A Hospital-Based Therapeutic Lifestyle Program for Women With Metabolic Syndrome

Jou, Hei-Jen; Hsu, I-Ping; Huang, Hui-Ting; Liu, I-Li; Chien, Pei-Li; Li, I-Chen; Chen, Yi Ching; Shih, Jin-Chung

doi:10.1016/s1028-4559(10)60094-0

Cited by 7 publications

(4 citation statements)

References 28 publications

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“…A systemic, practical and low-cost approach to treating MetS is needed, but there still seems to be an absence of systemic solutions focused on the needs of older women with metabolic conditions and depressive symptoms [ 87 ]. Results of this study indicate the validity of conducting a multimodal therapeutic approach in rehabilitation combining physical activity with health-related psychoeducation, which is consistent with other studies focusing on lifestyle changes in the treatment of MetS in women [ 88 , 89 , 90 , 91 , 92 ].…”

Section: Discussionsupporting

confidence: 89%

Factors Associated with Undertaking Health-Promoting Activities by Older Women at High Risk of Metabolic Syndrome

Rusowicz

Serweta

Juszko

et al. 2022

IJERPH

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Background: The complexity of health problems concerning women aged ≥60 years makes it necessary to develop effective, low-cost strategies involving biopsychosocial interventions. The aim of this study is to identify the factors associated with undertaking health-promoting activities by older women at high risk of metabolic syndrome (MetS) with or without depressive symptoms. Methods: The study group consisted of 70 older women (62–84 years old) undertaking regular physical activity. A self-developed questionnaire (used to determine the living situation, selected lifestyle components and health problems), the Perceived Stress Questionnaire (PSQ) and the Geriatric Depression Scale (GDS) were used. Results: In the study group undertaking regular physical activity, 40% had increased symptoms of depression (D group), and 60% were classified as non-depressed (ND group). The D group had a higher general stress level (t = −6.18, p = 0.001). Improving and/or maintaining physical fitness was identified as the greatest motivation in both groups. Willingness to spend time with other people significantly differed between the two groups (χ2 = 4.148, p = 0.042). The sole factor significantly differentiating between both groups was lack of time (χ2 = 8.777, p = 0.003). Conclusions: Motivations and barriers to undertaking health-promoting activities and levels of perceived stress were significantly different between the depressed and non-depressed groups. It is important to encourage primary care physicians to perform screening tests for late-life depression and to provide information on where therapeutic interventions are available for patients with symptoms of MetS and coexisting depressive symptoms.

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Section: Discussionsupporting

confidence: 89%

Factors Associated with Undertaking Health-Promoting Activities by Older Women at High Risk of Metabolic Syndrome

Rusowicz

Serweta

Juszko

et al. 2022

IJERPH

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“…These results are supported as correspond to the results of Ohkawara et al (2007) research that physical activity reduces body fat and lowers the risk of metabolic syndrome research of the therapeutic lifestyle modification (2010) targeting obese patients in Taiwan did improve participants’ metabolic syndrome (Jou et al, 2010). For health improvement, the WHO (2010) recommends to participate in moderate intensity physical activity 3 times a week for over 150 min.…”

Section: Discussionsupporting

confidence: 80%

The effects of physical activity and sedentary time on the prevalence rate of metabolic syndrome and perceived stress in Korean adults

Kim¹,

Chung²,

Oh³

2019

J Exerc Rehabil

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This study examined adult health related factors of the Korea National Health and Nutrition Examination Survey in 2017. Metabolic syndrome prevalence and perceived stress with physical activity and sedentary time were analyzed. Subjects are 4,459 over 40 year adults. The data were analyzed odds ratio (OR) and confidence interval by logistic regression analysis. First, male, moderate intensity occupational physical activity (OPA) and high intensity leisure time physical activity (LTPA) (OR, 1.337) between metabolic syndrome prevalence tended to increase. Vigorous intensity OPA (OR, 0.847), transport physical activity (TPA) (OR, 0.968), and moderate intensity LTPA (OR, 0.927) between metabolic syndrome prevalence tends to decrease. Female, vigorous intensity OPA (OR, 1.238) between metabolic syndrome prevalence tended to increase. Moderate intensity OPA (OR, 0.878), TPA (OR, 0.875), vigorous intensity LTPA (OR, 0.691), and moderate intensity LTPA (OR, 0.479) between metabolic syndrome prevalence tended to decrease. Male, vigorous intensity OPA (OR, 1.584), moderate intensity OPA (OR, 1.752), and vigorous intensity LTPA (OR, 1.316) between perceived stress tended to increase. TPA (OR, 0.753) and moderate intensity LTPA (OR, 0.983) between perceived stress tended to decrease. Female, moderate intensity OPA (OR, 2.331) between perceived stress tended to increase. Vigorous intensity OPA (OR, 0.732), TPA (OR, 0.836), vigorous intensity LTPA (OR, 0.990), and moderate intensity LTPA (OR, 0.837) between perceived stress tended to decrease.

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“…A hospital based intervention consisting of a low calorie diet and regular aerobic physical activity was conducted for 8 weeks in women (n=44) with MetS. Significant decrease in all MetS components except HDL-C, along with complete amelioration of the syndrome in 25% of women was observed [104]. Impact of TLM was also assessed among the rural women (n=32) with MetS who were randomized to a 4 week intervention consisting of health screening, education, exercise, diet and counselling, while a basic education booklet on MetS was provided to the control group.…”

Section: Lifestyle Modificationmentioning

confidence: 99%

Dietary and lifestyle modification in metabolic syndrome: a review of randomized control trials in different population groups

Kataria

Chadha

Pathak

2013

RHC

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The emergence of modernization coupled with sedentary lifestyle has resulted in the shift from the prevalence of diseases only due to under nutrition, to those caused by over nutrition. The augmentation of non-communicable diseases, thus, imposes double burden of disease, impeding the health of a nation. This upsurge has led to increase in prevalence and incidence of Metabolic syndrome which is a cluster of inter-related factors characterized by high fasting blood glucose, increased level of triglycerides, low levels of high density cholesterol, elevated blood pressure and abdominal obesity. The best way to combat this syndrome is to reduce the atherosclerotic risk, which can be carried out by modification in the diet and lifestyle – the first line of treatment of the syndrome. Thus, the present review was undertaken to understand the already existing as well as the current scenario specifically regarding the dietary and lifestyle interventions being carried out to overcome Metabolic syndrome. Of the randomized control trials reviewed, all except one reported improvement in Metabolic syndrome following intervention in diet and/or lifestyle modification either in certain components or overall syndrome within a period of 2 weeks–1 year. These interventions to alter diet and lifestyle focus on weight reduction, promotion of regular physical activity, reduction of substance abuse, effectiveness of specific food items along with regulation of genes and various inflammatory markers. They have the potential to succeed only if they are executed early, and thus, offer enough evidence to develop appropriate public policies. However, the issue that is of utmost significance is of sustainability and compliance, which eventually decides the long-term success or failure of an intervention.

http://dx.doi.org/10.7175/rhc.v4i4.667

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A Hospital-Based Therapeutic Lifestyle Program for Women With Metabolic Syndrome

Abstract: The therapeutic lifestyle program with diet control and regular exercise improves most markers of MetS except for levels of high density lipoprotein cholesterol. Therapeutic lifestyle intervention may be the best way of reducing the risk of cardiovascular disease in women with MetS.

Cited by 7 publications

References 28 publications

Factors Associated with Undertaking Health-Promoting Activities by Older Women at High Risk of Metabolic Syndrome

Factors Associated with Undertaking Health-Promoting Activities by Older Women at High Risk of Metabolic Syndrome

The effects of physical activity and sedentary time on the prevalence rate of metabolic syndrome and perceived stress in Korean adults

Dietary and lifestyle modification in metabolic syndrome: a review of randomized control trials in different population groups

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