Lifestyle interventions in Muslim patients with metabolic syndrome-a feasibility study.

Obesity, metabolic syndrome, and type-2 diabetes mellitus are common in Muslim patients living in Germany, most of whom are of Turkish origin. Lifestyle interventions must be tailored to religion and ethnicity. We tested the body weight-reducing effect of a 30% calorie-reduced intake diet, adjusted to individual energy expenditure, eating habits, and food preferences in a Turkish-background cohort. Eighty subjects were randomized to activity advice only or to a step-count device to monitor and document physical activity before and after the 12-week intervention. Fifty-three patients completed the study. Lifestyle interventions were effective in these Muslim subjects. Body weight was reduced by 6%; activity monitoring provided a modestly increased effect to 8%. Blood glucose, HbA1c, triglycerides and cholesterol improved also substantially. Subjects receiving metformin could reduce their dosage. Our data show that Muslim Turkish patients respond to interventions if these are tailored to their needs.

Working in a cocoon: (Co)working conditions of office nomads - a health related qualitative study of shared working environments.

BACKGROUND: The flexible working and business model of coworking spaces inherits the provision of workspace and further the construction of a network for entrepreneurs, creative and knowledge workers. Until now, research on coworking spaces is scarce in the field of health sciences. OBJECTIVE: This study investigated reasons and motives for working in coworking spaces and working conditions under health related aspects. Demands and resources while working in coworking spaces were analyzed according to a theoretical model for (Job-demands-resources model - JDR) perceived working conditions. METHODS: Twenty semi-structured qualitative interviews were conducted with coworkers (n = 14) and coworking operators (n = 6) in Berlin, Hamburg, and Munich. Participants were asked to describe the reasons and motivations for working in coworking spaces and their perceived working conditions. Transcripts were analyzed according to content analysis. RESULTS: The most mentioned reason for using coworking spaces were the community aspect (n = 15) followed by the alternative to home office (n = 12). Negative job demands seem to result from unfavorable ergonomic conditions, working disruptions, miscommunications and missing privacy. Time flexibility, social surrounding and increased productivity were interpreted as job resources. CONCLUSIONS: These results can be seen as a basis for further quantitative research in order to generalize these findings, by testing hypotheses and develop workplace-related concepts for health management.