Routine Screening and Consultation Facilitate Improvement of Metabolic Syndrome

Abstract

This randomized controlled trial study aimed to investigate the effects of a lifestyle intervention on metabolic syndrome (MetS) among middle-aged Koreans. A total of 243 middle-aged Koreans with MetS were randomly assigned to either of 2 types of lifestyle intervention for MetS and followed for 12 months. Health examinations and interventions were implemented at 16 regional branch facilities of a Korean medical institution from 2010, following the NCEP-ATP III criteria and recommendations. Lifestyle intervention (LI) group (n = 137) participated in a 12-week multi-component intervention including individual counseling, group sessions, and self-help materials. Basic usual intervention (BI) group (n = 106) was provided with one-page health information sheet on MetS and MetS management at baseline. Prevalence of MetS and each of MetS components, except for low HDL-cholesterol, in both groups were significantly reduced and maintained after the intervention. Notably, prevalence of hypertension and abdominal obesity continued to improve during the follow-up period. Between-group differences in results were not found. Both interventions were effective when they were accompanied with repeated check-ups and notification of MetS status. It is recommended to design clear guidelines for the notification of MetS after MetS screening and to encourage checking MetS status periodically for effective MetS management (KCT 0000446).Graphical Abstract

International randomised controlled trial evaluating metabolic syndrome in type 2 diabetic cigarette smokers following switching to combustion-free nicotine delivery systems: the DIASMOKE protocol

“…Considering the results of a number of lifestyle modification interventions, the absolute reduction in MetS prevalence following substantial smoking cessation is expected to be no less than 15%. [24][25][26][27][28] The main prespecified secondary endpoint is an absolute change in the sum of the individual factors of the MetS (as defined by NCEP criteria) measured at each study time point (between and within study groups). Other secondary endpoints include change in each individual factor of the MetS (as defined by NCEP criteria) measured at each study time point (between and within study groups) and change of the variables given in table 1B measured at each study time point (between and within study groups).…”

Development and Evaluation of a Blended Self-Management Program for Metabolic Syndrome in Patients With Rheumatic Diseases

“…Blood cholesterol levels were not significantly improved by the devised program. N.-H. Yoo et al (2015) demonstrated that a 12-week multi-component lifestyle intervention program effectively reduced serum triglyceride levels but did not increase HDL-cholesterol levels in patients with metabolic syndrome. van Namen et al ( 2019) conducted a metaanalysis and reported that lifestyle modification interventions can reduce serum triglyceride levels, but do not increase HDL cholesterol levels.…”

Gender-differences in predictors for time to metabolic syndrome resolution: A secondary analysis of a randomized controlled trial study

“…This was a secondary analysis of a previous clinical trial study which explored the effectiveness of dietary counseling [22]. The primary study, which provided the data, is registered in the Clinical Research Information Service by Korea Centers for Diseases Control and Prevention, Republic of Korea (registration number: KCT0000275 and KCT 0000446).…”