title: Primary prevention of metabolic syndrome in the community using an evidence-based exercise program.
abstract: OBJECTIVE
  The purpose of the present study was to examine the effectiveness of a community-based exercise program to lower metabolic syndrome (MetS) risk factors.
  
  
  METHODS
  MetS components were retrospectively analyzed in 332 adults (190 women, 142 men) before and after a 14-week supervised community exercise program between January 2007 and May 2012 at the University of Wisconsin-Eau Claire.
  
  
  RESULTS
  Except for total cholesterol, all health outcome variables, including the 5 MetS components, improved following community exercise. Individuals having MetS decreased from 22.3% before participation to 13.5% at end (p<0.05), while prevalence of participants with no MetS components increased 56% (from 65 to 102; p<0.05). Compared to the lowest quartile of relative energy expenditure, participants with the highest quartile were 6.4 (95% CI 1.8-23.2; p<0.05), 7 (95% CI 2.5-20.0; p<0.05) and 9.3 (95% CI 2.6-34.0; p<0.05) times more likely to eliminate low-HDL cholesterol, impaired fasting glucose, and low cardiorespiratory fitness as MetS risk factors, respectively.
  
  
  CONCLUSIONS
  A community exercise program is an effective method to reduce cardiovascular risk in adults by substantially decreasing the prevalence of MetS and its components. Greater volumes of exercise may increase the likelihood of MetS risk factor elimination.
authors.affiliation: Department of Sport and Exercise Science, The University of Auckland, Tamaki Innovation Campus, Private Bag 92019, Auckland 1142, New Zealand; Department of Kinesiology, University of Wisconsin-Eau Claire, 105 Garfield Avenue, PO Box 4004, Eau Claire, WI 54702, USA. Electronic address: l.dalleck@auckland.ac.nz.
authors.forename: Lance C
authors.initials: LC
authors.lastname: Dalleck
authors.forename: Gary P
authors.initials: GP
authors.lastname: Van Guilder
authors.forename: Esther M
authors.initials: EM
authors.lastname: Quinn
authors.forename: Don L
authors.initials: DL
authors.lastname: Bredle
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001786:Blood Glucose / Q000032:analysis; D002784:Cholesterol / Q000097:blood; D003153:Community Health Services / Q000379:methods; D015444:Exercise; D005260:Female; D006801:Humans; D008297:Male; D024821:Metabolic Syndrome / Q000453:epidemiology / Q000517:prevention & control*; D008875:Middle Aged; D015995:Prevalence; D012307:Risk Factors
chemical_list: D001786:Blood Glucose; D002784:Cholesterol
keywords: BG; BP; CI; CVD; Cardiovascular disease risk; Community-based exercise; EE; HDL; IFG; LDL; MetS; Metabolic syndrome; NCEP-ATP III; National Cholesterol Education Program Adult Treatment Panel III; Trig; WC; blood glucose; blood pressure; cardiovascular disease; confidence interval; energy expenditure; high-density lipoprotein; impaired fasting glucose; low-density lipoprotein; metabolic syndrome; triglycerides; waist circumference