“Lifestyle Redo” managing dyslipidemia as risk factor for cardiovascular disease in adults through lifestyle intervention

Background@#Cardiovascular disease (CVD) is a leading cause of death around the world including the Philippines. Dyslipidemia and lifestyle have been considered as important modifiable risk factors. Experts in the Philippines have recommended that among individuals with dyslipidemia, lifestyle modification should be advised regardless of their present condition or risk profile. However, a key limitation of the most recent guidelines is the lack of studies on lifestyle interventions involving Filipinos.@*Objective@#This study aimed to provide preliminary evidence for the use of a lifestyle medicine intervention program in the management of dyslipidemia as risk factor for cardiovascular disease.@*Methods@#This study employed a mixed method of quantitative and qualitative research designs. The tools used were selfadministered questionnaires, collecting and examining documents. Measures to improve validity in qualitative studies have also been employed such as respondent validation and rival explanation. Triangulation with the findings from the other qualitative methodologies was also employed. Ethical approval was granted.@*Results@#The first part of the study has a total of 66 participants who underwent a lifestyle intervention program in a single clinic, comprising of 26 male and 40 female subjects were selected through convenient sampling method. Around 50% of the participants were 40-59 years old, 42.4% were 30-39 years old, and only 7.6% were 60-89 years old. The knowledge of the respondents had an overall mean of 7.73 (SD=1.16) which is interpreted as high knowledge. The attitude of the respondents had a mean of 3.58 (SD=0.50) which is interpreted as very positive. The respondents also had a good lifestyle practice with overall mean of 2.76 (SD=0.49). The second part of the study consisted of eight participants with 3 males and 5 females who were chosen through purposive sampling. All participants experienced reduction of their LDL-C and total cholesterol levels after the 12-week lifestyle intervention. Two participants had increased triglyceride levels. The select group also showed reduction in the blood glucose levels and body mass index.@*Conclusion@#This study revealed that participants had good knowledge and attitude regarding cardiovascular diseases and its risk factors. Yet, there is still a high number of those who do not efficiently practice healthy lifestyle and diet. Additional information should be extracted to establish the dietary intake of participants which contributed to the increase in triglyceride levels of some select participants.

Knowledge, beliefs, and intention to vaccinate against COVID-19 among the Seventh Day Adventists in Southeast Asia Region

Objective@#The vaccine rollout in the Asian region was slower than in other countries. Factors such as lack of knowledge and skepticism towards the vaccine were noted. On the other hand, the influence of religious leaders on the congregation was enormous, including their intention to vaccinate. Guided by the Health Belief Model theory, this study aimed to explore the knowledge, belief and perceived susceptibility and severity of COVID, the perceived benefits and barriers of the vaccines, and the intention to vaccinate among the Seventh Day Adventists in Asia.@*Methods@#This was a descriptive study with respondents chosen through a multi-stage sampling method within the Asian region. A validated self-survey questionnaire, piloted among 40 respondents, was used using the Google online form. Data gathering was conducted for one month, from May until June 2021.@*Results@#Out of 400 questionnaires distributed, 396 responded with a return rate of 0.99%. The majority were aged 18–29 years (43.2%), men (61.4%), married (50.2%), completed a bachelors' degree (49.5%), currently working (65.4%), and have been a member of the church for 20 years (30.8%). The majority had excellent knowledge regarding the vaccine (mean 4.72, ± 1.33); despite having low belief in the vaccine (mean 2.18, ± 0.43), low perception of their susceptibility to acquiring COVID (mean 2.43, ± 0.34), low perception on the seriousness of COVID (mean 2.30, ±0.40), low perception on vaccine benefits (mean 2.27, ± 0.45), and perceived low barrier on being vaccinated (mean 2.27, ±.45). Most of them intend to vaccinate (67.3%). @*Conclusion@#The findings of this study suggest that the majority of Adventists intend to vaccinate. However, there is a need for health education to enhance their belief in the vaccine and change their negative perception about their susceptibility and severity of COVID.

Coping with coal: Exploring the experience of communities near a coalfired power plant utilizing descriptive phenomenological approach

Background@#Coal is the largest source of energy on earth and is used to supply electricity in many countries. Unfortunately, as much as it helps light up some communities, coal-fired power plants are also the world's biggest industrial polluters.@*Objectives@#This study investigated the environment and health conditions of the community before, and 20 years after the construction of the coal. It explored the perception of the respondents on the presence of a coal-fired power plant in their community, and determined strategies that can help protect the community against the coal-fired power plant.@*Methodology@#It utilized descriptive phenomenological design using in-depth interviews through snowball sampling. Data were analysed through Colaizzi method and was guided by the health belief model which claims that change can occur if self-efficacy is built in. @*Results@#Three themes emerged from the analysis: (1) realization of the deterioration of the environment and the residents' health, (2) awareness on the interplay between economic gain, politics, and impact on health and environment, and (3) recognizing the need for increased community empowerment on health and environment. @*Conclusion@#The presence of a coal-fired power plant in the community brings about negative changes in health and environment. Sustainable efforts to combat such negative effects are needed, and community residents in the vicinity of the power plant need to be empowered to conduct check-and-balance for their own health and environmental safety.

Lifestyle Predictors Of Overweight Among Malaysians

@#he epidemic of overweight is encroaching in the world today, irrespective of economic and social status and regions. It is now seen as a public health threat and one that must be taken seriously in all aspects of public health interventions. There is a need to deeper understand the relationship of lifestyle behaviors and the epidemic of overweight and obesity. This cross-sectional study investigates the lifestyle predictors (smoking, physical activity, diet, and sleeping) of overweight as measured by body mass index (BMI) and waist-to-hip ratio (WHR). A questionnaire survey was conducted among 459 samples (18 years old and above) from those who attended a health screening drive, conducted in three major regions in Peninsular Malaysia. Data were analyzed using descriptive statistics as well as regression model, with p<0.05 considered significant. The overall Body Mass Index (BMI) of the population was overweight at 24.69 while the Waist-to-Hip ratio (WHR) for female was 0.86, classified as high and for male, 0.94 which was borderline. Predictor model revealed that smoking (P<0.05, R2 - 0.38) and physical activity (P=0.02, R2 - 0.11) were predictors for body mass index while smoking P<0.05, R2 - 0.50) was a predictor of Waist-to-hip ratio. Findings showed that the problem of overweight in Malaysia is real and smoking and physical activity play a strong role and need to be considered in any public health interventions.