Effect of Educational Intervention on Modifiable Risk Factors of Metabolic Syndrome among Middle-Age Nekemte Populations: Quasi-Experimental Study

Abstract

Alemu Adeba47702*, Dessalegn Tamiru47703 and Tefera Belachew47704

Background: Unhealthy lifestyles are potential risks for development of metabolic syndrome; however effect of educational intervention on modifiable risk factors of metabolic syndrome did not stated in west Ethiopia.

Objective: To evaluate the effect of healthy lifestyle education intervention on modifiable risk factors of metabolic syndrome.

Materials and methods: A quasiexperimental design (pretest-posttest method with control  group) was applied from 1st February to 30th of July, 2019 on middle-aged Nekemte populations of Western Ethiopia. Intervention group received healthy lifestyle educations while nothing given for control. The prevalence of metabolic syndrome was measured at baseline and post of six month intervention. Statistical significant was described at p<0.05.

Results: Common modifiable behavioral and physiological risk factors metabolic syndrome measured at baseline and post-test. A total 266 were included at baseline and 257 participants were completed the intervention period. Study showed the overall prevalence of metabolic syndrome and associated factors changed in six months of intervention. The prevalence of metabolic syndrome and elevated blood pressure declined by 2.36% and 4.79% respectively as compared to baseline. Similarly the mean of central obesity and systolic BP decreased by 1 ± 1.1 (P=0.001) and 0.46 ± 3.06 respectively. Six-month post intervention, also showed a significantly more likely  to  present with high triglycerides (OR: 74.15; 95% CI; p<0.001) and low HDL-cholesterol (OR: 22.58; p<0.001) in control group.

Conclusion: This educational intervention on healthy lifestyle significantly improves the prevalence of modifiable risk factors metabolic syndrome. These findings indicate that large scale community based structured and intensive intervention is the research outlook.