Abstract

BackgroundMetabolic syndrome is now widely appreciated as a cluster of metabolic abnormalities such as visceral obesity, hypertension, hyperglycemia and dyslipidemia. To date, incidence of metabolic syndrome is continuously increasing worldwide.In addition, low vegetable consumption has recently become a serious issue in Japan. Furthermore, Japan is facing a shortfall in places offering food that can help prevent metabolic syndrome in the first place. Our study is designed to influence these developments. We conducted a non-randomized controlled trial by offering a Japanese-style healthy lunch menu to middle-aged men in a workplace cafeteria. This menu was designed to prevent and reduce metabolic syndrome.MethodsThis intervention study took the form of a non-randomized controlled trial. Participants chose the control or intervention group. The control group consumed their habitual lunches without restriction and only nutrient contents were assessed. The intervention group received a Japanese-style healthy lunch at a workplace cafeteria for 3 months. The participants worked in offices at a city hall and mostly had low levels of physical activity. Data of 35 males (control group: 7 males, intervention group: 28 males, mean age: 47.2 ± 7.9 years) were collected and analyzed.ResultsWe obtained an effective outcome by demonstrating that ongoing intake of a Japanese-style healthy lunch decreased blood pressure and serum lipids and increased plasma ghrelin levels. The results grew more pronounced as intake of Japanese-style healthy lunches increased in frequency.ConclusionsThis study presents new empirical data as a result of an original intervention program undertaken in Japan. A Japanese-style healthy lunch menu containing many vegetables consumed can help prevent and/or improve metabolic syndrome.

Highlights

  • Metabolic syndrome is widely appreciated as a cluster of metabolic abnormalities such as visceral obesity, hypertension, hyperglycemia and dyslipidemia

  • Total- Cholesterol (T-Chol) levels were significantly higher in the intervention group than in the control group

  • Participants having an abdominal circumference of ≥85 cm weighed more, had a higher body mass index (BMI), and lower serum HDL-Chol levels than the 40- to 49-year-old men described in the National Health and Nutrition survey of 2009 [7]

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Summary

Introduction

Metabolic syndrome is widely appreciated as a cluster of metabolic abnormalities such as visceral obesity, hypertension, hyperglycemia and dyslipidemia. We conducted a non-randomized controlled trial by offering a Japanese-style healthy lunch menu to middle-aged men in a workplace cafeteria. This menu was designed to prevent and reduce metabolic syndrome. Metabolic syndrome is a cluster of metabolic abnormalities characterized by concurrent hyperglycemia, hypertension, high triacylglycerol (TG) levels, low high-density lipoprotein cholesterol (HDL-Chol) levels, and inflammation [4,5]. These major components are often associated with decreased insulin sensitivity, proinflammatory, prooxidant, and prothrombotic states, and low levels of cardiorespiratory fitness [5]. Epidemiological surveys have applied principal component analysis to investigations into metabolic syndrome, CVD, and associations between food consumption patterns and metabolic syndrome [13,14]

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