title: Effects of an intervention in eating habits and physical activity in Japanese-Brazilian women with a high prevalence of metabolic syndrome in Bauru, São Paulo State, Brazil.
abstract: We evaluated the impact of a lifestyle intervention on the cardiometabolic risk profile of women participating in the Study on Diabetes and Associated Diseases in the Japanese-Brazilian Population in Bauru. This was a non-controlled experimental study including clinical and laboratory values at baseline and after a 1-year intervention period. 401 Japanese-Brazilian women were examined (age 60.8+/-11.7 years), and 365 classified for metabolic syndrome (prevalence = 50.6%). Subjects with metabolic syndrome were older than those without (63.0+/-10.0 vs. 56.7+/-11.6 years, p < 0.01). After intervention, improvements in variables were found, except for C-reactive protein. Body mass index and waist circumference decreased, but adiposity reduction was more pronounced in the abdominal region (87.0+/-9.7 to 84.5+/-11.2cm, p < 0.001). Intervention-induced differences in total cholesterol, LDL, and post-challenge glucose were significant; women who lost more than 5% body weight showed a better profile than those who did not. The lifestyle intervention in Japanese-Brazilian women at high cardiometabolic risk improved anthropometric and laboratory parameters, but it is not known whether such benefits will persist and result in long-term reduction in cardiovascular events.
authors.affiliation: Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, Brasil. sandrafv@usp.br
authors.forename: Sandra Roberta G
authors.initials: SR
authors.lastname: Ferreira
authors.forename: Suely G A
authors.initials: SG
authors.lastname: Gimeno
authors.forename: Amélia T
authors.initials: AT
authors.lastname: Hirai
authors.forename: Helena
authors.initials: H
authors.lastname: Harima
authors.forename: Luiza
authors.initials: L
authors.lastname: Matsumura
authors.forename: Bianca de Almeida
authors.initials: Bde A
authors.lastname: Pittito
mesh_terms: D044466:Asian People; D001786:Blood Glucose / Q000032:analysis; D015992:Body Mass Index; D001938:Brazil / Q000453:epidemiology; D002097:C-Reactive Protein / Q000032:analysis; D002318:Cardiovascular Diseases / Q000209:etiology* / Q000517:prevention & control; D002784:Cholesterol / Q000097:blood; D003920:Diabetes Mellitus / Q000517:prevention & control; D004032:Diet; D004812:Epidemiologic Methods; D005247:Feeding Behavior / Q000502:physiology*; D005260:Female; D006293:Health Promotion; D006801:Humans; D007564:Japan / Q000208:ethnology; D008019:Life Style; D050356:Lipid Metabolism; D024821:Metabolic Syndrome / Q000150:complications / Q000175:diagnosis / Q000453:epidemiology*; D008875:Middle Aged; D009043:Motor Activity; D055105:Waist Circumference
chemical_list: D001786:Blood Glucose; D002097:C-Reactive Protein; D002784:Cholesterol