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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Main Authors: Vasiliki Kalantzi, Ioanna Panagiota Kalafati, Vasiliki Belitsi, Thomas Tsiampalis, Ioannis Koutsonasios, Odysseas Androutsos, Fotini Bonoti, Demosthenes B. Panagiotakos, Rena I. Kosti
Format: Article
Language:English
Published: MDPI AG 2023-05-01
Series:Life
Subjects:
Online Access:https://www.mdpi.com/2075-1729/13/5/1153
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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.
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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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