Abstract 9959: An Intensive Lifestyle Modification Program Reduces the Number of Component Factors in Subjects With Metabolic Syndrome
The prevalence of obesity is increasing. Among subjects with obesity, those with metabolic syndrome represent a high risk subset for development of cardiovascular disease. We initiated an intensive lifestyle modification program targeting subjects with Metabolic Syndrome. The program is based on an expanded chronic care model with a multidisciplinary team. The program duration is 18 months with initial active 12 months of intervention and 6 months of passive follow up afterwards. In the intervention phase there are prescribed individual counselling and group visits and exercise sessions. The central themes of the program are collaborative goal setting between subjects and care team, stress management, motivation enhancement for behaviour change, self management support and prevention of relapse. We have previously reported the aggregate results. We now report results pertaining to individual changes. Paired data after the one year intervention phase were available for 346 subjects (age 55±10y, female 59%); 37 subjects (age 55±10y, female 51%) who registered but did not participate in the program (≤ 4 sessions) formed the control group. We determined the number of metabolic syndrome components (IDF 2006 worldwide definition) for each subjects at entry into program and at 1 year. At one year, majority of subjects who actively participated in the program (53% active, 38% control, Table) had at least one less Metabolic Syndrome criteria whereas majority of control subjects has same number of Metabolic Syndrome criteria (36% active, 54% control, Table). Chi square analysis showed a significant difference between active and control groups in the proportion of subjects who had less, same or more number of Metabolic Syndrome criteria from entry to one year (Chi-square=6.85, df 2, p=0.038). We conclude that a multidisciplinary intensive lifestyle modification program can significantly reduce the number of Metabolic Syndrome criteria in obese community living subjects.
- © 2012 by American Heart Association, Inc.