Effectiveness of an educational intervention on the components of the metabolic syndrome of adults with type 2 diabetes: non-randomized clinical trial

Wilkslam Alves de Araújo; Isleide Santana Cardoso Santos; Randson Souza Rosa; Cícero Santos Souza; Diego Pires Cruz; Taynnan de Oliveira Damaceno; Tiago Ferreira da Silva Araújo; Gabriela Lemos de Azevedo Maia; Roseanne Montargil Rocha

doi:10.17533/udea.iee.v43n1e04

Authors

Wilkslam Alves de Araújo State University of Southwest Bahia
Isleide Santana Cardoso Santos State University of Southwest Bahia
Randson Souza Rosa State University of Feira de Santana
Cícero Santos Souza State University of Southwest Bahia
Diego Pires Cruz State University of Southwest Bahia
Taynnan de Oliveira Damaceno State University of Southwest Bahia
Tiago Ferreira da Silva Araújo Federal University of Vale do São Francisco
Gabriela Lemos de Azevedo Maia Federal University of Vale do São Francisco
Roseanne Montargil Rocha State University of Southwest Bahia

DOI:

https://doi.org/10.17533/udea.iee.v43n1e04

Keywords:

health education, community health nursing, life style, diabetes mellitus type 2, metabolic syndrome

Abstract

Objective. To verify the effectiveness of an educational intervention on the components of metabolic syndrome in adults with type 2 diabetes.

Methods. A non-randomized clinical trial included 51 adults (48.73±7.84 years old; 86.3% women) diagnosed with type 2 diabetes and metabolic syndrome (intervention group, n=26; control group, n=25). The intervention consisted of a multidisciplinary health promotion educational program over six months, structured in seven workshops led by nurses. The primary outcome was the improvement of metabolic syndrome components, and the secondary outcome was the reduction in the number of metabolic syndrome criteria assessed at two time points, baseline and after six months of monitoring.

Results. Compared to the control group, the educational program reduced glucose levels (p=0.001) and improved high-density lipoprotein cholesterol concentrations (p=0.001) in the intervention group participants at six months. A significant decrease in the mean metabolic syndrome score was observed in the intervention group, while the control group showed an increase (p=0.033). At the end of the study, 11.5% of the participants in the intervention group no longer met the criteria for metabolic syndrome.

Conclusion. A nurse-led health promotion educational program was effective in improving glucose and high-density lipoprotein cholesterol levels among adults with type 2 diabetes and metabolic syndrome, as well as reducing the number of metabolic syndrome components in the participants.

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