title: Effects of medical nutrition therapy on body fat and metabolic syndrome components in premenopausal overweight women.
abstract: OBJECTIVE
  To evaluate the effects of medical nutrition therapy (MNT) on body composition and metabolic syndrome (MetS) components in premenopausal Korean women with a body mass index ≥23.
  
  
  METHODS
  Participants (n = 160) were classified into MetS (n = 44) or non-MetS (n = 116) groups based on the criteria proposed by the revised National Cholesterol Education Program-Adult Treatment Panel III and the International Diabetes Federation classification. Anthropometric and dietary assessments and blood analyses were performed for all participants prior to and following 12 weeks of MNT.
  
  
  RESULTS
  Following MNT, body fat decreased in both groups by roughly 11% (p < 0.001), and the number of participants meeting the criteria for MetS thus decreased from 44 to 19 (56.8%). Mean waist circumference (WC), blood pressure (BP), plasma triglyceride (TG) and blood glucose levels decreased in the MetS group (p < 0.001). Body fat reduction in the MetS group was correlated with changes in WC (r = 0.584), systolic BP (r = 0.451), diastolic BP (r = 0.429) and plasma TG (r = 0.488) levels after adjusting for covariates (p < 0.05).
  
  
  CONCLUSIONS
  Body fat reduction and MetS component improvement was achieved by MNT in overweight women. Changes in MetS components appear to be related to body fat reduction. MNT should focus on body fat reduction when used as a primary prevention for MetS.
authors: Research Institute of Medical Nutrition, Kyung Hee University, Seoul, Republic of Korea.
authors: Hyunjung
authors: H
authors: Lim
authors: Ji-Young
authors: JY
authors: Son
authors: Ryowon
authors: R
authors: Choue
mesh_terms: D000328:Adult; D001786:Blood Glucose / Q000032:analysis; D001794:Blood Pressure; D001823:Body Composition; D015992:Body Mass Index; D002149:Energy Intake; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D024821:Metabolic Syndrome / Q000175:diagnosis / Q000178:diet therapy* / Q000503:physiopathology; D008875:Middle Aged; D050177:Overweight / Q000178:diet therapy* / Q000503:physiopathology; D010349:Patient Compliance; D017697:Premenopause; D056910:Republic of Korea; D012307:Risk Factors; D011795:Surveys and Questionnaires; D014280:Triglycerides / Q000097:blood; D055105:Waist Circumference
chemical_list: D001786:Blood Glucose; D014280:Triglycerides