BACKGROUND: Non-adherence to preventive and therapeutic lifestyle recommendations among patients at high risk of cardiovascular disease is more prevalent and varied than previously thought. The problem needs to be addressed by those who are involved in the care of these patients. AIM: To measure adherence and barriers of complying with lifestyle recommendations among patients with high cardiovascular risk factors. DESIGN OF STUDY: Prospective study. SETTING: Six family-practice health centres in Kuwait. METHOD: Data are from 334 Kuwaiti adult males and females with hypertension, type 2 diabetes, or both, who completed a routine clinic visit in one of six family practice centres. Trained staff used a structured questionnaire to obtain a detailed medical history regarding exercise habits and barriers to compliance with diet and exercise programmes. Clinical criteria assessed were height, weight, and the control of blood pressure and blood sugar. RESULTS: From the study sample, 63.5% of patients reported that they were not adhering to any diet regimen, 64.4% were not participating in regular exercise, and 90.4% were overweight and obese. The main barriers to adherence to diet were unwillingness (48.6%), difficulty adhering to a diet different from that of the rest of the family (30.2%), and social gatherings (13.7%). The main barriers to adherence to exercise were lack of time (39.0%), coexisting diseases (35.6%), and adverse weather conditions (27.8%). Factors interfering with adherence to lifestyle measures among the total sample were traditional Kuwaiti food, which is high in fat and calories (79.9%), stress (70.7%), a high consumption of fast food (54.5%), high frequency of social gatherings (59.6%), abundance of maids (54.1%), and excessive use of cars (83.8%). CONCLUSION: The majority of individuals in the sample were overweight, did not engage in recommended levels of physical activity, and did not follow dietary recommendations. Additional cultural and demographic variables need to be considered to improve adherence to lifestyle measures.
BACKGROUND: Non-adherence to preventive and therapeutic lifestyle recommendations among patients at high risk of cardiovascular disease is more prevalent and varied than previously thought. The problem needs to be addressed by those who are involved in the care of these patients. AIM: To measure adherence and barriers of complying with lifestyle recommendations among patients with high cardiovascular risk factors. DESIGN OF STUDY: Prospective study. SETTING: Six family-practice health centres in Kuwait. METHOD: Data are from 334 Kuwaiti adult males and females with hypertension, type 2 diabetes, or both, who completed a routine clinic visit in one of six family practice centres. Trained staff used a structured questionnaire to obtain a detailed medical history regarding exercise habits and barriers to compliance with diet and exercise programmes. Clinical criteria assessed were height, weight, and the control of blood pressure and blood sugar. RESULTS: From the study sample, 63.5% of patients reported that they were not adhering to any diet regimen, 64.4% were not participating in regular exercise, and 90.4% were overweight and obese. The main barriers to adherence to diet were unwillingness (48.6%), difficulty adhering to a diet different from that of the rest of the family (30.2%), and social gatherings (13.7%). The main barriers to adherence to exercise were lack of time (39.0%), coexisting diseases (35.6%), and adverse weather conditions (27.8%). Factors interfering with adherence to lifestyle measures among the total sample were traditional Kuwaiti food, which is high in fat and calories (79.9%), stress (70.7%), a high consumption of fast food (54.5%), high frequency of social gatherings (59.6%), abundance of maids (54.1%), and excessive use of cars (83.8%). CONCLUSION: The majority of individuals in the sample were overweight, did not engage in recommended levels of physical activity, and did not follow dietary recommendations. Additional cultural and demographic variables need to be considered to improve adherence to lifestyle measures.
Authors: Marion J Franz; John P Bantle; Christine A Beebe; John D Brunzell; Jean-Louis Chiasson; Abhimanyu Garg; Lea Ann Holzmeister; Byron Hoogwerf; Elizabeth Mayer-Davis; Arshag D Mooradian; Jonathan Q Purnell; Madelyn Wheeler Journal: Diabetes Care Date: 2003-01 Impact factor: 19.112
Authors: Bret H Goodpaster; Shanthi Krishnaswami; Helaine Resnick; David E Kelley; Catherine Haggerty; Tamara B Harris; Ann V Schwartz; Steven Kritchevsky; Anne B Newman Journal: Diabetes Care Date: 2003-02 Impact factor: 19.112
Authors: Marian L Neuhouser; Debra L Miller; Alan R Kristal; Matt J Barnett; Lawrence J Cheskin Journal: J Am Coll Nutr Date: 2002-10 Impact factor: 3.169
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Authors: Aly Bernard Khalil; Salem A Beshyah; Nabila Abdella; Bachar Afandi; Mounira M Al-Arouj; Fatheya Al-Awadi; Mahmoud Benbarka; Abdallah Ben Nakhi; Tarek M Fiad; Abdullah Al Futaisi; Ahmed Ak Hassoun; Wiam Hussein; Ghaida Kaddaha; Iyad Ksseiry; Mohamed Al Lamki; Abdulrazzak A Madani; Feryal A Saber; Zeyad Abdel Aal; Bassem Morcos; Hussein Saadi Journal: Oman Med J Date: 2018-07
Authors: Aqeel M Alenazi; Ahmed S Alhowimel; Mazyad A Alotaibi; Bader A Alqahtani; Mohammed M Alshehri; Ahmad D Alanazi; Ahmed A Alanazi; Shadei F Alanazi; Saad M Bindawas Journal: Clin Rheumatol Date: 2021-03-14 Impact factor: 2.980
Authors: Daniel K White; Catrine Tudor-Locke; David T Felson; K Doug Gross; Jingbo Niu; Michael Nevitt; Cora E Lewis; James Torner; Tuhina Neogi Journal: Arch Phys Med Rehabil Date: 2012-12-07 Impact factor: 3.966
Authors: Daniel K White; Catrine Tudor-Locke; David T Felson; K Douglas Gross; Jingbo Niu; Michael Nevitt; Cora E Lewis; James Torner; Tuhina Neogi Journal: Arthritis Rheum Date: 2013-01