Telephone Counseling Intervention Improves Dietary Habits and Metabolic Parameters of Patients with the Metabolic Syndrome: A Randomized Controlled Trial

Fappa, Evangelia; Yannakoulia, Mary; Ioannidou, Maria; Skoumas, Yannis; Pitsavos, Christos; Stefanadis, Christodoulos

doi:10.1900/rds.2012.9.36

Cited by 18 publications

(52 citation statements)

References 39 publications

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“…MetS can be reversed by adhering to the MedDiet, with a reduction in its prevalence of up to 69% after 2 years of diet. 16 - 18 Our diet and androgen (DIANA) randomized controlled trials showed that an insulin-lowering diet based on traditional Mediterranean and macrobiotic recipes significantly reduced the main factors defining the MetS, body weight, and the bioavailability of sex hormones and IGF-I, in healthy postmenopausal 27 , 28 and in women with BC. 29 …”

Section: Discussionmentioning

confidence: 99%

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Adherence to Mediterranean Diet and Metabolic Syndrome in BRCA Mutation Carriers

et al. 2017

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Background. Insulin resistance is associated with higher breast cancer (BC) penetrance in BRCA mutation carriers. Metabolic syndrome (MetS), an insulin resistance syndrome, can be reversed by adhering to the Mediterranean diet (MedDiet). In a dietary intervention trial on BRCA mutation carriers, we evaluated adherence to the MedDiet, and the association with the MetS, by analyzing data from the Mediterranean Diet Adherence Screener (MEDAS). Methods. BRCA mutation carriers, with or without BC, aged 18 to 70 years, were eligible for the trial. After the baseline examinations, women were randomized to a dietary intervention or to a control group. Both groups completed the MEDAS at baseline and at the end of the dietary intervention. Results. A total of 163 women completed the 6 months of dietary intervention. Compared with controls, the women in the intervention group significantly reduced their consumption of red meat (P < .01) and commercial sweets (P < .01) and their MEDAS score rose significantly (+1.3 vs +0.55, P = .02). The number of MetS parameters decreased with increasing points of adherence to the MEDAS score (P = .01). In the intervention group, there was a significant association with the greater reduction of MetS. Conclusion. BRCA mutation carriers in the intervention group experienced greater improvement in their MedDiet and MetS parameters.

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Section: Discussionmentioning

confidence: 99%

“… 14 , 15 Randomized intervention trials showed that MetS can be reversed by following the MedDiet, with a reduction of MetS prevalence of up to 69% after 2 years of diet. 16 - 18 …”

Section: Introductionmentioning

confidence: 99%

Adherence to Mediterranean Diet and Metabolic Syndrome in BRCA Mutation Carriers

et al. 2017

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“…Prospective studies showed an inverse relationship between adherence to the Mediterranean Diet (MedDiet) and MetS . Randomized intervention trials showed that MetS can be reversed by adhering to the MedDiet, with a reduction of MetS prevalence to one‐third after 2 years of diet …”

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confidence: 99%

“…[3][4][5] Prospective studies showed an inverse relationship between adherence to the Mediterranean Diet (MedDiet) and MetS. 6,7 Randomized intervention trials showed that MetS can be reversed by adhering to the MedDiet, [8][9][10] with a reduction of MetS prevalence to one-third after 2 years of diet. 8 In 2007 the systematic literature review carried out by the World Cancer Research Fund (WCRF) and the American Institute for Cancer Research (AICR) provided lifestyle recommendations aimed at reducing the incidence of the most common cancers worldwide.…”

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confidence: 99%

Adherence to WCRF/AICR cancer prevention recommendations and metabolic syndrome in breast cancer patients

et al. 2015

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Metabolic syndrome (MetS), conventionally defined by the presence of at least three out of five dismetabolic traits (abdominal obesity, hypertension, low plasma HDL-cholesterol and high plasma glucose and triglycerides), has been associated with both breast cancer (BC) incidence and prognosis. We investigated the association between the prevalence of MetS and a score of adherence to the World Cancer Research Fund (WCRF) and American Institute for Cancer Research (AICR) recommendations for the prevention of cancer in a cross-sectional study of BC patients. The DIet and ANdrogen-5study (DIANA-5) for the prevention of BC recurrences recruited 2092 early stage BC survivors aged 35-70. At recruitment, all women completed a 24-hour food frequency and physical activity diary on their consumption and activity of the previous day. Using these diaries we created a score of adherence to five relevant WCRF/AICR recommendations. The prevalence ratios (PRs) and 95% confidence intervals (CIs) of MetS associated with the number of recommendations met were estimated using a binomial regression model. The adjusted PRs of MetS decreased with increasing number of recommendations met (p < 0.001). Meeting all the five recommendations versus meeting none or only one was significantly associated with a 57% lower MetS prevalence (95% CI 0.35-0.73). Our results suggest that adherence to WCRF/AICR recommendations is a major determinant of MetS and may have a clinical impact.Postmenopausal women with metabolic syndrome (MetS) are at increased risk of breast cancer (BC) 1 and we recently published that in BC patients MetS is also significantly associated with a poorer prognosis.

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“…When face-to-face programmes have limited reach due to distance, transportation and time constraints, telephone-delivered programmes may be useful to overcome those obstacles. 47 48 This study may provide evidence that counselling could be effectively delivered by telephone. Moreover, since around 40% of the telephone counsellors were administrative staff, and even the health staff performing telephone counselling at the NHIS lacked real-world clinical experience compared to their counterparts at clinics, this study may suggest that counselling could be effectively delivered by educators without clinical training.…”

Section: Discussionmentioning

confidence: 85%

Effectiveness of a low-intensity telephone counselling intervention on an untreated metabolic syndrome detected by national population screening in Korea: a non-randomised study using regression discontinuity design

Shin

Lee

2015

BMJ Open

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ObjectiveWhether low-intensity telephone-counselling interventions can improve cardiometabolic risk factors in screen-detected people with metabolic syndrome (MetS) is unclear. The aim of this study was to evaluate the effectiveness of a low-intensity, telephone-counselling programme on MetS implemented by the National Health Insurance Service (NHIS) of Korea using regression discontinuity design.DesignA nationwide non-randomised intervention study with a regression discontinuity design. A retrospective analysis using data from NHIS.SettingNHIS, Korea from January 2011 to June 2013.Participants5 378 558 beneficiaries with one or more MetS components by NHIS criteria detected by population screening were enrolled in the NHIS MetS Management Programme in 2012. Of these, 1 147 695 underwent annual follow-up examinations until June 2013 (‘control group’ which received control intervention, n=855 870; ‘eligible group’ which was eligible for counselling, n=291 825; ‘intervention group’ which participated in telephone counselling among eligible groups, n=23 968).Main outcome measuresAbsolute changes in MetS components, weight and body mass index (BMI) were analysed. Multiple regression analyses were applied using the analysis of covariance model (baseline measurements as covariates).ResultsLow-intensity telephone counselling was associated with decreased systolic BP (−0.85 mm Hg, 95% CI −1.02 to −0.68), decreased diastolic BP (−0.63 mm Hg, −95% CI −0.75 to −0.50), decreased triglyceride (−1.57 mg/dL, 95% CI −2.89 to −0.25), reduced waist circumference (−0.09 cm, 95% CI −0.16 to −0.02), reduced weight (−0.19 kg, 95% CI −0.24 to −0.15) and reduced BMI (−0.07 kg/m2, 95% CI −0.09 to −0.05), when comparing the intervention and control groups. When individuals with low high-density lipoprotein cholesterol were analysed, the intervention was also associated with increased HDL cholesterol (0.90 mg/dL, 95% CI 0.51 to 1.29).ConclusionsLow-intensity telephone counselling programmes could yield improvements in the following year on blood pressure, lipid profiles, weight and body mass index in untreated patients detected at the population screening. However, the improvements may be very modest and the clinical relevance of these small improvements may be limited.

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Telephone Counseling Intervention Improves Dietary Habits and Metabolic Parameters of Patients with the Metabolic Syndrome: A Randomized Controlled Trial

Abstract: Telephone counseling is an effective way to implement behavioral counseling to improve lifestyle habits in MetS patients.

Cited by 18 publications

References 39 publications

Adherence to Mediterranean Diet and Metabolic Syndrome in BRCA Mutation Carriers

Adherence to Mediterranean Diet and Metabolic Syndrome in BRCA Mutation Carriers

Adherence to WCRF/AICR cancer prevention recommendations and metabolic syndrome in breast cancer patients

Effectiveness of a low-intensity telephone counselling intervention on an untreated metabolic syndrome detected by national population screening in Korea: a non-randomised study using regression discontinuity design

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