Effect of lifestyle modification education based on health belief model in overweight/obese patients with non-alcoholic fatty liver disease: A parallel randomized controlled clinical trial

Mojgan Nourian; Gholamreza Askari; Parastoo Golshiri; Maryam Miraghajani; Saeideh Shokri; Arman Arab

doi:10.1016/j.clnesp.2020.04.004

Effect of lifestyle modification education based on health belief model in overweight/obese patients with non-alcoholic fatty liver disease: A parallel randomized controlled clinical trial

Clin Nutr ESPEN. 2020 Aug:38:236-241. doi: 10.1016/j.clnesp.2020.04.004. Epub 2020 Apr 24.

Authors

Mojgan Nourian¹, Gholamreza Askari¹, Parastoo Golshiri², Maryam Miraghajani³, Saeideh Shokri⁴, Arman Arab⁵

Affiliations

¹ Department of Community Nutrition, School of Nutrition and Food Science, Food Security Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
² Department of Community Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
³ Cancer Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran; The Early Life Research Unit, Academic Division of Child Health, Obstetrics and Gynaecology, and Nottingham Digestive Disease Centre and Biomedical Research Centre, The School of Medicine, University of Nottingham, Nottingham, NG7 2UH, UK.
⁴ Department of Radiology, School of Medical Sciences, Isfahan University of Medical Sciences, Isfahan, Iran.
⁵ Department of Community Nutrition, School of Nutrition and Food Science, Food Security Research Center, Isfahan University of Medical Sciences, Isfahan, Iran. Electronic address: arman4369@gmail.com.

PMID: 32690164
DOI: 10.1016/j.clnesp.2020.04.004

Abstract

Background: Non-alcoholic fatty liver disease (NAFLD) is the most common emerging liver disease worldwide. Lifestyle modification is the most emphasized method on management of this disease.

Methods: In order to conduct this parallel, randomized controlled trial study, eighty-two NAFLD patients recruited and allocated to intervention group or the control.

Results: After two months of intervention, significant improvements in all health belief model (HBM) variables and knowledge were seen within the intervention group (p < 0.001) and also the improvements were significantly superior between two groups (p < 0.001). Furthermore, prominent significant reduction for liver enzyme was observed in the intervention group compared to the controls. Similarly, ultra-sonographic findings revealed a significant improvement in the intervention group versus control.

Conclusions: This HBM-based lifestyle modification education could be effective not only in the HBM domains but also in the improvement of NAFLD parameters. Therefore, it could be useful to use this educational program for NAFLD patients in order to impact on their beliefs and body together.

Registration: Iranian Registry of Clinical Trials (IRCT2014101811763N17).

Keywords: Education; Healthy lifestyle; Non-alcoholic fatty liver disease; Obesity.

Publication types

Randomized Controlled Trial
Research Support, Non-U.S. Gov't

MeSH terms

Health Belief Model
Humans
Iran
Life Style
Non-alcoholic Fatty Liver Disease* / therapy
Obesity / therapy
Overweight / therapy

Associated data

IRCT/IRCT2014101811763N17