Long-term outcomes following completion of a structured nutrition and exercise lifestyle intervention program for patients with metabolic syndrome

Megan S Joseph,1 Monica A Konerman,2 Min Zhang,1 Boxian Wei,1 Ellen Brinza,1 Patrick Walden,1 Elizabeth A Jackson,1 Melvyn Rubenfire1 1Division of Cardiovascular Medicine, Michigan Medicine, Ann Arbor, MI, USA; 2Division of Gastroenterology and Hepatology, Michigan Medicine, Ann Arbor, MI, USA Intro...

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Autores principales:	Joseph MS, Konerman MA, Zhang M, Wei B, Brinza E, Walden P, Jackson EA, Rubenfire M
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	Long-term Outcomes of Lifestyle Intervention Program Specialties of internal medicine RC581-951
Acceso en línea:	https://doaj.org/article/669ce7aa26264011955ba57c7bd312ac
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spelling	oai:doaj.org-article:669ce7aa26264011955ba57c7bd312ac2021-12-02T01:33:20ZLong-term outcomes following completion of a structured nutrition and exercise lifestyle intervention program for patients with metabolic syndrome1178-7007https://doaj.org/article/669ce7aa26264011955ba57c7bd312ac2018-11-01T00:00:00Zhttps://www.dovepress.com/long-term-outcomes-following-completion-of-a-structured-nutrition-and--peer-reviewed-article-DMSOhttps://doaj.org/toc/1178-7007Megan S Joseph,1 Monica A Konerman,2 Min Zhang,1 Boxian Wei,1 Ellen Brinza,1 Patrick Walden,1 Elizabeth A Jackson,1 Melvyn Rubenfire1 1Division of Cardiovascular Medicine, Michigan Medicine, Ann Arbor, MI, USA; 2Division of Gastroenterology and Hepatology, Michigan Medicine, Ann Arbor, MI, USA Introduction: Metabolic syndrome is associated with an increased risk of cardiovascular disease and multiple other chronic health conditions. Studies have demonstrated the effectiveness of structured diet and exercise programs to improve the components of metabolic syndrome. The durability of these benefits after program completion is unclear. The aim of this study was to evaluate trends in cardiovascular risk factors 12 months post completion of a 12- or 24-week structured lifestyle intervention program. Methods: Individuals with metabolic syndrome were referred to the Metabolic Fitness program, a 12- or 24-week lifestyle intervention program consisting of weekly exercise and nutrition education sessions. Patients were assessed at baseline, 12 weeks, and 24 weeks for those in the 24-week program. Data collection included weight, body mass index, waist circumference, body composition percentage, sBP, dBP, fasting blood glucose, total cholesterol, triglycerides, high-density lipoprotein cholesterol, and low-density lipoprotein cholesterol. Unstructured follow-up data were obtained by retrospective chart review for up to 12 months post program completion. Results: Two-hundred twenty-five patients were enrolled in the 12-week program and 121 in the 24-week program. At the conclusion of the 12-week program, patients showed significant improvement in sBP and dBP. At the conclusion of the 24-week program, patients showed significant improvement in body mass index, weight, sBP, dBP, fasting blood glucose, total cholesterol, and triglycerides. However, 12 months after program completion, while the majority of parameters were still improved compared with baseline, only change in low-density lipoprotein cholesterol remained significantly improved compared with the end of 12-week program, and sBP had increased back above baseline in both programs. Conclusion: Patients with metabolic syndrome participating in a structured lifestyle intervention program show significant improvement in their cardiovascular risk and metabolic profile at program completion. The durability of these improvements appears to wane over time, however, stressing the need for programs that can facilitate maintenance of long-term behavior change. Keywords: metabolic syndrome, lifestyle interventions, obesityJoseph MSKonerman MAZhang MWei BBrinza EWalden PJackson EARubenfire MDove Medical PressarticleLong-term Outcomes of Lifestyle Intervention ProgramSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol Volume 11, Pp 753-759 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Long-term Outcomes of Lifestyle Intervention Program Specialties of internal medicine RC581-951
spellingShingle	Long-term Outcomes of Lifestyle Intervention Program Specialties of internal medicine RC581-951 Joseph MS Konerman MA Zhang M Wei B Brinza E Walden P Jackson EA Rubenfire M Long-term outcomes following completion of a structured nutrition and exercise lifestyle intervention program for patients with metabolic syndrome
description	Megan S Joseph,1 Monica A Konerman,2 Min Zhang,1 Boxian Wei,1 Ellen Brinza,1 Patrick Walden,1 Elizabeth A Jackson,1 Melvyn Rubenfire1 1Division of Cardiovascular Medicine, Michigan Medicine, Ann Arbor, MI, USA; 2Division of Gastroenterology and Hepatology, Michigan Medicine, Ann Arbor, MI, USA Introduction: Metabolic syndrome is associated with an increased risk of cardiovascular disease and multiple other chronic health conditions. Studies have demonstrated the effectiveness of structured diet and exercise programs to improve the components of metabolic syndrome. The durability of these benefits after program completion is unclear. The aim of this study was to evaluate trends in cardiovascular risk factors 12 months post completion of a 12- or 24-week structured lifestyle intervention program. Methods: Individuals with metabolic syndrome were referred to the Metabolic Fitness program, a 12- or 24-week lifestyle intervention program consisting of weekly exercise and nutrition education sessions. Patients were assessed at baseline, 12 weeks, and 24 weeks for those in the 24-week program. Data collection included weight, body mass index, waist circumference, body composition percentage, sBP, dBP, fasting blood glucose, total cholesterol, triglycerides, high-density lipoprotein cholesterol, and low-density lipoprotein cholesterol. Unstructured follow-up data were obtained by retrospective chart review for up to 12 months post program completion. Results: Two-hundred twenty-five patients were enrolled in the 12-week program and 121 in the 24-week program. At the conclusion of the 12-week program, patients showed significant improvement in sBP and dBP. At the conclusion of the 24-week program, patients showed significant improvement in body mass index, weight, sBP, dBP, fasting blood glucose, total cholesterol, and triglycerides. However, 12 months after program completion, while the majority of parameters were still improved compared with baseline, only change in low-density lipoprotein cholesterol remained significantly improved compared with the end of 12-week program, and sBP had increased back above baseline in both programs. Conclusion: Patients with metabolic syndrome participating in a structured lifestyle intervention program show significant improvement in their cardiovascular risk and metabolic profile at program completion. The durability of these improvements appears to wane over time, however, stressing the need for programs that can facilitate maintenance of long-term behavior change. Keywords: metabolic syndrome, lifestyle interventions, obesity
format	article
author	Joseph MS Konerman MA Zhang M Wei B Brinza E Walden P Jackson EA Rubenfire M
author_facet	Joseph MS Konerman MA Zhang M Wei B Brinza E Walden P Jackson EA Rubenfire M
author_sort	Joseph MS
title	Long-term outcomes following completion of a structured nutrition and exercise lifestyle intervention program for patients with metabolic syndrome
title_short	Long-term outcomes following completion of a structured nutrition and exercise lifestyle intervention program for patients with metabolic syndrome
title_full	Long-term outcomes following completion of a structured nutrition and exercise lifestyle intervention program for patients with metabolic syndrome
title_fullStr	Long-term outcomes following completion of a structured nutrition and exercise lifestyle intervention program for patients with metabolic syndrome
title_full_unstemmed	Long-term outcomes following completion of a structured nutrition and exercise lifestyle intervention program for patients with metabolic syndrome
title_sort	long-term outcomes following completion of a structured nutrition and exercise lifestyle intervention program for patients with metabolic syndrome
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/669ce7aa26264011955ba57c7bd312ac
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Long-term outcomes following completion of a structured nutrition and exercise lifestyle intervention program for patients with metabolic syndrome

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