TY - JOUR
TI - Promoting only the consumption of healthy foods may be an alternative stategy for treating patients with the metabolic syndrome
AU - Fappa, E.
AU - Yannakoulia, M.
AU - Skoumas, Y.
AU - Valourdou, S.
AU - Panagiotakos, D.B.
AU - Pitsavos, C.
AU - Stefanadis, C.
JO - Metabolism: Clinical and Experimental
PY - 2012
VL - 61
TODO - 10
SP - 1361-1369
PB - 
SN - 0026-0495
TODO - 10.1016/j.metabol.2012.03.004
TODO - adult;  article;  body mass;  controlled study;  diastolic blood pressure;  diet;  eating habit;  female;  food intake;  human;  lifestyle;  major clinical study;  male;  medical assessment;  metabolic syndrome X;  nutritional assessment;  nutritional counseling;  physical activity;  priority journal;  randomized controlled trial;  single blind procedure;  systolic blood pressure;  treatment duration;  waist circumference, Body Mass Index;  Exercise;  Food Habits;  Humans;  Metabolic Syndrome X;  Single-Blind Method
TODO - Objective: To evaluate the effectiveness of two lifestyle, interventional approaches on metabolic abnormalities and eating habits of patients with metabolic syndrome. Materials/Methods: This is a randomized controlled trial, involving a 6-month lifestyle intervention. Eighty-eight metabolic syndrome patients were randomized to one of the three groups: (i) Increase - Decrease group, (ii) Increase group, and (iii) Minimum intervention group. All patients received dietary and physical activity advice at baseline; patients in the first two groups also participated in individual counseling sessions. In the Increase - Decrease group, all recommended dietary and physical activity goals were targeted, whereas in the Increase group, only goals proposing an increase in dietary intake or physical activity were included. Patients received nutrition counseling through seven, one-to-one sessions, conducted every two weeks for the first 2 months, every month for the following 4 months. All participants underwent a full medical and nutritional assessment at baseline and at the end of the intervention. Results: At 6 months, BMI and waist circumference were improved in the Increase and the Increase - Decrease groups, compared to the Minimum Intervention group. Additionally, Increase - Decrease group reduced blood systolic (p = 0.017), diastolic pressure (p = 0.005) and glucose concentrations (p = 0.015). Forty eight percent, 32%, and 19% of the patients in the Increase - Decrease, Increase and Minimum Intervention groups, respectively, ceased to fulfill the criteria for the metabolic syndrome (p = 0.031). Conclusions: Promoting only the increase of the intake of healthy foods did not result in better outcome values compared to a conventional all-food approach. © 2012 Elsevier Inc.
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