Assess the impact of a multidisciplinary educational program on blood pressure control, quality of life and adherence of treatment and lifestyle modifications in hypertensive patients with metabolic syndrome.Design and method:
We included 22 subjects aged more than 18 years, with hypertension and one or more features of metabolic syndrome according ATP III diagnostic criteria. A multidisciplinary team including nurses, nutritionists, physiotherapist, pharmacist, psychologist, social worker, and doctors, conducted the interventions during 15 weekly meetings with the participants. Informative lectures and workshops were held that aimed to health education in the different areas. Before and after the interventional program, the patients had blood pressure measurement by a validated automatic device (OMRON) and the weight was measured. All patients answered a SF-36 questionnaire for quality of life assessment in different domains, Morisky-Green test for adherence, nutritional diary, stress evaluation, and were submitted to a 6-minute walk distance test to evaluate physical performance.Results:
Themean age was 60 + 11 years, most women (80%). The systolic blood pressure (SBP) diastolic blood pressure (DBP) and the weight measured before and after the intervention of the multidisciplinary team, had significant reduction SBP (147.8 ± 23 vs. 126 ± 21 mmHg, p = 0.006), DBP (86 ± 12 vs. 70.7 ± 11 mmHg, p < 0.001) and weight (85.3 ± 15 vs. 83 ± 16.5 kg, p < 0.001), respectively before and after intervention. Also, the patients significantly improve adherence to drugs, quality of life, physical perfomance on 6-minute walk distance test, and adoption of healthy food and significantly decrease comsumption of salt.Conclusions:
A multidisciplinary educational program focusing on health education, have been associated with improvement of blood pressure control, weight reduction accompanied by better physical performance, quality of life, adherence to treatment and healthy food.