Abstract
Background: Major predisposing factors of Coronary artery diseases were urbanized lifestyles and growth of ageing populations in developing country like Egypt. The modifiable risk factors for cardiovascular disease (CVD) such as hyperlipidemia, diabetes mellitus, and obesity are likely to increase in the future, but they can be controlled through lifestyle modification. Aim of the study: This study was carried out to examine the effect of life style modification for patients with hyperlipidemia on their lipids profile. Design: Quasi experimental design was utilized. Setting This study was conducted among the patients attending at cardiac outpatient department, Menoufia University Hospital, Menoufia Governorate, Egypt. Subject: A purposive sample of 100 men and women attending cardiac outpatient clinic were selected. The subjects were divided equally into study and control groups. Instrumentations: a. Structured interview questionnaire: it consists of sociodemographic and medical data b. Bio-physiological measurement: Fasting venous blood samples for Glycosylated hemoglobin level, Lipid profile were obtained from all participants, and sent to biochemistry laboratories. Blood pressure assessment and BMI for all patients were compiled. Results: Statistical analysis showed that there were statistical differences among study and control group regard to total cholesterol, triglyceride, high-density lipoprotein cholesterol and low-density lipoprotein cholesterol and their arterial blood pressure level. Conclusion: The need for tailoring and following up of intervention for coronary artery diseases is an essential maneuver to reduce their risk factors occurrence. Recommendations: Implementation of lifestyle modification for at risk patient for coronary artery diseases by modifying their lifestyle. Routine screening for all subjects above the age of forty to detect abnormal lipid profile early and to increase their awareness to prevent and control of cardiovascular disease (CVD) is recommended.
Highlights
Hyperlipidemia is an excess of lipids in the blood, largely cholesterol and triglycerides
World Health Organization (WHO) estimates suggested that 30% (17.3 million) of all deaths worldwide could be attributed to cardiovascular disease (CVD) [7, 8]
All of them concluded that patients with coronary heart disease (CHD) have altered lipid profile, with higher levels of TGs, total cholesterol, and low-density lipoprotein (LDL) and low level of serum high-density lipoprotein (HDL); this difference may play a role in the pathophysiology found in Patients with CHD
Summary
Hyperlipidemia is an excess of lipids in the blood, largely cholesterol and triglycerides. American Journal of Nursing Science 2020; 9(1): 8-18 increased levels of TG, total cholesterol, LDL-cholesterol, and low HDL-cholesterol level (El-Moselhy et al, 2018) [3, 4] Those that cannot be controlled (conventional) are: Age ( getting older increases risk); sex (men are generally at greater risk of coronary artery disease); family history; and race [5, 6]. The modifiable risk factors for cardiovascular disease (CVD) such as hyperlipidemia, diabetes mellitus, and obesity are likely to increase in the future, but they can be controlled through lifestyle modification. Results: Statistical analysis showed that there were statistical differences among study and control group regard to total cholesterol, triglyceride, high-density lipoprotein cholesterol and low-density lipoprotein cholesterol and their arterial blood pressure level. Routine screening for all subjects above the age of forty to detect abnormal lipid profile early and to increase their awareness to prevent and control of cardiovascular disease (CVD) is recommended
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