The ongoing concern regarding the management of the metabolic syndrome and its complications requires the permanent approach of therapeutic solutions. Balneotherapy has been used for much time for treatment of different illness. The most common uses of mineral therapeutic waters are represented by drinking or bath cures. The positive influence of this form of therapy can be attributed to the water composition and its physical chemical properties of the water fi rstly, and second to the climatic, nutritional and social factors that are specifi c to the balneary resort. The aim of the study was to express our current experience regarding the impact that balneary support has in managing different metabolic conditions. We performed a review using online databases, and also hand research of the available studies regarding the subject, in order to acquire more information regarding the research that was conducted on this fi eld. The analysis indicates a signifi cant amount of data regarding the use of mineral therapeutic waters, resulting that through their specifi c composition it can provide a modulation of the parameters that defi ne the metabolic syndrome.

Introduction:The metabolic syndrome has become a public burden that raises numerous global healthcare issues, the search for new management strategies for these patients representing an ongoing concern. The study proposes the evaluation regarding the impact that therapeutic mineral waters and associated with dietary changes and adapted balneary programs may have over different metabolic conditions. Methods: We enrolled 237 patients with metabolic syndrome defi ned using 2017 IDF criteria that were monitored for a 12 day stay in the balneary resort. Biological levels were determined at admission and discharge. Additional anthropometric measures and nutrition aspects were determined. Crenotherapy was composed of different sources of mineral therapeutic waters with a composition that had a presence of hydrogen sulfi de (sulphurous mineral waters), bicarbonate, calcium, magnesium mineral waters. Results: Body mass index and waist circumference and blood pressure determined at admission presented reduced values at the end of the balneary cure (p<0.05). Nutritional aspects in the studied group revealed a tendency towards an unhealthy eating behavior, 65.82% of the patients being on a high meat consumption, and an insuffi cient amount of fruit and vegetables. Diminished values of fasting plasma glucose and HDlcholesterol were observed at discharge, while uric acid and tryglicerides did not present signifi cant differences at the end of the cure compare to admission. Conclusions: Balneotherapy can provide a reduction of the parameters that defi ne the metabolic syndrome. Due to its particular physical and chemical composition, mineral therapeutic waters used both internally and externally can represent an important tool in modulating the biological parameters responsible for the metabolic conditions. RezumatIntroducere: Sindromul metabolic reprezintă o problemă de sănătate publică ce necesită furnizarea continuă a unor noi soluţii terapeutice. Studiul își propune evaluarea impactului pe care apele minerale terapeutice asociate cu modifi cări dietetice și programe balneare adaptate îl pot avea asupra diferitelor patologii metabolice. Material și metode: Au fost înrolaţi 237 de pacienţi diagnosticaţi cu sindrom metabolic folosind criteriile IDF 2017 ce au fost monitorizaţi pe durata unei cure balneare de 12 zile. Parametrii biologici au fost determinaţi la începutul și la fi nalul curei. S-au realizat de asemenea măsurători antropometrice și ancheta nutriţională. Crenoterapia a fost compusă din diferite surse de ape minerale terapeutice sulfuroase, bicarbonate, calcice, magneziene. Rezultate și discuţii: Indicele de masă corporală, circumferinţa abdominală și tensiunea arterială determinată la iniţierea curei au prezentat valori reduse la fi nalul tratamentului balnear (p <0,05). Aspectele nutriţionale din lotul studiat au evidenţiat o tendinţă către comportament alimentar nesănătos, 65,82% dintre pacienţi prezentând un consum ridicat de carne și o cantitate insufi cientă de fructe și legume. S-au observat valori scăzute a...