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Lv Y, Aihemaiti G, Guo H. Effect of Dietary Approaches to Stop Hypertension (DASH) on Patients with Metabolic Syndrome and Its Potential Mechanisms. Diabetes Metab Syndr Obes 2024; 17:3103-3110. [PMID: 39206416 PMCID: PMC11350064 DOI: 10.2147/dmso.s477739] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/10/2024] [Accepted: 08/02/2024] [Indexed: 09/04/2024] Open
Abstract
Metabolic syndrome (MS) is more prevalent in chronic diseases and, if left untreated, can lead to serious consequences, such as cardiovascular disease (CVD), cerebrovascular disease and type 2 diabetes, which have become significant public health issues globally. Metabolic syndrome is significantly influenced by the daily diet of patients. The dietary approaches to stop hypertension (DASH) diet, originally designed to prevent or control hypertension, offers additional metabolic benefits due to its nutrient composition. The DASH diet recommends the intake of potassium, magnesium, calcium and fibre while limiting total fat, saturated fat and sodium, which is beneficial for patients with MS. Due to its limited fat content and high levels of fibre and calcium, individuals following the DASH diet are less prone to being overweight and obese and have lower concentrations of total and low-density lipoprotein cholesterol. Moreover, the DASH diet can reduce blood pressure and is effective in correcting glucose and insulin abnormalities. This review comprehensively summarises the health benefits of the DASH diet on the risk factors of MS and describes the potential mechanisms based on available evidence.
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Affiliation(s)
- Yangting Lv
- Department of Neurology, the Second Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou City, Zhejiang Province, 311500, People’s Republic of China
| | - Guliziba Aihemaiti
- Department of Medicine, Changji Branch of the First Affiliated Hospital of Xinjiang Medical University, Changji City, Xinjiang Province, 831100, People’s Republic of China
| | - Huirong Guo
- Department of Scientific Research and Teaching, Changji Branch of the First Affiliated Hospital of Xinjiang Medical University, Changji City, Xinjiang Province, 831100, People’s Republic of China
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Abusaada H, Elshater A. Revisiting Urban Street Planning and Design Factors to Promote Walking as a Physical Activity for Middle-Class Individuals with Metabolic Syndrome in Cairo, Egypt. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2024; 21:402. [PMID: 38673315 PMCID: PMC11050667 DOI: 10.3390/ijerph21040402] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/09/2024] [Revised: 03/13/2024] [Accepted: 03/22/2024] [Indexed: 04/28/2024]
Abstract
This paper revisits the planning and design factors of "pedestrianized" and "walkable" urban streets to encourage physical activity, focusing on their prioritization according to public health and smart growth. The aim is to create a conceptual framework for urban planners and designers to encourage walking and reduce metabolic syndrome (MetS) risks. Through a scoping review, the study found that while pedestrianized and walkable streets share many planning and design factors, they have different objectives. The study explores how urban planning and design can reduce MetS risk among middle-class individuals using online video storytelling for 30 participants in three districts of Cairo, Egypt: El Zamalek, Old Cairo, and Heliopolis. It identifies three factors to address MetS symptoms for middle-class individuals: strategic, design-oriented, and technical. Practitioners and policymakers can use this framework to evaluate the impact of their work. This study is particularly relevant for cities in the Global South that are facing similar challenges.
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Affiliation(s)
- Hisham Abusaada
- Housing and Building National Research Center, Giza 1770, Egypt;
| | - Abeer Elshater
- Faculty of Engineering, Ain Shams University, Cairo 11517, Egypt
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Lin YC, Lin YW. An Index to Assess Overwork-Related Adverse Effects on Employees Under the Occupational Safety and Health Act in Taiwan. Saf Health Work 2022; 13:401-407. [PMID: 36579013 PMCID: PMC9772476 DOI: 10.1016/j.shaw.2022.10.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2022] [Revised: 09/21/2022] [Accepted: 10/09/2022] [Indexed: 11/13/2022] Open
Abstract
Background The present study aimed to digitally evaluate the risk of overwork-related adverse effects (OrAEs) among employees from various occupational categories in Taiwan. Methods Anonymous data of employees from seven companies/factories providing occupational health services were analyzed. The studied population comprised 5505 employees, and the data analyzed included employment duration, working hours, shift work schedules, and health checkup results. The risk for OrAEs was assessed by an index, Karo index (0-4, the larger the value, the higher the risk for OrAEs) obtained using a risk matrix made up of cardiocerebral and occupational risk factors. Karo index values of 3 and 4 were categorized as at high risk for OrAEs (h-OrAEs). Results The 5505 employees had an average employment duration of 8.5 years and a mean age of 39.4 years. The prevalence rates for h-OrAEs of the seven companies/factories ranged from 3.9% to 34.2%. There were significant differences in prevalence rates for h-OrAEs between employees of retail stores and high-tech manufacturing factories. Multivariate analysis results indicated that workers of high-tech manufacturing factories had significantly higher risk for h-OrAEs compared with retail store workers. Conclusion In terms of satisfying health risk management and legal requirements in Taiwan, the newly issued Karo index, which covers a wide range of occupational risk factors, can serve as an assessment and a warning tool for managing the risk of OrAEs in workplaces. To reduce risks for h-OrAEs, active and prudent control of cerebrocardiovascular risks and working hours is recommended.
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Affiliation(s)
- Yu-Cheng Lin
- Department of Occupational Medicine, Fu Jen Catholic University Hospital, Fu Jen Catholic University, Taiwan,School of Medicine, Fu Jen Catholic University, New Taipei City, Taiwan,Department of Occupational Medicine, En Chu Kong Hospital, New Taipei, Taiwan,Corresponding author. Department of Occupational Medicine, Fu Jen Catholic University Hospital, Fu Jen Catholic University, Taiwan.
| | - Yu-Wen Lin
- College of Medicine, Fu Jen Catholic University, New Taipei City, Taiwan
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Andrade N, Peixoto JAB, Oliveira MBPP, Martel F, Alves RC. Can coffee silverskin be a useful tool to fight metabolic syndrome? Front Nutr 2022; 9:966734. [PMID: 36211502 PMCID: PMC9534380 DOI: 10.3389/fnut.2022.966734] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2022] [Accepted: 09/02/2022] [Indexed: 12/03/2022] Open
Abstract
Coffee is one of the most consumed products in the world, and its by-products are mainly discarded as waste. In order to solve this problem and in the context of a sustainable industrial attitude, coffee by-products have been studied concerning their chemical and nutritional features for a potential application in foodstuffs or dietary supplements. Under this perspective, coffee silverskin, the main by-product of coffee roasting, stands out as a noteworthy source of nutrients and remarkable bioactive compounds, such as chlorogenic acids, caffeine, and melanoidins, among others. Such compounds have been demonstrating beneficial health properties in the context of metabolic disorders. This mini-review compiles and discusses the potential health benefits of coffee silverskin and its main bioactive components on metabolic syndrome, highlighting the main biochemical mechanisms involved, namely their effects upon intestinal sugar uptake, glucose and lipids metabolism, oxidative stress, and gut microbiota. Even though additional research on this coffee by-product is needed, silverskin can be highlighted as an interesting source of compounds that could be used in the prevention or co-treatment of metabolic syndrome. Simultaneously, the valorization of this by-product also responds to the sustainability and circular economy needs of the coffee chain.
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Affiliation(s)
- Nelson Andrade
- REQUIMTE/LAQV, Department of Chemical Sciences, Faculty of Pharmacy, University of Porto, Porto, Portugal
- Unit of Biochemistry, Department of Biomedicine, Faculty of Medicine of Porto, University of Porto, Porto, Portugal
- *Correspondence: Nelson Andrade
| | - Juliana A. Barreto Peixoto
- REQUIMTE/LAQV, Department of Chemical Sciences, Faculty of Pharmacy, University of Porto, Porto, Portugal
| | - M. Beatriz P. P. Oliveira
- REQUIMTE/LAQV, Department of Chemical Sciences, Faculty of Pharmacy, University of Porto, Porto, Portugal
| | - Fátima Martel
- Unit of Biochemistry, Department of Biomedicine, Faculty of Medicine of Porto, University of Porto, Porto, Portugal
- Instituto de Investigação e Inovação em Saúde (I3S), University of Porto, Porto, Portugal
| | - Rita C. Alves
- REQUIMTE/LAQV, Department of Chemical Sciences, Faculty of Pharmacy, University of Porto, Porto, Portugal
- Rita C. Alves
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Merchant RA, Chan YH, Lim JY, Morley JE. Prevalence of Metabolic Syndrome and Association with Grip Strength in Older Adults: Findings from the HOPE Study. Diabetes Metab Syndr Obes 2020; 13:2677-2686. [PMID: 32821140 PMCID: PMC7419634 DOI: 10.2147/dmso.s260544] [Citation(s) in RCA: 27] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/04/2020] [Accepted: 07/07/2020] [Indexed: 12/18/2022] Open
Abstract
OBJECTIVE To determine the prevalence of metabolic syndrome (MetS) in older adults and assess the association of MetS and adverse outcomes with handgrip strength (HGS), HGS/body weight (BWT), and HGS/body mass index (BMI). METHODS A cross-sectional population study in Singapore. Data were collected on demographics, HGS, Timed-Up and Go (TUG), fasting glucose, lipid profile, blood pressure, waist circumference, frailty status, and cognition in 722 older adults ≥65 years old. MetS was defined using the Modified ATP III for Asians where at least three of the following conditions must be fulfilled, central obesity, high blood glucose (or diagnosed diabetes mellitus), high blood pressure (or diagnosed hypertension), low high-density lipoprotein, and high triglycerides. The waist circumference in the Modified ATP III for Asians is ≥90 cm for males or ≥80 cm for females. HGS and HGS normalized by BWT or BMI were used for the association. RESULTS The prevalence of MetS in older adults was 41.0%, and those ≥85 years old 50.0%. The prevalence was higher in females ≥70 years old, with 8 in 10 females ≥85 years having MetS. After adjusting for age, years of education, physical exercise, as well as history of smoking and alcohol consumption, higher HGS normalized by BWT or BMI was significantly associated with lower odds of having MetS (OR: 0.51,95% CI 0.43-0.61, p<0.01) and (OR: 0.13, 95% CI 0.07-0.24, p<0.01). CONCLUSION Almost 1 in 2 older adults had MetS, with the prevalence in females much higher than that in males over 70 years old. Our findings suggest that both HGS/BWT and HGS/BMI had a significant negative association with MetS, its components, and adverse effects. Further studies are needed to validate the association and to determine optimal cutoffs of HGS/BWT and HGS/BMI for MetS, and the effectiveness of interventions in averting the risk.
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Affiliation(s)
- Reshma Aziz Merchant
- Division of Geriatric Medicine, Department of Medicine, National University Hospital, Singapore
- Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
- Correspondence: Reshma Aziz Merchant Division of Geriatric Medicine, Department of Medicine, National University Hospital119228, SingaporeTel +65 6779 5555 Email
| | - Yiong Huak Chan
- Biostatistics Unit, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
| | - Jia Yi Lim
- Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
| | - John E Morley
- Division of Geriatric Medicine, Saint Louis University School of Medicine, St Louis, MO, USA
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A Randomized Controlled Trial of the Prescribed Stepper Walking Program in Preventing Frailty Among the Dwelling Elderly. TOPICS IN GERIATRIC REHABILITATION 2018. [DOI: 10.1097/tgr.0000000000000198] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Self-Management Program for Heart Healthy Behavior Among Middle- and Old-Aged Korean Women at Risk for Metabolic Syndrome. J Cardiovasc Nurs 2017; 32:E8-E16. [DOI: 10.1097/jcn.0000000000000406] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
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de la Iglesia R, Loria-Kohen V, Zulet MA, Martinez JA, Reglero G, Ramirez de Molina A. Dietary Strategies Implicated in the Prevention and Treatment of Metabolic Syndrome. Int J Mol Sci 2016; 17:E1877. [PMID: 27834920 PMCID: PMC5133877 DOI: 10.3390/ijms17111877] [Citation(s) in RCA: 105] [Impact Index Per Article: 13.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2016] [Revised: 10/07/2016] [Accepted: 10/31/2016] [Indexed: 02/06/2023] Open
Abstract
Metabolic syndrome (MetS) is established as the combination of central obesity and different metabolic disturbances, such as insulin resistance, hypertension and dyslipidemia. This cluster of factors affects approximately 10%-50% of adults worldwide and the prevalence has been increasing in epidemic proportions over the last years. Thus, dietary strategies to treat this heterogenic disease are under continuous study. In this sense, diets based on negative-energy-balance, the Mediterranean dietary pattern, n-3 fatty acids, total antioxidant capacity and meal frequency have been suggested as effective approaches to treat MetS. Furthermore, the type and percentage of carbohydrates, the glycemic index or glycemic load, and dietary fiber content are some of the most relevant aspects related to insulin resistance and impaired glucose tolerance, which are important co-morbidities of MetS. Finally, new studies focused on the molecular action of specific nutritional bioactive compounds with positive effects on the MetS are currently an objective of scientific research worldwide. The present review summarizes some of the most relevant dietary approaches and bioactive compounds employed in the treatment of the MetS to date.
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Affiliation(s)
- Rocio de la Iglesia
- GENYAL Platform on Nutrition and Health, IMDEA Food Institute, CEI UAM + CSIC, 28049 Madrid, Spain.
| | - Viviana Loria-Kohen
- GENYAL Platform on Nutrition and Health, IMDEA Food Institute, CEI UAM + CSIC, 28049 Madrid, Spain.
| | - Maria Angeles Zulet
- Department of Nutrition, Food Science and Physiology, University of Navarra, 31008 Pamplona, Spain.
- CIBER Fisiopatología de la Obesidad y la Nutrición (CIBERobn), 28029 Madrid, Spain.
| | - Jose Alfredo Martinez
- Department of Nutrition, Food Science and Physiology, University of Navarra, 31008 Pamplona, Spain.
- CIBER Fisiopatología de la Obesidad y la Nutrición (CIBERobn), 28029 Madrid, Spain.
| | - Guillermo Reglero
- GENYAL Platform on Nutrition and Health, IMDEA Food Institute, CEI UAM + CSIC, 28049 Madrid, Spain.
| | - Ana Ramirez de Molina
- GENYAL Platform on Nutrition and Health, IMDEA Food Institute, CEI UAM + CSIC, 28049 Madrid, Spain.
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Tran VD, Lee AH, Jancey J, James AP, Howat P, Thi Phuong Mai L. Community-based physical activity and nutrition programme for adults with metabolic syndrome in Vietnam: study protocol for a cluster-randomised controlled trial. BMJ Open 2016; 6:e011532. [PMID: 27256094 PMCID: PMC4893929 DOI: 10.1136/bmjopen-2016-011532] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Abstract
INTRODUCTION Metabolic syndrome (MetS) is a cluster of risk factors for cardiovascular diseases and type II diabetes. In Vietnam, more than one-quarter of its population aged 50-65 have MetS. This cluster-randomised controlled trial aims to evaluate the effectiveness of interventions to increase levels of physical activity and improve dietary behaviours among Vietnamese adults aged 50-65 years with MetS. METHOD AND ANALYSIS This 6-month community-based intervention includes a range of strategies to improve physical activity and nutrition for adults with MetS in Hanam, a province located in northern Vietnam. 600 participants will be recruited from 6 communes with 100 participants per commune. The 6 selected communes will be randomly allocated to either an intervention group (m=3; n=300) or a control group (m=3; n=300). The intervention comprises booklets, education sessions, resistance bands and attending local walking groups that provide information and encourage participants to improve their physical activity and healthy eating behaviours during the 6-month period. The control group participants will receive standard and 1-time advice. Social cognitive theory is the theoretical concept underpinning this study. Measurements will be taken at baseline and postintervention to evaluate programme effectiveness. ETHICS AND DISSEMINATION The research protocol was approved by the Curtin University Human Research Ethics Committee (approval number: HR139/2014). The results of the study will be disseminated through publications, reports and conference presentations. TRIAL REGISTRATION NUMBER ACTRN12614000811606.
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Affiliation(s)
- Van Dinh Tran
- Department of Community Health and Network Coordination, National Institute of Hygiene and Epidemiology, Hanoi, Vietnam
- School of Public Health, Curtin University, Perth, Western Australia, Australia
| | - Andy H Lee
- School of Public Health, Curtin University, Perth, Western Australia, Australia
| | - Jonine Jancey
- School of Public Health, Curtin University, Perth, Western Australia, Australia
- Collaboration for Evidence, Research and Impact in Public Health, Curtin University, Perth, Western Australia, Australia
| | - Anthony P James
- School of Public Health, Curtin University, Perth, Western Australia, Australia
| | - Peter Howat
- School of Public Health, Curtin University, Perth, Western Australia, Australia
- Collaboration for Evidence, Research and Impact in Public Health, Curtin University, Perth, Western Australia, Australia
| | - Le Thi Phuong Mai
- Department of Community Health and Network Coordination, National Institute of Hygiene and Epidemiology, Hanoi, Vietnam
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Cho SY, Roh HT. Trekking poles reduce downhill walking-induced muscle and cartilage damage in obese women. J Phys Ther Sci 2016; 28:1574-6. [PMID: 27313374 PMCID: PMC4905913 DOI: 10.1589/jpts.28.1574] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2016] [Accepted: 02/02/2016] [Indexed: 11/24/2022] Open
Abstract
[Purpose] This study investigated the effect of the use of trekking poles on muscle and
cartilage damage and fatigue during downhill walking in obese women. [Subjects and
Methods] Subjects included eight obese women who had a body fat percentage greater than
30. Subjects performed downhill walking without a trekking pole (NP) and with a trekking
pole (TP) at 50% heart rate reserve for 30 minutes on a treadmill. The treadmill was set
at a 15% downhill declination. Blood samples were collected to examine muscle damage
(serum creatine kinase [CK] and lactate dehydrogenase [LDH] levels), cartilage damage
(serum cartilage oligomeric matrix protein [COMP] levels), and fatigue (plasma lactate
levels) at the pre-walking baseline (PWB), immediately after walking (IAW), and 2 hours
post-walking (2HPW). [Results] The CK, LDH, COMP, and lactate levels were significantly
increased IAW when compared with those at the PWB in both trials. In addition, in the NP
trial, the CK, LDH, and COMP levels were significantly increased at 2HPW when compared
with those at the PWB. [Conclusion] Downhill walking can cause muscle and cartilage
damage, and our results suggest that the use of a trekking pole can reduce temporary
muscle and cartilage damage after downhill walking.
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Affiliation(s)
- Su Youn Cho
- Exercise Physiology Laboratory, Department of Physical Education, Yonsei University, Republic of Korea
| | - Hee Tae Roh
- Department of Physical Education, College of Arts and Physical Education, Dong-A University, Republic of Korea
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Alghadir AH, Gabr SA, Al-Eisa E. Cellular fibronectin response to supervised moderate aerobic training in patients with type 2 diabetes. J Phys Ther Sci 2016; 28:1092-9. [PMID: 27190433 PMCID: PMC4868193 DOI: 10.1589/jpts.28.1092] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2015] [Accepted: 12/18/2015] [Indexed: 12/13/2022] Open
Abstract
[Purpose] Physical activity is one of the most pivotal targets for the prevention and
management of vascular complications, especially endothelial dysfunctions. Cellular
fibronectin is an endothelium-derived protein involved in subendothelial matrix assembly.
Its plasma levels reflect matrix alterations and vessel wall destruction in patients with
type II diabetes. This study investigated the influence of 12 weeks of supervised aerobic
training on cellular fibronectin and its relationship with insulin resistance and body
weight in type II diabetic subjects. [Subjects and Methods] This study included 50 men
with type II diabetes who had a mean age of 48.8 ± 14.6 years and were randomly divided
into two groups: an aerobic exercise group (12 weeks, three 50 minutes sessions per week)
and control group. To examine changes in cellular fibronectin, glycosylated hemoglobin,
insulin resistance, fasting insulin, fasting blood sugar, and lipid profile, 5 ml of blood
was taken from the brachial vein of patients before and 48 hours after completion of the
exercise period and after 12 hours of fasting at rest. Data analysis was performed using
the SPSS-16 software with the independent and paired t-tests. [Results] A significant
decrease was observed in body mass index and body fat percentage in the experimental
group. Compared with the control group, the aerobic exercise group showed a significant
decrease in cellular fibronectin, glycosylated hemoglobin, insulin resistance, fasting
insulin, fasting blood sugar, and lipid profile after 12 weeks of aerobic exercise. The
change in cellular fibronectin showed positive significant correlation with body mass
index, diabetic biomarkers, and physical activity level. [Conclusion] The results showed
that supervised aerobic exercise as a stimulus can change the levels of cellular
fibronectin as matrix metalloproteinase protein a long with improvement of insulin
sensitivity and glycosylated hemoglobin in order to prevent cardiovascular diseases in men
with diabetes
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Affiliation(s)
- Ahmad H Alghadir
- Rehabilitation Research Chair, College of Applied Medical Sciences, King Saud University, KSA
| | - Sami A Gabr
- Rehabilitation Research Chair, College of Applied Medical Sciences, King Saud University, KSA; Department of Anatomy, Faculty of Medicine, Mansoura University, Egypt
| | - Einas Al-Eisa
- Rehabilitation Research Chair, College of Applied Medical Sciences, King Saud University, KSA
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Park J, Kim S. Validity of muscle-to-fat ratio as a predictor of adult metabolic syndrome. J Phys Ther Sci 2016; 28:1036-45. [PMID: 27134408 PMCID: PMC4842420 DOI: 10.1589/jpts.28.1036] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2015] [Accepted: 12/15/2015] [Indexed: 01/26/2023] Open
Abstract
[Purpose] This study was aimed at determining the validity of the muscle-to-fat ratio as
an indicator for the prevention and management of metabolic syndrome by establishing an
optimal cutoff value. [Subjects and Methods] Data from the first and second year of the
fifth Korea National Health Nutrition Examination Survey, conducted by the Korean Ministry
of Health and Welfare and Korean Centers for Disease Control and Prevention, were used. A
total of 6,256 subjects were included in the study. Diagnostic accuracy was measured by
using the area under the receiver operating characteristic curve. [Results] The receiver
operating characteristic curve for the muscle-to-fat ratio, which represents the
diagnostic power for predicting metabolic syndrome, was 0.713 in men and 0.721 in women.
The optimal cutoff value for the prediction and diagnosis of metabolic syndrome was
3.09 kg/kg in men and 1.83 kg/kg in women. Intergroup differences based on the
muscle-to-fat ratio indicated that the low-ratio group had higher values for all
indicators of metabolic syndrome than the high-ratio group. [Conclusion] The muscle-to-fat
ratio can be used as an indicator for the prediction and diagnosis of metabolic syndrome,
and early prevention and management of metabolic syndrome can help in improving public
health.
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Affiliation(s)
- Jongsuk Park
- School of Global Sport Studies, Korea University, Republic of Korea
| | - Sangho Kim
- School of Global Sport Studies, Korea University, Republic of Korea
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Ki NK, Lee HK, Cho JH, Kim SC, Kim NS. Factors affecting metabolic syndrome by lifestyle. J Phys Ther Sci 2016; 28:38-45. [PMID: 26957725 PMCID: PMC4755971 DOI: 10.1589/jpts.28.38] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2015] [Accepted: 10/05/2015] [Indexed: 12/12/2022] Open
Abstract
[Purpose] The aim of this study was to explore lifestyle factors in relation to metabolic
syndrome so as to be able to utilize the results as baseline data for the furtherance of
health-care and medical treatment. [Subjects and Methods] This study was conducted with
patients who visited a health care center located in Seoul and had abdominal
ultrasonography between 2 March 2013 and 28 February, 2014. Heights, weights, and blood
pressures were measured by automatic devices. Three radiologists examined the patients
using abdominal ultrasonography for gallstone diagnosis. The statuses of patients with
regard to smoking, alcohol, coffee, and physical activities were explored for the
lifestyle investigation. For investigating baseline demographics, we first used
descriptive statistics. We then used the χ2 test to analyze lifestyles and
gallstone prevalence with regard to the presence of metabolic syndrome. Lastly, logistic
regression analysis was conducted to discover the risk factors of metabolic syndrome.
[Results] For men, body mass index, maximum gallstone size, and waist circumference were
revealed as risk factors for metabolic syndrome, in descending order of the degree of
risk. For females, gallstone presence was the most significant risk factor, followed by
waist circumference. [Conclusion] Metabolic disease mainly presents itself along with
obesity, and we should become more focused on preventing and treating this disease. A
large-scale prospective study is needed in the future, as the cause of nonalcoholic
steatohepatitis remained unclear in this study.
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Affiliation(s)
- Nam-Kyun Ki
- Department of Radiology, Korea Medical Institute, Republic of Korea; Department of International Radiological Science, Hallym University of Graduate Studies, Republic of Korea
| | - Hae-Kag Lee
- Department of Computer Science and Engineering, Soonchunhyang University, Republic of Korea
| | - Jae-Hwan Cho
- Department of International Radiological Science, Hallym University of Graduate Studies, Republic of Korea
| | - Seon-Chil Kim
- Department of Biomedical Engineering, Keimyung University, Republic of Korea
| | - Nak-Sang Kim
- Department of Radiological Science, Songho College, Republic of Korea
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Ko SS, Chung JS, So WY. Correlation between waist and mid-thigh circumference and cardiovascular fitness in Korean college students: a case study. J Phys Ther Sci 2015; 27:3019-21. [PMID: 26504348 PMCID: PMC4616149 DOI: 10.1589/jpts.27.3019] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2015] [Accepted: 04/03/2015] [Indexed: 11/24/2022] Open
Abstract
[Purpose] We investigated whether waist and mid-thigh circumference correlated with
cardiovascular fitness (VO2max) in a selected sample of Korean college
students. [Subjects and Methods] The subjects were 41 college students (25 males, 16
females; age, > 19 years) who visited the sports medicine laboratory at the Korea
National University of Transportation in Chungju-si, Republic of Korea, to undergo
measurements of body composition, cardiovascular fitness, and waist and mid-thigh
circumference. [Results] VO2max did not correlate with waist circumference or
mid-thigh circumference in males, whereas VO2max was negatively correlated with
mid-thigh circumference, but not waist circumference, in females. [Conclusion] Mid-thigh
circumference was not associated with cardiovascular fitness or waist in male college
students. However, it was associated with cardiovascular fitness in female college
students. Well-designed studies are needed to investigate this further.
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Affiliation(s)
- Sung-Sik Ko
- College of Humanities and Arts, Sports and Health Care Major, Korea National University of Transportation, Republic of Korea
| | - Jae-Soon Chung
- College of Humanities and Arts, Sports and Health Care Major, Korea National University of Transportation, Republic of Korea
| | - Wi-Young So
- College of Humanities and Arts, Sports and Health Care Major, Korea National University of Transportation, Republic of Korea
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Park JH, Park H, Lim ST, Park JK. Effects of a 12-week healthy-life exercise program on oxidized low-density lipoprotein cholesterol and carotid intima-media thickness in obese elderly women. J Phys Ther Sci 2015; 27:1435-9. [PMID: 26157235 PMCID: PMC4483413 DOI: 10.1589/jpts.27.1435] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2014] [Accepted: 01/17/2015] [Indexed: 11/24/2022] Open
Abstract
[Purpose] This study examined the effects of a 12-week exercise program on plasma level
of oxidized low-density lipoprotein cholesterol in obese elderly women, who are at
increased risk of heart disease morbidity. [Subjects and Methods] Twenty participants were
assigned into either a control (n = 10) or a supervised exercise program
(n = 10) group. The 12-week exercise intervention was performed 3 days
per week and involved combined aerobic exercise, resistance exercise, and traditional
Korean dance. [Results] Two-factor analysis of variance revealed significant group × time
interactions for body mass, diastolic blood pressure, appendicular muscle mass. For
high-density lipoprotein cholesterol, oxidized low-density lipoprotein cholesterol, and
the ratio of oxidized low-/high-density lipoprotein cholesterol, two-factor analysis of
variance revealed significant interactions (group × time), indicating responses differed
significantly between the control and exercise groups after 12 weeks. [Conclusion] A
12-week low- to moderate-intensity exercise program appears to be beneficial for obese
elderly women by improving risk factors for cardiovascular disease.
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Affiliation(s)
- Jong-Hwan Park
- The Dong-A Anti-aging Research Institute, Dong-A University, Republic of Korea
| | - Hyuntae Park
- Department of Health Care and Sciences, Dong-A University, Republic of Korea ; Research Institute of National Center for Geriatrics and Gerontology, Japan
| | - Seung-Taek Lim
- College of Sport Sciences, Dong-A University, Republic of Korea
| | - Jin-Kee Park
- Institute of Taekwondo for Health and Culture, Dong-A University, Republic of Korea
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Lim W, So WY. Lifestyle-related factors and their association with metabolic syndrome in Korean adults: a population-based study. J Phys Ther Sci 2015; 27:555-8. [PMID: 25931679 PMCID: PMC4395663 DOI: 10.1589/jpts.27.555] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2014] [Accepted: 09/02/2014] [Indexed: 11/24/2022] Open
Abstract
[Purpose] The aim of this study was to investigate whether lifestyle-related factors are
associated with metabolic syndrome (MetS) in community-dwelling Korean adults. [Subjects
and Methods] The subjects comprised 590 men and 1,138 women aged 20 years and above. The
subjects visited a public health promotion center in Seoul, Republic of Korea to
participate in a survey regarding sleep duration, mental stress, educational level,
economic status, and frequency of alcohol consumption and smoking. MetS was defined
according to the standard definition of the National Cholesterol Education Program’s Adult
Treatment Panel III report. The relationship between lifestyle-related factors and MetS
was assessed using multivariate logistic regression analysis after adjustments for age and
sex. [Results] Sleep duration, educational level, economic status, and frequency of
alcohol consumption and smoking were not associated with MetS. Mental stress was the only
lifestyle-related factor associated with MetS. [Conclusion] Well-designed studies will be
necessary in order to establish the lifestyle-related factors of MetS.
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Affiliation(s)
- Wanki Lim
- Department of Leisure Sports, Hoseo University, Republic of Korea
| | - Wi-Young So
- Sports and Health Care Major, College of Humanities and Arts, Korea National University of Transportation, Republic of Korea
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