Miss Effectiveness of a Lifestyle Medicine Health Behavior model of Working-Age in Risk group Hyperlipidemia at Regional Health Promotion Center 2, Phitsanulok

Abstract

Dyslipidemia is a leading cause of cardiovascular disease, a major global and Thai health issue with increasing prevalence due to changing lifestyles, leading to premature deaths. This quasi-experimental study aimed to examine the effects of a health behavior modification model based on lifestyle medicine principles on working-age individuals at risk of dyslipidemia.

The sample consisted of 80 individuals with abnormal blood lipid levels from the Good Health Center, Health Promotion Hospital, Phitsanulok. They were divided into an experimental group (40) and a control group (40). The experimental group underwent a 12-week health behavior modification program, while the control group received standard care. Data collection tools included questionnaires on general and health information, lifestyle medicine health behavior assessments, blood lipid levels, and cardiac performance. Data were analyzed using descriptive statistics, including frequency, percentage, mean, standard deviation and inferential statistics, including Fisher's Exact test, Chi-square test, Independent t-test, and Wilcoxon signed rank test.

Results showed that the experimental group significantly improved in health behaviors related to diet, exercise, smoking and alcohol cessation, and sleep (p < 0.05). They also had significantly lower levels of total and LDL cholesterol compared to the control group (p < 0.05), although HDL cholesterol and triglycerides showed no difference between groups. Cardiac performance in the experimental group improved significantly compared to the control group (p < 0.05).

The lifestyle medicine-based model effectively enhanced health and reduced dyslipidemia risk among working-age individuals. Relevant agencies should consider adopting this model to promote health and reduce dyslipidemia risks.