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Effects of a Self-management Program for Metabolic Syndrome - A Metabolic Syndrome Management Program in Seoul -  

Kim, Hee-Sun (Department of Health-Policy, Institute of Research in Seoul Medical Center)
Yoon, Seok-Jun (Department of Preventive Medicine, College of Medicine, Korea University)
Lee, Kun-Sei (Department of Health-Policy, Institute of Research in Seoul Medical Center)
Kim, Hyeong-Su (Department of Preventive Medicine, School of Medicine, Konkuk University)
Oh, Sang-Woo (Dongguk University Ilsan Hospital)
Ryu, Ho-Sihn (Korea University College of Nursing)
Choo, Jin-A (Korea University College of Nursing)
Lee, Kye-Heui (Department of Health-Policy, Institute of Research in Seoul Medical Center)
Ryu, Byung-Wook (Seoul Medical Center of Seoul Metropolitan Government)
Lee, Dong-Ok (Department of Health Promotion, Health & Welfare Bureau, Seoul Metropolitan Government)
Park, Dong-Rim (Department of Health Promotion, Health & Welfare Bureau, Seoul Metropolitan Government)
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Abstract
Objectives: The aim of the study was to identify the effects of a community-level metabolic syndrome self-care management program. Methods: Data included baseline demographics, abdominal circumference, blood pressure, blood sugar, triglyceride, and HDL-cholesterol collected at 15 public health centers in Seoul from January to March, 2010. A data obtained(584 men and 410 women) from Metabolic Syndrome Management Program in Seoul was analyzed using Paired t-test and Linear mixed model. Results: The group with 6-month intervention resulted in significant decrease in abdominal circumference, systolic and diastolic blood pressure, blood sugar, and triglyceride. In moderate intervention group with 3-month follow-up showed tendency that abdominal circumference(-1.27(${\beta}$)) and diastolic blood pressure(-1.66(${\beta}$)) are significantly reduced. In the group with aggressive intervention, the more counseling led to significant reduction in abdominal circumference(-0.22(${\beta}$)). Conclusions: These results indicate that a self-care for metabolic syndrome management can improve metabolic syndrome status over a short-term period. Further structured research is needed to develop a systematic program on health behaviors focusing on exercise, diet, and intervention.
Keywords
Metabolic syndrome; Intervention study; Self-management;
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