Lifestyle modification in the management of the metabolic syndrome: achievements and challenges

Riccardo Dalle Grave1, Simona Calugi1, Elena Centis2, Rebecca Marzocchi2, Marwan El Ghoch1, Giulio Marchesini21Department of Eating & Weight Disorder, Villa Garda Hospital, Garda (VR), Italy; 2Unit of Metabolic Diseases & Clinical Dietetics, Alma Mater Studiorum – Universit...

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Autor principal:	Marchesini G
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2010
Materias:	Metabolic Syndrome Obesity Lifestyle modification Cognitive-Behavior Therapy Specialties of internal medicine RC581-951
Acceso en línea:	https://doaj.org/article/412c8c279a3742d080a2c5179731d848
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spelling	oai:doaj.org-article:412c8c279a3742d080a2c5179731d8482021-12-02T02:47:36ZLifestyle modification in the management of the metabolic syndrome: achievements and challenges1178-7007https://doaj.org/article/412c8c279a3742d080a2c5179731d8482010-11-01T00:00:00Zhttps://www.dovepress.com/lifestyle-modification-in-the-management-of-the-metabolic-syndrome-ach-peer-reviewed-article-DMSOhttps://doaj.org/toc/1178-7007Riccardo Dalle Grave1, Simona Calugi1, Elena Centis2, Rebecca Marzocchi2, Marwan El Ghoch1, Giulio Marchesini21Department of Eating & Weight Disorder, Villa Garda Hospital, Garda (VR), Italy; 2Unit of Metabolic Diseases & Clinical Dietetics, Alma Mater Studiorum – University of Bologna, Bologna, ItalyAbstract: Lifestyle modification based on behavior therapy is the most important and effective strategy to manage the metabolic syndrome. Modern lifestyle modification therapy combines specific recommendations on diet and exercise with behavioral and cognitive strategies. The intervention may be delivered face-to-face or in groups, or in groups combined with individual sessions. The main challenge of treatment is helping patients maintain healthy behavior changes in the long term. In the last few years, several strategies have been evaluated to improve the long-term effect of lifestyle modification. Promising results have been achieved by combining lifestyle modification with pharmacotherapy, using meals replacement, setting higher physical activity goals, and long-term care. The key role of cognitive processes in the success/failure of weight loss and maintenance suggests that new cognitive procedures and strategies should be included in the traditional lifestyle modification interventions, in order to help patients build a mind-set favoring long-term lifestyle changes. These new strategies raise optimistic expectations for an effective treatment of metabolic syndrome with lifestyle modifications, provided public health programs to change the environment where patients live support them.Keywords: metabolic syndrome, obesity, lifestyle modification, cognitive behavior therapyMarchesini GDove Medical PressarticleMetabolic SyndromeObesityLifestyle modificationCognitive-Behavior TherapySpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol Volume 3, Pp 373-385 (2010)
institution	DOAJ
collection	DOAJ
language	EN
topic	Metabolic Syndrome Obesity Lifestyle modification Cognitive-Behavior Therapy Specialties of internal medicine RC581-951
spellingShingle	Metabolic Syndrome Obesity Lifestyle modification Cognitive-Behavior Therapy Specialties of internal medicine RC581-951 Marchesini G Lifestyle modification in the management of the metabolic syndrome: achievements and challenges
description	Riccardo Dalle Grave1, Simona Calugi1, Elena Centis2, Rebecca Marzocchi2, Marwan El Ghoch1, Giulio Marchesini21Department of Eating & Weight Disorder, Villa Garda Hospital, Garda (VR), Italy; 2Unit of Metabolic Diseases & Clinical Dietetics, Alma Mater Studiorum – University of Bologna, Bologna, ItalyAbstract: Lifestyle modification based on behavior therapy is the most important and effective strategy to manage the metabolic syndrome. Modern lifestyle modification therapy combines specific recommendations on diet and exercise with behavioral and cognitive strategies. The intervention may be delivered face-to-face or in groups, or in groups combined with individual sessions. The main challenge of treatment is helping patients maintain healthy behavior changes in the long term. In the last few years, several strategies have been evaluated to improve the long-term effect of lifestyle modification. Promising results have been achieved by combining lifestyle modification with pharmacotherapy, using meals replacement, setting higher physical activity goals, and long-term care. The key role of cognitive processes in the success/failure of weight loss and maintenance suggests that new cognitive procedures and strategies should be included in the traditional lifestyle modification interventions, in order to help patients build a mind-set favoring long-term lifestyle changes. These new strategies raise optimistic expectations for an effective treatment of metabolic syndrome with lifestyle modifications, provided public health programs to change the environment where patients live support them.Keywords: metabolic syndrome, obesity, lifestyle modification, cognitive behavior therapy
format	article
author	Marchesini G
author_facet	Marchesini G
author_sort	Marchesini G
title	Lifestyle modification in the management of the metabolic syndrome: achievements and challenges
title_short	Lifestyle modification in the management of the metabolic syndrome: achievements and challenges
title_full	Lifestyle modification in the management of the metabolic syndrome: achievements and challenges
title_fullStr	Lifestyle modification in the management of the metabolic syndrome: achievements and challenges
title_full_unstemmed	Lifestyle modification in the management of the metabolic syndrome: achievements and challenges
title_sort	lifestyle modification in the management of the metabolic syndrome: achievements and challenges
publisher	Dove Medical Press
publishDate	2010
url	https://doaj.org/article/412c8c279a3742d080a2c5179731d848
work_keys_str_mv	AT marchesinig lifestylemodificationinthemanagementofthemetabolicsyndromeachievementsandchallenges
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Lifestyle modification in the management of the metabolic syndrome: achievements and challenges

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