Comprehensive lifestyle modification interventions for metabolic syndrome: A systematic review and meta-analysis

IF 2.4 3区医学 Q1 NURSING Journal of Nursing Scholarship Pub Date : 2023-11-27 DOI:10.1111/jnu.12946

Sungwon Park PhD, RN, Jiwon Lee PhD, RN, Jo Woon Seok PhD, RN, Chang Gi Park PhD, Jin Jun PhD, RN

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Abstract

Introduction

Previous systematic reviews and meta-analyses have mainly focused on improvements in the number of metabolic syndrome risk factors and individual changes in each risk factor, making it challenging to examine the impact of comprehensive lifestyle modification interventions on adherence to recommended health behaviors. To address this gap, we conducted a systematic and meta-analysis aimed at identifying clinical parameter levels associated with lifestyle modification outcomes and adherence to recommended health behaviors for individuals with metabolic syndrome.

Methods

A total of seven studies retrieved from four databases (CINAHL, Medline via PubMed, American Psychological Association PsycINFO, and Embase) were included in the review. The selected studies, which demonstrated improvements in health behaviors, all included diet and exercise as main factors of comprehensive lifestyle modification in home settings.

Results

Our findings suggest that a 6-month comprehensive intervention including diet and exercise can be effective in decreasing glucose levels and systolic blood pressure. However, given the limited available data, further studies investigating the efficacy of interventions of varying durations are needed.

Discussion

Although our review included a small number of studies, comprehensive lifestyle modifications consisting of at least two components (primarily diet and exercise) can improve health behaviors and some clinical parameters among individuals with metabolic syndrome. Future studies are needed to investigate the long-term effects of lifestyle modifications on health behavior adherence and explore effective interventions to address certain clinical parameters, such as high-density lipoprotein levels. Also, we recommend using objective and quantifiable measure to compare adherence to recommended lifestyle modifications across studies.

Clinical Relevance

This research provides empirical evidence of the effectiveness of comprehensive lifestyle modification and emphasizes the need to develop long-term nursing strategies in public health that can be used to effectively manage metabolic syndrome.

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综合生活方式改变干预代谢综合征:系统回顾和荟萃分析。

先前的系统综述和荟萃分析主要集中在代谢综合征危险因素数量的改善和每个危险因素的个体变化上，这使得研究综合生活方式改变干预对坚持推荐健康行为的影响具有挑战性。为了解决这一差距，我们进行了一项系统和荟萃分析，旨在确定与代谢综合征患者生活方式改变结果和坚持推荐健康行为相关的临床参数水平。方法:从四个数据库(CINAHL, Medline via PubMed, American Psychological Association PsycINFO和Embase)中检索到的7项研究被纳入本综述。所选的研究证明了健康行为的改善，所有这些研究都将饮食和运动作为家庭环境中全面改变生活方式的主要因素。结果:我们的研究结果表明，6个月的综合干预包括饮食和运动可以有效地降低血糖水平和收缩压。然而，鉴于现有数据有限，需要进一步研究不同持续时间的干预措施的有效性。讨论:尽管我们的综述只包括少量的研究，但至少由两部分组成的全面生活方式改变(主要是饮食和运动)可以改善代谢综合征患者的健康行为和一些临床参数。未来的研究需要调查生活方式改变对健康行为依从性的长期影响，并探索有效的干预措施来解决某些临床参数，如高密度脂蛋白水平。此外，我们建议使用客观和可量化的措施来比较研究中推荐的生活方式改变的依从性。临床意义:本研究为全面改变生活方式的有效性提供了经验证据，并强调了在公共卫生领域制定可用于有效管理代谢综合征的长期护理策略的必要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Nursing Scholarship 医学-护理

CiteScore

6.30

自引率

5.90%

发文量

审稿时长

6-12 weeks

期刊介绍： This widely read and respected journal features peer-reviewed, thought-provoking articles representing research by some of the world’s leading nurse researchers. Reaching health professionals, faculty and students in 103 countries, the Journal of Nursing Scholarship is focused on health of people throughout the world. It is the official journal of Sigma Theta Tau International and it reflects the society’s dedication to providing the tools necessary to improve nursing care around the world.