全部 标题 作者
关键词 摘要

OALib Journal期刊
ISSN: 2333-9721
费用:99美元

查看量下载量

相关文章

更多...

Development of a Composite Lifestyle Index and Its Relationship to Quality of Life Improvement: The CLI Pilot Study

DOI: 10.5402/2013/481030

Full-Text   Cite this paper   Add to My Lib

Abstract:

An important component to optimal health is quality of life (QOL). Several healthy lifestyle behaviors have independently shown to improve QOL. The simultaneous implementation of multiple lifestyle behaviors is thought to be difficult, and the current literature lacks the assessment of multiple lifestyle behaviors simultaneously with respect to the effect on QOL. This current pilot study sought to develop a method to quantify multiple lifestyle behaviors into a single index value. This value was then measured with QOL for a possible correlation. The results showed that it is possible to convert multiple raw healthy lifestyle data points into a composite value and that an improvement in this value correlates to an improved QOL. After 12 months of participation in a cardiovascular risk reduction program, study participants ( ) demonstrated a 37.4% ( ) improvement in the composite lifestyle index (CLI). The improved CLI demonstrated a correlation with a statistically significant improvement in how participants rated their overall health in 12 months ( , ) as well as the number of self-reported unhealthy days per month in 12 months ( , ). 1. Introduction Since 1948, the World Health Organization has defined health not only by the absence of disease or infirmity, but also as a state of complete physical, mental, and social well-being [1]. This definition implies that research outcomes should not only measure disease outcomes, but also quality of life outcomes. Measuring health-related quality of life provides a means of identifying and monitoring the impact of interventions on the physical and mental health of individuals as they themselves perceive this impact [2]. Quality of life may be measured objectively based on functioning or health status and subjectively based on one’s own perception of health [3]. A number of lifestyle modifications including adequate nutrition, increased physical activity, adequate sleep, proper stress management, limited alcohol consumption, and tobacco cessation have been independently shown to have a positive effect on an individual’s quality of life [2–13]. It is often assumed that initiating multiple behavior changes at the same time can become overwhelming for individuals and lead to decreased adherence. However, a recent study has shown that patients are able to effectively incorporate and maintain a number of lifestyle modifications initiated concomitantly [11]. The PREMIER clinical trial showed that participants could effectively incorporate and sustain multiple lifestyle changes to lower blood pressure risk and decrease

References

[1]  Official Records of the World Health Organization, “Preamble to the Constitution of the World Health Organization as adopted by the International Health Conference,” New York, NY, USA, no. 2, p. 100, 1948.
[2]  E. Amarantos, A. Martinez, and J. Dwyer, “Nutrition and quality of life in older adults,” Journals of Gerontology A, vol. 56, no. 2, pp. 54–64, 2001.
[3]  M. A. Testa and D. C. Simonson, “Assessment of quality-of-life outcomes,” New England Journal of Medicine, vol. 334, no. 13, pp. 835–840, 1996.
[4]  Centers for Disease Control and Prevention, “Healthy Living,” 2009, http://www.cdc.gov/HealthyLiving/.
[5]  S. Elavsky, E. McAuley, R. W. Motl et al., “Physical activity enhances long-term quality of life in older adults: efficacy, esteem, and affective influences,” Annals of Behavioral Medicine, vol. 30, no. 2, pp. 138–145, 2005.
[6]  US Department of Health and Human Services and Office of Disease Prevention and Health Promotion, “2008 Physical Activity Guidelines for Americans,” http://www.health.gov/paguidelines.
[7]  National Sleep Foundation, “Sleep Related Problems,” 2009, http://www.sleepfoundation.org/articles/sleep-related-problems.
[8]  Centers for Disease Control and Prevention, “Sleep and Sleep Disorders,” 2009, http://www.cdc.gov/features/sleep.
[9]  M. Smith, E. Jaffe-Gill, and J. Segal, “Understanding Stress,” 2009, http://www.helpguide.org/mental/stress_signs.htm.
[10]  R. J. Volk, S. B. Cantor, J. R. Steinbauer, and A. R. Cass, “Alcohol use disorders, consumption patterns, and health-related quality of life of primary care patients,” Alcoholism, vol. 21, no. 5, pp. 899–905, 1997.
[11]  L. J. Appel, C. M. Champagne, D. W. Harsha et al., “Effects of comprehensive lifestyle modification on blood pressure control: main results of the PREMIER clinical trial,” The Journal of the American Medical Association, vol. 289, no. 16, pp. 2083–2093, 2003.
[12]  US Department of Health and Human Services and US Department of Agriculture, “Dietary Guidelines for Americans 2005,” HHS Publication No. HHS-ODPHP-2005-01-DGA-A, http://www.health.gov/dietaryguidelines/dge2005/document/html/chapter9.htm.
[13]  I. Mulder, M. Tijhuis, H. A. Smit, and D. Kromhout, “Smoking cessation and quality of life: the effect of amount of smoking and time since quitting,” Preventive Medicine, vol. 33, no. 6, pp. 653–660, 2001.
[14]  T. L. Lenz, J. Skradski, M. Z. Skrabal, L. Ferguson, and M. S. Monaghan, “A lifestyle medicine clinic in a community pharmacy setting,” INNOVATIONS in Pharmacy, vol. 1, no. 1, article 3, pp. 1–12, 2010.
[15]  N. D. Gillespie and T. L. Lenz, “. Implementation of a tool to modify behavior in a chronic disease management program,” Advances in Preventive Medicine, vol. 2011, Article ID 215842, 5 pages, 2011, http://www.sage-hindawi.com/journals/apm/2011/215842/.
[16]  U.S. Department of Health and Human Services, Preventing Tobacco Use Among Youth and Young Adults: A Report of the Surgeon General, Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, Atlanta, Ga, USA, 2012.
[17]  Centers for Disease Control and Prevention, “Health-Related Quality of Life. Methods and Measures,” http://cdc.gov/hrqol/methods/htm.

Full-Text

Contact Us

service@oalib.com

QQ:3279437679

WhatsApp +8615387084133