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An integrated method of therapeutic lifestyle change for older adults with dyslipidaemia
1School of Nursing, Fujian Medical University, 1 Xue Yuan Road, University Town, Fuzhou 350108, China; Department of Nursing, Fujian Provincial Hospital, No. 134 Dong St, Fuzhou 350001, Fujian, China.
Objectives:
To evaluate the effect of therapeutic lifestyle change with a non-pharmacological intervention method in older adults with dyslipidaemia.
Study Design:
Stratified randomized trial.
Methods:
Participants with dyslipidaemia (n = 214) aged ≥60 years were randomized to the conventional guide group, the educational course (EC) group, the telephone call (PC) group or the PC + EC group for 24 weeks. Total cholesterol, triglyceride, low-density lipoprotein cholesterol, high-density lipoprotein cholesterol and the knowledge, attitude and practice score for serum lipids were measured at baseline (T1), mid-intervention (week 12, T2) and post-intervention (week 24, T3).
Results:
Except the conventional guide group (n = 62), the PC group (n = 56), the EC group (n = 49) and the PC + EC group (n = 47) showed significant intra-group differences in serum total cholesterol, low-density lipoprotein cholesterol, triglyceride, high-density lipoprotein cholesterol and knowledge, attitude and practice score after the intervention. The improvements were most prominent and sustained over time in the PC + EC group at post-intervention.
Conclusions:
The PC + EC method is more efficient for improving serum lipids and enhancing health awareness than any single programme in older adults with dyslipidaemia. This overlapped therapeutic lifestyle change method may serve as a cost-effective adjunct and ensure the continuity of high-quality health services for patients with dyslipidaemia.