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Int. J. Environ. Res. Public Health 2016, 13(7), 667; doi:10.3390/ijerph13070667

The Seoul Metropolitan Lifestyle Intervention Program and Metabolic Syndrome Risk: A Retrospective Database Study

1
College of Nursing, Korea University, Seoul 02841, Korea
2
Department of Preventive Medicine, Korea University College of Medicine, Seoul 02841, Korea
3
Metabolic Syndrome Management Center of Seoul Metropolitan Government, Seoul 02751, Korea
4
Medical and Health Policy Division, Seoul Metropolitan Government, Seoul 04524, Korea
5
Department of Cardiology, School of Medicine, Korea University, Seoul 02841, Korea
*
Author to whom correspondence should be addressed.
Academic Editor: Paul B. Tchounwou
Received: 16 May 2016 / Revised: 22 June 2016 / Accepted: 27 June 2016 / Published: 4 July 2016
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Abstract

Since 2011, the Seoul Metabolic Syndrome Management (SMESY) program has been employed as a community-wide, lifestyle modification intervention in Seoul, Korea. We aimed to determine if the SMESY intervention would be significantly associated with improvements in metabolic syndrome (MetS) risk factors. This retrospective database study included data from 25,449 participants aged 30–64 years between 1 January 2013 and 30 June 2013. In the SMESY program, 3 risk-stratified groups by the number of MetS factors were followed for 12 months with different intensity and timeframe of intervention. Among the high-(n = 7116) and moderate-risk groups (n = 14,762), all MetS factors (except triglycerides among the moderate-risk group) as well as MetS z-scores significantly improved over 12 months (all p < 0.05). Among the low-risk group (n = 3571), all factors aggravated significantly over 12 months (all p < 0.05). We observed temporal associations between the implementation of the SMESY program and improvements in MetS risk factors. However, such improvements differed by risk-stratified group, being most robust for the high-risk group, modest for the moderate-risk group, and aggravated for the low-risk group. Thus, more intensive interventions targeting different risk-stratified groups are needed, given a better understanding of the increase in risk factors observed in the low-risk group. View Full-Text
Keywords: metabolic syndrome; lifestyle; cardiovascular diseases; community health service; prevention metabolic syndrome; lifestyle; cardiovascular diseases; community health service; prevention
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Choo, J.; Yoon, S.-J.; Ryu, H.; Park, M.-S.; Lee, H.S.; Park, Y.M.; Lim, D.-S. The Seoul Metropolitan Lifestyle Intervention Program and Metabolic Syndrome Risk: A Retrospective Database Study. Int. J. Environ. Res. Public Health 2016, 13, 667.

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