Changes in metabolic syndrome and its components with lifestyle modification in Japanese men.
OBJECTIVE
Changes in metabolic syndrome and its components with lifestyle modification were evaluated in Japanese men.


METHODS
We used data for 160 Japanese men (45.6+/-8.8 years) with a 1-year follow up. Anthropometric, blood examination and blood pressure measurements were evaluated. Metabolic syndrome was defined by using a criterion in Japan. All subjects were given instructions by well-trained medical staff on how to change their lifestyle.


RESULTS
With a 1-year follow-up, anthropometric parameters, blood pressure (BP), triglyceride and HDL cholesterol were significantly improved and the prevalence of metabolic syndrome was significantly reduced. The number of subjects with abdominal obesity at baseline and at follow-up was higher (81 men) than that of subjects with other components at baseline and at follow-up. Parameters at baseline were significantly correlated with changes in parameters for one year. With lifestyle modification, the level of 163 mmHg in systolic BP (SBP), 115 mmHg in diastolic BP (DBP), 226 mg/dL in triglyceride and 33 mg/dL in HDL cholesterol at baseline was estimated to improve to the level without medications with a 1-year follow up.


CONCLUSIONS
Lifestyle modification is useful for improving metabolic syndrome and its components. However, items of metabolic syndrome were improved, even when the abdominal circumference was greater than the normal value for Japanese men.
Miyatake
Nobuyuki
N
Department of Hygiene, Faculty of Medicine, Kagawa University, Kagawa. miyarin@med.kagawa-u.ac.jp
Fujii
Masafumi
M
Miyachi
Motohiko
M
Tabata
Izumi
I
Takeshi
Suzue
S
Hirao
Tomohiro
T
Numata
Takeyuki
T
D000328:Adult; D044466:Asian People; D001786:Blood Glucose / Q000378:metabolism; D001794:Blood Pressure; D008076:Cholesterol, HDL / Q000097:blood; D005500:Follow-Up Studies; D006801:Humans; D007564:Japan; D008019:Life Style; D008297:Male; D024821:Metabolic Syndrome / Q000097:blood / Q000473:pathology / Q000503:physiopathology / Q000628:therapy*; D008875:Middle Aged; D056128:Obesity, Abdominal / Q000473:pathology; D012307:Risk Factors; D014280:Triglycerides / Q000097:blood
D001786:Blood Glucose; D008076:Cholesterol, HDL; D014280:Triglycerides