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, Hyangsook; Park, Yoo Mi; Lim, Do Sun

doi:10.3390/ijerph13070667

Cited by 14 publications

(22 citation statements)

References 24 publications

(30 reference statements)

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“…115 Similarly, in Korea, the Seoul Metabolic Syndrome Management (SMESY) programme has been employed as a community-wide, lifestyle modification intervention since 2011, and a recent retrospective study observed temporal associations between the implementation of the SMESY programme and improvements in metabolic disorders. 116 Therefore, a collaboration of government, physicians and…”

Section: Lifestyle Interventionmentioning

confidence: 99%

New trends on obesity and NAFLD in Asia

Fan

Kim

Wong

2017

Journal of Hepatology

830

749

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Traditionally, obesity and its related diseases have been considered a problem in Western countries. However, in the past two decades, urbanisation in many Asian countries has led to a sedentary lifestyle and overnutrition, setting the stage for the epidemic of obesity. This article reviews the epidemiological trend of obesity in Asia, with special emphasis on the emerging condition of non-alcoholic fatty liver disease (NAFLD). Currently, the population prevalence of NAFLD in Asia is around 25%, like many Western countries. While hepatocellular carcinoma and end-stage liver disease secondary to NAFLD remain uncommon, a rising trend has emerged. Around 8-19% of Asians with body mass indexes less than 25kg/m are also found to have NAFLD, a condition often described as "lean" or "non-obese" NAFLD. Although this condition is generally less severe than that in more obese patients, steatohepatitis and fibrotic disease are well recognized. Central adiposity, insulin resistance and weight gain are major risk factors, and genetic predisposition, such as the PNPLA3 polymorphism appears to be more important in the development of NAFLD in the non-obese population. Lifestyle modification remains the cornerstone of management for obesity and NAFLD, but few patients can achieve adequate weight reduction and even fewer can maintain the weight in the long run. While pharmacological agents have entered phase III development for steatohepatitis, Asian patients are under-represented in most drug trials. Future studies should define the optimal management of obesity and NAFLD in Asia.

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Section: Lifestyle Interventionmentioning

confidence: 99%

New trends on obesity and NAFLD in Asia

Fan

Kim

Wong

2017

Journal of Hepatology

830

749

View full text Add to dashboard Cite

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“…Metabolic syndrome (MetS) is defined as the accumulation of risk factors such as abdominal obesity, abnormal glycemia and dyslipidemia, and blood hypertension [ 1 , 2 ], which increase the risk of type 2 diabetes, cardiovascular diseases, some tumors, and all-cause mortality [ 3 – 9 ]. The results of numerous studies have proven that the risk of MetS can be modified through lifestyle [ 10 ], adequate sleep duration [ 11 ], regular exercise, smoking cessation, moderation in drinking alcohol, and stress management techniques [ 12 , 13 ]. In recent years, in MetS prophylaxis, special attention is paid not only to the role of physical activity (PA) but also to sedentary behaviors.…”

Section: Introductionmentioning

confidence: 99%

Relationship Between Sitting Time, Physical Activity, and Metabolic Syndrome Among Adults Depending on Body Mass Index (BMI)

et al. 2018

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BackgroundThe aim of this study was to assess the possible relationship between sitting time and physical activity and the risk of occurrence of metabolic syndrome and its components. Analyses were conducted in the whole sample, and with stratification according to BMI. We have formulated a hypothesis that individuals with different BMIs have different responses to metabolic health modifiers such as physical activity and sitting time.Material/MethodsAltogether, the data from 10 367 participants from urban and rural areas, aged 37–66 years were used in the study (7479 of whom were overweight or obese). The definition of metabolic syndrome devised by the IDF Joint Interim Statement criteria using an ethnic-specific cut-off point for waist circumference as the central obesity criterion was used.ResultsIn all analyzed BMI groups, longer sitting time was only associated with abdominal obesity (all p for trend <0.05). In participants declaring low physical activity levels, the risk of metabolic syndrome and abnormal triglycerides concentration was higher compared to those declaring high physical activity, regardless of BMI (all p for trend <0.05). In the group with overweight or obesity, low physical activity was associated with a higher risk of abdominal obesity (p for trend <0.05), increased glucose concentration (p for trend <0.05), and elevated blood pressure (p for trend <0.05). In participants with a normal BMI, these associations did not occur.ConclusionsOur data suggest that physical activity helps preventive metabolic syndrome and its abnormal components, especially in participants who are overweight or obese.

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“…People with metabolic syndrome are much more likely to have cardiovascular disease (CVD) and type 2 diabetes, respectively than people without metabolic syndrome [1–3]. The prevalence of metabolic syndrome has steadily increased and is now a serious public health concern in developed countries [4,5]. …”

Section: Introductionmentioning

confidence: 99%

Clustering of four major lifestyle risk factors among Korean adults with metabolic syndrome

Ha¹,

Choi²,

Lee³

2017

PLoS ONE

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The purpose of this study was to investigate the clustering pattern of four major lifestyle risk factors—smoking, heavy drinking, poor diet, and physical inactivity—among people with metabolic syndrome in South Korea. There were 2,469 adults with metabolic syndrome aged 30 years or older available with the 5th Korean National Health and Nutrition Examination Survey dataset. We calculated the ratio of the observed to expected (O/E) prevalence for the 16 different combinations and the prevalence odds ratios (POR) of four lifestyle risk factors. The four lifestyle risk factors tended to cluster in specific multiple combinations. Smoking and heavy drinking was clustered (POR: 1.86 for male, 4.46 for female), heavy drinking and poor diet were clustered (POR: 1.38 for male, 1.74 for female), and smoking and physical inactivity were also clustered (POR: 1.48 for male). Those who were male, younger, low-educated and living alone were much more likely to have a higher number of lifestyle risk factors. Some helpful implications can be drawn from the knowledge on clustering pattern of lifestyle risk factors for more effective intervention program targeting metabolic syndrome.

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

Cited by 14 publications

References 24 publications

New trends on obesity and NAFLD in Asia

New trends on obesity and NAFLD in Asia

Relationship Between Sitting Time, Physical Activity, and Metabolic Syndrome Among Adults Depending on Body Mass Index (BMI)

Clustering of four major lifestyle risk factors among Korean adults with metabolic syndrome

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