Effect of a Weight Management Program on the Determinants and Prevalence of Metabolic Syndrome

Abstract

objective: As prevalence of obesity and metabolic syndrome (met synd) rises, establishing effective, community-based treatments is imperative. Our investigation sought to evaluate and report the effect of a weight management program on the prevalence and determinants of met synd, and the effect of participation level. Methods and Procedures: Between 10 July 2001 and 17 November 2005, 339 of 574 individuals enrolled in and completed our 6-month weight management program at the McConnell Heart Health Center in Columbus, Ohio. One hundred and sixty completers met our inclusion criteria for our retrospective analysis: (i) non diabetic, (ii) complete outcomes, (iii) no program participation in the previous 6 months. Met synd status was determined using AHA/NHLBI criteria. Blood pressure criterion was modified to a history of hypertension or current antihypertension medication use. Participation level was dichotomized as high participators (HP) and low participators (LP) using the number of center visits. Results: The entire cohort showed significant reductions in BMI, waist circumference and met synd prevalence (51-39%). The met synd group had significant improvements in high-density lipoprotein (HDL), triglycerides, and glucose. Compared with LP, HP had a significant reduction in the prevalence of met synd and significantly greater improvement in the anthropometric, HDL and triglyceride determinants of met synd. Discussion: This weight management program had a positive effect on determinants and prevalence of met synd. High participation levels were associated with significantly greater improvements in the anthropometric variables, HDL, triglycerides, met synd determinants, and reduction of met synd prevalence.

Lifestyle counselling by persuasive information and communications technology reduces prevalence of metabolic syndrome in a dose–response manner: a randomized clinical trial (PrevMetSyn)

“…Earlier observational (uncontrolled, non-randomized) studies suggested that lifestyle change programmes aiming at weight loss not only reduce weight but also positively affect the determinants and prevalence of MetS [12,13] and improve quality of life [14]. A systematic review has also shown that motivating MetS patients to maintain improved lifestyles is a key element in achieving a reduction in MetS components [15] and more recently, third-wave cognitive behaviour therapies (CBTs) including dialectical behavioural therapy, schema therapy, acceptance and commitment therapy, acceptance-based behavioural treatment, mindfulness-based cognitive behavioural treatment or compassion-focused therapy have been introduced [16].…”

Application of Protein-Rich Oriental Diet in a Community-Based Obesity Control Program

“…Blood pressure and triglycerides are components of metabolic syndrome. Many studies23,28 have shown that community-based intervention programs could affect metabolic parameters such as blood pressure, triglycerides, low-density lipoprotein, and HDL concentration. The favorable effects on lipids (with a low-carbohydrate diet) and on glycemic control (with the Mediterranean diet) suggest that personal preferences and metabolic considerations may be used to tailor individualized dietary interventions 29…”

Excessive 5-year weight gain predicts metabolic syndrome development in healthy middle-aged adults

“…The major weight-related behaviors in late-adolescence are snacking and late-night eating [26] .Further more, a study on twins showed that night-time eating was significantly more common in obese subjects than in subjects with normal weight [27] . Because awareness of weight control is itself beneficial for the prevention of MetS [28] and our workers who gained excessive weight tended to snack in addition to regular meals, education and reminders of healthy dietary behaviors for employees are essential for MetS management in workplaces. Dietary behavior is an important but complex issue in surveys concerning MetS development [29,30] .…”