Lifestyle intervention in the management of metabolic syndrome: could we improve adherence issues?

被引：84

作者：

Fappa, Evaggelia ^{[1
]}

Yannakoulia, Mary ^{[1
]}

Pitsavos, Christos ^{[2
]}

Skoumas, Loannis ^{[2
]}

Valourdou, Stella ^{[1
]}

Stefanadis, Christodoulos ^{[2
]}

机构：

[1] Harokopio Univ, Dept Nutr & Dietet, Athens, Greece

[2] Univ Athens, Sch Med, Cardiol Clin 1, GR-11527 Athens, Greece

来源：

NUTRITION | 2008年 / 24卷 / 03期

关键词：

metabolic syndrome; obesity; lifestyle intervention; diet; adherence; behavior modification;

D O I：

10.1016/j.nut.2007.11.008

中图分类号：

R15 [营养卫生、食品卫生]; TS201 [基础科学];

学科分类号：

100403 ;

摘要：

Current guidelines for the treatment of the metabolic syndrome (MetSyn) propose lifestyle changes (diet and physical activity) as a first-line intervention. However, few studies have been conducted thus far in this field. Weight loss has been recognized as an important issue in the management of MetSyn, in addition to exercise training. Moreover, improvement in MetSyn parameters was sustained only when changes in lifestyle were maintained, rendering maintenance as an important treatment issue. Multiple follow-up booster sessions proved more effective in maintaining lifestyle changes than one counseling session at the end of follow-up. Several behavioral techniques have also been used to improve patients' adherence. Although most of these were found effective in achieving short-term adherence to the dietary regimen (and exercise treatment), the evidence is limited regarding specific strategies that are most helpful, in the context of a structured, tailored MetSyn intervention, for the long-term maintenance of lifestyle changes. (C) 2008 Elsevier Inc. All rights reserved.

引用

页码：286 / 291

页数：6

共 43 条

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