Lifestyle modification in the management of the metabolic syndrome: achievements and challenges

Grave, Riccardo Dalle; Calugi, Simona; Centis, Elena; Marzocchi, Rebecca; Ghoch, Marwan El; Marchesini, Giulio

doi:10.2147/dmsott.s13860

Cited by 56 publications

(32 citation statements)

References 115 publications

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“…The treatment usually includes a weight loss phase, consisting of 16–24 weekly sessions in 6 months, followed by a weight maintenance phase 81. While there is general agreement about the length of the weight loss phase because after 6 months weight loss tends to reach a plateau, no definitive data are yet available about the optimal duration and intensity of the weight maintenance phase.…”

Section: Way Of Delivering Lifestyle Modification Programs and Resultsmentioning

confidence: 99%

Major factors for facilitating change in behavioral strategies to reduce obesity

Grave¹,

Centis²,

Marzocchi³

et al. 2013

PRBM

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It is very unlikely that our obesity-promoting environment will change in the near future. It is therefore mandatory to improve our knowledge of the main factors associated with successful adoption of obesity-reducing behaviors. This may help design more powerful procedures and strategies to facilitate the adoption of healthy lifestyles in a “toxic” environment favoring the development of a positive energy balance. The aim of this review is to describe the main factors associated with successful adoption of obesity-reducing behaviors and to describe the most recent development, limits, and outcomes of lifestyle modification programs. The evidence regarding predictors of weight loss and weight loss maintenance remains largely incomplete. It is necessary to develop strategies matching treatments to patients’ needs to improve successful weight loss and its maintenance. How to detect and how to address these needs is a continuous, challenging, research problem.

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Section: Way Of Delivering Lifestyle Modification Programs and Resultsmentioning

confidence: 99%

Major factors for facilitating change in behavioral strategies to reduce obesity

Grave¹,

Centis²,

Marzocchi³

et al. 2013

PRBM

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“…TTM is applied to our program to provide different intervention strategies to the older adults according to their SOC (precontemplation, contemplation or preparation, and action or maintenance [20]. Participants were encouraged to enhance MetS-related knowledge (definition, prevalence and trends, causes, and consequences of MetS) and life skills for hypocaloric, balanced diet, moderate drinking, and adequate level of physical activity [21]. Cognitive and behavioral strategies included consciousness raising, enhancing pros of lifestyle change and self efficacy, goal setting for behavior change, regular selfmonitoring of progress, and providing rewards to promote the movement from stage to stage and to reinforce healthy lifestyle (Table 1).…”

Section: Methodsmentioning

confidence: 99%

Improvements in the Metabolic Syndrome and Stages of Change for Lifestyle Behaviors in Korean Older Adults

Yoo

Kim

Cho

2012

Osong Public Health and Research Perspectives

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ObjectivesThis study aims to examine the effectiveness of a 6-month lifestyle modification program on the improvement in metabolic syndrome (MetS) status and in stages of change for lifestyle behaviors associated with MetS among Korean older adults.MethodsA lifestyle modification program was developed based on the transtheoretical model. The program consisted of health counseling, education classes, a self-management handbook, newsletters and a health diary. Older adults aged ≥60 (n = 480) with MetS were randomly assigned to the intervention group (IG) or the comparison group (CG). The IG received a comprehensive 6-month lifestyle modification intervention, while the CG received minimal information on MetS and lifestyle modification. Health examination and selfadministered survey were conducted before and after the intervention to determine the effectiveness of the program.ResultsAfter the intervention, the prevalence of MetS decreased to 38.1% in the IG and 52.4% in the CG (p = 0.046). The IG improved abdominal obesity (p = 0.016), blood pressure (p = 0.030), and triglyceride (p = 0.005) more than the CG did. The IG demonstrated significant improvements in the behavioral stages for portion control (p = 0.021), balanced diet (p < 0.001) and adequate intake of fruits and vegetables (p = 0.012). The IG reduced the prevalence of abdominal obesity (OR = 2.34) and improved MetS status (OR = 1.79) better than the CG. The IG were more likely to advance from preaction stages at baseline to action stage at post-intervention for portion control (OR = 3.29) and adequate intake of fruits and vegetables (OR = 2.06).ConclusionLifestyle modification can improve the MetS status and behavioral stages in older adults.

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“…However, more emphasis should be put on muscle-building exercises 23. Lifestyle modification is a key issue with regard to risk reduction for diabetes, hypertension, and metabolic syndrome 24,25. For such diseases, the positive findings of the TALENT study on weight reduction suggest a preventive benefit of IHM.…”

Section: Discussionmentioning

confidence: 99%

Effects of a tailored lifestyle self-management intervention (TALENT) study on weight reduction: a randomized controlled trial

Melchart¹,

Low²,

Wühr³

et al. 2017

DMSO

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ObjectiveOverweight and obesity are globally increasing risk factors for diseases in the context of metabolic syndrome. A randomized controlled trial was conducted to investigate whether there are any existing differences between two lifestyle intervention strategies with respect to weight reduction after 1 year.Subjects and methodsA total of 166 subjects with a body mass index of 28–35 kg/m2 were enrolled in this trial at seven study centers; 109 were randomly allocated to the intervention group (comprehensive lifestyle modification program: web-based Individual Health Management [IHM]) with 3-month reduction phase plus 9-month maintenance phase, and 57 were allocated to the control group (written information with advice for healthy food habits: usual care [UC]). Body weight, waist circumference, blood pressure, laboratory findings, and bioimpedance analysis used to determine body composition were measured at baseline and after 3, 6, 9, and 12 months. The primary outcome parameter was body weight at month 12 compared to baseline.ResultsWith respect to baseline status there were no statistically significant differences between the groups. Based on the intent-to-treat population, body weight showed a mean decrease of 8.7 kg (SD 6.1) in the intervention group (IHM) and 4.2 kg (SD 5) in the control group (UC) at month 12. This statistically significant difference (P<0.001) was confirmed by various sensitivity analyses. Body mass index, waist circumference, high-density lipid cholesterol, body fat, and the ratio of fat and body cell mass improved to a significantly higher degree in the IHM group.ConclusionIHM proved to be superior to UC in weight reduction after 1 year. With a mean loss of about 10% of the baseline weight, a clinically high relevant risk reduction for cardio-metabolic diseases is achievable.

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Lifestyle modification in the management of the metabolic syndrome: achievements and challenges

Cited by 56 publications

References 115 publications

Major factors for facilitating change in behavioral strategies to reduce obesity

Major factors for facilitating change in behavioral strategies to reduce obesity

Improvements in the Metabolic Syndrome and Stages of Change for Lifestyle Behaviors in Korean Older Adults

Effects of a tailored lifestyle self-management intervention (TALENT) study on weight reduction: a randomized controlled trial

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