The Effects of a Community-Based Lifestyle Intervention on Metabolic Syndrome and Its Components in Adolescents: Findings of a Decade Follow-Up

Amiri, Parisa; Jalali-Farahani, Sara; Masihay-Akbar, Hasti; Cheraghi, Leila; Khalili, Davood; Momenan, Amirabbas; Mirmiran, Parvin; Ghanbarian, Arash; Hedayati, Mehdi; Hosseini-Esfahani, Firoozeh; Azizi, Fereidoun

doi:10.1089/met.2017.0055

Cited by 14 publications

(20 citation statements)

References 34 publications

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“…This finding emphasizes the need for ongoing support, long-term educational intervention to reduce fasting blood glucose level. Findings of the current study revealed that the three-month lifestyle intervention decreased the prevalence of MetS in both group, which are in line with Bright Bodies and other shortterm intervention studies [23,34,35].…”

Section: Resultssupporting

confidence: 91%

“…The results of our study revealed that combination of different educational methods include face-toface education, pamphlet presentation, telephone text messaging, and educational films within 3 months were effective.Generally, the results of this study are consistent with Azizi and Amiri studies, which showed, healthy 6 lifestyle intervention reduce the risk of MetS in both genders in short term[16,23].A similar study from Thailand undertaken by Chaiyasoot et al showed that a 3 months' lifestyle educational intervention in adults with obesity and metabolic syndrome resulted in in significant reduction in weight, waist circumference, blood pressure, and lipid profile [24]. Our Findings reflects that lifestyle intervention has modest efficacy in reducing weight.…”

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confidence: 90%

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Development, Implementation and Evaluation of Educational Package for Controlling Metabolic Syndrome Components: a quasi-experimental trial in Iran

Aein¹,

Omidi²,

Khatami³

et al. 2020

Preprint

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Background This study was to develop, implement, and evaluate the impact of lifestyle education package in order to control metabolic syndrome components.Methods Totally, 72 women and men aged 18-68 years with MetS from two health centers enrolled through randomized sampling to either intervention group who take usual care plus a 3-month lifestyle modification intervention or control group. Anthropometric indices, blood pressure, lipid profiles, and fasting blood glucose were assessed at baseline and after 3month.Results Lifestyle modification program was associated with modest weight loss (2 ± 0.4 kg, P<0.001), a significant reduction in waist circumference (2.3 ± 0.9 cm, P <0.001) and hip circumference (1 ± 0.3cm, P <0.001), and a significant reduction in diastolic blood pressure (5.3 ± 1.4 mm Hg, P<0.001) compared with baseline values in the intervention group. Also, 33.8% of the changes in metabolic syndrome components were attributable to educational intervention (P<0.001, F= 5.27).Conclusions Lifestyle educational package had a significant effect on waist, hip circumference, and diastolic blood pressure at a 3-month. It is suggested that long-term educational interventions should perform to control other MetS components such as blood sugar and systolic blood pressure.Retrospectively registered: This study was retrospectively registered in the Iranian website (www.irct.ir) for registration of clinical trials (IRCT20200212046470N1), on 2020-02-23.

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Section: Resultssupporting

confidence: 91%

supporting

confidence: 90%

Development, Implementation and Evaluation of Educational Package for Controlling Metabolic Syndrome Components: a quasi-experimental trial in Iran

Aein¹,

Omidi²,

Khatami³

et al. 2020

Preprint

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“…However, this effect was not maintained in the long run (wave 4 and wave 5) 37 . Moreover, our recent study in the adolescent participants of the TLGS, showed that the lifestyle intervention prevented metabolic syndrome in a short time (wave 2) but not in long-term (wave 4) 36 . There is limited evidence about the long-term effects of a community-wide lifestyle intervention program on the incidence of T2D or the prevalence of its risk factors.…”

Section: Discussionmentioning

confidence: 94%

“…Details of the lifestyle intervention have been reported previously 17 , 30 , 36 – 38 ; briefly, the lifestyle intervention design was adapted from the North Karelia project 39 , 40 and using American Heart Association guidelines. For this purpose, findings of the need assessments and Knowledge, Attitude, and Practice (KAP) studies in the TLGS communities were also used 41 , 42 .…”

Section: Methodsmentioning

confidence: 99%

“…For parents, three educational sessions (60 min each) were conducted for each grade in addition to a group discussion each year 36 . For teachers, 2-day seminars and 45-min class focusing on the knowledge and skills regarding healthy behaviours were held annually 36 . Moreover, smoking was prohibited for all the schoolchildren, teachers, and employees inside the school.…”

Section: Definition Of Termsmentioning

confidence: 99%

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Long-term effectiveness of a lifestyle intervention on the prevention of type 2 diabetes in a middle-income country

Lotfaliany

Mansournia

Azizi

et al. 2020

Sci Rep

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This study aims to assess the effects of a community-based lifestyle intervention program on the incidence of type 2 diabetes (T2D). For this purpose, three communities in Tehran were chosen; one community received a face-to-face educational session embedded in a long-term communitywide lifestyle intervention aimed at supporting lifestyle changes. We followed up 9,204 participants (control: 5,739, intervention: 3,465) triennially from 1999 to 2015 (Waves 1-5). After a median follow-up of 3.5 years (wave 2), the risk of T2D was 30% lower in the intervention community as compared with two control communities by (Hazard-ratio: 0.70 [95% CI 0.53; 0.91]); however, the difference was not statistically significant in the following waves. After a median follow-up of 11.9 years (wave 5), there was a non-significant 6% reduction in the incidence of T2D in the intervention group as compared to the control group (Hazard-ratio: 0.94 [0.81, 1.08]). Moreover, after 11.9 years of follow-up, the intervention significantly improved the diet quality measured by the Dietary Approaches to Stop Hypertension concordance (DASH) score. Mean difference in DASH score in the intervention group versus control group was 0.2 [95% CI 0.1; 0.3]. In conclusion, the intervention prevented T2D by 30% in the short-term (3.5 years) but not long-term; however, effects on improvement of the diet maintained in the long-term. Registration: This study is registered at IRCT, a WHO primary registry (https ://irct.ir). The registration date 39 is 2008-10-29 and the IRCT registration number is IRCT138705301058N1. The burden of type 2 diabetes (T2D) is high and increasing in Low-and Middle-Income Countries (LMICs) like Iran 1. Iranians have a high risk of developing T2D with an incidence rate of the disease being 11 per 1,000 person-years 2. Given the high burden of T2D in Iran, there is an urgent need for effective prevention programs for T2D that can be implemented nationally. Community-wide strategies are vital to have a major impact on trends in raising the T2D epidemic 3-5. Several studies have assessed the effects of community-wide lifestyle interventions on the prevention of T2D. For this aim, community-wide interventions were delivered to a community living within a certain geographic area

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Long-Term Effectiveness of a Lifestyle Intervention: A Pragmatic Community Trial to Prevent Metabolic Syndrome

Khalili

Asgari

Lotfaliany

et al. 2019

American Journal of Preventive Medicine

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The Effects of a Community-Based Lifestyle Intervention on Metabolic Syndrome and Its Components in Adolescents: Findings of a Decade Follow-Up

Abstract: The healthy lifestyle intervention reduced the risk of MetS in both genders in short and long term, but with different patterns and improved some of the MetS components.

Cited by 14 publications

References 34 publications

Development, Implementation and Evaluation of Educational Package for Controlling Metabolic Syndrome Components: a quasi-experimental trial in Iran

Development, Implementation and Evaluation of Educational Package for Controlling Metabolic Syndrome Components: a quasi-experimental trial in Iran

Long-term effectiveness of a lifestyle intervention on the prevention of type 2 diabetes in a middle-income country

Long-Term Effectiveness of a Lifestyle Intervention: A Pragmatic Community Trial to Prevent Metabolic Syndrome

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