The Effectiveness of Hyperlipidemia Prevention Intervention Designed to Affect Behavior Change: Focus on Changes in Health Behavior


Hyperlipidemia prevention intervention for behavior change was conducted on subjects in their 30s and 40s to evaluate changes in health behavior and investigate the effectiveness of these changes, with respect to early prevention and improvement of disease. Subjects were middle-aged individuals aged 30 - 49, suffering from serum lipid abnormalities. Intervention designed to affect behavior change was implemented for 3 weeks in 11 employees (nine males, two females) at five workplaces. Intervention mainly consisted of improving self-efficacy. The study’s purpose was explained and the written consent was obtained from subjects. Subjects filled questionnaires (characteristics, history of present illness, health behavior, self-efficacy scale for prevention of hyperlipidemia, etc.) both before and after intervention. Subjects recorded their physical activity using accelerometers and dietary intake photographically. Each subject created realistic behavior goals and recorded their progress using self-monitoring charts. Data were analyzed using descriptive statistics; therefore, pre- and post-intervention data were compared. Physical activity and achievement rate of goals during the first week and over the next 2 - 3 weeks were compared. Health behavior scores showed modification of behavior in a desirable direction after intervention compared with those before intervention. No significant difference in self-efficacy before and after intervention was observed. However, the subscale for diet was significantly higher after intervention compared with that before intervention. Steps, total calories, and activity calories were increased in the second and third weeks compared with those in the first week. Three weeks of intervention resulted in health behavior changing in a desirable direction. We infer that intervention in the form of self-monitoring using accelerometers that make physical activity visible was effective in leading to behavior change.

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Izumi, H. , Mastubara, M. , Saeki, K. , Imuta, H. and Mori, M. (2014) The Effectiveness of Hyperlipidemia Prevention Intervention Designed to Affect Behavior Change: Focus on Changes in Health Behavior. Open Journal of Nursing, 4, 962-970. doi: 10.4236/ojn.2014.413103.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] Iwashita, M., Matsushita, Y., Sasaki, J., Arakawa, K. and Kono, S., and for the Kyushu Lipid Intervention Study (KLIS) Group (2004) Relation of Serum Total Cholesterol and Other Risk Factors to Risk of Coronary Events in Middle-Aged and Elderly Japanese Men with Hypercholesterolemia: The Kyushu Lipid Intervention Study. Circulation Journal, 68, 405-409.
[2] Washio, M., Sasazuki, S., Kodama, H., Yoshimasu, K., Liu, Y., Tanaka, K., Tokunaga, S., Kono, S., Arai, H., Koyanagi, S., Hiyamuta, K., Doi, Y., Kawano, T., Nakagaki, O., Takada, K., Nii, T., Shirai, K., Ideishi, M., Arakawa, K., Mohri, M. and Takeshita, A. (2001) Role of Hypertension, Dyslipidemia and Diabetes Mellitus in the Development of Coronary Atherosclerosis in Japan. Japanese Circulation Journal, 65, 731-737.
[3] NIPPON DATA80 Research Group (2006) Risk Assessment Chart for Death From Cardiovascular Disease Based on a 19-Year Follow-Up Study of a Japanese Representative Population: NIPPON DATA80. Circulation Journal, 70, 1249-1255.
[4] Health, Labour and Welfare Statistics Association (2009) Act 7 “Occupational Health”. Journal of Health and Welfare Statistics, 60, 305-307.
[5] Condiotte, M.M. and Lichtenstein, E. (1981) Self-Efficacy and Relapse in Smoking Cessation Programs. Journal of Consulting and Clinical Psychology, 49, 648-658.
[6] DiClememte, C.C. (1981) Self-Efficacy and Smoking Cessation Maintenance: A Preliminary Report. Cognitive Therapy and Research, 5, 175-187.
[7] Duncan, T.E. and McAuey, E. (1993) Social Support and Efficacy Cognitions in Exercise Adherence: A Latent Growth Curve Analysis. Journal of Behavioral Medicine, 16, 199-218.
[8] Natarajan, S., Clyburn, E.B. and Brown, R.T. (2002) Association of Exercise Stages of Change with Glycemic Control in Individuals with Type 2 Diabetes. American Journal of Health Promotion, 17, 72-75.
[9] Bandura, A. (1977) Self-Efficacy: Toward a Unifying Theory of Behavioral Change. Psychological Review, 84, 191-215.
[10] Glanz, K., Rimer, B.K. and Lewis, F.M. (2002) Health Behavior and Health Education: Theory, Research, and Practice. 3rd Edition, Jossey-Bass, Hoboken, 99-120.
[11] McCann, B.S., Bovbjerg, V.E., Brief, D.J., Turner, C., Follette, W.C., Fitzpatrik, V., Dowdy, A., Retzlaff, B., Walden, C.E. and Knopp, R.H. (1995) Relationship of Self-Efficacy to Cholesterol Lowering and Dietary Change in Hyperlipidemia. Annals of Behavioral Medicine, 17, 221-226.
[12] Masse, L.C. and Anderson, C.B. (2003) Ethnic Differences among Correlates of Physical Activity in Women. American Journal of Health Promotion, 17, 357-360.
[13] Juniper, K.C., Oman, R.F., Hamm, R.M. and Kerby, D.S. (2004) The Relationships Among Constructs in the Health Belief Model and Transtheoretical Model Among African-American College Women for Physical Activity. American Journal of Health Promotion, 18, 354-357.
[14] Angotti, C.M., Chan, W.T., Sample, C.J. and Levine, M.S. (2000) Combined Dietary and Exercise Intervention for Control of Serum Cholesterol in the Workplace. American Journal of Health Promotion, 15, 9-16.
[15] De Cocke, K.A., De Bourdeaudhuij, I.M. and Cardon, G.M. (2008) The Effect of Pedometer Use in Combination with Cognitive and Behavioral Support Materials to Promote Physical Activity. Patient Education and Counseling, 70, 209-214.
[16] Japan Atherosclerosis Society (2007) Japan Atherosclerosis Society (JAS) Guidelines for Prevention of Atherosclerotic Cardiovascular Diseases Ver2007. Japan Atherosclerosis Society, Tokyo, 1-13.
[17] Tohnai, S. and Hata, E. (1994) Factors Affecting Health Behavior of the People Aged Forties—A Test of Health Belief Model. Japanese Journal of Public Health, 41, 362-369.
[18] Izumi, H., Saeki, K., Imuta, H. and Mori, M. (2007) Development of a Self-Efficacy Scale and Intervention Program for Prevention of Hyperlipidemia in Adults in Their 30s and 40s. Journal of Japan Academy of Community Health Nursing, 9, 7-14.
[19] Katzel, L.I., Bleecker, E.R., Colman, E.G., Rogus, E.M., Sorkin, J.D. and Goldberg, A.P. (1995) Effects of Weight Loss vs Aerobic Exercise Training on Risk Factors for Coronary Disease in Healthy, Obese, Middle-Aged and Older Men: A Randomized Controlled Trial. JAMA, 274, 1915-1921.
[20] Wilke, M.S. and Clandinin, M.T. (2005) Influence of Dietary Saturated Fatty Acids on the Regulation of Plasma Cholesterol Concentration. Lipids, 40, 1207-1213.
[21] Nakamura, Y., Okuda, N., Turin, T.C., Fujiyoshi, A., Okamura, T., Hayakawa, T., Yoshita, K., Miura, K. and Ueshima, H. (2010) Fatty Acids Intakes and Serum Lipid Profiles: NIPPON DATA90 and the National Nutrition Monitoring. Journal of Epidemiology, 20, S544-S548.
[22] Gender Equality Bureau Cabinet Office, Ed. (2003) White Paper on Gender Equality 2003. Gender Equality Bureau Cabinet Office, Tokyo, 36-37.
[23] Ashida, S., Wilkinson, A.V. and Koehly, L.M. (2012) Social Influence and Motivation to Change Health Behaviors among Mexican-Origin Adults: Implications for Diet and Physical Activity. American Journal of Health Promotion, 26, 176-179.
[24] Matthews, C.E., Ainsworth, B.E., Thompson, R.W. and Bassett Jr., D.R. (2002) Sources of Variance in Daily Physical activity Levels as Measured by an Accelerometer. Medicine and Science in Sports and Exercise, 34, 1376-1381.
[25] Berlin, J.E., Storti, K. and Brach, J.F. (2006) Using Activity Monitors to Measure Physical Activity in Free-Living Conditions. Physical Therapy, 86, 1137-1145.
[26] Herrmann, S.D., Barreira, T.V., Kang, M. and Ainsworth, B.E. (2014) Impact of Accelerometer Wear Time on Physical Activity Data: A NHANES Semi Simulation Data Approach. British Journal of Sports Medicine, 48, 278-282.
[27] Koba, S., Tanaka, H., Maruyama, C., Tada, N., Birou, S., Teramoto, T. and Sasaki, J. (2011) Physical Activity in the Japan Population: Association with Blood Lipid Levels and Effects in Reducing Cardiovascular and All-Cause Mortality. Journal of Atherosclerosis and Thrombosis, 18, 833-845.
[28] White, K. and Jacques, P.H. (2007) Combined Diet and Exercise Intervention in the Workplace: Effect on Cardiovascular Disease Risk Factors. AAOHN Journal, 55, 109-114.
[29] Bustanji, M.M. and Majali, S. (2013) Effect of Combined Interventions of Diet and Physical Activity on the Perceived and Actual Risk of Coronary Heart Disease among Women in North of Jordan. World Journal of Medical Sciences, 9, 184-189.'Effect+of+Combined+Interventions+of+Diet+and+Physi

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