Impact of a multidisciplinary intervention on Mediterranean diet adherence and cardiovascular health

Abstract

anthropometric data and laboratory measurements were collected at baseline and after 12 months. The variations of the evaluated parameters were analyzed by paired t-test e Wilcoxon signed-rank test. Results: The analysis showed statistically significant decreases in weight (p = 0.03) and BMI (p = 0.02), as well as in systolic (p < 0.001) and diastolic (p = 0.001) blood pressure and in total (p = 0.02) and LDL (p = 0.01) cholesterol level. Results also showed an improvement in the adherence to the Mediterranean diet (p = 0.001): the frequency of consumption of fruits and vegetables, legumes, cereals and fish has increased significantly, while the consumption of meat, milk and dairy products and alcohol decreased. Conclusions: This study highlights that a multidisciplinary educational program can be effective in improving healthy habits and in reducing cardiovascular risk factors, supporting its implementation in primary prevention at the community level. Key messages: Promoting healthy lifestyle through primary prevention and health promotion actions is critical to reduce the onset of cardiovascular diseases. A population-based multidisciplinary educational intervention may be effective in improving adherence to a healthy, balanced diet and decreasing cardiovascular risk factors. Abstract citation ID: ckac131.343 Background: New cases of HIV infection are increasing among adolescents and young adults (AYA) in Kazakhstan, and now account for over 23% of all HIV infections. Testing is key to reducing new infections, yet HIV-related stigma is a major barrier. Crowdsourcing contests could engage AYA in the development of interventions and increase the likelihood that an effective approach will be developed to reduce stigma and increase HIV testing among Kazakhstan AYA. Objective: To determine the response to a crowdsourcing approach to collect media content for the development of an intervention focused on HIV testing stigma reduction among AYA in Kazakhstan. Methods: To organize the crowdsourcing contest we organized a community steering committee; developed platforms to solicit crowd input; engaged AYA to contribute ideas through social media and in-person events. We present data on social media use and contributions. Results: The contest website was visited by 2,893 people, and 76 AYA submitted 91 works for the contest from all over Kazakhstan. Most AYA (60%) visited the website of the contest via social media. Types of submitted content for the contest included video: 31 (34.0%), pictures: 29 (31.8%), text: 24 (26.3%), and other types of content including a chatbot, online game, and website: 7 (7.6%). Fifty (65.7%) participants were between 13-19 years, and 26 (34.2%) were between 20-29 years. Thirteen (17.1%) submissions were in Kazakh, and the rest in Russian 63 (82,9%). A number of submissions required further guidance due to a lack of understanding about stigma, accurate facts, and copyright issues.