Physical Activity and Healthy Diet in Patients with Familial Hypercholesterolaemia

Main Article Content

Salmi Razali
Bee Wah Yap
Yung An Chua
Hapizah M Nawawi

Abstract

Performing vigorous physical activity and taking balanced diet are parts of healthy lifestyles of patients with Familial Hypercholesterolaemia (FH). This study aimed to describe the status of engagement with physical activity and a healthy diet, and their contributing factors. FH patients diagnosed using Dutch Lipid Clinic Network criteria were given validated questionnaires to assess sociodemography, illness characteristics, the status of engagement with physical activity and healthy diet, psychological elements, family support and level of barrier. Significant contributing factors were receiving treatment, level of barrier and intention for behavioural change. The findings may inform the strategy for lifestyle modification of patients with FH.

Article Details

How to Cite
Razali, S., Yap , B. W., Chua , Y. A., & M Nawawi, H. (2020). Physical Activity and Healthy Diet in Patients with Familial Hypercholesterolaemia. Journal of ASIAN Behavioural Studies, 5(17), 27–39. https://doi.org/10.21834/jabs.v5i17.374

References

Austin M.A., Hutter C.M., Zimmern R.L., Humphries S.E. (2004) Genetic causes of monogenic heterozygous familial hypercholesterolemia: a HuGE prevalence review. American journal of epidemiology.160:407-420.

Ajzen, Icek (2011). The theory of planned behaviour: Reactions and reflections. Journal Psychology & Health; 26(9); 1113-1127

Al-Khateeb, A., Hamzan, N.S., Razali, R., Froemming, GA., Rahman, T., Peng, H.B., &Nawawi, H. (2016). Genetic Study of Low-Density Lipoprotein Receptor Gene and Apolipoprotein B-100 Gene among Malaysian Patients with Familial Hypercholesterolaemia. International Archives of Medicine, 9.

Alonso, R., Mata, N., & Mata, P. (2005). Benefits and risks assessment of simvastatin in familial hypercholesterolaemia. Expert Opinion on Drug Safety, 4(2), 171-181.

Bandura, A. (1986). Social Foundations of Thought and Action. Englewood Cliffs, New Jersey: Prentice-Hall.

Chan, Y., Teh, Ch., Lim, K.K., Lim, K.H., Yeo, PS., Kee, C.C., Omar, M.A and Ahmad, N.A (2015). Lifestyle, chronic diseases and self-rated health among Malaysian adults: results from the 2011 National Health and Morbidity Survey; BMC Public Health, 15:754

Cheah, Y.K. and Poh, B.K. (2014).The Determinants of Participation in Physical Activity in Malaysia; Osong Public Health and Research Perspectives; 5(1);20-27

Cook, S., Drum, M.L., Kirchhoff, A.C., Jin, L., Levie, J., Harrison, J.F., ... Chin, M.H. (2006). Providers' Assessment of Barriers to Effective Management of Hypertension and Hyperlipidemia in Community Health Centers. Journal of Health Care for the Poor and Underserved 17(1), 70-85. doi:10.1353/hpu.2006.0021.

Eriksson, K.M., Westborg, C.J. Mats CE, and Eliasson (2006) A randomised trial of lifestyle intervention in primary healthcare for the modification of cardiovascular risk factors The Björknäs study. Scandinavian Journal of Public Health, 34 (5)

Fishbein, M., &Ajzen, I. (1975). Belief, Attitude, Intention and Behavior: An Introduction to Theory and Research. Reading, MA: Addison Wesley.

Fishbein, M. (1980). A theory of reasoned action: Some applications and implications. In H. Howe & M. Page (Eds.), Nebraska Symposium on Motivation (Vol. 27, pp. 65- 116). Lincoln, NB: University of Nebraska Press.

Haase A, Goldberg A.C. (2012). Identi cation of people with heterozygous familial hypercholesterolemia. Current opinion in lipidology. 23:282-289.

Hagger, M.S., Hardcastle, S.J., Hingley, C., Strickland, E., Pang, J., & Watts, G.F. (2016). Predicting self-management behaviours in familial hypercholesterolaemia using an integrated theoretical model: The impact of beliefs about illnesses and beliefs about behaviours. International Journal of Behavioral Medicine, 23(3), 282-294.

Ibrahim, S., Karim, N.A., Oon, NL, and Wan Ngah, W.Z. (2013) Perceived physical activity barriers related to body weight status and sociodemographic factors among Malaysian men in Klang Valley; BMC Public Health.13:275

Kramer, A.I., Trinder, M., and Brunham, L.R. (2019), Estimating the Prevalence of Familial Hypercholesterolemia in Acute Coronary Syndrome: A Systematic Review and Meta-analysis; Canadian Journal of Cardiology; 35(10),1322-1331

National Institute of Health, Malaysia (2020), National Health and Morbidity Survey (2019). Factsheet: Noncommunicable Diseases Healthcare Demand and Health Literacy. Retrieved from http://www.iku.gov.my/images/IKU/Document/REPORT/NHMS2019/Fact_Sheet_NHMS_2019-English.pdf.

Nordestgaard B.G., Chapman M.J., Humphries S.E,, et al. (2013). Familial hypercholesterolaemia is underdiagnosed and undertreated in the general population: guidance for clinicians to prevent coronary heart disease: consensus statement of the European Atherosclerosis Society. European Heart Journal.34:3478-3490a.

Prochaska, J., Johnson, S., & Lee, P. (1998). The transtheoretical model of behaviour change. In S. Schumaker, E. Schron, J. Ockene& W. McBee (Eds.), The Handbook of Health Behavior Change, 2nd ed. New York, NY: Springer.

Razali, S., Ismail, Z., Abdullah, N., and Nawawi, H.M (2019). Illness Perception of Patients with Familial Hypercholesterolaemia varies with Level of Education and Presence of Cardiovascular Disease; Environment-Behaviour Proceedings Journal; 4(10);72-78. DOI: https://doi.org/10.21834/e-bpj.v4i10.1620

Razali, S., Ismail, Z., Yung, A.C., and Nawawi, H.M (2019). Quality of Life and Its Contributing Factors in Patients with Familial Hypercholesterolaemia in Malaysia; Environment-Behaviour Proceedings Journal; 4(10); 86-92. DOI: https://doi.org/10.21834/e-bpj.v4i10.1621

Razman, Z., Chua, Y.A., MohdKassim, N.A.,Mohd Nor, N.S., Razak, S., Ramli, A.S., MohdNawawi, H. (2019) Familial Hypercholesterolaemia In Malaysian Community Is More Common Than That In Most European Countries, / Atherosclerosis 287 (2019) e123ee288

Rogers, R. W. (1983). Cognitive and physiological processes in fear appeals and attitude change: A revised theory of protection motivation. In B. L. Cacioppo & L. L. Petty (Eds), Social Psychophysiology: A Sourcebook. London: Guilford

Cook, S., Drum, M.L., Anne C. Kirchhoff, A.C., Jin, L., Levie, J., Harrison, J.F., Lippold, S.A., Schaefer, C.T., Chin, M.H.(2006), Providers' Assessment of Barriers to Effective Management of Hypertension and Hyperlipidemia in Community Health Centers, Journal of Health Care for the Poor and Underserved, 17(1).

Sulaiman, S., Abdul Manaf, Z and Shahril M.R. (2016) Compliance to Dietary Counselling in Controlling Blood Lipid and its Barriers among Dyslipidemic Individuals. Journal on Advanced Science, Engineering and Information Technology 6 (5)

Triandis, H. C. (1980). Values, attitudes, and interpersonal behaviour. In H. Howe & M. Page (Eds), Nebraska Symposium on Motivation (Vol. 27, pp. 195-259). Lincoln, NB: University of Nebraska Press.

Ying Vallejo-Vaz, A.J., De Marco, M., Stevens, C.A.T., Akram, A., Freiberger, T., Hovingh, G.K., et al. (2018). Overview of the current status of familial hypercholesterolaemia care in over 60 countries - The EAS Familial Hypercholesterolaemia Studies Collaboration (FHSC). Atherosclerosis, 277, 234-255.