Browse > Article
http://dx.doi.org/10.4040/jkan.2015.45.4.483

Effects of Dietary and Physical Activity Interventions on Metabolic Syndrome: A Meta-analysis  

Lee, Guna (Division of Nursing Science, Ewha Womans University)
Choi, Hye-Young (Department of Nursing, Tongmyong University)
Yang, Sook-Ja (Division of Nursing Science, Ewha Womans University)
Publication Information
Journal of Korean Academy of Nursing / v.45, no.4, 2015 , pp. 483-494 More about this Journal
Abstract
Purpose: This study identified effects of dietary and physical activity interventions including dietary interventions or physical activity interventions alone or combined dietary-physical activity interventions to improve symptoms in metabolic syndrome including abdominal obesity, high triglycerides, low high density lipoprotein cholesterol, elevated blood pressure, and elevated fasting glucose through meta-analysis. Methods: Articles on metabolic syndrome X published from 1988 to 2013 were searched through electronic databases, Google Scholar, and reference reviews. Methodological quality was assessed by the checklist, SIGN (Scottish Intercollegiate Guidelines Network). Results: In the meta-analysis, there were 9 articles reporting 13 interventions with 736 participants. Using random effect models, the dietary and/or physical activity interventions showed a lower mean difference in waist circumference ( - 1.30 cm, 95% CI: - 2.44~ - 0.15, p=.027). The combined dietary-physical activity interventions showed a lower mean difference in waist circumference ( - 2.77 cm, 95% CI: - 4.77~ - 0.76, p=.007) and systolic blood pressure ( - 5.44 mmHg, 95% CI: - 10.76~ - 0.12, p=.044). Additionally, interventions of over 24 weeks yielded a lower mean difference in waist circumference ( - 2.78 cm, 95% CI: - 4.69~ - 0.87, p=.004) and diastolic blood pressure ( - 1.93 mmHg, 95% CI: - 3.63~ - 0.22, p=.026). Conclusion: The findings indicate that dietary and/or physical activity interventions for metabolic syndrome reduce central obesity with no adverse effects. This finding provides objective evidences for dietary and physical activity management on metabolic syndrome as an efficient intervention.
Keywords
Metabolic syndrome X; Meta-analysis; Physical activity; Diet therapy; Health behavior;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Kelley DE, Wing R, Buonocore C, Sturis J, Polonsky K, Fitzsimmons M. Relative effects of calorie restriction and weight loss in noninsulin-dependent diabetes mellitus. The Journal of Clinical Endocrinology and Metabolism. 1993;77(5):1287-1293. http://dx.doi.org/10.1210/jcem.77.5.8077323   DOI
2 Blanco Mejia S, Kendall CW, Viguiliouk E, Augustin LS, Ha V, Cozma AI, et al. Effect of tree nuts on metabolic syndrome criteria: A systematic review and meta-analysis of randomised controlled trials. BMJ Open. 2014;4(7):e004660. http://dx.doi.org/10.1136/bmjopen-2013-004660   DOI   ScienceOn
3 Straznicky NE, Grima MT, Lambert EA, Eikelis N, Dawood T, Lambert GW, et al. Exercise augments weight loss induced improvement in renal function in obese metabolic syndrome individuals. Journal of Hypertension. 2011;29(3):553-564. http://dx.doi.org/10.1097/HJH.0b013e3283418875   DOI   ScienceOn
4 National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). Third report of the national cholesterol education program (NCEP) Expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III) final report. Circulation. 2002;106(25): 3143-3421.
5 Kim E, Oh SW. Gender differences in the association of occupation with metabolic syndrome in Korean adults. The Korean Journal of Obesity. 2012;21(2):108-114. http://dx.doi.org/10.7570/kjo.2012.21.2.108   DOI
6 International Diabetes Federation. The IDF consensus worldwide definition of the metabolic syndrome [Internet]. Brussels, BE: Author; 2006 [cited 2014 October 30]. Available from: http://www.idf.org/webdata/docs/MetS_def_update2006.pdf.
7 Alberti KG, Zimmet PZ. Definition, diagnosis and classification of diabetes mellitus and its complications. Part 1: Diagnosis and classification of diabetes mellitus provisional report of a WHO consultation. Diabetic Medicine. 1998;15(7):539-553. http://dx.doi.org/10.1002/(sici)1096-9136(199807)15:7<539::aid-dia668>3.0.co;2-s   DOI   ScienceOn
8 Grundy SM. Metabolic syndrome pandemic. Arteriosclerosis, Thrombosis, and Vascular Biology. 2008;28(4):629-636. http://dx.doi.org/10.1161/atvbaha.107.151092   DOI   ScienceOn
9 Gami AS, Witt BJ, Howard DE, Erwin PJ, Gami LA, Somers VK, et al. Metabolic syndrome and risk of incident cardiovascular events and death: A systematic review and meta-analysis of longitudinal studies. Journal of the American College of Cardiology. 2007;49(4):403-414. http://dx.doi.org/10.1016/j.jacc.2006.09.032   DOI   ScienceOn
10 Kim MK, Park JH. Metabolic syndrome. Journal of the Korean Medical Association. 2012;55(10):1005-1013. http://dx.doi.org/10.5124/jkma.2012.55.10.1005   DOI   ScienceOn
11 Pitsavos C, Panagiotakos D, Weinem M, Stefanadis C. Diet, exercise and the metabolic syndrome. The Review of Diabetic Studies. 2006;3(3):118-126. http://dx.doi.org/10.1900/rds.2006.3.118   DOI   ScienceOn
12 Schwingshackl L, Dias S, Strasser B, Hoffmann G. Impact of different training modalities on anthropometric and metabolic characteristics in overweight/obese subjects: A systematic review and network meta-analysis. PLoS One. 2013;8(12):e82853. http://dx.doi.org/10.1371/journal.pone.0082853   DOI
13 Jenkins DJ, Kendall CW, Augustin LS, Franceschi S, Hamidi M, Marchie A, et al. Glycemic index: overview of implications in health and disease. The American Journal of Clinical Nutrition. 2002;76(1):266S-273S.   DOI
14 Kastorini CM, Milionis HJ, Esposito K, Giugliano D, Goudevenos JA, Panagiotakos DB. The effect of mediterranean diet on meta syndrome and its components: A meta-analysis of 50 studies and 534,906 individuals. Journal of the American College of Cardiology. 2011;57(11):1299-1313. http://dx.doi.org/10.1016/j.jacc.2010.09.073   DOI   ScienceOn
15 Jansen S, Lopez-Miranda J, Salas J, Castro P, Paniagua JA, Lopez-Segura F, et al. Plasma lipid response to hypolipidemic diets in young healthy non-obese men varies with body mass index. Journal of Nutrition. 1998;128(7):1144-1149.   DOI
16 Dunkley AJ, Charles K, Gray LJ, Camosso-Stefinovic J, Davies MJ, Khunti K. Effectiveness of interventions for reducing diabetes and cardiovascular disease risk in people with metabolic syndrome: Systematic review and mixed treatment comparison meta-analysis. Diabetes, Obesity & Metabolism. 2012;14(7):616-625. http://dx.doi.org/10.1111/j.1463-1326.2012.01571.x   DOI   ScienceOn
17 Higgins JPT, Green S, editors. Cochrane handbook for systematic reviews of interventions: Version 5.1.0 [Internet]. London, UK: The Cochrane Collaboration; 2011 [cited 2014 September 5]. Available from: www.cochrane-handbook.org.
18 Reaven GM. Banting lecture 1988. Role of insulin resistance in human disease. Diabetes. 1988;37(12):1595-1607.   DOI
19 U.S. National Library of Medicine. MeSH: Nutrition therapy [Internet]. Bethesda, MD: Author; 2004 [cited 2014 October 30]. Available from: http://www.ncbi.nlm.nih.gov/mesh/68044623.
20 U.S. National Library of Medicine. MeSH: Motor activity [Internet]. Bethesda, MD: Author; 1968 [cited 2014 October 30]. Available from: http://www.ncbi.nlm.nih.gov/mesh/?term=motor+activity.
21 Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLoS Medicine. 2009;6(7):e1000097. http://dx.doi.org/10.1371/journal.pmed.1000097   DOI   ScienceOn
22 Scottish Intercollegiate Guidelines Network. SIGN 50: A guideline developer's handbook [Internet]. Edinburgh, UK: Author; 2011 [cited 2014 October 30]. Available from: http://www.sign.ac.uk/guidelines/fulltext/50/index.html.
23 Seligman BG, Polanczyk CA, Santos AS, Foppa M, Junges M, Bonzanini L, et al. Intensive practical lifestyle intervention improves endothelial function in metabolic syndrome independent of weight loss: A randomized controlled trial. Metabolism. 2011;60(12):1736-1740. http://dx.doi.org/10.1016/j.metabol.2011.05.006   DOI   ScienceOn
24 Dutheil F, Lac G, Courteix D, Dore E, Chapier R, Roszyk L, et al. Treatment of metabolic syndrome by combination of physical activity and diet needs an optimal protein intake: A randomized controlled trial. Nutrition Journal. 2012;11:72. http://dx.doi.org/10.1186/1475-2891-11-72   DOI
25 Katcher HI, Legro RS, Kunselman AR, Gillies PJ, Demers LM, Bagshaw DM, et al. The effects of a whole grain-enriched hypocaloric diet on cardiovascular disease risk factors in men and women with metabolic syndrome. The American Journal of Clinical Nutrition. 2008;87(1):79-90.   DOI
26 Esposito K, Marfella R, Ciotola M, Di Palo C, Giugliano F, Giugliano G, et al. Effect of a mediterranean-style diet on endothelial dysfunction and markers of vascular inflammation in the metabolic syndrome: A randomized trial. JAMA: Journal of the American Medical Association. 2004;292(12):1440-1446. http://dx.doi.org/10.1001/jama.292.12.1440   DOI   ScienceOn
27 Giacco R, Lappi J, Costabile G, Kolehmainen M, Schwab U, Landberg R, et al. Effects of rye and whole wheat versus refined cereal foods on metabolic risk factors: A randomised controlled two-centre intervention study. Clinical Nutrition. 2013;32(6):941-949. http://dx.doi.org/10.1016/j.clnu.2013.01.016   DOI   ScienceOn
28 Hallikainen M, Toppinen L, Mykkanen H, Agren JJ, Laaksonen DE, Miettinen TA, et al. Interaction between cholesterol and glucose metabolism during dietary carbohydrate modification in subjects with the metabolic syndrome. The American Journal of Clinical Nutrition. 2006;84(6):1385-1392.   DOI
29 Fitch KV, Anderson EJ, Hubbard JL, Carpenter SJ, Waddell WR, Caliendo AM, et al. Effects of a lifestyle modification program in HIV-infected patients with the metabolic syndrome. AIDS. 2006;20(14):1843-1850. http://dx.doi.org/10.1097/01.aids.0000244203.95758.db   DOI   ScienceOn
30 Casas-Agustench P, Lo pez-Uriarte P, Bullo M, Ros E, Cabre -Vila JJ, Salas-Salvado J. Effects of one serving of mixed nuts on serum lipids, insulin resistance and inflammatory markers in patients with the metabolic syndrome. Nutrition, Metabolism, and Cardiovascular Diseases. 2011;21(2):126-135. http://dx.doi.org/10.1016/j.numecd.2009.08.005   DOI   ScienceOn