title: The Seoul Metropolitan Lifestyle Intervention Program and Metabolic Syndrome Risk: A Retrospective Database Study.
abstract: Since 2011, the Seoul Metabolic Syndrome Management (SMESY) program has been employed as a community-wide, lifestyle modification intervention in Seoul, Korea. We aimed to determine if the SMESY intervention would be significantly associated with improvements in metabolic syndrome (MetS) risk factors. This retrospective database study included data from 25,449 participants aged 30-64 years between 1 January 2013 and 30 June 2013. In the SMESY program, 3 risk-stratified groups by the number of MetS factors were followed for 12 months with different intensity and timeframe of intervention. Among the high-(n = 7116) and moderate-risk groups (n = 14,762), all MetS factors (except triglycerides among the moderate-risk group) as well as MetS z-scores significantly improved over 12 months (all p < 0.05). Among the low-risk group (n = 3571), all factors aggravated significantly over 12 months (all p < 0.05). We observed temporal associations between the implementation of the SMESY program and improvements in MetS risk factors. However, such improvements differed by risk-stratified group, being most robust for the high-risk group, modest for the moderate-risk group, and aggravated for the low-risk group. Thus, more intensive interventions targeting different risk-stratified groups are needed, given a better understanding of the increase in risk factors observed in the low-risk group.
authors.affiliation: College of Nursing, Korea University, Seoul 02841, Korea. jinachoo@korea.ac.kr.
authors.forename: Jina
authors.initials: J
authors.lastname: Choo
authors.affiliation: Department of Preventive Medicine, Korea University College of Medicine, Seoul 02841, Korea. yoonsj02@korea.ac.kr.
authors.forename: Seok-Jun
authors.initials: SJ
authors.lastname: Yoon
authors.affiliation: College of Nursing, Korea University, Seoul 02841, Korea. hosihn@korea.ac.kr.
authors.forename: Hosihn
authors.initials: H
authors.lastname: Ryu
authors.affiliation: Metabolic Syndrome Management Center of Seoul Metropolitan Government, Seoul 02751, Korea. 386now00@hanmail.net.
authors.forename: Mi-Suk
authors.initials: MS
authors.lastname: Park
authors.affiliation: Medical and Health Policy Division, Seoul Metropolitan Government, Seoul 04524, Korea. lhs100@seoul.go.kr.
authors.forename: Hyang Sook
authors.initials: HS
authors.lastname: Lee
authors.affiliation: Medical and Health Policy Division, Seoul Metropolitan Government, Seoul 04524, Korea. yoom66@seoul.go.kr.
authors.forename: Yoo Mi
authors.initials: YM
authors.lastname: Park
authors.affiliation: Department of Cardiology, School of Medicine, Korea University, Seoul 02841, Korea. dslmd@kumc.or.kr.
authors.forename: Do-Sun
authors.initials: DS
authors.lastname: Lim
mesh_terms: D000328:Adult; D001521:Behavior Therapy; D005260:Female; D006801:Humans; D008019:Life Style; D008297:Male; D024821:Metabolic Syndrome / Q000517:prevention & control*; D008875:Middle Aged; D012189:Retrospective Studies; D012307:Risk Factors; D066106:Seoul
keywords: cardiovascular diseases; community health service; lifestyle; metabolic syndrome; prevention