University Wonju College of Medicine Publicador: Institute of Lifestyle Medicine, Yonsei University Wonju College of Medicine
Tipo: Artigo de Revista Científica
EN
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The fact that lifestyle is closely associated with the pathogenesis of chronic diseases has been known for more than three decades. Smoking may cause lung cancer, and a lifestyle of fast food consumption and little exercise can cause metabolic diseases. The importance of lifestyle changes in terms of a new medical paradigm to solve chronic diseases is becoming popular in modern times. Lifestyle medicine is a medicine based on personal lifestyle. To apply it to patients and ordinary people, physicians have to cooperate with experts in many fields such as nutrition, exercise, psychology, etc. In addition, patients must be partners in the treatment rather than passive recipients. The advent of lifestyle medicine has been caused by changes in disease patterns. In the past, acute diseases like infectious disease were prevalent; however, in the late 20th century, chronic diseases such as metabolic diseases, cancers, neurological disease, etc. increased in occurrence. As lifestyle is closely related with these diseases, the attitudes toward medicine need to be changed. Recently, the concept of “Lifestyle Medicine” was proposed, and we predict it will be an important field in future medicine.

Following the money: copy-paste of lifestyle counseling documentation and provider billing

Zhang, Mary; Shubina, Maria; Morrison, Fritha; Turchin, Alexander
Fonte: BioMed Central Publicador: BioMed Central
Tipo: Artigo de Revista Científica
EN_US
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Background: Evidence suggests that copy-pasted components of electronic notes may not reliably reflect the care delivered. Federal agencies have raised concerns that such components may be used to justify inappropriately inflated claims for reimbursement. It is not known whether copied information is used to justify higher evaluation and management (E&M) charges. Methods: This retrospective cohort study aimed to assess the relationship between the level of evaluation and management (E&M) charges and the method of documentation (none, distinct or copied) of lifestyle counseling (diet, exercise and weight loss) for patients with diabetes mellitus. To determine the association, an ordered multinomial logistic regression model that corrected for clustering within individual providers and patients and adjusted for patient and encounter characteristics was utilized. E&M charge level served as the primary outcome variable. Patients were included if they were followed by primary care physicians affiliated with two academic hospitals for a minimum of two years between 01/01/2000 and 12/13/2009. Results: Lifestyle counseling was documented in 65.4% of 155,168 primary care encounters of 16,164 patients. Copied counseling was identified in 12...

Short and long-term lifestyle coaching approaches used to address diverse participant barriers to weight loss and physical activity adherence

Venditti, Elizabeth M; Wylie-Rosett, Judith; Delahanty, Linda M; Mele, Lisa; Hoskin, Mary A; Edelstein, Sharon L
Fonte: BioMed Central Publicador: BioMed Central
Tipo: Artigo de Revista Científica
EN_US
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Background: Individual barriers to weight loss and physical activity goals in the Diabetes Prevention Program, a randomized trial with 3.2 years average treatment duration, have not been previously reported. Evaluating barriers and the lifestyle coaching approaches used to improve adherence in a large, diverse participant cohort can inform dissemination efforts. Methods: Lifestyle coaches documented barriers and approaches after each session (mean session attendance = 50.3 ± 21.8). Subjects were 1076 intensive lifestyle participants (mean age = 50.6 years; mean BMI = 33.9 kg/m2; 68% female, 48% non-Caucasian). Barriers and approaches used to improve adherence were ranked by the percentage of the cohort for whom they applied. Barrier groupings were also analyzed in relation to baseline demographic characteristics. Results: Top weight loss barriers reported were problems with self-monitoring (58%); social cues (58%); holidays (54%); low activity (48%); and internal cues (thought/mood) (44%). Top activity barriers were holidays (51%); time management (50%); internal cues (30%); illness (29%), and motivation (26%). The percentage of the cohort having any type of barrier increased over the long-term intervention period. A majority of the weight loss barriers were significantly associated with younger age...

Combined impact of healthy lifestyle factors on colorectal cancer: a large European cohort study

Aleksandrova, Krasimira; Pischon, Tobias; Jenab, Mazda; Bueno-de-Mesquita, H Bas; Fedirko, Veronika; Norat, Teresa; Romaguera, Dora; Knüppel, Sven; Boutron-Ruault, Marie-Christine; Dossus, Laure; Dartois, Laureen; Kaaks, Rudolf; Li, Kuanrong; Tjønneland
Fonte: BioMed Central Publicador: BioMed Central
Tipo: Artigo de Revista Científica
EN_US
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Background: Excess body weight, physical activity, smoking, alcohol consumption and certain dietary factors are individually related to colorectal cancer (CRC) risk; however, little is known about their joint effects. The aim of this study was to develop a healthy lifestyle index (HLI) composed of five potentially modifiable lifestyle factors – healthy weight, physical activity, non-smoking, limited alcohol consumption and a healthy diet, and to explore the association of this index with CRC incidence using data collected within the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort. Methods: In the EPIC cohort, a total of 347,237 men and women, 25- to 70-years old, provided dietary and lifestyle information at study baseline (1992 to 2000). Over a median follow-up time of 12 years, 3,759 incident CRC cases were identified. The association between a HLI and CRC risk was evaluated using Cox proportional hazards regression models and population attributable risks (PARs) have been calculated. Results: After accounting for study centre, age, sex and education, compared with 0 or 1 healthy lifestyle factors, the hazard ratio (HR) for CRC was 0.87 (95% confidence interval (CI): 0.44 to 0.77) for two factors, 0.79 (95% CI: 0.70 to 0.89) for three factors...

Lifestyle Medicine Education

Polak, Rani; Pojednic, Rachele M.; Phillips, Edward M.
Fonte: SAGE Publications Publicador: SAGE Publications
Tipo: Artigo de Revista Científica
EN_US
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The actual causes of premature adult deaths, the preponderance of noncommunicable chronic diseases, and their associated costs are related to unhealthy behaviors, such as poor nutrition, physical inactivity, and tobacco use. Although recommended as the first line of prevention and management, providers often do not provide behavioral change counseling in their care. Medical education in lifestyle medicine is, therefore, proposed as a necessary intervention to allow all health providers to learn how to effectively and efficiently counsel their patients toward adopting and sustaining healthier behaviors. Lifestyle medicine curricula, including exercise, nutrition, behavioral change, and self-care, have recently evolved in all levels of medical education, together with implementation initiatives like Exercise is Medicine and the Lifestyle Medicine Education (LMEd) Collaborative. The goal of this review is to summarize the existing literature and to provide knowledge and tools to deans, administrators, faculty members, and students interested in pursuing lifestyle medicine training or establishing and improving an LMEd program within their institution.

Preval??ncia de sedentarismo e fatores associados em adolescentes.; Prevalence of sedentary lifestyle and associated factors in brazilian adolescents.

Bastos, Juliano Peixoto
Fonte: Universidade Federal de Pelotas; Medicina; Programa de P??s-Gradua????o em Epidemiologia; UFPel; BR Publicador: Universidade Federal de Pelotas; Medicina; Programa de P??s-Gradua????o em Epidemiologia; UFPel; BR
Tipo: Dissertação Formato: application/pdf
POR
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Purpose: To describe levels of physical activity in adolescents (10-19 years) living in Southern Brazil, and to explore the association between sedentary lifestyle and demographic, economic, health-related, and parental variables. Methods: Population-based cross-sectional study including 857 adolescents selected through a multistage random sampling strategy. Sedentary lifestyle was defined as <300 min/wk of moderate to vigorous physical activity, following current recommendations for adolescents. Physical activity data collected by questionnaire were compared with pedometer counts and with a longer version of the questionnaire in a sub-sample of 92 adolescents. A cutoff point of 10,000 steps per day was used for classifying adolescents as sedentary or not by pedometers. Results: Reliability of the questionnaire was good, and its validity in comparison to a longer questionnaire was also satisfactory. Although the sensitivity of the questionnaire for detecting sedentary lifestyle in comparison to pedometers was good (77.1%), its specificity was low (42.6%). The prevalence of sedentary lifestyle by questionnaire in the whole sample was 69.8% (CI95% 66.7; 72.9). Boys were more active than girls. The prevalence of sedentary lifestyle increased with age in girls...

A simple lifestyle score predicts survival in healthy elderly men

Spencer, C.; Jamrozik, K.; Norman, P.; Lawrence-Brown, M.
Fonte: Academic Press Inc Publicador: Academic Press Inc
Tipo: Artigo de Revista Científica
Publicado em //2005 EN
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BACKGROUND: Although improvements in life expectancy have been attributed in part to the adoption of a more prudent lifestyle, few studies have examined the association of lifestyle with survival, using several lifestyle factors simultaneously, in a healthy elderly population. METHODS: We investigated the association of health related behaviors with mortality in 7989 men aged 65 to 83 years participating in a population-based trial in Perth, Western Australia, by calculating a lifestyle score as a simple tally of how many of eight prudent behaviors each individual followed. RESULTS: Invitations to screening produced a corrected response of 70.5%. Out of a possible score of 8, 46% of men had a score of less than 5. Within 5 years, a total of 703 men (9%) had died from any cause. The hazard ratio in men with a low lifestyle score was 1.3 [95% confidence interval (CI): 1.1-1.5] compared with men with a score of 5 or more. CONCLUSIONS: Lifestyle remains an important predictor of mortality even in old age. Survival in older men without a history of cardiovascular disease can potentially be enhanced by promoting a healthy lifestyle.; http://www.elsevier.com/wps/find/journaldescription.cws_home/622934/description#description

Lifestyle still predicts mortality in older men with established vascular disease

Spencer, C.; Jamrozik, K.; Lawrence-Brown, M.; Norman, P.
Fonte: Academic Press Inc Publicador: Academic Press Inc
Tipo: Artigo de Revista Científica
Publicado em //2005 EN
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Background. It is uncertain whether accepted associations between health behaviors and mortality are pertinent to elderly people. No previous studies have examined the patterns of lifestyle in elderly men with and without clinically evident vascular disease by using a lifestyle score to predict survival. Methods. We measured prevalence of a healthy lifestyle (four or more healthy behaviors out of eight) and examined survival in 11,745 men aged 65–83 years participating in a randomized population-based trial of screening for abdominal aortic aneurysm in Perth, Western Australia. After stratifying participants into five groups according to history and symptoms of vascular disease, we compared survival of men in each subgroup with that of ‘healthy’ men with no history or symptoms of vascular disease. Results. Invitations to screening produced a corrected response of 70.5%. After adjusting for age and place of birth, having an unhealthy lifestyle was associated with an increase of 20% in the likelihood of death from any cause within 5 years (95% CI: 10–30%). This pattern was consistently evident across subgroups defined by history of vascular disease, but was less evident for deaths from vascular disease. Conclusions. Our results highlight the importance of maintaining a healthy lifestyle through to old age...

Couples perception regarding how lifestyle might affect fertility: results of a pilot study

Homan, G.; Norman, R.
Fonte: Australian Nursing Federation Publicador: Australian Nursing Federation
Tipo: Artigo de Revista Científica
Publicado em //2009 EN
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Background There is evidence that lifestyle behaviours can adversely affect general health and reproductive performance. Despite this evidence a substantial proportion of the Australian population continue to ignore the importance of a ‘healthy lifestyle’. Aim This study aimed to examine the perceptions of infertile couples regarding the effect lifestyle might have on general and reproductive health. Methods Twenty new patients from an Adelaide fertility clinic were interviewed and asked a series of structured questions about their own lifestyle and whether they thought that various lifestyle factors might affect the chance of conceiving and a healthy pregnancy. They were also asked to rate the possible effect of other factors on the chance of conception, using a 10‑point likert scale. Results Most couples thought smoking and being over or underweight would adversely affect the chance of conceiving and a healthy pregnancy. Couples also perceived that taking recreational drugs and psychological stress would adversely affect the chance of conception, but were not as convinced about the effects of other lifestyle factors such as alcohol and caffeine consumption. Although most were taking some type of over the counter supplement...

The effect of comprehensive lifestyle intervention or metformin on obesity in young women

Lim, S.; Norman, R.; Clifton, P.; Noakes, M.
Fonte: Medikal Press S R L Publicador: Medikal Press S R L
Tipo: Artigo de Revista Científica
Publicado em //2011 EN
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BACKGROUND AND AIM: Young women are at high risk of weight gain but few weight management interventions have been investigated in this group. This study aimed to determine the effect of metformin on body weight, body composition, metabolic risk factors and reproductive hormone levels in overweight or obese young women compared to placebo and comprehensive lifestyle intervention. METHODS AND RESULTS: 203 overweight or obese young women (BMI 33.2+/−0.3 kg/m2, age 28+/−0.3 years) were randomised to 1500 mg/day metformin (M) plus general lifestyle advice, placebo (P) plus general lifestyle advice or comprehensive lifestyle intervention including structured diet, exercise and behavioural therapy (L) for 12-weeks. At 12-weeks, linear mixed models found that L group had greater weight loss (−4.2+/−0.4 kg) compared to M (−1.0+/−0.4 kg) and P groups (−0.2+/−0.3 kg) (P < 0.0001). Weight loss between M and P groups were not significantly different. Attrition rate was 48% for L, 34% for M and 29% for P (P = 0.08). Intention-to-treat analysis showed that 10% (8/79) of the subjects in P group had gained weight (>3%), compared to 3% (2/65) from M group and none (0/59) from L group (P < 0.001). The L group had the greatest decrease in waist circumference (−5.2+/−0.7 cm) and fat mass (−5.4+/−0.7 kg) compared to the other groups (P < 0.05). No significant time-by-group effects were seen in plasma lipids...

A pilot comprehensive lifestyle intervention program (CLIP) - Comparison with qualitative lifestyle advice and simvastatin on cardiovascular risk factors in overweight hypercholesterolaemic individuals

Cleanthous, X.; Noakes, M.; Brinkworth, G.; Keogh, J.; Williams, G.; Clifton, P.
Fonte: Medikal Press S R L Publicador: Medikal Press S R L
Tipo: Artigo de Revista Científica
Publicado em //2011 EN
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BACKGROUND AND AIMS: Escalating costs of pharmaceuticals for cardiovascular management highlight the need to develop effective lifestyle intervention programs to reduce reliance on these agents. The aim of this pilot study was to evaluate the efficacy of a Comprehensive Lifestyle Intervention Program (CLIP) compared with qualitative lifestyle advice (L) and Simvastatin plus qualitative lifestyle (S+L) on cardiovascular risk factors. METHODS AND RESULTS: Sixty-five overweight adults with hypercholesterolemia were randomised to either L (qualitative advice on diet, exercise), S+L (20 mg/day Simvastatin plus L) or CLIP (6500 kJ structured menu plan: conventional and functional foods contributing <10% energy from saturated fat, ≥3 g soluble fibre, 2.4 g plant sterols, oily fish ≥2 times/week at lunch and dinner, plus exercise advice and self monitoring) for 6 weeks. LDL-cholesterol was lowered in CLIP (-0.57±0.67 mmol/L, 15%) and S+L (-1.43±0.59 mmol/L, 37%), but did not change significantly in L (-0.17±0.59, 4%) (P<0.001 time-by-treatment interaction). Weight and waist circumference were significantly lowered by CLIP (-4.2±2.2 kg; -5.1±2.3 cm) compared to L (-1.0±1.6 kg; -2.7±3.3 cm) and L+S (-0.7±1.4 kg; -2.4±2.3 cm), (P≤0.003 time-by-treatment interactions). B-carotene levels within treatment groups did not change over time and were not lowered by the CLIP diet compared to L (P>0.05...

The FAST study: Fertility ASsessment and advice targeting lifestyle choices and behaviours: a pilot study

Homan, G.; Litt, J.; Norman, R.
Fonte: Oxford Univ Press Publicador: Oxford Univ Press
Tipo: Artigo de Revista Científica
Publicado em //2012 EN
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BACKGROUND Lifestyle has been shown to affect fertility in both males and females, with compelling evidence that smoking and being under or overweight impairs natural and assisted fertility, and other factors such as stress and caffeine have also been implicated. The objective of this study was to determine whether providing infertile couples with individualized lifestyle assessments and ongoing support facilitates positive lifestyle changes enhancing healthy fertility. METHODS We conducted a prospective cohort pilot study of 23 infertile couples attending an Adelaide-based fertility clinic for advice and treatment relating to infertility. The intervention was a comprehensive assessment interview with the couple, focused on health and lifestyle. Motivational interviewing techniques were used and ongoing support provided. The assessment was repeated after 4 months and included an exit questionnaire. The main outcome measure(s) was self-reported lifestyle changes, including increased exercise, modified diet, reduced caffeine and alcohol consumption, ceased or reduced smoking and decreased psychological stress. RESULTS Following the initial lifestyle assessment interview, all participants reported adverse lifestyle behaviour. CONCLUSIONS The results suggest that the FAST (Fertility ASsessment and advice Targeting lifestyle choices and behaviours) approach of an individualized assessment of current lifestyle practice followed by ongoing one to two weekly telephone support is effective in promoting healthy lifestyle change. Larger studies using this methodology are now required.; G. Homan...

The effects of antenatal dietary and lifestyle advice for women who are overweight or obese on maternal diet and physical activity: the LIMIT randomised trial

Dodd, J.M.; Cramp, C.; Sui, Z.; Yelland, L.N.; Deussen, A.R.; Grivell, R.M.; Moran, L.J.; Crowther, C.A.; Turnbull, D.; McPhee, A.J.; Wittert, G.; Owens, J.A.; Robinson, J.S.
Fonte: BioMed Central Publicador: BioMed Central
Tipo: Artigo de Revista Científica
Publicado em //2014 EN
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BACKGROUND Overweight and obesity is a significant health concern during pregnancy. Our aim was to investigate the effect of providing antenatal dietary and lifestyle advice to women who are overweight or obese on components of maternal diet and physical activity. METHODS We conducted a randomised controlled trial, in which pregnant women with a body mass index ?25 kg/m2, and singleton gestation between 10+0 to 20+0 weeks were recruited and randomised to Lifestyle Advice (involving a comprehensive dietary and lifestyle intervention over their pregnancy) or Standard Care. Within the intervention group, we conducted a nested randomised trial in which a subgroup of women were further randomised to receive access to supervised group walking sessions in addition to the standard information presented during the intervention contacts (the Walking group) or standard information only. The outcome measures were maternal dietary intake, (including food groups, macronutrient and micronutrient intake, diet quality (using the Healthy Eating Index; HEI), dietary glycaemic load, and glycaemic index) and maternal physical activity. Women completed the Harvard Semi-Structured Food Frequency Questionnaire, and the Short Questionnaire to Assess Health-enhancing Physical Activity (SQUASH)...

Metformin versus lifestyle changes in treating women with polycystic ovary syndrome

Curi, Daniella D. G.; Fonseca, Angela Maggio; Marcondes, Jose Antonio M.; Almeida, Jose Alcione M.; Bagnoli, Vicente R.; Soares-, Jose Maria, Jr.; Baracat, Edmund Chada
Fonte: INFORMA HEALTHCARE; NEW YORK Publicador: INFORMA HEALTHCARE; NEW YORK
Tipo: Artigo de Revista Científica
ENG
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Objective: To compare the efficacy of metformin with that of lifestyle changes in patients with polycystic ovary syndrome (PCOS). Design: Prospective, randomized clinical trial of 40 women with PCOS to analyze the effects of metformin and lifestyle intervention treatments on menstrual pattern and hormone and metabolic profile. The duration of treatment was 6 months. Statistical analysis was done using Student's t-test. Results: Fifteen women in the metformin group and 12 in the lifestyle changes group completed the study. The menstrual pattern improved by similar to 67% in both groups. There was a significant decrease in waist circumference in the lifestyle changes group (101.8 +/- 3.9 and 95.1 +/- 3.6, at baseline and at 6 months of treatment, respectively; p<0.001) and in body mass index (BMI) in both groups. The predictor of menstrual pattern improvement was BMI. Conclusions: Both metformin and lifestyle changes may increase the number of menstrual cycles in PCOS. This effect was related to a decrease in BMI.

The effect of antenatal dietary and lifestyle advice for women who are overweight or obese on emotional well-being: the LIMIT randomized trial

Dodd, J.M.; Newman, A.; Moran, L.J.; Deussen, A.R.; Grivell, R.M.; Yelland, L.N.; Crowther, C.A.; Mcphee, A.J.; Wittert, G.; Owens, J.A.; Turnbull, D.; Robinson, J.S.
Fonte: Wiley Publicador: Wiley
Tipo: Artigo de Revista Científica
Publicado em //2015 EN
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Our aim was to evaluate the effect of dietary and lifestyle advice to women who were overweight or obese during pregnancy on maternal quality of life, anxiety and risk of depression, and satisfaction with care.We conducted a randomized trial, involving pregnant women with body mass index >25kg/m(2) , recruited from maternity units in South Australia. Women were randomized to Lifestyle Advice or Standard Care, and completed questionnaires assessing risk of depression (Edinburgh Postnatal Depression Scale), anxiety (Speilberger State-Trait Anxiety Inventory), and quality of life (SF-36) at trial-entry, 28 and 36 weeks gestation, and four months postpartum. Secondary trial outcomes assessed for this analysis were risk of depression, anxiety, maternal quality of life, and satisfaction with care.One or more questionnaires were completed by 976 of 1,108 (90.8%) women receiving Lifestyle Advice and 957 of 1,104 (89.7%) women receiving Standard Care. The risk of depression (adjusted risk ratio 1.01; 95% CI 0.82-1.24; p=0.95), anxiety (adjusted risk ratio 1.09; 95% CI 0.93-1.27; p=0.31), and health related quality of life were similar between the two groups. Women receiving Lifestyle Advice reported improved healthy food choice (Lifestyle Advice 404 (68.9%) vs Standard Care 323 (51.8%); p<0.0001)...

Agressividade, estilo de vida criminal e adaptação à prisão; Agresividad, estilo de vida criminal y adaptación a la prisión; Aggressiveness, criminal lifestyle and prison adjustment; Agressivité, style de vie criminel et adaptation à la prison

Gonçalves, Leonel Cunha; Gonçalves, Rui Abrunhosa
Fonte: Universidade de São Paulo. Instituto de Psicologia Publicador: Universidade de São Paulo. Instituto de Psicologia
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; ; ; Formato: application/pdf
Publicado em 01/01/2012 POR
Relevância na Pesquisa
36.8%
El estudio de la adaptación a la prisión y la clasificación de los reclusos pueden ayudar a prevenir situaciones de riesgo y promover un tratamiento penitenciario más adecuado. Este estudio correlacional explora la relación entre la agresividad, el estilo de vida criminal y la adaptación a la prisión, incluyendo datos socio-demográficos y jurídico-penales. La agresividad es medida por el Aggression Questionnaire y lo estilo de vida criminal por el Lifestyle Criminality Screening Form. La adaptación a la prisión incluye dos indicadores: los procedimientos disciplinarios y los accesos a los servicios clínicos. La muestra consta de treinta y uno participantes del sexo masculino y nacionalidad portuguesa, detenidos en una prisión regional. El periodo de observación fue de cinco meses. Los resultados indican que la agresividad, la historia del consumo de drogas y condenas más cortas predicen peor adaptación a la cárcel. Además se verifica que los scores Aggression Questionnaire se asocian con los procedimientos disciplinarios y el acceso a los servicios clínicos.; The study of inmates´ adjustment to prison and prison classification may help to prevent risky situations and promote a more effective institutional treatment. This correlational study explores the relation between aggressiveness...