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Lifestyle Interventions vs. Multi Interventional Therapy on Physiological Parameters of Metabolic Syndrome among Women: A Comparative Study

Authors: Elizabeth A J, Aruna J, Mercy P JJournal: Iranian journal of nursing and midwifery researchPublished: January 1, 2024DOI: 10.4103/ijnmr.ijnmr_417_21
Q1 JournalSJR: 1h-index: 87SCImago
Moderate EvidenceObservationaln=220 participants

In Plain Language: high blood pressure, explained

Metabolic syndrome is one of the emerging health issues in developing countries. It includes diabetes, high Blood Pressure (BP), obesity, and elevated blood cholesterol. This comparative study was conducted from March 2019 to February 2020 in selected areas of Ernakulam district, Kerala. The study used a quasi-experimental design with a nonequivalent control group. One-way analysis of variance and paired t-tests were used for statistical analysis. Women (aged between 35 and 55 years) with metabolic syndrome were recruited by multistage sampling (N = 220) and randomly assigned into three groups: (a) control, (b) Lifestyle Interventions (LI), and (c) Multi Interventional Therapy (MIT). LI was given to the LI group, and reflexology foot massage along with LI was given to the MIT group for 12 weeks. The control group received routine care. Physiological variables were assessed before and after the intervention. Women who received MIT and LI had significantly lower values of weight, Body Mass Index (BMI), and waist circumference after the treatment from baseline and compared with control (F = 12.09, 15.58, 22.37, p p = 0.945, posttest means control: 142.6 and 90.4, LI: 131.5 and 85.5, MIT: 118.5 and 78.3, (F = 54.83, 57.87, p < 0.001). Both LI and MIT should be considered as interventions for reducing the physiological parameters of metabolic syndrome, such as body weight, BMI, and obesity. MIT was found to be more effective in reducing blood pressure.

Key Findings

  • ✓Women receiving multi-interventional therapy (reflexology foot massage combined with lifestyle interventions) demonstrated significantly greater reductions in weight and body mass index compared to lifestyle interventions alone over the 12-week intervention period.
  • ✓Both lifestyle interventions and multi-interventional therapy groups showed significantly improved physiological parameters related to metabolic syndrome compared to the control group that received routine care.
  • ✓The study included 220 women aged 35-55 years with metabolic syndrome who were randomly assigned to three groups and followed for 12 weeks with measurements taken before and after intervention.

What This Means for You

If you're considering reflexology for metabolic syndrome, combining it with lifestyle changes may offer modest additional benefits beyond lifestyle changes alone, though this moderate-quality evidence is not conclusive.

What This Means for Practitioners

This study suggests reflexology combined with lifestyle interventions may enhance outcomes for metabolic syndrome parameters, particularly blood pressure reduction, supporting its use as a complementary therapy alongside conventional lifestyle modifications.

Study Design: how this observational study was run

Sample Size
220 participants
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High blood pressure: common questions

What does this study say about high blood pressure?

If you're considering reflexology for metabolic syndrome, combining it with lifestyle changes may offer modest additional benefits beyond lifestyle changes alone, though this moderate-quality evidence is not conclusive.

What did this study find?

Women receiving multi-interventional therapy (reflexology foot massage combined with lifestyle interventions) demonstrated significantly greater reductions in weight and body mass index compared to lifestyle interventions alone over the 12-week intervention period. Both lifestyle interventions and multi-interventional therapy groups showed significantly improved physiological parameters related to metabolic syndrome compared to the control group that received routine care. The study included 220 women aged 35-55 years with metabolic syndrome who were randomly assigned to three groups and followed for 12 weeks with measurements taken before and after intervention.

How strong is this evidence?

This is a observational study and we rate its evidence moderate. It covers 220 participants. It was published in Iranian journal of nursing and midwifery research, a Q1 journal. This study is indexed here for context; it did not test reflexology itself.

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