Journal
PUBLIC HEALTH NUTRITION
Volume 20, Issue 1, Pages 142-153Publisher
CAMBRIDGE UNIV PRESS
DOI: 10.1017/S1368980016001920
Keywords
Metabolic syndrome; Risk; Reduction; Lifestyle education; Randomised controlled trial
Funding
- Ministry of Education, Culture, Sports, Science and Technology in Japan [21500793]
- Grants-in-Aid for Scientific Research [26460846, 21500793] Funding Source: KAKEN
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Objective: To determine the effectiveness of a personal support lifestyle education programme (PSMetS) for reducing risk factors in individuals with metabolic syndrome (MetS). Design: A two-arm randomised controlled trial. Setting: Companies in metropolitan Tokyo, Japan. Subjects: Male workers with diagnosed MetS or a high risk for MetS according to the Counselling Guidance Program, Japan (n 193). Results: The reduction in the number of risk factors for MetS (as defined according to the criteria published by the Japanese Ministry of Health, Labor and Welfare in April 2007 (MHLW-MetS)) in the PSMetS group was not significantly different from that in the usual care group by van Elteren's test (baseline-adjusted P= 0.075) for intention-to-treat (ITT), while it was significant (baseline-adjusted P= 0.038) for per-protocol set (PPS). The proportion of MHLW-MetS was significantly different between groups by van Elteren's test (baseline-adjusted P= 0.031). Two components of MHLW-MetS showed significant reductions in the PSMetS group: waist circumference (baseline-adjusted P= 0.001) and BMI (baseline-adjusted P= 0.002). PPS and ITT analyses showed similar results. Conclusions: For male workers with MHLW-MetS or a high risk of MHLW-MetS, PSMetS reduced the number of risk factors for MHLW-MetS.
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