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Original Articles
Waist Circumference and Spirometric Measurements in Chronic Obstructive Pulmonary Disease
Ali Alavi Foumani, Mohammad Masoud Neyaragh, Zahra Abbasi Ranjbar, Ehsan Kazemnezhad Leyli, Shima Ildari, Alireza Jafari
Osong Public Health Res Perspect. 2019;10(4):240-245.   Published online August 31, 2019
DOI: https://doi.org/10.24171/j.phrp.2019.10.4.07
  • 3,913 View
  • 33 Download
  • 4 Citations
AbstractAbstract PDF
Objectives

The aim of this study was to evaluate whether the waist circumference of patients with chronic obstructive pulmonary disease (COPD), had an impact on lung function.

Methods

There were 180 patients with COPD recruited into this prospective cross-sectional study. The age, weight, body mass index and waist circumference (WC) were measured. Spirometry parameters including forced vital capacity (FVC), and forced expiratory volume in the first second (FEV1), were measured and FEV1/FVC calculated.

Results

The mean FEV1/FVC in both normal weight and overweight patients, did not statistically significantly correlate with WC. The COPD assessment test, positively correlated with WC ( p = 0.031). A positive correlation with body mass index ( p < 0.001), smoking ( p = 0.027), and global initiative for chronic obstructive lung disease score ( p = 0.009), were observed to positively associate with WC. WC, age, C-reactive protein, duration of disease, and gender (male), were observed to be statistically significant risk factors for the severity of COPD.

Conclusion

WC was not observed to impact upon lung function in this study but it was a predictive factor for COPD severity in patients.

Citations

Citations to this article as recorded by  
  • Blood Levels of Indicators of Lower Respiratory Tract Damage in Chronic Bronchitis in Patients with Abdominal Obesity
    Elena V. Kashtanova, Yana V. Polonskaya, Evgeniia V. Striukova, Liliia V. Shcherbakova, Evgenii A. Kurtukov, Viktoriya S. Shramko, Ekaterina M. Stakhneva, Yulia I. Ragino
    Diagnostics.2022; 12(2): 299.     CrossRef
  • Prevalence of metabolic syndrome in chronic obstructive pulmonary disease and its correlation with body mass index, airflow obstruction, dyspnea, and exercise index and C-reactive protein
    DSuresh Kumar, Richard Samuel, ViolaSavy DSouza, MadhuKeshava Bangera
    Indian Journal of Respiratory Care.2022; 11(4): 314.     CrossRef
  • Prevalence of chronic bronchitis against a background of abdominal obesity in young people aged 25–44 in Novosibirsk
    Yu. I. Ragino, E. A. Kurtukov, D. V. Denisova, Ya. V. Polonskaya, L. V. Shcherbakova
    Bulletin of Siberian Medicine.2021; 20(1): 105.     CrossRef
  • Abdominal obesity and the level of markers of lower respiratory tract damage in patients with chronic bronchitis
    E.V. Kashtanova, Ya.V. Polonskaya, L.V. Scherbakova, I.I. Logvinenko, E.F. Kurtukov, D.V. Denisova, Yu.I. Ragino
    Profilakticheskaya meditsina.2021; 24(5): 35.     CrossRef
Sex-based Association between Depression and Metabolic Syndrome in Korean Middle-aged and Older Adults
Jin Suk Ra, Hye Sun Kim
Osong Public Health Res Perspect. 2017;8(2):130-137.   Published online April 30, 2017
DOI: https://doi.org/10.24171/j.phrp.2017.8.2.05
  • 3,126 View
  • 44 Download
  • 10 Citations
AbstractAbstract PDF
Objectives

This study aimed to identify the sex-based association between depression and the development of metabolic syndrome (Mets) among middle-aged and older Korean adults.

Methods

A cross-sectional design was used for the secondary analysis of the 2010–2014 Korean National Health and Nutrition Examination Survey. Data from 1,938 men and 2,404 women were analyzed. Mets was defined in accordance with the criteria used for clinical diagnosis. Depression was assessed with a question about having clinical depression. The association between depression and the development of Mets with or without adjustment for covariates was identified by conducting logistic regression analysis on weighted data using a complex sample procedure.

Results

More women than men had depression. Before covariate adjustment, depression was significantly associated with the development of Mets among women (odds ratio [OR], 1.586; 95% confidence interval [CI], 1.152–2.183) and with a higher triglyceride level among men (OR, 1.679; 95% CI, 1.001–2.818). After covariate adjustment; depression was significantly associated with higher waist circumference among women (adjusted OR [AOR], 1.532; 95% CI, 1.046–2.245) and higher triglyceride level (AOR, 1.511; 95% CI, 1.029–2.219) than was Mets. Conversely, depression did not have significant effects on the development of Mets among men.

Conclusion

Depression was associated with the development of Mets among middle-aged and older Korean women. Healthcare providers in communities should assess women with depression for the presence of Mets components. Interventions for relieving depressive symptoms should also be provided to women at risk for Mets.

Citations

Citations to this article as recorded by  
  • The relationship between lifestyle risk factors and depression in Korean older adults: a moderating effect of gender
    Shinuk Kim
    BMC Geriatrics.2022;[Epub]     CrossRef
  • A study on the effect of poor housing on self-esteem, depression: Focusing on comparison of the people with and without disabilities
    Sul Hee Yoo, Ji Hye Kim, Jun Yim
    Korean Journal of Health Education and Promotion.2022; 39(5): 15.     CrossRef
  • Calorie restriction in combination with prebiotic supplementation in obese women with depression: effects on metabolic and clinical response
    Elnaz Vaghef-Mehrabany, Fatemeh Ranjbar, Mohammad Asghari-Jafarabadi, Sonia Hosseinpour-Arjmand, Mehrangiz Ebrahimi-Mameghani
    Nutritional Neuroscience.2021; 24(5): 339.     CrossRef
  • The relationship between depression and risk of metabolic syndrome: a meta‐analysis of observational studies
    Yousef Moradi, Ahmed N Albatineh, Hassan Mahmoodi, Reza Ghanei Gheshlagh
    Clinical Diabetes and Endocrinology.2021;[Epub]     CrossRef
  • Relationship between Vitamin Intake and Health-Related Quality of Life in a Japanese Population: A Cross-Sectional Analysis of the Shika Study
    Nobuhiko Narukawa, Hiromasa Tsujiguchi, Akinori Hara, Sakae Miyagi, Takayuki Kannon, Keita Suzuki, Yukari Shimizu, Thao Thi Thu Nguyen, Kim Oanh Pham, Fumihiko Suzuki, Atsushi Asai, Takashi Amatsu, Tomoko Kasahara, Masateru Miyagi, Masaharu Nakamura, Yohe
    Nutrients.2021; 13(3): 1023.     CrossRef
  • The Contribution of Material, Behavioral, Psychological, and Social-Relational Factors to Income-Related Disparities in Cardiovascular Risk Among Older Adults
    Chiyoung Lee, Qing Yang, Eun-Ok Im, Eleanor Schildwachter McConnell, Sin-Ho Jung, Hyeoneui Kim
    Journal of Cardiovascular Nursing.2021; 36(4): E38.     CrossRef
  • Depressive symptoms and 5-year incident metabolic syndrome among older adults
    Qian Wu, Yi-Ying Hua, Qing-Hua Ma, Yong Xu, Xing Chen, Chen-Wei Pan
    Scientific Reports.2021;[Epub]     CrossRef
  • The Effect of Depression on Metabolic Syndrome and Its Components among Korean Adults
    Mee Young Im
    Korean Journal of Stress Research.2021; 29(4): 235.     CrossRef
  • Relationship between Vitamin Intake and Depressive Symptoms in Elderly Japanese Individuals: Differences with Gender and Body Mass Index
    Thao Nguyen, Hiromasa Tsujiguchi, Yasuhiro Kambayashi, Akinori Hara, Sakae Miyagi, Yohei Yamada, Haruki Nakamura, Yukari Shimizu, Daisuke Hori, Fumihiko Suzuki, Koichiro Hayashi, Hiroyuki Nakamura
    Nutrients.2017; 9(12): 1319.     CrossRef
  • Depression among Middle-aged Persons
    Hae-Wol Cho, Chaeshin Chu
    Osong Public Health and Research Perspectives.2017; 8(2): 105.     CrossRef
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
  • 1,970 View
  • 25 Download
  • 5 Citations
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  
  • 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
Relationship between Serum Levels of Body Iron Parameters and Insulin Resistance and Metabolic Syndrome in Korean Children
Hye-Ja Lee, Han Byul Jang, Ji Eun Park, Kyung-Hee Park, Jae Heon Kang, Sang Ick Park, Jihyun Song
Osong Public Health Res Perspect. 2014;5(4):204-210.   Published online August 31, 2014
DOI: https://doi.org/10.1016/j.phrp.2014.06.005
  • 2,089 View
  • 22 Download
  • 10 Citations
AbstractAbstract PDF
Objectives
An increase in serum ferritin and levels of the cleaved soluble form of transferrin receptor (sTfR) are related to several metabolic conditions. We evaluated the relationship between body iron status indicators, including ferritin and sTfR, and insulin resistance and metabolic syndrome (MetS) in Korean children.
Methods
A cross-sectional study was conducted on 1350 children in Korea. Anthropometrical parameters; lipid profiles; levels of glucose, insulin, and leptin; and iron status indicators, including sTfR, serum ferritin, serum iron, total iron-binding capacity (TIBC), and transferrin saturation (TS), were analyzed.
Results
Although serum sTfR levels were significantly higher in boys than in girls (2.20 vs. 2.06 mg/L, p < 0.0001), serum iron and TS were higher in girls than in boys (101.38 vs. 95.77 mg/L, p = 0.027 and 30.15 vs. 28.91%, p = 0.04, respectively). Waist circumference (WC) and leptin were most significantly associated with body iron indicators when adjusted for age and sex. After adjusting for age, sex, and WC, sTfR levels showed the strongest positive association with leptin levels (p = 0.0001). Children in the highest tertile for homeostasis model assessment-insulin resistance (HOMA-IR) had higher TIBC (p = 0.0005) and lower serum iron (p = 0.0341), and the lowest TS (p < 0.0001) after adjustment for confounders. Children with higher sTfR were most significantly associated with risk of MetS compared with those lower sTfR (p = 0.0077).
Conclusion
The associations of serum levels of iron metabolism markers with leptin levels, HOMA-IR, and MetS suggest that iron-related factors may involve insulin resistance and MetS.

Citations

Citations to this article as recorded by  
  • Serum ferritin levels among schoolchildren and its correlation with lipid profile and adiposity
    Mariana Orta-Duarte, Rosa del Carmen Vázquez-Zapien, Hugo Ventura-Cisneros, Mario del Toro-Equihua, Benjamin Trujillo-Hernández, Carmen Alicia Sánchez-Ramírez
    Archivos Latinoamericanos de Nutrición.2021; 70(3): 155.     CrossRef
  • Ferritin levels throughout childhood and metabolic syndrome in adolescent stage
    M.F. Suárez-Ortegón, E. Blanco, S. McLachlan, J.M. Fernandez-Real, R. Burrows, S.H. Wild, B. Lozoff, S. Gahagan
    Nutrition, Metabolism and Cardiovascular Diseases.2019; 29(3): 268.     CrossRef
  • The immune-nutrition interplay in aging – facts and controversies
    Iftikhar Alam, Ali M. Almajwal, Wajid Alam, Ibrar Alam, Niamat Ullah, Mahmoud Abulmeaaty, Suhail Razak, Saleem Khan, Graham Pawelec, Parvez Iqbal Paracha
    Nutrition and Healthy Aging.2019; 5(2): 73.     CrossRef
  • Iron metabolism and its association with dyslipidemia risk in children and adolescents: a cross-sectional study
    Yanna Zhu, Baoting He, Yunjun Xiao, Yajun Chen
    Lipids in Health and Disease.2019;[Epub]     CrossRef
  • Standardized Aronia melanocarpa Extract as Novel Supplement against Metabolic Syndrome: A Rat Model
    Vladimir Jakoviljevic, Petar Milic, Jovana Bradic, Jovana Jeremic, Vladimir Zivkovic, Ivan Srejovic, Tamara Nikolic Turnic, Isidora Milosavljevic, Nevena Jeremic, Sergey Bolevich, Milica Labudovic Borovic, Miroslav Mitrovic, Vesna Vucic
    International Journal of Molecular Sciences.2018; 20(1): 6.     CrossRef
  • High-fat diet–induced plasma protein and liver changes in obese rats can be attenuated by melatonin supplementation
    Prapimpun Wongchitrat, Paul Klosen, Supitcha Pannengpetch, Kuntida Kitidee, Piyarat Govitrapong, Chartchalerm Isarankura-Na-Ayudhya
    Nutrition Research.2017; 42: 51.     CrossRef
  • Relationship between Serum Ferritin Levels and Dyslipidemia in Korean Adolescents
    Young-Eun Kim, Do-Hoon Kim, Yong-Kyun Roh, Sang-Yhun Ju, Yeo-Joon Yoon, Ga-Eun Nam, Hyo-Yun Nam, Jun-Seok Choi, Jong-Eun Lee, Jung-Eun Sang, Kyungdo Han, Yong-Gyu Park, David O. Carpenter
    PLOS ONE.2016; 11(4): e0153167.     CrossRef
  • Investigation of the relationship between hemoglobin and serum iron levels and early-phase insulin secretion in non-diabetic subjects
    Masanori Shimodaira, Shinji Okaniwa, Tomohiro Nakayama
    Acta Diabetologica.2016; 53(5): 783.     CrossRef
  • Hepcidin and iron metabolism associated with cardiometabolic risk factors in children: A case–control study
    Y.N. Zhu, B.T. He, J. Jing, J. Ma, X.H. Li, W.H. Yang, Y. Jin, Y.J. Chen
    Nutrition, Metabolism and Cardiovascular Diseases.2016; 26(6): 525.     CrossRef
  • Biomarkers of iron metabolism are independently associated with impaired glucose metabolism and type 2 diabetes: the KORA F4 study
    Cornelia Huth, Simon Beuerle, Astrid Zierer, Margit Heier, Christian Herder, Thorsten Kaiser, Wolfgang Koenig, Florian Kronenberg, Konrad Oexle, Wolfgang Rathmann, Michael Roden, Sigrid Schwab, Jochen Seissler, Doris Stöckl, Christa Meisinger, Annette Pet
    European Journal of Endocrinology.2015; 173(5): 643.     CrossRef
Prevalence of Dyslipidemia and Hypertension in Indian Type 2 Diabetic Patients with Metabolic Syndrome and its Clinical Significance
Dhananjay Yadav, Meerambika Mishra, Arvind Tiwari, Prakash Singh Bisen, Hari Mohan Goswamy, G.B.K.S. Prasad
Osong Public Health Res Perspect. 2014;5(3):169-175.   Published online June 30, 2014
DOI: https://doi.org/10.1016/j.phrp.2014.04.009
  • 2,040 View
  • 22 Download
  • 12 Citations
AbstractAbstract PDF
Objectives
The present study was designed to estimate the prevalence of dyslipidemia and hypertension based on the National Cholesterol Educational Programme Adult Treatment Panel III definition of metabolic syndrome (MetS). The study also focuses on prevalence for MetS with respect to the duration of disease in Gwalior–Chambal region of Madhya Pradesh, India.
Methods
Type 2 diabetic patients (n = 700) were selected from a cross-sectional study that is regularly being conducted in the School of Studies in Biochemistry, Jiwaji University Gwalior, India. The period of our study was from January 2007 to October 2009. Dyslipidemia and hypertension were determined in type 2 diabetic patients with MetS as per National Cholesterol Educational Programme Adult Treatment Panel III criteria.
Results
The mean age of the study population was 54 ± 9.3 years with 504 (72%) males and 196 (28%) females. The prevalence of MetS increased with increased duration of diabetes in females; however, almost constant prevalence was seen in the males. Notable increase in the dyslipidemia (64.1%) and hypertension (49%) in type 2 diabetic patients were seen. The steep increase in dyslipidemia and hypertension could be the reason for the growing prevalence of diabetes worldwide. The study also noted a close association between age and occurrence of MetS.
Conclusion
Individual variable of MetS appears to be highly rampant in diabetic population. Despite treatment, almost half of patients still met the criteria for MetS. Effective treatment of MetS components is required to reduce cardiovascular risk in diabetes mellitus hence accurate and early diagnosis to induce effective treatment of MetS in Indian population will be pivotal in the prevention of cardiovascular disease and type 2 diabetes.

Citations

Citations to this article as recorded by  
  • Magnitude and Determinants of Diabetic Retinopathy Among Indian Diabetic Patients Undergoing Telescreening in India
    Rajiv Khandekar, Tamilarasan Senthil, Malathi Nainappan, Deepak P. Edward
    Telemedicine and e-Health.2022; 28(2): 176.     CrossRef
  • An experimental study of rosuvastatin’s analgesic effect and its interaction with etoricoxib, tramadol, amlodipine, and amitriptytline in albino mice
    Prafull Mohan, Ashok Kumar Sharma, Sharmila Sinha, R. Sabarad
    Medical Journal Armed Forces India.2022; 78: S61.     CrossRef
  • Receptor for Advanced Glycation End Product, Organ Crosstalk, and Pathomechanism Targets for Comprehensive Molecular Therapeutics in Diabetic Ischemic Stroke
    Nivedita L. Rao, Greeshma B. Kotian, Jeevan K. Shetty, Bhaskara P. Shelley, Mackwin Kenwood Dmello, Eric C. Lobo, Suchetha Padar Shankar, Shellette D. Almeida, Saiqa R. Shah
    Biomolecules.2022; 12(11): 1712.     CrossRef
  • Metabolic and Energy Imbalance in Dysglycemia-Based Chronic Disease
    Sanjay Kalra, Ambika Gopalakrishnan Unnikrishnan, Manash P Baruah, Rakesh Sahay, Ganapathi Bantwal
    Diabetes, Metabolic Syndrome and Obesity: Targets .2021; Volume 14: 165.     CrossRef
  • Association between diet quality scores, adiposity, glycemic status and nutritional biomarkers among Indian population with type 2 diabetes mellitus: A cross-sectional study
    Aamir Bashir, Krishna Pandey, Md Azharuddin, Anjali Kumari, Ishfaq Rashid, N.A. Siddiqui, Chandra Shekhar Lal, Krishna Murti
    Clinical Epidemiology and Global Health.2020; 8(1): 53.     CrossRef
  • The Impact of BMI Categories on Metabolic Abnormality Development in Chinese Adults Who are Metabolically Healthy: A 7-Year Prospective Study


    Xiangtong Liu, Jingbo Zhang, Jingwei Wu, Xiaolin Xu, Lixin Tao, Yue Sun, Shuo Chen, Yumei Han, Yanxia Luo, Xinghua Yang, Xiuhua Guo
    Diabetes, Metabolic Syndrome and Obesity: Targets .2020; Volume 13: 819.     CrossRef
  • Metabolic syndrome in north Indian type 2 diabetes mellitus patients: A comparison of four different diagnostic criteria of metabolic syndrome
    Deepak Gahlan, Rajesh Rajput, Vandana Singh
    Diabetes & Metabolic Syndrome: Clinical Research &.2019; 13(1): 356.     CrossRef
  • Prevalence of Type 2 Diabetes and Prediabetes in the Gwalior-Chambal Region of Central India
    Senthil Kumar Subramani, Dhananjay Yadav, Meerambika Mishra, Umamaheswari Pakkirisamy, Prakesh Mathiyalagen, GBKS Prasad
    International Journal of Environmental Research an.2019; 16(23): 4708.     CrossRef
  • A PROSPECTIVE STUDY OF DYSLIPIDAEMIA AND OBESITY IN HYPERTENSION PATIENTS
    Ponnana Raja Kumar, Siripurapu Sasikala
    Journal of Evidence Based Medicine and Healthcare.2018; 5(1): 43.     CrossRef
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    Sandipana Pati, F. G. Schellevis, Alessandra Marengoni
    PLOS ONE.2017; 12(8): e0181661.     CrossRef
  • Dyslipidemia Prevalence in Iranian Adult Men: The Impact of Population-Based Screening on the Detection of Undiagnosed Patients
    Abolfazl Mohammadbeigi, Esamil Moshiri, Narges Mohammadsalehi, Hossein Ansari, Ali Ahmadi
    The World Journal of Men's Health.2015; 33(3): 167.     CrossRef
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    Xiangtong Liu, Lixin Tao, Kai Cao, Zhaoping Wang, Dongning Chen, Jin Guo, Huiping Zhu, Xinghua Yang, Youxin Wang, Jingjing Wang, Chao Wang, Long Liu, Xiuhua Guo
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Articles
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
  • 1,986 View
  • 15 Download
  • 15 Citations
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  
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    Jeong Hyeon Kim, Young Ho Yun
    Korean Journal of Family Practice.2021; 11(1): 74.     CrossRef
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    Roshan R. Rigby, Lana J. Mitchell, Kyra Hamilton, Lauren T. Williams
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    Noha Osman Frere, Saeed Salah Abduljalil Soliman, Mohammed Adel Foda, Tayssir Kamel Eyada, Nagwa Eid Sobhy Saad
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    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
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    Kaijin Zhang
    Medical Science Monitor.2015; 21: 2163.     CrossRef
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    Nan-He Yoon, Seunghyun Yoo, Hyekyeong Kim, Yoonjung Han
    Journal of Korean Medical Science.2015; 30(8): 1092.     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
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    Nikolaos Mastellos, Laura H Gunn, Lambert M Felix, Josip Car, Azeem Majeed
    Cochrane Database of Systematic Reviews.2014;[Epub]     CrossRef
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    Sungok Jang, Sungwha Lee, Jongseok Lee
    Korean Journal of Health Education and Promotion.2014; 31(1): 13.     CrossRef
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    Jiyeon Park, Hyekyeong Kim
    Korean Journal of Health Education and Promotion.2014; 31(4): 37.     CrossRef
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    Mirsad Serdarevic, Sonne Lemke
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PHRP : Osong Public Health and Research Perspectives