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. 2013 Summer;11(3):145-53.
doi: 10.5812/ijem.5443. Epub 2013 Jul 1.

The effect of community-based education for lifestyle intervention on the prevalence of metabolic syndrome and its components: tehran lipid and glucose study

Fereidoun Azizi  1 , Parvin Mirmiran  1 , Amir Abbas Momenan  1 , Farzad Hadaegh  1 , Ali Habibi Moeini  1 , Firoozeh Hosseini  1 , Saleh Zahediasl  1 , Arash Ghanbarian  1 , Farhad Hosseinpanah  1 ; Members of Tehran Lipid and Glucose Study Group
Affiliations

The effect of community-based education for lifestyle intervention on the prevalence of metabolic syndrome and its components: tehran lipid and glucose study

Fereidoun Azizi et al. Int J Endocrinol Metab. 2013 Summer.

Abstract

Background: It has been shown that life style modification may decrease the prevalence of metabolic syndrome, but this intervention has not been reported in community setting.

Objectives: Effect of lifestyle modification on prevalence of metabolic syndrome and its components were assessed in an urban population.

Materials and methods: In 6870 participants of Tehran Lipid and Glucose Study aged 20-74 years, the prevalence of metabolic syndrome and its components were measured before and after a 3.6 years interval. Lifestyle intervention was employed at a community level including 2961 individuals and also 3909 subjects which were recruited as controls. Logistic regression analysis was adjusted for age, sex and medications.

Results: After 3.6 years, the rise in the prevalence of metabolic syndrome was less prominent in intervention than control group (P < 0.002 for increase of metabolic syndrome prevalence between groups), with an OR of 0.84 (confidence interval 0.75-0.95). After intervention the prevalence of abdominal obesity, elevated fasting glucose levels, elevated triglyceride and low HDL cholesterol were more prominent in control group, as compared to intervention group.

Conclusions: Community based lifestyle modifications in Tehranian adults delayed rise in the prevalence of metabolic syndrome and some of its components.

Keywords: Community-Based; Lifestyle; Metabolic Syndrome; Prevalence.

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Figures

Figure 1.
Figure 1.. Flow Chart of Control and Intervention Groups.
F=Female, M=Men, number in parenthesis denote number of individuals
See this image and copyright information in PMC

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