{"id":26408,"date":"2015-06-01T00:00:00","date_gmt":"2018-12-03T21:37:54","guid":{"rendered":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/effects-of-a-long-term-lifestyle-intervention-program-with\/"},"modified":"2018-12-03T22:37:54","modified_gmt":"2018-12-03T21:37:54","slug":"effects-of-a-long-term-lifestyle-intervention-program-with","status":"publish","type":"resume","link":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/effects-of-a-long-term-lifestyle-intervention-program-with\/","title":{"rendered":"Effects of a long-term lifestyle intervention program with Mediterranean diet and exercise for the management of patients with metabolic syndrome in a primary care setting."},"content":{"rendered":"

BACKGROUND<\/strong>
\nThe impact of a lifestyle intervention (LSI) program for the long-term management of subjects with metabolic syndrome in a primary care setting is not known.<\/p>\n

METHODS<\/strong>
\nThis 3-year prospective controlled trial randomized adult subjects with metabolic syndrome to receive intensive LSI or to usual care in a community health centre in Malaga, Spain. LSI subjects received instruction on Mediterranean diet and a regular aerobic exercise program by their primary care professionals. Primary outcome included changes from baseline on different components of metabolic syndrome (abdominal circumference, blood pressure, HDL-cholesterol, fasting plasma glucose and triglycerides).<\/p>\n

RESULTS<\/strong>
\nAmong the 2,492 subjects screened, 601 subjects with metabolic syndrome (24.1%) were randomized to LSI (n = 298) or to usual care (n = 303); of them, a 77% and a 58%, respectively, completed the study. At the end of the study period, LSI resulted in significant differences vs. usual care in abdominal circumference (-0.4 ± 6 cm vs. + 2.1 ± 6.7 cm, p < 0.001), systolic blood pressure (-5.5 ± 15 mmHg vs. -0.6 ± 19 mmHg, p = 0.004), diastolic blood pressure (-4.6 ± 10 mmHg vs. -0.2 ± 13 mmHg, p < 0.001) and HDL-cholesterol (+4 ± 12 mg\/dL vs. + 2 ± 12 mg\/dL, p = 0.05); however, there were no differences in fasting plasma glucose and triglyceride concentration (-4 ± 35 mg\/dl vs. -1 ± 32 mg\/dl, p = 0.43 and -0.4 ± 83 mg\/dl vs. +6 ± 113 mg\/dl, p = 0.28).<\/p>\n

CONCLUSION<\/strong>
\nIntensive LSI counseling provided by primary care professionals resulted in significant improvements in abdominal circumference, blood pressure and HDL-cholesterol but had limited effects on glucose and triglyceride levels in patients with metabolic syndrome.<\/p>\n","protected":false},"template":"","mots_cles":[],"class_list":["post-26408","resume","type-resume","status-publish","hentry"],"acf":{"adresse":"Internal Medicine Department, Hospital Regional de Malaga, Spain; Biomedical Institute of Malaga (IBIMA), Spain; Ciber Fisiopatolog\u00eda de la Obesidad y Nutrici\u00f3n, Instituto de Salud Carlos III, Madrid, Spain. Electronic address: ricardogomezhuelgas@hotmail.com.","annee":"2015","mois":"6","numero":"26:5","page":"317-323","auteurs":[{"ID":26402,"post_author":"0","post_date":"2018-12-03 22:37:50","post_date_gmt":"2018-12-03 21:37:50","post_content":"","post_title":"R Gomez-Huelgas","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"r-gomez-huelgas","to_ping":"","pinged":"","post_modified":"2018-12-03 22:37:50","post_modified_gmt":"2018-12-03 21:37:50","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/r-gomez-huelgas\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":26403,"post_author":"0","post_date":"2018-12-03 22:37:51","post_date_gmt":"2018-12-03 21:37:51","post_content":"","post_title":"S Jansen-Chaparro","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"s-jansen-chaparro","to_ping":"","pinged":"","post_modified":"2018-12-03 22:37:51","post_modified_gmt":"2018-12-03 21:37:51","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/s-jansen-chaparro\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":26404,"post_author":"0","post_date":"2018-12-03 22:37:51","post_date_gmt":"2018-12-03 21:37:51","post_content":"","post_title":"A J Baca-Osorio","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"a-j-baca-osorio","to_ping":"","pinged":"","post_modified":"2018-12-03 22:37:51","post_modified_gmt":"2018-12-03 21:37:51","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/a-j-baca-osorio\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":26405,"post_author":"0","post_date":"2018-12-03 22:37:52","post_date_gmt":"2018-12-03 21:37:52","post_content":"","post_title":"J Mancera-Romero","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"j-mancera-romero","to_ping":"","pinged":"","post_modified":"2018-12-03 22:37:52","post_modified_gmt":"2018-12-03 21:37:52","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/j-mancera-romero\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":26406,"post_author":"0","post_date":"2018-12-03 22:37:53","post_date_gmt":"2018-12-03 21:37:53","post_content":"","post_title":"F J Tinahones","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"f-j-tinahones","to_ping":"","pinged":"","post_modified":"2018-12-03 22:37:53","post_modified_gmt":"2018-12-03 21:37:53","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/f-j-tinahones\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":26407,"post_author":"0","post_date":"2018-12-03 22:37:53","post_date_gmt":"2018-12-03 21:37:53","post_content":"","post_title":"M R Bernal-L\u00f3pez","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"m-r-bernal-lopez","to_ping":"","pinged":"","post_modified":"2018-12-03 22:37:53","post_modified_gmt":"2018-12-03 21:37:53","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/m-r-bernal-lopez\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"}],"sources":[{"ID":2131,"post_author":"0","post_date":"2018-12-03 16:52:40","post_date_gmt":"2018-12-03 15:52:40","post_content":"","post_title":"European journal of internal medicine","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"european-journal-of-internal-medicine","to_ping":"","pinged":"","post_modified":"2018-12-03 16:52:40","post_modified_gmt":"2018-12-03 15:52:40","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/source\/european-journal-of-internal-medicine\/","menu_order":0,"post_type":"source","post_mime_type":"","comment_count":"0","filter":"raw"}]},"yoast_head":"\nEffects of a long-term lifestyle intervention program with Mediterranean diet and exercise for the management of patients with metabolic syndrome in a primary care setting. - 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