Impact of a community-based lifestyle intervention program on health-related quality of life

Abstract

Background The presence of risk factors for type 2 diabetes and cardiovascular disease, or the conditions themselves, contributes to lower health-related quality of life (HRQoL) among adults. Although community-based lifestyle intervention programs have been shown to be effective for improving risk factors for these diseases, the impact of these interventions on HRQoL has rarely been described. Purpose To examine changes in HRQoL following participation in the Group Lifestyle Balance program, a community translation of the Diabetes Prevention Program lifestyle intervention for adults with pre-diabetes and/or the metabolic syndrome. Methods Participants enrolled in the 12-month, 22-session intervention program (N=223) completed the EuroQol Health Questionnaire (EQ-5D-3L) at baseline, 6, and 12 months. Linear mixed effects regression models determined change in EQ-5D-Visual Analog Scale (VAS) and Index scores post-intervention. Results Mean EQ-5D-VAS improved by +7.38 (SE=1.03) at 6 months and by +6.73 (SE=1.06) at 12 months post-intervention (both; p<0.0001). Mean changes in EQ-5D Index values were +0.00 (SE=0.01; NS) and +0.01 (SE=0.01; p<0.05), respectively. Adjusted for age, baseline score, and achieving intervention goals, mean change in EQ-5D-VAS was +11.83 (SE=1.61) at 6 months and +11.23 (SE=1.54) at 12 months (both; p<0.0001). Adjusted mean change in EQ-5D Index value was +0.04 (SE=0.01) at 6 months and +0.05 (SE=0.01) at 12 months (both; p<0.01). Conclusions Participation in a community lifestyle intervention program resulted in improved HRQoL among adults with pre-diabetes and/or the metabolic syndrome. These benefits to HRQoL, together with improved clinical and behavioral outcomes, should increase the appeal of such programs for improving health.

Relationship between Smoking, Physical Activity, Screen Time, and Quality of Life among Adolescents

“…At present, there is a divergence in the relationship between PA and QOL of adolescents [27,34]. The results of this study support the positive correlation between PA and QOL of adolescents, which is shown by previous studies in which PA can significantly improve QOL [57,58], and related to well-being, life satisfaction and other aspects [59], which is applicable to the youth population [11]. This study also found that more than 30 min of PA 5 days a week and above is associated with better QOL among adolescents, which is consistent with the guidelines issued by the World Health Organization for young people to perform at least 60 min of moderate-intensity PA every day [60].…”

Examination of a Nurse-led Community-based Education and Coaching Intervention for Coronary Heart Disease High-risk Individuals in China

“…Moreover, improvements in HRQoL were seen across all three domains of function: physiologic, psychologic, and social. Eaglehouse [27] reported similarity results with a 12-month community-based intervention in individuals with CVD, prediabetes, and metabolic syndrome.…”

Effects of an abbreviated obesity intervention supported by mobile technology: The ENGAGED randomized clinical trial

“…Those randomized to SELF attended one 60‐minute group session at which treatment assignment was revealed and participants received their weight loss target, a calorie and fat gram counting book ( The Complete Book of Food Counts ), and 6 months of daily paper self‐monitoring diaries. They also received Group Lifestyle Balance DVDs presenting 12 mock group treatment sessions adapted from the original DPP curriculum . SELF participants received no additional in‐person sessions or coaching calls.…”