Routine Screening and Consultation Facilitate Improvement of Metabolic Syndrome.
10.3346/jkms.2015.30.8.1092
- Author:
Nan He YOON
1
;
Seunghyun YOO
;
Hyekyeong KIM
;
Yoonjung HAN
Author Information
1. Graduate School of Public Health, Seoul National University, Seoul, Korea.
- Publication Type:Original Article ; Multicenter Study ; Randomized Controlled Trial ; Research Support, Non-U.S. Gov't
- Keywords:
Metabolic Syndrome;
Lifestyle Intervention;
Randomized Controlled Trial;
Middle-aged Adults
- MeSH:
Adult;
Combined Modality Therapy;
Directive Counseling/*methods;
Female;
Humans;
Male;
Mass Screening/*methods;
Metabolic Syndrome X/*diagnosis/epidemiology/*therapy;
Middle Aged;
Patient Education as Topic/methods;
*Risk Reduction Behavior;
*Self-Help Groups;
Treatment Outcome
- From:Journal of Korean Medical Science
2015;30(8):1092-1100
- CountryRepublic of Korea
- Language:English
-
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).
