Issue 3-20, 2021

Original article

https://doi.org/10.38025/2078-1962-2021-20-3-67-76

Information Support as a Way to Improve Lifestyle Modification Adherence

View article (Download PDF file)



Download XML file

1 ORCIDAndrey F. Tarasevich, 2 ORCIDIgor G. Kobzar, 2 ORCIDElena V. Strokova

1 Krasnoyarsk State Medical University named after Prof. V.F. Voino-Yasenetski, Krasnoyarsk, Russian Federation
2 Multidisciplinary Medical Centre Lancet, LLC, Gelendzhik, Russian Federation


ABSTRACT

The treatment compliance of cardiovascular and metabolic patients is one of the topical issues of modern medicine. Nowadays thereare not many effective interventions, which could increase adherence of patients to administered treatment.

AIM. To determine the effectiveness of the program for correcting the eating behavior and physical activity of participants against thebackground of long-term informational support by the doctor, based on the analysis of the clinical and laboratory data dynamics, dailyreports of participants on the performed physical, control stress lactate tests and on the quality of life assessment.

MATERIAL AND METHODS. An open-label prospective study involved volunteers with a high body mass index (BMI), irrational diets,chronic self-imposed sleep deprivation and hypodynamia. Relevant blood chemistry values and microbiota were measured at thebeginning and at the end of the study; fasting glycemia, eating behavior and physical exercises were monitored on a daily basis. For 6months, the information support and comprehensive rehabilitation aimed at the lifestyle modification were provided.

RESULTS. At the end of the program, a reliable positive dynamics of body weight was recorded in 18 volunteers from 20% or more, ineight people – a decrease in body weight amounted to 20% of the laboratory indicators. When comparing studied laboratory indicatorsof 0-6 months, a statistically significant reduction in such indicators was obtained as a serum glucose concentration (median 5.8 VS4.4 mmol / l, p <0.01), homocysteine (median 8,9 VS 7, 7 μmol / l, p <0,01), atherogenic index (median 2.5 VS 2.4, p <0.05), with increasein vitamin D3 concentration (median 21,5 VS 54.9 ng / ml, p <0.01) in patients, compared to the indicators before complex rehabilitation.A statistically significant (p <0.01) improvement in well-being was recorded on all scales of the SF-36 quality of life questionnaire,which remained in dynamics a year after the program is completed.

CONCLUSION. Permanent training, discrete screening and episodic treatment, implemented in programs of information support forlifestyle modification, can be considered as an effective method of involving an individual in the process of personalized health preservationand improvement and, ultimately, the population as a whole.


KEYWORDS: adherence, lifestyle modification, metabolic syndrome, food hypersensitivity, long-term follow-up

FUNDING: The study had no sponsorship

CONFLICT OF INTEREST: The authors declare no apparent or potential conflicts of interest related to the publication of this article

FOR CITATION: Tarasevich A.F., Kobzar I.G., Strokova E.V. Information Support as a Way to Improve Lifestyle Modification Adherence. Bulletin of Rehabilitation Medicine. 2021; 20 (3): 67-76. https://doi.org/10.38025/2078-1962-2021-20-3-67-76

FOR CORRESPONDENCE:

Andrey F. Tarasevich, , e-mail: tarasevich1902@gmail.com


References:

  1. Gusev E.I., Konovalov A.N., Skvorcova V.I., Geht A.B. Nevrologiya. Nacionalnoe rukovodstvo [Neurology. National leadership]. M. GEOTAR-Media. 2018: 880 p. (In Russ.).
  2. Marcevich S.Yu., Navasardyan A.R., Kutishenko N.P., Zaharova A.V., Voronina V.P., Dmitrieva N.A., Drozdova L.Yu., Zagrebelnii A.V., Lerman O.V., Lukina Yu.V., Martinova G.V., Nikulina A.A., Ryazanova G.S., Suvorov A.Yu., Tolpigina S.N. Ocenka priverzhennosti k priemu novih peroralnih antikoagulyantov u pacien-tov s fibrillyaciei predserdii po dannim registra PROFIL [Evaluation of adherence to new oral anticoagulants in patients with atrial fibrillation according to the PROFILE register]. Rational Pharmacotherapy in Cardiology. 2014; 10(6): 625-630. https://doi.org/10.20996/1819-6446-2014-10-6-625-630 (In Russ.).
  3. Michel Burnier, Brent M. Egan. Adherence in Hypertension. A Review of Prevalence, Risk Factors, Impact, and Management. Circulation Research. 2019; (124): 1124-1140. https://doi.org/10.1161/CIRCRESAHA.118.313220
  4. Tikkanen E., Gustafsson S., Ingelsson E. Associations of fitness, physical activity, strength, and genetic risk with cardiovascular disease: Longitudinal analyses in the UK Biobank Study. Circulation. 2018; (137): 2584-2591. https://doi.org/10.1161/CIRCULATIONAHA.117.032432
  5. Alekseeva T.S., Ogarkov M.Yu., Skripchenko A.E., YAnkin M.Yu. Vliyanie nemedikamentoznoi profilaktiki na dinamiku otnositelnogo riska neblagopri-yatnih serdechno-sosudistih ishodov v organizovannoi populyacii [Impact of non-drug prophylaxis on the dynamics of the relative risk of unfavorable cardiovascular outcomes in the organized population]. The Russian Journal of Preventive Medicine. 2013; 2(16): 23-27 (In Russ.).
  6. Lukina Yu.V., Kutishenko N.P., Marcevich S.Yu. Problema priverzhennosti v sovremennoi medicine: vozmozhnosti resheniya, vliyanie na rezultativnost terapii i ishodi zabolevaniya [The problem of adherence in modern medicine: solution possibilities, influence on the effectiveness of therapy and disease outcomes]. Rational Pharmacotherapy in Cardiology. 2017; 13(4): 519-524. https://doi.org/10.20996/1819-6446-2017-13-4-519-524 (In Russ.).
  7. Rodrigues R., Shet A., Antony J., Sidney K., Arumugam K., Krishnamurthy S., D’Souza G., Decosta A. Supporting adherence to antiretroviral therapy with mobile phone reminders: results from a cohort in South India. PLoS One. 2012; 7(8): e40723. https://doi.org/10.1371/journal.pone.0040723
  8. Santo K., Kirkendall S., Laba T.L., Thakkar Jay, Webster Ruth, Chalmers J., Chow Clara, Redfern Julie. Interventions to improve medication adherence in coronary disease patients: A systematic review and meta-analysis of randomised controlled trials. The European Journal of Preventive Cardiology. 2016; 23(10): 1065-1076. https://doi.org/10.1177/2047487316638501
  9. Corrao G., Rea F., Ghirardi A. et al. Adherence with antihypertensive drug therapy and the risk of heart failure in clinical practice. Hypertension. 2015; 66(4): 742-749. https://doi.org/10.1161/HYPERTENSIONAHA.115.05463
  10. Erika Nerini, Laura Grip, A. John Camm, Robert P. Giugliano. Atrial fibrillation and the ‘other drug problem’: reducing non-adherence with technology. European Heart Journal. 2013; 34(27): 2031-2033. https://doi.org/10.1093/eurheartj/eht174
  11. Panov V.P., Logunov D.L., Avdeeva M.V. Priverzhennost pacientov lechebno-profilakticheskim meropriyatiyam i zdorovomu obrazu zhizni: aktualnost problemi i vozmozhnosti preodoleniya [Adherence to Medical and Preventive Interventions and Healthy Lifestyle: Actual Problems and Possible Solutions]. Social Aspects of Population Health. 2016; 48(2): 8 p. https://doi.org/10.21045/2071-5021-2016-48-2-8 (In Russ.).
  12. Timmerman L., Stronks D.L., Groeneweg G., Huygen F.J. The value of medication-specific education on medication adherence and treatment outcome in patients with chronic pain: a randomized clinical trial. Pain Medicine. 2016; (17): 1829-1837. https://doi.org/10.1093/pm/pnw013
  13. Calderon-Larranaga A., Diaz E., Poblador-Plou B., Gimeno-Feliu L.A., Abad-Di'ez J.M., Prados-Torres A. Non-adherence to antihypertensive medication: the role of mental and physical comorbidity. International Journal of Cardiology. 2016; (207): 310-316. https://doi.org/10.1016/j.ijcard.2016.01.069
  14. Kim S., Shin D.W., Yun J.M., Hwang Y., Park S.K., Ko Y., BeLong Cho. Medication adherence and the risk of cardiovascular mortality and hospitalization among patients with newly prescribed antihypertensive medications. Hypertension. 2016; (67): 506-512. https://doi.org/10.1161/HYPERTENSIONAHA.115.06731
  15. Neus Pages-Puigdemont, Laura Tuneu, Montserrat Masip, Pere Valls, Teresa Puig, Maria Antonia Mangues. Determinants of medication adherence among chronic patients from an urban area: a cross-sectional study. European Journal of Public Health. 2019; 29(3): 419-424. https://doi.org/10.1093/eurpub/cky259
  16. Resurreccion D.M., Moreno-Peral P., Gomez-Herranz M., Rubio-Valera M., Pastor L., Caldas de Almeida J.M., Motrico E. Factors associated with non-participation in and dropout from cardiac rehabilitation programmes: a systematic review of prospective cohort studies. European Journal of Cardiovascular Nursing. 2019; 18(1): 38-47. https://doi.org/10.1177/1474515118783157
  17. Sabrina K. Schmidt, Liv Hemmestad, Christopher S. MacDonald, Henning Langberg, Laura S. Valentiner. Motivation and Barriers to Maintaining Lifestyle Changes in Patients with Type 2 Diabetes after an Intensive Lifestyle Intervention (The U-TURN Trial): A Longitudinal Qualitative Study. International Journal of Environmental Research and Public Health. 2020; 17(20): 7454 p. https://doi.org/10.3390/ijerph17207454
  18. Rudina L.M. Psihologiya upravleniya zdorovem [Health management psychology]. Psychotherapy. 2010; (12): 46-55 (In Russ.).
  19. Egor Gubernatorov, Yuliya Starostina, Dada Lindell. Rosstat vpervie nazval chislo vedush’ih zdorovii obraz zhizni rossiyan [Rosstat for the first time named the number of Russians leading a healthy lifestyle]. Available at: https://www.rbc.ru/society/08/11/2019/5dc41d349a7947456b9d9bca (accessed 24.03.2020) (In Russ.).
  20. Rozenshtein M.Yu., Rozenshtein A.Z., Kondakov S.E., Cherevko N.A. Sovremennie laboratornie metodi diagnostiki pish’evoi neperenosimosti [Modern Methods of Food Intolerance Testing]. Bulletin of Siberian Medicine. 2016; 5(1): 69-78. https://doi.org/10.20538/1682-0363-2016-1-69-78 (In Russ.).
  21. Novikov P.S, Cherevko N.A, Skirnevskaia A.V., Kondakov S.E. et al. The Role of IL-17 in the Development of Food Hypersensitivity and Metabolic Disturbances. Allergy, Asthma, COPD, Immunophysiology & Immunorehabilitology: Innovative Technologies. 2018; (2): 310-315.
  22. Novikov P.C, Cherevko N.A., Kondakov S.E., Rozenshtein M.Yu. Rezapov B.R., Rozenshtein A.Z. Giperchuvstvitelnost k pish’evim antigenam kak prediktor razvitiya metabolicheskogo sindroma [Hypersensitivity to food antigens as a predictor of metabolic syndrome]. Cytokines and Inflammation. 2016; 15(3-4): 280-284 (In Russ.).
  23. Tarasevich A.F., Nikulina G.P., Bobrishev D.V. Kontrol urovnya fizicheskoi nagruzki po dinamike koncentracii laktata perifericheskoi krovi na ambulator-nom etape kardioreabilitacii [Control of the level of physical activity by the dynamics of the concentration of peripheral blood lactate at the outpatient stage of cardiac rehabilitation]. Stavropol. StavGMU. 2017. (In Russ.).
  24. Aronov D.M., Lupanov V.P. Funkcionalnie probi v kardiologii [Functional tests in cardiology]. Moscow. MEDpress-inform. 2007: 326 p. ( In Russ.).
  25. Goodwin M.L., Harris J.E., Hernandez A., Gladden L.B. Blood Lactate Measurements and Analysis during Exercise: a Guide for Clinicians. Journal of Diabetes Science and Technology. 2007; 1(4): 558-569. https://doi.org/10.1177/193229680700100414
  26. Burks A.W., Laubach S., Jones S.M. Oral tolerance, food allergy, and immunotherapy: Implications for future treatment. Journal of Allergy and Clinical Immunology. 2008; 121(6): 1344-1350. https://doi.org/10.1016/j.jaci.2008.02.037
  27. Tarasevich A.F. Novie vozmozhnosti uvelicheniya priverzhennosti pacientov k modifikacii obraza zhizni [New Opportunities for Increasing Patient Adherence to Lifestyle Modifications]. Bulletin of Rehabilitation Medicine. 2017; (1): 63-67 (In Russ.).
  28. Dovgalyuk Yu.V., Mishina I.E., Chistyakova Yu.V. Dinamika tolerantnosti k fizicheskoi nagruzke v ocenke effektivnosti programm reabilitacii bolnih, pere-nesshih ostrii koronarnii sindrom, na ambulatornom etape [The Dynamics of Tolerance to Physical Activity in Evaluating the Effectiveness of Programs of Rehabilitation of Patients with Acute Coronary Syndrome at the Outdoor Stage]. Bulletin of Rehabilitation Medicine. 2019; 3(91): 11-14 (In Russ.).
  29. Knyazeva T.A., Nikiforova T.I., Eremushkin M.A., Styazhkina E.M., CHukina I.M. Povishenie effektivnosti kardioreabilitacii vklyucheniem metodov meta-bolicheskoi adaptacii k ishemii miokarda [Improving the Efficiency of Cardiorehabilitation the Inclusion of Methods of Metabolic Adaptation of Ischemic Myocardium]. Bulletin of Rehabilitation Medicine. 2019; 3(91): 34-39 (In Russ.).
  30. Knyazeva T.A. Nikiforova T.I. Kompleksnie tehnologii reabilitacii pacientov arterialnoi gipertenziei s soputstvuyush’ei ishemicheskoi boleznyu serdca [Complex Technology of Treatment of Patients with Arterial Hypertension with Concomitant Coronary Artery Disease]. Bulletin of Rehabilitation Medicine. 2019; 5(93): 25-29 (In Russ.).



Creative Commons License
The content is available under the Creative Commons Attribution 4.0 License.

©


This is an open article under the CC BY 4.0 license. Published by the National Medical Research Center for Rehabilitation and Balneology.