Cardiometabolic Patient-Related Factors Influencing the Adherence to Lifestyle Changes and Overall Treatment: A Review of the Recent Literature
It is well acknowledged that most of the modifiable risk factors for Cardiovascular Diseases (CVDs) can be averted through lifestyle modifications beyond medication adherence. This review aims to critically evaluate the cardiometabolic (CM) patient-related factors that influence the adherence to lif...
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MDPI AG
2023-05-01
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author | Vasiliki Kalantzi Ioanna Panagiota Kalafati Vasiliki Belitsi Thomas Tsiampalis Ioannis Koutsonasios Odysseas Androutsos Fotini Bonoti Demosthenes B. Panagiotakos Rena I. Kosti |
author_facet | Vasiliki Kalantzi Ioanna Panagiota Kalafati Vasiliki Belitsi Thomas Tsiampalis Ioannis Koutsonasios Odysseas Androutsos Fotini Bonoti Demosthenes B. Panagiotakos Rena I. Kosti |
author_sort | Vasiliki Kalantzi |
collection | DOAJ |
description | It is well acknowledged that most of the modifiable risk factors for Cardiovascular Diseases (CVDs) can be averted through lifestyle modifications beyond medication adherence. This review aims to critically evaluate the cardiometabolic (CM) patient-related factors that influence the adherence to lifestyle changes studied alone and/or in combination with medication. A comprehensive literature search of PubMed articles from 2000 to 2023 retrieved 379 articles. After removing the articles which were not relevant, a total of 28 cross-sectional studies was chosen (12 qualitative, and 16 quantitative). The findings confirmed that five groups of factors influence patients’ adherence to overall treatment: (1) health beliefs, knowledge, and perceptions regarding the risks and challenges of disease and medication intake along with adherence process perceptions; (2) self-concept; (3) emotions; (4) patient–healthcare providers relationship/communication and (5) social and cultural interactions. It is worth mentioning that cultural issues, such as culinary particularities, ethnic identity, social life as well as patients’ skills and abilities, play a profound role in the effectiveness of the recommended lifestyle modifications beyond the aforementioned common factors. The need for clear-cut culturally adapted guidelines along with personalized advice from physicians is imperative as it could improve patients’ self-efficacy. These socio-psychological factors should be seriously considered as a means to increase the effectiveness of future community prevention programs. |
first_indexed | 2024-03-11T03:35:00Z |
format | Article |
id | doaj.art-f633575810154d56a9fdd89de56b8b6e |
institution | Directory Open Access Journal |
issn | 2075-1729 |
language | English |
last_indexed | 2024-03-11T03:35:00Z |
publishDate | 2023-05-01 |
publisher | MDPI AG |
record_format | Article |
series | Life |
spelling | doaj.art-f633575810154d56a9fdd89de56b8b6e2023-11-18T02:09:25ZengMDPI AGLife2075-17292023-05-01135115310.3390/life13051153Cardiometabolic Patient-Related Factors Influencing the Adherence to Lifestyle Changes and Overall Treatment: A Review of the Recent LiteratureVasiliki Kalantzi0Ioanna Panagiota Kalafati1Vasiliki Belitsi2Thomas Tsiampalis3Ioannis Koutsonasios4Odysseas Androutsos5Fotini Bonoti6Demosthenes B. Panagiotakos7Rena I. Kosti8Department of Nutrition and Dietetics, School of Physical Education, Sports and Dietetics, University of Thessaly, 42132 Trikala, GreeceDepartment of Nutrition and Dietetics, School of Physical Education, Sports and Dietetics, University of Thessaly, 42132 Trikala, GreeceDepartment of Nutrition and Dietetics, School of Physical Education, Sports and Dietetics, University of Thessaly, 42132 Trikala, GreeceDepartment of Nutrition and Dietetics, School of Physical Education, Sports and Dietetics, University of Thessaly, 42132 Trikala, GreeceHealth Center of Pyli, 42032 Trikala, GreeceDepartment of Nutrition and Dietetics, School of Physical Education, Sports and Dietetics, University of Thessaly, 42132 Trikala, GreeceDepartment of Nutrition and Dietetics, School of Physical Education, Sports and Dietetics, University of Thessaly, 42132 Trikala, GreeceDepartment of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, 17676 Athens, GreeceDepartment of Nutrition and Dietetics, School of Physical Education, Sports and Dietetics, University of Thessaly, 42132 Trikala, GreeceIt is well acknowledged that most of the modifiable risk factors for Cardiovascular Diseases (CVDs) can be averted through lifestyle modifications beyond medication adherence. This review aims to critically evaluate the cardiometabolic (CM) patient-related factors that influence the adherence to lifestyle changes studied alone and/or in combination with medication. A comprehensive literature search of PubMed articles from 2000 to 2023 retrieved 379 articles. After removing the articles which were not relevant, a total of 28 cross-sectional studies was chosen (12 qualitative, and 16 quantitative). The findings confirmed that five groups of factors influence patients’ adherence to overall treatment: (1) health beliefs, knowledge, and perceptions regarding the risks and challenges of disease and medication intake along with adherence process perceptions; (2) self-concept; (3) emotions; (4) patient–healthcare providers relationship/communication and (5) social and cultural interactions. It is worth mentioning that cultural issues, such as culinary particularities, ethnic identity, social life as well as patients’ skills and abilities, play a profound role in the effectiveness of the recommended lifestyle modifications beyond the aforementioned common factors. The need for clear-cut culturally adapted guidelines along with personalized advice from physicians is imperative as it could improve patients’ self-efficacy. These socio-psychological factors should be seriously considered as a means to increase the effectiveness of future community prevention programs.https://www.mdpi.com/2075-1729/13/5/1153cardiometabolic diseaseslifestylemedicationsocial factorspsychological factorscognitive factors |
spellingShingle | Vasiliki Kalantzi Ioanna Panagiota Kalafati Vasiliki Belitsi Thomas Tsiampalis Ioannis Koutsonasios Odysseas Androutsos Fotini Bonoti Demosthenes B. Panagiotakos Rena I. Kosti Cardiometabolic Patient-Related Factors Influencing the Adherence to Lifestyle Changes and Overall Treatment: A Review of the Recent Literature Life cardiometabolic diseases lifestyle medication social factors psychological factors cognitive factors |
title | Cardiometabolic Patient-Related Factors Influencing the Adherence to Lifestyle Changes and Overall Treatment: A Review of the Recent Literature |
title_full | Cardiometabolic Patient-Related Factors Influencing the Adherence to Lifestyle Changes and Overall Treatment: A Review of the Recent Literature |
title_fullStr | Cardiometabolic Patient-Related Factors Influencing the Adherence to Lifestyle Changes and Overall Treatment: A Review of the Recent Literature |
title_full_unstemmed | Cardiometabolic Patient-Related Factors Influencing the Adherence to Lifestyle Changes and Overall Treatment: A Review of the Recent Literature |
title_short | Cardiometabolic Patient-Related Factors Influencing the Adherence to Lifestyle Changes and Overall Treatment: A Review of the Recent Literature |
title_sort | cardiometabolic patient related factors influencing the adherence to lifestyle changes and overall treatment a review of the recent literature |
topic | cardiometabolic diseases lifestyle medication social factors psychological factors cognitive factors |
url | https://www.mdpi.com/2075-1729/13/5/1153 |
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