title: Effects of lifestyle intervention using patient-centered cognitive behavioral therapy among patients with cardio-metabolic syndrome: a randomized, controlled trial.
abstract: Cardio-metabolic syndrome (CMS) is a highly prevalent condition. There is an urgent need to identify effective and integrated multi-disciplinary approaches that can reduce risk factors for CMS.
  
  
  
  Sixty-two patients with a history of CMS were randomized 1:1 into two groups: a standard information -only group (control), or a self-regulated lifestyle waist circumference (patient-centered cognitive behavioral therapy) intervention group. A pretest and posttest, controlled, experimental design was used. Outcomes were measured at the baseline (week 0) and at the end of intervention (week 12). Comparisons were drawn between groups and over time.
  
  
  
  The mean (standard deviation) age of the subjects was 48.6 (5.8) years ranging from 32 to 63, and 56.9% of the participants were female. Both groups showed no significant differences in Demographic variables and the metabolic syndrome indicators at baseline. While the control group only showed modest improvement after 12 weeks, compared to baseline, the intervention group demonstrated significant improvement from baseline. This study controlled for patients' demographics and baseline characteristics when assessing the effects of intervention. After adjusting for age, education and baseline level, the experimental group and the control group were statistically significant different in the following post-treatment outcomes: WC (F = 35.96, P < 0.001), TG (F = 18.93, P < 0.001), RSBP (F = 33.89, P < 0.001) and SF-36(F = 157.93, P < 0.001). The results showed patients' age and education were not strong predictors of patients' outcome (including WC, TG, RSBP and SF-36).
  
  
  
  Lifestyle intervention on patient-centered cognitive behavioral therapy can improve the physical and mental health conditions among individuals reporting a history of cardio-metabolic syndrome, and possibly provided preliminary benefits for the treatment of CMS.
  
  
  
  Chinese Clinical Trial Register #, ChiCTR15006148 .
authors.affiliation: Department of Children and Adolescent Health Care, School of Public Health, Jilin University, #1163 Xinmin Street, Changchun, 130021, People's Republic of China.|Department of Education, The First Affiliated Hospital, Jinzhou Medical University, Jinzhou, China.
authors.forename: Ying
authors.initials: Y
authors.lastname: Zhang
authors.affiliation: Department of Children and Adolescent Health Care, School of Public Health, Jilin University, #1163 Xinmin Street, Changchun, 130021, People's Republic of China. Meisongli111@sina.com.
authors.forename: Songli
authors.initials: S
authors.lastname: Mei
authors.affiliation: Department of Internal Medicine, The First Affiliated Hospital, Jinzhou Medical University, Jinzhou, China.
authors.forename: Rui
authors.initials: R
authors.lastname: Yang
authors.affiliation: Department of Internal Medicine, The First Affiliated Hospital, Jinzhou Medical University, Jinzhou, China.
authors.forename: Ling
authors.initials: L
authors.lastname: Chen
authors.affiliation: Department of Internal Medicine, The First Affiliated Hospital, Jinzhou Medical University, Jinzhou, China.
authors.forename: Hang
authors.initials: H
authors.lastname: Gao
authors.affiliation: Faculty of Humanity Management, Jinzhou Medical University, Jinzhou, China.
authors.forename: Li
authors.initials: L
authors.lastname: Li
mesh_terms: D000328:Adult; D002318:Cardiovascular Diseases / Q000209:etiology / Q000517:prevention & control*; D015928:Cognitive Behavioral Therapy; D000072001:Diet, Healthy; D015444:Exercise; D005260:Female; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006304:Health Status; D006801:Humans; D008297:Male; D008603:Mental Health; D024821:Metabolic Syndrome / Q000150:complications / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D008875:Middle Aged; D010353:Patient Education as Topic; D011788:Quality of Life; D018570:Risk Assessment; D012307:Risk Factors; D040242:Risk Reduction Behavior; D012648:Self Care; D012907:Smoking / Q000009:adverse effects; D000074606:Smoking Prevention; D013997:Time Factors; D016896:Treatment Outcome
keywords: Cardio-metabolic syndrome; China; Cognitive behavioral therapy; Patient-centered; Randomised controlled trial