Original Data

Rev Diabet Stud, 2012, 9(1):36-45 DOI 10.1900/RDS.2012.9.36

Telephone Counseling Intervention Improves Dietary Habits and Metabolic Parameters of Patients with the Metabolic Syndrome: A Randomized Controlled Trial

Evaggelia Fappa1, Mary Yannakoulia1, Maria Ioannidou1, Yannis Skoumas2, Christos Pitsavos2, Christodoulos Stefanadis2

1Department of Nutrition and Dietetics, Harokopio University, Athens, Greece
2First Cardiology Clinic, School of Medicine, University of Athens, Athens, Greece
Address correspondence to: Mary Yannakoulia, Department of Nutrition and Dietetics, Harokopio University, El. Venizelou 70, Athens, 17671, Greece, e-mail: myianna@hua.gr

Manuscript submitted March 8, 2012; resubmitted April 12, 2012; accepted April 19, 2012.

Keywords: type 2 diabetes, metabolic syndrome, lifestyle intervention, Mediterranean diet, telephone counseling, diet score

Abstract

BACKGROUND: Patients with the metabolic syndrome (MetS) can suffer from poor metabolic parameters through lack of adherence to requisite lifestyle changes in dietary and physical activity. Usually, interventions in MetS patients are infrequent face-to-face consultations. The low frequency or absence of counseling interviews leads to a shortage of information and motivation to adhere to the recommended lifestyle changes. Telephone interventions could be an additional low-cost tool for effective interventions. AIM: To evaluate the effectiveness of telephone intervention in improving lifestyle habits and metabolic parameters in MetS patients compared with similar face-to-face or a usual care interventions. METHODS: Eighty-seven MetS patients recruited from the outpatient clinic of a major public hospital were randomly assigned to one of the three intervention groups: “usual care”, “telephone” or “face-to-face”. At the beginning of the study, all patients were provided with a hypocaloric Mediterranean-type diet. Afterwards, patients in the telephone group received 7 dietary counseling calls, patients in the face-to-face group participated in 7 one-to-one dietary counseling sessions, while patients in the usual care group received no other contact until the end of the study, 6 months later. All patients underwent full medical and nutritional evaluation at the beginning and at the end of the intervention. RESULTS: At the end of the intervention, 42% of the participants no longer showed symptoms of MetS; the reduction rates differed significantly between the groups (p = 0.024), with those in the face-to-face and telephone group exhibiting similar rates (52% and 54%, respectively, vs. 21% in the usual care group). Between-group analysis revealed that the face-to-face group achieved the greatest improvement in metabolic parameters, while the telephone group had the greatest improvement in dietary adherence compared with the usual care group. CONCLUSIONS: Telephone counseling is an effective way to implement behavioral counseling to improve lifestyle habits in MetS patients.

Fulltext: HTML , PDF (169KB)


This article has been cited by other articles:

Reach and effectiveness of the HeartBeat Connections telemedicine pilot program

Benson GA, Sidebottom A, Sillah A

J Telemed Telecare 2017. In press

Effect of low glycemic index and food exchange system diets on metabolic syndrome components in Saudi medical students

Alodhayani AA, Bajaber AS, Al-Hussan RS

Biomed Res 2016. In press

Adherence to WCRF/AICR cancer prevention recommendations and metabolic syndrome in breast cancer patients

Bruno E, Gargano G, Villarini A, Traina A, Johansson H, Mano MP, Santucci De Magistris M, Simeoni M, Consolaro E, Mercandino A, Barbero M, Galasso R, Bassi MC, Zarcone M, Zagallo E, Venturelli E, Bellegotti M, Berrino F, Pasanisi P

Int J Cancer 2016. 138(1):237-244

Effectiveness of a low-intensity telephone counselling intervention on an untreated metabolic syndrome detected by national population screening in Korea: a non-randomised study using regression discontinuity design

Yi SW, Shin SA, Lee YJ

BMJ Open 2015. 5(7):e007603

Lifestyle modification for metabolic syndrome: a systematic review

Bassi N, Karagodin I, Wang S, Vassallo P, Priyanath A, Massaro E, Stone NJ

Am J Med 2014. 127(12):1242

Effect of a 14-Week Program to Reduce Employee Risk Factors for Metabolic Syndrome (MetS)

Baghurst T, Tapps T, Mwavita M, Volberding J, Jayne C

Health Behav Policy Rev 2014. 1(6):446-451

Behavioral Counseling to Promote a Healthy Lifestyle for Cardiovascular Disease Prevention in Persons With Cardiovascular Risk Factors: An Updated Systematic Evidence Review for the U.S. Preventive Services Task Force

Lin JS, O'Connor EA, Evans CV, Senger CA, Rowland MG, Groom HC

U.S. Preventive Services Task Force Evidence Syntheses 2014. Report No.: 13-05179-EF-1

Mediterranean diet and metabolic syndrome: an updated systematic review

Esposito K, Kastorini CM, Panagiotakos DB, Giugliano D

Rev Endocr Metab Disord 2013. 14(3):255-263