title: Effectiveness of community-based exercise intervention programme in obese adults with metabolic syndrome.
abstract: OBJECTIVE
  The objective of this study was to change the anthropometric, clinical, biochemical indicators and the rate of metabolic syndrome among obese adults in community.
  
  
  BACKGROUND
  Obesity is an indicator of metabolic syndrome and cardiometabolic diseases. Obesity increases national health care expenditure in Taiwan. The high prevalence of obesity is not only a public health issue but also an economic problem. Changes in lifestyle can help to prevent metabolic syndrome for individuals with obesity.
  
  
  METHODS
  A randomised controlled trial was applied.
  
  
  METHODS
  In this randomised controlled trial by location, 136 metabolically abnormal obese individuals were included. The related indicators with metabolic syndrome were measured at baseline and after six months. The experimental group participated in a six-month community-based programme including provided exercise environments, exercise skills and volunteers' reminding. The control group was only provided environment and skills.
  
  
  RESULTS
  One hundred and thirty-one participants completed this trail. In comparison with the baseline, the intervention group showed a significant increase in high-density lipoprotein cholesterol (2·34 mg/dl), and decrease in body weight (1·09 kg), waist circumference (3·63 cm), systolic blood pressure (10·52 mmHg), diastolic blood pressure (5·21 mmHg), fasting blood glucose (5·84 mg/dl) and body mass index (0·74 kg/m(2) ). In the control group, significant decrease in body mass index and waist circumference were discovered. Compared to the changes between the two groups, the results showed there were significant differences in waist circumference, systolic blood pressure, diastolic blood pressure and high-density lipoprotein cholesterol.
  
  
  CONCLUSIONS
  The community-based intervention could help to improve high-density lipoprotein cholesterol, reduce body weight, body mass index, waist circumference, blood pressure and fasting blood glucose in metabolically abnormal obese.
  
  
  CONCLUSIONS
  This community-based programme helped metabolically abnormal obese individuals become metabolically healthy. In the future, community nurses will work with village heads and volunteers. They can encourage residents in the communities to have healthy lifestyle. As a result, the goal of this programme will be successfully achieved with less time and effort.
authors: Department of Nursing, Chang Gung University of Science and Technology, Taoyuan City, Taiwan. shchang@gw.cgust.edu.tw, shchang5802@gmail.com.
authors: Shu-Hung
authors: SH
authors: Chang
authors: Department of Nursing, Chang Gung University of Science and Technology, Taoyuan City, Taiwan.
authors: Miao-Chuan
authors: MC
authors: Chen
authors: Department of Nursing, Chang Gung University of Science and Technology, Taoyuan City, Taiwan.
authors: Nai-Hui
authors: NH
authors: Chien
authors: Chang Gung Memorial Hospital, Taoyuan City, Taiwan.
authors: Hsih-Fong
authors: HF
authors: Lin
mesh_terms: D000886:Anthropometry; D002784:Cholesterol / Q000097:blood; D003153:Community Health Services; D005081:Exercise Therapy; D005260:Female; D006801:Humans; D008297:Male; D024821:Metabolic Syndrome / Q000097:blood / Q000451:nursing / Q000534:rehabilitation*; D008875:Middle Aged; D009767:Obesity, Morbid; D012944:Social Support; D011795:Surveys and Questionnaires; D013624:Taiwan; D016896:Treatment Outcome
chemical_list: D002784:Cholesterol
keywords: Taiwan; community-based; exercise intervention; metabolic syndrome; obesity