Background Lifestyle in patients with systemic lupus erythematosus and metabolic syndrome. Intervention to explore self-knowledge, perception and improvement.
Ivet Etchegaray-Morales1, Mario García-Carrasco1,2, Arturo García-Villaseñor1,3,4, Socorro Méndez-Martínez2, Álvaro Montiel Jarquín1,2. Norma Edith Alonso García5, Erick Jiménez Herrera, Pamela Soto Santillán 1,2, José Luis Gándara Ramírez1, Claudia Mendoza Pinto 1,2
1 Medicine School Benemérita Universidad Autónoma de Puebla, Puebla, México.
2 Systemic Autoimmune Diseases Research Unit, Instituto Mexicano del Seguro Social, Puebla, Mexico
3 ARTHIL Institute
4 Universidad de las Américas Puebla, Puebla, Mexico.
5 Department of Psychology, Medicine School Benemérita Universidad Autónoma de Puebla, Puebla, México.
Summary Systemic lupus erythematosus (SLE) has been associated with cardiovascular disease and metabolic syndrome (MS). A supportive educational intervention to modify lifestyle could improve morbidity and mortality in SLE patients with MS.
Objectives To measure the impact of an educational intervention that improves the knowledge about disease and lifestyle in SLE patients with MS.
Methods A quasi-experimental study was conducted among SLE patients with SM according to the ATP III criteria at Systemic Autoimmune Diseases Research Unit of the Regional General Hospital No. 36 of the Mexican Institute of Social Security, Puebla. Clinical educational intervention in emotional and cognitive domains in the experimental group included classroom activities and outpatient consultation, evaluating healthy lifestyle knowledge that included physical activity, feeding habits and stress management with FANTASTIC instrument. Basal and final measurements were analysed with the Wilcoxon test with SPSS v21.
Results Eighty nine patients were included. Age 46.1±12.6 years,17–70 weight 64.2±14.5 kg,42–137 20.2% overweight and 38% obesity, 50% education over 12 years, 49.4% housewife, 39% employed, 67% lived with a partner, SLE disease evolution 12.1±6.9 years and prednisone dose 10.2±10.8 mg/day (0–50).
In the retest, disease and comorbidities knowledge was modified. The domains of lifestyle such as physical activity, family-friends and nutrition showed statistical significant changes after the intervention p<0.05.
Conclusions The educational intervention modified the conceptual perception of SLE and MS as well as some domains of lifestyle.
Disclosure of Interest None declared
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