High Attendance at a Lifestyle Intervention Program Is Important to Reduce Risks Related to Metabolic Syndrome in Middle-Aged Japanese
High Attendance at a Lifestyle Intervention Program Is Important to Reduce Risks Related to Metabolic Syndrome in Middle-Aged Japanese
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DOI：
10.1620/tjem.219.155
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发表时间：
2009-10-01
影响因子：
2.2
通讯作者：
Yamasaki, Akiko
中科院分区：
文献类型：
--
作者：
Fujii, Hiroko;Haruyama, Yasuo;Yamasaki, Akiko
评估参加健康教育计划是重要的，以获得更全面的评估计划的影响。这项研究调查了在社区环境中参加生活方式干预计划是否会降低与代谢综合征相关的风险。在545名有代谢综合征相关风险（即超重、高血压、血脂异常或糖尿病）的受试者中，389名年龄在40-71岁的受试者在基线和27个月时完成了调查。干预组（男39人，女168人）平均每月接受3次个人咨询和28次团体咨询，而对照组（男64人，女118人）仅接受7次邮寄健康信息通讯。干预组根据中位出勤率（87.1%）分为两组：106名高出勤率受试者（93.8 ± 4.7%）和101名低出勤率受试者（68.6 ± 16.0%）。经年龄和基线值校正后的Logistic回归分析显示，在男性中，仅在27个月时高出勤率组的血脂异常风险比例低于对照组[比值比（OR）：0.11在女性中，超重比例仅在高出勤率组较低[OR：0.24（95%CI 0.07-0.81）]。在女性中，通过将存在的4种风险的数量相加计算的平均总风险评分仅在高出勤率组中降低（p < 0.001）。总之，在日本社区环境中，高出席率的生活方式干预计划影响了代谢综合征相关风险的降低。
Evaluating attendance at health education programs is important to obtain a more comprehensive evaluation of the program impact. This study investigated whether attendance at a lifestyle intervention program in a community setting would reduce risks related to metabolic syndrome. Of 545 subjects with risks related to metabolic syndrome, i.e. overweight, hypertension, dyslipidemia or diabetes, participated in this non-randomized control study, 389 subjects aged 40-71 years completed the surveys at baseline and 27 months. Intervention group (39 males and 168 females) was provided 3 individual counseling plus 28 group sessions conducted monthly on average, whereas control group (64 males and 118 females) received only 7 health information newsletters by mail. Intervention group was subcategorized into two groups according to the median attendance (87.1%): 106 subjects with high attendance (93.8 +/- 4.7%) and 101 subjects with low attendance (68.6 +/- 16.0%). Logistic regression analyses adjusted for age and baseline value showed that among males, the proportion with dyslipidemia risk was lower only in high attendance group compared with that in control group at 27 months [Odds ratio (OR): 0.11 (95%CI 0.02-0.51)] and among females, the proportion of overweight was lower only in high attendance group [OR: 0.24 (95%CI 0.07-0.81)]. In females, the mean total risk score calculated by adding the number of the 4 risks present decreased only in high attendance group (p < 0.001). In conclusion, high attendance at a lifestyle intervention program impacts the reduction of risks related to metabolic syndrome in a Japanese community setting.