[Personified strategy for the correction of cardiometabolic risk factors in the alien population of the Arctic]

Klin Med (Mosk). 2016;94(7):518-26.
[Article in Russian]

Abstract

Aim. To estimate the efficacy and prognostic value of individual consulting in Far North inhabitants during a 5 year survey. Materials and methods. 125 patients with metabolic syndrome were included in the study (24.8% women, 24.8% men, age median 45 years (39-48); p > 0.05). All the participants were divided into 2 groups dependence on the consulting frequency in the framework of the non-surgical body mass reduction programs (group 1 - single consulting, group 2 - repeated consultings in 12 months). Results. Individual consulting of patients with MS within 3 months after the onset of the study allowed the target body mass to be achieved in 50% of the patients in association with the reduction of atherogenic lipid fractions (p < 0,05), insulin resistance (p < 0,05), inflammation markers, hemostasis disorders markers (p < 0,05) and decrease in the number of patients with behavioral risk factors. Repeated educational module increased the relative probability 1,9 (95% CI 1,03-3,6) and odds ratio - 2.4 (95% CI 1,01-5,4) of body mass maintenance within 24 months and also reduced the risk of type 2 DM development (Cox's F-Test: F = 2,7; p = 0,041) and atherogenicity of lipid profile after 5 year observations. Conclusion. Our results proves the necessity of active utilization of educational modules at least as often as once a year. For the successful use of these modules based at outpatient facilities of the Far North it is necessary to include a dietologist in the staff of prophylactic departments which encounters difficulty under the modern funding mode.

MeSH terms

  • Adult
  • Arctic Regions / epidemiology
  • Body Mass Index
  • Cardiovascular Diseases* / diagnosis
  • Cardiovascular Diseases* / epidemiology
  • Cardiovascular Diseases* / prevention & control
  • Female
  • Humans
  • Insulin Resistance*
  • Male
  • Metabolic Syndrome* / epidemiology
  • Metabolic Syndrome* / metabolism
  • Metabolic Syndrome* / physiopathology
  • Metabolic Syndrome* / prevention & control
  • Middle Aged
  • Needs Assessment
  • Obesity* / diagnosis
  • Obesity* / epidemiology
  • Obesity* / psychology
  • Patient Education as Topic
  • Preventive Health Services* / methods
  • Preventive Health Services* / organization & administration
  • Risk Factors
  • Risk Reduction Behavior*
  • Russia / epidemiology