Date of Award
8-1994
Culminating Project Type
Thesis
Degree Name
Exercise Science: M.S.
Department
Kinesiology
College
School of Health and Human Services
First Advisor
John M. Kelly
Second Advisor
Joan Hemmer
Third Advisor
Frank Osendorf
Keywords and Subject Headings
Hyperlipidemia, atherosclerosis, lipoproteins, cholesterol, cholesterol education
Abstract
Sixteen subjects (twelve women and four men) participated in a three-week cholesterol education program designed to promote lifestyle changes in the areas of nutrition and physical activity toward the goal of improvement in serum lipid profiles, including reductions in total cholesterol (CHOL), LDL-cholesterol (LDL), and triglyceride (TG) levels, and increases in HDL-cholesterol (HDL) levels. Half of the subjects, a total of six women and two men, were then randomly selected for further participation in a five-month facilitated support group to determine if additional support and follow-up would result in greater improvements in serum lipid profiles. Serum lipid profiles (CHOL, LDL, HDL, and TG) were measured at the onset of the study, and were again measured at three and six months post-education.
Using Multivariate Analysis of Variance (MANOVA), no significant differences in lipid profiles were found between the two groups [Wilks' lambda value .71 with F (16, 114) = .83, p = .65], and no significant differences were found within each group [Wilks' lambda value .92 with F (4, 37) = .82, p = .52] over the course of the study. Although not significant, study results indicated that mean CHOL levels decreased by four percent over the six month study period in the education plus support (ED+S) group, while CHOL was initially reduced by 5.7 percent in the education only (ED) group, but reverted back to original levels by the six month measurement. Mean LDL measurements indicated a reduction over the six month period of 6.5 percent in the ED+S group, while LDL levels in the ED group actually increased by five percent over the course of the study. Although a trend was noted, these results were not significant. No trends were noted from HDL or TG measurements in either group.
While the results did not achieve statistical significance, trends in the data suggest possible value in the use of extended education and support to promote lifestyle changes in the management of serum lipids. Changes in study design such as incorporating greater use of self-monitoring tools (such as food records and exercise diaries) and involving the use of incentives, considering the length of the study, likely would prove useful to increase adherence and to reinforce behavioral change.
Recommended Citation
Gromberg, Jill M. Kurpiers, "Administration and Comparison of Model Cholesterol Education Program With and Without Support" (1994). Culminating Projects in Kinesiology. 37.
https://repository.stcloudstate.edu/pess_etds/37
