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The Seoul Metropolitan Lifestyle Intervention Program and Metabolic Syndrome Risk: A Retrospective Database Study

Since 2011, the Seoul Metabolic Syndrome Management (SMESY) program has been employed as a community-wide, lifestyle modification intervention in Seoul, Korea. We aimed to determine if the SMESY intervention would be significantly associated with improvements in metabolic syndrome (MetS) risk factor...

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Autores principales: Choo, Jina, Yoon, Seok-Jun, Ryu, Hosihn, Park, Mi-Suk, Lee, Hyang Sook, Park, Yoo Mi, Lim, Do-Sun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4962208/
https://www.ncbi.nlm.nih.gov/pubmed/27384576
http://dx.doi.org/10.3390/ijerph13070667
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author Choo, Jina
Yoon, Seok-Jun
Ryu, Hosihn
Park, Mi-Suk
Lee, Hyang Sook
Park, Yoo Mi
Lim, Do-Sun
author_facet Choo, Jina
Yoon, Seok-Jun
Ryu, Hosihn
Park, Mi-Suk
Lee, Hyang Sook
Park, Yoo Mi
Lim, Do-Sun
author_sort Choo, Jina
collection PubMed
description Since 2011, the Seoul Metabolic Syndrome Management (SMESY) program has been employed as a community-wide, lifestyle modification intervention in Seoul, Korea. We aimed to determine if the SMESY intervention would be significantly associated with improvements in metabolic syndrome (MetS) risk factors. This retrospective database study included data from 25,449 participants aged 30–64 years between 1 January 2013 and 30 June 2013. In the SMESY program, 3 risk-stratified groups by the number of MetS factors were followed for 12 months with different intensity and timeframe of intervention. Among the high-(n = 7116) and moderate-risk groups (n = 14,762), all MetS factors (except triglycerides among the moderate-risk group) as well as MetS z-scores significantly improved over 12 months (all p < 0.05). Among the low-risk group (n = 3571), all factors aggravated significantly over 12 months (all p < 0.05). We observed temporal associations between the implementation of the SMESY program and improvements in MetS risk factors. However, such improvements differed by risk-stratified group, being most robust for the high-risk group, modest for the moderate-risk group, and aggravated for the low-risk group. Thus, more intensive interventions targeting different risk-stratified groups are needed, given a better understanding of the increase in risk factors observed in the low-risk group.
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spelling pubmed-49622082016-08-01 The Seoul Metropolitan Lifestyle Intervention Program and Metabolic Syndrome Risk: A Retrospective Database Study Choo, Jina Yoon, Seok-Jun Ryu, Hosihn Park, Mi-Suk Lee, Hyang Sook Park, Yoo Mi Lim, Do-Sun Int J Environ Res Public Health Article Since 2011, the Seoul Metabolic Syndrome Management (SMESY) program has been employed as a community-wide, lifestyle modification intervention in Seoul, Korea. We aimed to determine if the SMESY intervention would be significantly associated with improvements in metabolic syndrome (MetS) risk factors. This retrospective database study included data from 25,449 participants aged 30–64 years between 1 January 2013 and 30 June 2013. In the SMESY program, 3 risk-stratified groups by the number of MetS factors were followed for 12 months with different intensity and timeframe of intervention. Among the high-(n = 7116) and moderate-risk groups (n = 14,762), all MetS factors (except triglycerides among the moderate-risk group) as well as MetS z-scores significantly improved over 12 months (all p < 0.05). Among the low-risk group (n = 3571), all factors aggravated significantly over 12 months (all p < 0.05). We observed temporal associations between the implementation of the SMESY program and improvements in MetS risk factors. However, such improvements differed by risk-stratified group, being most robust for the high-risk group, modest for the moderate-risk group, and aggravated for the low-risk group. Thus, more intensive interventions targeting different risk-stratified groups are needed, given a better understanding of the increase in risk factors observed in the low-risk group. MDPI 2016-07-04 2016-07 /pmc/articles/PMC4962208/ /pubmed/27384576 http://dx.doi.org/10.3390/ijerph13070667 Text en © 2016 by the authors; licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Choo, Jina
Yoon, Seok-Jun
Ryu, Hosihn
Park, Mi-Suk
Lee, Hyang Sook
Park, Yoo Mi
Lim, Do-Sun
The Seoul Metropolitan Lifestyle Intervention Program and Metabolic Syndrome Risk: A Retrospective Database Study
title The Seoul Metropolitan Lifestyle Intervention Program and Metabolic Syndrome Risk: A Retrospective Database Study
title_full The Seoul Metropolitan Lifestyle Intervention Program and Metabolic Syndrome Risk: A Retrospective Database Study
title_fullStr The Seoul Metropolitan Lifestyle Intervention Program and Metabolic Syndrome Risk: A Retrospective Database Study
title_full_unstemmed The Seoul Metropolitan Lifestyle Intervention Program and Metabolic Syndrome Risk: A Retrospective Database Study
title_short The Seoul Metropolitan Lifestyle Intervention Program and Metabolic Syndrome Risk: A Retrospective Database Study
title_sort seoul metropolitan lifestyle intervention program and metabolic syndrome risk: a retrospective database study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4962208/
https://www.ncbi.nlm.nih.gov/pubmed/27384576
http://dx.doi.org/10.3390/ijerph13070667
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