Abstract

The study aims to determine the impact of multimodal therapeutic approach on self-perceived stress in women with high risk of Metabolic Syndrome (MetS). The study involved 43 women aged 60 years and over (mean 68.6 ± 6.5) participating in a Mental Health Promotion Program. Over the 3-month course of the project, all of the participants attended meetings of a support group (60-min sessions twice a week). During these meetings, they took part in general fitness training (20 min), dancing (20 min), as well as health-promoting education and psychoeducation sessions (20 min). Moreover, the participants were encouraged to modify their diet to reduce their daily fat and sugar intake. Stress levels were assessed using the Perception of Stress Questionnaire (PSQ). Mood was measured with the Geriatric Depression Scale (GDS-30). In all of the subjects, a body composition analysis was performed using a Tanita BC-545N analyzer. Abdomen and hip circumference were measured to determine the waist-hip ratio. Weight and height were measured to determine the BMI score. At the beginning of the project, the intensity of stress correlated with the level of depressive symptoms (GDS), Body Mass Index (BDI), and the amount of visceral fat. Three months of participation in the Mental Health Promotion Program resulted in a significant reduction in stress intensity (p < 0.01). At the end of the project, all of the participants expressed their willingness to continue their participation in the classes, which is very important as there is a need to conduct long-term health-promoting activities in the age group in question.

Highlights

  • From the years 2015 to 2050, it is expected that the percentage of the world’s population aged 60 or more will increase from 12% to 22% [1]

  • The study aims to determine the impact of multimodal therapeutic approach on selfperceived stress in women with high risk of Metabolic Syndrome (MetS), and to analyze the relationship between the level of perceived stress, mood, and the components of the

  • One of these was hypertension, present in 28 women and untreated in only one person. Another factor was the fasting plasma glucose of more than 100 mg/dL or the treated type II diabetes, which occurred in 44% of the study group

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Summary

Introduction

From the years 2015 to 2050, it is expected that the percentage of the world’s population aged 60 or more will increase from 12% to 22% [1]. Given the complex mutual dependencies between health, physical fitness, and psychosocial problems, a biopsychosocial approach deserves particular attention In this approach, great emphasis is placed on the group nature of all the activities (reducing the sense of loneliness and social isolation), on body training (general fitness training, relaxation, dance), as well as health promotion and psychoeducation. Great emphasis is placed on the group nature of all the activities (reducing the sense of loneliness and social isolation), on body training (general fitness training, relaxation, dance), as well as health promotion and psychoeducation This holistic therapeutic approach must be carried out on a long-term basis by a multidisciplinary team of specialists (e.g., a physiotherapist, a psychotherapist, and a music therapist) experienced in working with older patients [4]. The biopsychosocial model can be used to improve clinical outcomes by building patients’ awareness of the interactions between biological, psychological, socio-cultural factors, and to increase patients’ self-management of illness [5]

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