Effectiveness of community-based diet and exercise intervention program in middleaged and elderly with non-alcoholic fatty liver disease

28^th International Congress on Nursing Care & Nursing Education

July 08-09, 2019 Osaka, Japan

Shu-Hung Chang

Chang Gung University of Science and Technology, Taiwan

Posters & Accepted Abstracts: J Nurs Care

Abstract :

Statement of the Problem: Non-alcoholic fatty liver disease causes an increased risk of liver cirrhosis and cardiovascular disease. Increasing number of abdominal obesity clients and unhealthy dietary habits, nonalcoholic fatty liver disease has been recognized as a serious health and financial burden. Dietary behaviors and exercise are the important factors to development and improvement of non-alcoholic fatty liver disease. The purpose of this study is to examine the effects of a lifestyle intervention on biochemical indicators and level of fatty liver index in community-dwelling middle-aged and elderly.

Methodology: This was a cluster randomized controlled study. The group-A (n=45) received an exercise and diet intervention program. The group-B (n=45) received an exercise intervention program. The control group (n=45) received a health education leaflet. The measurement time was baseline and six months from 2018 and 2019 in northern Taiwan. We used ANOVA to analyze these data.

Findings: After 6 months, 64.4% participants in the group-A, 33.3% participants in the group-B and 28.9% in the control group achieved the suggestion of healthy dietary behaviors. 71.1% participants in the group-A, 68.9% participants in the group-B and 53.3% participants in the control group achieved the suggestion of 200 minutes of physical activities. There were significant differences that the improvement of fatty liver index (5.00 vs. 1.77 vs. -5.3), waist circumference (3.82 cm vs. 2.57 cm vs. 0.93 cm) and triglyceride (22.07 mg/dl vs. 10.04 mg/dl vs. -38.82 mg/dl) in the group A, B and the control group, respectively. The improvements in the group-A and B were better than the control group.

Conclusion & Significance: The community-based intervention program improved biochemical indicators and level of fatty liver index in community-dwelling middle-aged and elderly. Recommendations are made for community-dwelling adults to perform exercise and diet to improve the status of fatty liver.

Biography :

Shu-Hung Chang has her expertise in evaluation and passion in improving the health and wellbeing. She had established 32 communitybased health stations in the villages to provide health promotion programs (to create a friendly environment, exercise, diet intervention, regular monitoring of biochemical indicators).

E-mail: shchang@mail.cgust.edu.tw