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2 "Seunghyun Yoo"
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Original 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
  • 3,322 View
  • 29 Download
  • 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  
  • Development and Evaluation of a Blended Self-Management Program for Metabolic Syndrome in Patients With Rheumatic Diseases
    BoAe Im, HyunSoo Oh, SooHyun Kim, HyeSun Jeong, WhaSook Seo
    Health Education & Behavior.2024; 51(4): 625.     CrossRef
  • 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
Article
Improvements in the Metabolic Syndrome and Stages of Change for Lifestyle Behaviors in Korean Older Adults
Seunghyun Yoo, Hyekyeong Kim, Han-Ik Cho
Osong Public Health Res Perspect. 2012;3(2):85-93.   Published online June 30, 2012
DOI: https://doi.org/10.1016/j.phrp.2012.04.007
  • 3,611 View
  • 18 Download
  • 19 Crossref
AbstractAbstract PDF
Objectives
This 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.
Methods
A 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.
Results
After 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).
Conclusion
Lifestyle modification can improve the MetS status and behavioral stages in older adults.

Citations

Citations to this article as recorded by  
  • Development and Evaluation of a Blended Self-Management Program for Metabolic Syndrome in Patients With Rheumatic Diseases
    BoAe Im, HyunSoo Oh, SooHyun Kim, HyeSun Jeong, WhaSook Seo
    Health Education & Behavior.2024; 51(4): 625.     CrossRef
  • Comprehensive lifestyle modification interventions for metabolic syndrome: A systematic review and meta‐analysis
    Sungwon Park, Jiwon Lee, Jo Woon Seok, Chang Gi Park, Jin Jun
    Journal of Nursing Scholarship.2024; 56(2): 249.     CrossRef
  • Obstructive sleep apnea and metabolic syndrome
    Sara Q. C. Giampá, Geraldo Lorenzi‐Filho, Luciano F. Drager
    Obesity.2023; 31(4): 900.     CrossRef
  • Association of Maintaining Healthy Habits with Clinical Outcomes in Patients with Diabetes, Dyslipidemia or Hypertension
    Jeong Hyeon Kim, Young Ho Yun
    Korean Journal of Family Practice.2021; 11(1): 74.     CrossRef
  • Eating control and eating behavior modification to reduce abdominal obesity: a 12-month randomized controlled trial
    Soo Kyoung Kim, Norma Patricia Rodriguez Rocha, Hyekyeong Kim
    Nutrition Research and Practice.2021; 15(1): 38.     CrossRef
  • The Use of Behavior Change Theories in Dietetics Practice in Primary Health Care: A Systematic Review of Randomized Controlled Trials
    Roshan R. Rigby, Lana J. Mitchell, Kyra Hamilton, Lauren T. Williams
    Journal of the Academy of Nutrition and Dietetics.2020; 120(7): 1172.     CrossRef
  • The Prevalence of Metabolic Syndrome and Health-Related Behavior Changes: The Korea National Health Examination Survey
    Eunshil Yim, Kyounga Lee, Ilsu Park, Sangjin Lee
    Healthcare.2020; 8(2): 134.     CrossRef
  • Efectividad de las intervenciones para revertir el diagnóstico del síndrome metabólico: actualización de un metaanálisis de comparación mixta de tratamientos
    Adriana Guzmán, Esteban Navarro, Leidy Obando, Jorge Pacheco, Korina Quirós, Leticia Vásquez, Milena Castro, Fernando Ramírez
    Biomédica.2019; 39(4): 647.     CrossRef
  • Effect of patient education on metabolic syndrome components among females in Zagazig University outpatient clinics, Egypt: An intervention study
    Noha Osman Frere, Saeed Salah Abduljalil Soliman, Mohammed Adel Foda, Tayssir Kamel Eyada, Nagwa Eid Sobhy Saad
    Diabetes & Metabolic Syndrome: Clinical Research &.2019; 13(3): 1897.     CrossRef
  • Handgrip strength is associated with metabolic syndrome among middle-aged and elderly community-dwelling persons
    Ryuichi Kawamoto, Daisuke Ninomiya, Yoshihisa Kasai, Tomo Kusunoki, Nobuyuki Ohtsuka, Teru Kumagi, Masanori Abe
    Clinical and Experimental Hypertension.2016; 38(2): 245.     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
  • Impact of Community-Based Integrated Traditional Chinese and Western Medicine Metabolic Syndrome Intervention Technology in Rural Residents in Southern Jiangsu, China
    Kaijin Zhang
    Medical Science Monitor.2015; 21: 2163.     CrossRef
  • Routine Screening and Consultation Facilitate Improvement of Metabolic Syndrome
    Nan-He Yoon, Seunghyun Yoo, Hyekyeong Kim, Yoonjung Han
    Journal of Korean Medical Science.2015; 30(8): 1092.     CrossRef
  • 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
    Sang-Wook Yi, Soon-Ae Shin, Youn-Jung Lee
    BMJ Open.2015; 5(7): e007603.     CrossRef
  • Composition of Metabolic Syndrome Among Korean Adults in a Lifestyle Modification Intervention
    Nan-He Yoon, Seunghyun Yoo, Hyekyeong Kim
    Osong Public Health and Research Perspectives.2014; 5(6): 370.     CrossRef
  • Transtheoretical model stages of change for dietary and physical exercise modification in weight loss management for overweight and obese adults
    Nikolaos Mastellos, Laura H Gunn, Lambert M Felix, Josip Car, Azeem Majeed
    Cochrane Database of Systematic Reviews.2014;[Epub]     CrossRef
  • Two Sides of Obesity: Metabolic Syndrome and Osteoporosis in Elderly Women, Gangwon-do, Korea
    Sungok Jang, Sungwha Lee, Jongseok Lee
    Korean Journal of Health Education and Promotion.2014; 31(1): 13.     CrossRef
  • Short-term Effects of a Lifestyle Intervention Program on Eating Behaviors, Physical Activity and Cardiovascular Risks in Korean Adults
    Jiyeon Park, Hyekyeong Kim
    Korean Journal of Health Education and Promotion.2014; 31(4): 37.     CrossRef
  • Motivational interviewing with the older adult
    Mirsad Serdarevic, Sonne Lemke
    International Journal of Mental Health Promotion.2013; 15(4): 240.     CrossRef

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