Abstract
BackgroundIt is recognized that the growing epidemic of metabolic syndrome is related to dietary and lifestyle changes.ObjectiveThe purpose of this study was to evaluate short-term application of nutritional counseling in women with metabolic syndrome.MethodsThis follow-up study was conducted from September to November 2008 with thirty three women ≥35 years old screened clinically for nutritional counseling. Dietary intake was reported, and biochemical and body composition measures were taken at baseline and after three months of follow-up.ResultsOf the 33 women evaluated, 29 patients completed the study. The prevalence of type 2 diabetes mellitus, hypertension, dyslipidemia, and obesity was high at 38%, 72.4%, 55.2%, and 75.8%, respectively. At the end of three-months of follow-up, a significant decline in body mass index, waist circumference, triceps skinfold, and triglycerides was observed, as was an increase in calcium and vitamin D intake. The multiple regression analysis showed that changes in body mass index, triceps skinfold, waist circumference and triglyceride levels after nutritional intervention were positively associated with changes in anthropometric (loss of body weight) and biochemical (decrease of TG/HDL-c ratio) parameters. Moreover, waist circumference changes were negatively associated with changes in calcium and vitamin D intake.ConclusionShort-term nutritional counseling improved some factors of metabolic syndrome. Moreover, the increases in calcium and vitamin D consumption can be associated with the improvement in markers of metabolic syndrome.
Highlights
Metabolic syndrome was defined in 2001 by the National Cholesterol Education Program Adult Treatment Panel III (ATP III) as the presence of ≥ 3 of the following risk factors: abdominal obesity, hyperglycemia, hypertriacylglycerolemia, low HDL-c, and hypertension [1].The high prevalence of metabolic syndrome in developing countries have been demonstrated in countries such as: Morocco, Oman, Turkey, Iran with 33.5%, 16.3%, 33.4%, and 33.7%, respectively
Short-term nutritional counseling improved some factors of metabolic syndrome
The increases in calcium and vitamin D consumption can be associated with the improvement in markers of metabolic syndrome
Summary
The high prevalence of metabolic syndrome in developing countries have been demonstrated in countries such as: Morocco, Oman, Turkey, Iran with 33.5%, 16.3%, 33.4%, and 33.7%, respectively. It is recognized that the growing epidemic of chronic diseases is related to dietary and lifestyle changes in the post-industrial era. Several studies have demonstrated the association between nutrition and obesity, coronary heart disease, diabetes, osteoporosis, and certain cancers (for review see WHO [3]). In this case, the prevention of metabolic syndrome represents an important opportunity to ameliorate the health of these patients. It is recognized that the growing epidemic of metabolic syndrome is related to dietary and lifestyle changes
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