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Paper Information

Journal:   INTERNATIONAL JOURNAL OF ENDOCRINOLOGY AND METABOLISM (IJEM)   SUMMER 2013 , Volume 11 , Number 3; Page(s) 145 To 153.
 
Paper: 

THE EFFECT OF COMMUNITY-BASED EDUCATION FOR LIFESTYLE INTERVENTION ON THE PREVALENCE OF METABOLIC SYNDROME AND ITS COMPONENTS: TEHRAN LIPID AND GLUCOSE STUDY

 
 
Author(s):  AZIZI FEREIDOUN*, MIRMIRAN PARVIN, MOMENAN AMIR ABBAS, HADAEGH FARZAD, HABIBI MOEINI ALI, HOSSEINI FIROOZEH, ZAHEDIASL SALEH, GHANBARIAN ARASH, HOSSEINPANAH FARHAD
 
* RESEARCH INSTITUTE FOR ENDOCRINE SCIENCES, SHAHID BEHESHTI UNIVERSITY OF MEDICAL SCIENCES, TEHRAN, IR IRAN
 
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.

 
Keyword(s): METABOLIC SYNDROME, LIFESTYLE, COMMUNITY-BASED, PREVALENCE
 
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