The Effect of Community-Based Education for Lifestyle Intervention on the Prevalence of Metabolic Syndrome and Its Components: Tehran Lipid and Glucose Study

被引:25
|
作者
Azizi, Fereidoun [1 ]
Mirmiran, Parvin [1 ]
Momenan, Amir Abbas [1 ]
Hadaegh, Farzad [1 ]
Moeini, Ali Habibi [1 ]
Hosseini, Firoozeh [1 ]
Zahediasl, Saleh [1 ]
Ghanbarian, Arash [1 ]
Hosseinpanah, Farhad [1 ]
机构
[1] Shahid Beheshti Univ Med Sci, Endocrine Obes & Prevent Metab Dis Res Ctr, Res Inst Endocrine Sci, Tehran, Iran
关键词
Metabolic Syndrome; Lifestyle; Community-Based; Prevalence;
D O I
10.5812/ijem.5443
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: It has been shown that life style modification may decrease the prevalence of metabolic syndrome, but this intervention has not been reported in community setting. Objectives: Effect of lifestyle modification on prevalence of metabolic syndrome and its components were assessed in an urban population. Materials and Methods: In 6870 participants of Tehran Lipid and Glucose Study aged 20-74 years, the prevalence of metabolic syndrome and its components were measured before and after a 3.6 years interval. Lifestyle intervention was employed at a community level including 2961 individuals and also 3909 subjects which were recruited as controls. Logistic regression analysis was adjusted for age, sex and medications. Results: After 3.6 years, the rise in the prevalence of metabolic syndrome was less prominent in intervention than control group (P < 0.002 for increase of metabolic syndrome prevalence between groups), with an OR of 0.84 (confidence interval 0.75-0.95). After intervention the prevalence of abdominal obesity, elevated fasting glucose levels, elevated triglyceride and low HDL cholesterol were more prominent in control group, as compared to intervention group. Conclusions: Community based lifestyle modifications in Tehranian adults delayed rise in the prevalence of metabolic syndrome and some of its components.
引用
收藏
页码:145 / 153
页数:9
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