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Nan-He Yoon 1 Article
Composition of Metabolic Syndrome Among Korean Adults in a Lifestyle Modification Intervention
Nan-He Yoon, Seunghyun Yoo, Hyekyeong Kim
Osong Public Health Res Perspect. 2014;5(6):370-377.   Published online December 31, 2014
DOI: https://doi.org/10.1016/j.phrp.2014.10.005
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  • 6 Crossref
AbstractAbstract PDF
Objectives
The aim of this study was to examine the composition of metabolic syndrome (MetS) components among middle-aged and older Koreans.
Methods
A total of 263 participants (age 40 + years) in a lifestyle modification intervention program who met the MetS definition of National Cholesterol Education Program (NCEP) – Adult Treatment Panel (ATP) III criteria were included in the study. The frequent patterns and clustering of MetS components were investigated. Clustering of changes in individual components, through a lifestyle modification intervention, was also identified. All characteristics were stratified by and compared between sexes.
Results
Approximately 80% of the participants had three of five MetS risk factors at baseline. The prevalence of each risk differed by sex. MetS composition patterns that do not include low high-density lipoprotein (HDL) cholesterol were more noticeable in men because of the low prevalence of low HDL cholesterol. In women, with higher prevalence of low HDL cholesterol, more patterns that include low HDL cholesterol were observed. The most common combination was “elevated blood pressure + abdominal obesity + impaired fasting glucose” in both sexes. Clustering of MetS risks was also found with most of the frequent combinations of MetS components. Through the lifestyle intervention, the greatest change was observed in HDL cholesterol among men and blood pressure among women. Triglycerides and HDL cholesterol were likely to be improved with blood pressure in men and abdominal obesity in women.
Conclusion
Differences in the prevalent patterns of MetS compositions were observed prior to and after the intervention, along with during-intervention changes. It is recommended that intervention strategies and guidelines for MetS management consider the MetS composition patterns for effectiveness.

Citations

Citations to this article as recorded by  
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  • Gender Differences of Health Behaviors in the Risk of Metabolic Syndrome for Middle-Aged Adults: A National Cross-Sectional Study in South Korea
    Jaehee Yoon, Jeewuan Kim, Heesook Son
    International Journal of Environmental Research an.2021; 18(7): 3699.     CrossRef
  • Evaluation of the physical activity level, nutrition quality, and depression in patients with metabolic syndrome
    İsmet Kazaz, Ender Angin, Seray Kabaran, Gözde İyigün, Berkiye Kirmizigil, Mehtap Malkoç
    Medicine.2018; 97(18): e0485.     CrossRef
  • Effects of prolonged exercise versus multiple short exercise sessions on risk for metabolic syndrome and the atherogenic index in middle-aged obese women: a randomised controlled trial
    JinWook Chung, KwangJun Kim, Jeeyoung Hong, Hyoun-Joong Kong
    BMC Women's Health.2017;[Epub]     CrossRef
  • Health related behavior patterns and associated factors among marriage immigrant women using latent class analysis
    Wonsup Cho, Seunghyun Yoo, Hyekyeong Kim
    Korean Journal of Health Education and Promotion.2015; 32(5): 17.     CrossRef
  • Depression among Korean Adults with Type 2 Diabetes Mellitus: Ansan-Community-Based Epidemiological Study
    Chan Young Park, So Young Kim, Jong Won Gil, Min Hee Park, Jong-Hyock Park, Yeonjung Kim
    Osong Public Health and Research Perspectives.2015; 6(4): 224.     CrossRef

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