Metabolic syndrome in rural Australia: An opportunity for primary health care
Objective: To measure the impact of a 6-month home-based behaviour change intervention on reducing the risk of chronic disease as determined by metabolic syndrome status and cardiovascular risk score, and discuss implications for primary care in rural areas. Design: A two-arm randomised controlled t...
| Main Authors: | , , , , , , , |
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| Format: | Journal Article |
| Language: | English |
| Published: |
2019
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| Subjects: | |
| Online Access: | http://hdl.handle.net/20.500.11937/75774 |
| _version_ | 1848763552047824896 |
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| author | Jancey, Jonine James, Anthony Lee, Andy Howat, Peter Hills, A. Anderson, A. Bordin, C. Blackford, Krysten |
| author_facet | Jancey, Jonine James, Anthony Lee, Andy Howat, Peter Hills, A. Anderson, A. Bordin, C. Blackford, Krysten |
| author_sort | Jancey, Jonine |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Objective: To measure the impact of a 6-month home-based behaviour change intervention on reducing the risk of chronic disease as determined by metabolic syndrome status and cardiovascular risk score, and discuss implications for primary care in rural areas. Design: A two-arm randomised controlled trial of rural adults. Setting: The rural town of Albany in the Great Southern region of Western Australia. Participants: Participants (n = 401) aged 50-69 years who were classified with or at risk of metabolic syndrome and randomly assigned to intervention (n = 201) or waitlisted control (n = 200) group. Interventions: A 6-month intervention program incorporating goal setting, self-monitoring and feedback, with motivational interviewing was conducted. Main outcome measures: Change in metabolic syndrome status and cardiovascular risk. Results: Significant improvements in metabolic syndrome status and cardiovascular disease risk score (−0.82) were observed for the intervention group relative to control group from baseline to post-test. Conclusion: This home-based physical activity and nutrition intervention reduced participants' risk of experiencing a cardiovascular event in the next 5 years by 1%. Incorporating such prevention orientated approaches in primary care might assist in reducing the burden of long-term chronic diseases. However, for realistic application in this setting, hurdles such as current national health billing system and availability of resources will need to be considered. |
| first_indexed | 2025-11-14T11:05:16Z |
| format | Journal Article |
| id | curtin-20.500.11937-75774 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| language | eng |
| last_indexed | 2025-11-14T11:05:16Z |
| publishDate | 2019 |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-757742019-06-24T06:40:49Z Metabolic syndrome in rural Australia: An opportunity for primary health care Jancey, Jonine James, Anthony Lee, Andy Howat, Peter Hills, A. Anderson, A. Bordin, C. Blackford, Krysten cardiovascular diseases health promotion obesity preventive health rural health Objective: To measure the impact of a 6-month home-based behaviour change intervention on reducing the risk of chronic disease as determined by metabolic syndrome status and cardiovascular risk score, and discuss implications for primary care in rural areas. Design: A two-arm randomised controlled trial of rural adults. Setting: The rural town of Albany in the Great Southern region of Western Australia. Participants: Participants (n = 401) aged 50-69 years who were classified with or at risk of metabolic syndrome and randomly assigned to intervention (n = 201) or waitlisted control (n = 200) group. Interventions: A 6-month intervention program incorporating goal setting, self-monitoring and feedback, with motivational interviewing was conducted. Main outcome measures: Change in metabolic syndrome status and cardiovascular risk. Results: Significant improvements in metabolic syndrome status and cardiovascular disease risk score (−0.82) were observed for the intervention group relative to control group from baseline to post-test. Conclusion: This home-based physical activity and nutrition intervention reduced participants' risk of experiencing a cardiovascular event in the next 5 years by 1%. Incorporating such prevention orientated approaches in primary care might assist in reducing the burden of long-term chronic diseases. However, for realistic application in this setting, hurdles such as current national health billing system and availability of resources will need to be considered. 2019 Journal Article http://hdl.handle.net/20.500.11937/75774 10.1111/ajr.12500 eng restricted |
| spellingShingle | cardiovascular diseases health promotion obesity preventive health rural health Jancey, Jonine James, Anthony Lee, Andy Howat, Peter Hills, A. Anderson, A. Bordin, C. Blackford, Krysten Metabolic syndrome in rural Australia: An opportunity for primary health care |
| title | Metabolic syndrome in rural Australia: An opportunity for primary health care |
| title_full | Metabolic syndrome in rural Australia: An opportunity for primary health care |
| title_fullStr | Metabolic syndrome in rural Australia: An opportunity for primary health care |
| title_full_unstemmed | Metabolic syndrome in rural Australia: An opportunity for primary health care |
| title_short | Metabolic syndrome in rural Australia: An opportunity for primary health care |
| title_sort | metabolic syndrome in rural australia: an opportunity for primary health care |
| topic | cardiovascular diseases health promotion obesity preventive health rural health |
| url | http://hdl.handle.net/20.500.11937/75774 |