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LIVEMORE FIJI: The effectiveness of the initial 30-days of the LiveMore project on reducing non- communicable disease (NCD) risk factors among participant’s in rural Fijian Villages: - a clustered randomized control trial
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
2017 (English)Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
Abstract [en]

The South Pacific, and especially Fiji, is one of the countries most gravely affected by non- communicable disease (NCD) globally. Lifestyle interventions are known to reduce risk factors associated with NCDs yet few studies have been done in a rural Pacific Island context. The current study will evaluate the effectiveness of the LiveMore project in reducing participant’s NCD risk factors in rural communities in Fiji.

Six villages were randomly assigned to intervention or control group with 75 participants in each group. Anthropometric, blood pressure and biometric data were measured at baseline and after 30-days. The Fijian intervention group following the LiveMore project had several statistically significant improvements in BMI, waist circumference, systolic blood pressure and fasting plasma glucose when comparing with controls.

Mean reduction in NCD risk factors among intervention compared with control group was: 0,34 units greater in body mass index, 2,6cm greater in waist circumference, 10,4 mm/HG greater in systolic blood pressure, 0,7mmol/L greater in fasting plasma glucose. Conclusively, although it is hard to ascertain direct causality for these changes, most means among measured NCD risk factors were reduced in the intervention group but rose or stayed unchanged among controls. LiveMore might therefore serve well in a preventative measure to reduce future NCD incidence in Fiji and for helping those suffering from NCDs or elevated NCD risk factors. However, a longer study period and consecutive studies are needed to further evaluate the long-term effectiveness of lifestyle interventions on reducing NCD risk factors in a rural Fijian context. 

Abstract [sv]

Södra Stilla havet, och särskilt Fiji, är ett av de länder globalt som drabbats mest allvarligt av icke-smittsamma sjukdomar (NCD). Livsstilinterventioner är kända för att reducera riskfaktorerna förknippade med NCDs men få studier har hittills gjorts i en Stilla havs ö kontext. Denna studie kommer att utvärdera effekten av LiveMore-projektet för att minska deltagares NCD-riskfaktorer på landsbygden i Fiji.

Sex byar tilldelades slumpmässigt till interventions- eller kontrollgrupp med 75 deltagare i varje grupp. Antropometriska, blodtryck och biometriska data mättes vid baslinjen och efter 30 dagar. LiveMore interventionsgruppen uppvisade flera statistiskt signifikanta förbättringar i NCD-riskfaktorer såsom BMI, midjemått, systoliskt blodtryck och fastande plasmaglukos jämfört med kontroller.

Genomsnittlig minskning av NCD-riskfaktorer mellan intervention jämfört med kontrollgrupp var: 0,34 enheter större i kroppsmasseindex, 2,6 cm större i midjemåttet, 10,4 mm/HG större i systoliskt blodtryck, 0,7 mmol/L större i fastande plasmaglukos. Sammanfattningsvis, även om det är svårt att fastställa ett direkt orsakssamband för dessa förbättringar, så minskade de flesta NCD-riskfaktorernas medelvärde i interventionsgruppen medan de steg eller var oförändrade bland kontrollerna. LiveMore kunde därför fungera bra i förebyggande syfte för att minska framtida NCD-incidens i Fiji och för att hjälpa personer som lider av NCD eller förhöjda NCD-riskfaktorer. Emellertid behövs en längre studieperiod och flera studier för att ytterligare utvärdera den långsiktiga effekten av livsstilsinterventioner på att minska NCD-riskfaktorer i ett fijianskt sammanhang. 

Place, publisher, year, edition, pages
2017. , 61 p.
Keyword [en]
Lifestyle interventions, Non-communicable diseases, South Pacific Islands, Preventative medicine
Keyword [sv]
Livsstilsinterventioner, Icke-smittsamma sjukdomar, Stilla havs öarna, förebyggande medicin
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:uu:diva-326198OAI: oai:DiVA.org:uu-326198DiVA: diva2:1119396
External cooperation
ADRA Australien
Subject / course
Public Health
Educational program
Master Programme in Public Health
Supervisors
Examiners
Available from: 2017-07-04 Created: 2017-07-04 Last updated: 2017-07-04Bibliographically approved

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