ArticleCMAJ open
Family physician-led, team-based, lifestyle intervention in patients with metabolic syndrome: results of a multicentre feasibility project.
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Article in CMAJ open. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 16 papers, 1 of them a synthesis that pooled it.
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16citing papers in PubMed, 1 pooled it
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Use of the Healthy Eating Index in Intervention Studies for Cardiometabolic Risk Conditions: A Systematic Review.Advances in nutrition (Bethesda, Md.) · 2021Pooled it
- Trial
- Review
- Exploratory analysis of the variable response to an intensive lifestyle change program for metabolic syndrome.BMC primary care · 2024Article
- Exercise referral schemes increase Patients' cardiorespiratory Endurance: A systematic review and Meta-Analysis.Preventive medicine reports · 2024Review
- The nurse-led GILL eHealth intervention for improving physical health and lifestyle behaviours in clients with severe mental illness: design of a cluster-randomised controlled trial.BMC psychiatry · 2023Article
- Relationship between Cardiometabolic Factors and the Response of Blood Pressure to a One-Year Primary Care Lifestyle Intervention in Metabolic Syndrome Patients.Metabolites · 2022Article
- Key process features of personalized diet counselling in metabolic syndrome: secondary analysis of feasibility study in primary care.BMC nutrition · 2022Article
- Interventions for Adherence Improvement in the Primary Prevention of Cardiovascular Diseases: Expert Consensus Statement.Korean circulation journal · 2022Review
- Article
- Relationship between metabolic syndrome and moderate-to-vigorous physical activity among adults 18 years old and over.PloS one · 2021Article
- Impact of a multidisciplinary intervention on physical fitness, physical activity habits and the association between aerobic fitness and components of metabolic syndrome in adults diagnosed with metabolic syndrome.Archives of public health = Archives belges de sante publique · 2020Article
- Employers With Metabolic Syndrome and Increased Depression/Anxiety Severity Profit Most From Structured Exercise Intervention for Work Ability and Quality of Life.Frontiers in psychiatry · 2020Article
- Development of a patient experience questionnaire to improve lifestyle services in primary care.Primary health care research & development · 2018Article
- Patient experiences of a lifestyle program for metabolic syndrome offered in family medicine clinics: a mixed methods study.BMC family practice · 2018Article
- Article
Corrections and comments
- Erratum issued
Authors and funding
12 authors.
Khursheed JeejeebhoyMetabolic Syndrome Canada is a not-for-profit charitable organization that funded the current study. Daren Heyland received grant funds from Metabolic Syndrome Canada for program development, study coordination and data analyses. Rupinder Dhaliwal, Andrew Day and Roger Leung were paid for their work on the study by Kingston General Hospital and Queen's University from this grant. Rupinder Dhaliwal became an employee of Metabolic Syndrome Canada after the completion of study enrolment. Lew Pliamm, Caroline Rhéuame and Doug Klein received grants as participating sites for patient enrolment and data collection from Metabolic Syndrome Canada. Paula Brauer, Dawna Royall, David Mutch and Angelo Tremblay received grants for program development from Metabolic Syndrome Canada. Khursheed Jeejeebhoy is on the board of directors for Metabolic Syndrome Canada and will be involved in discussions about fundraising for this nonprofit organization.
Rupinder DhaliwalMetabolic Syndrome Canada is a not-for-profit charitable organization that funded the current study. Daren Heyland received grant funds from Metabolic Syndrome Canada for program development, study coordination and data analyses. Rupinder Dhaliwal, Andrew Day and Roger Leung were paid for their work on the study by Kingston General Hospital and Queen's University from this grant. Rupinder Dhaliwal became an employee of Metabolic Syndrome Canada after the completion of study enrolment. Lew Pliamm, Caroline Rhéuame and Doug Klein received grants as participating sites for patient enrolment and data collection from Metabolic Syndrome Canada. Paula Brauer, Dawna Royall, David Mutch and Angelo Tremblay received grants for program development from Metabolic Syndrome Canada. Khursheed Jeejeebhoy is on the board of directors for Metabolic Syndrome Canada and will be involved in discussions about fundraising for this nonprofit organization.
Daren K HeylandMetabolic Syndrome Canada is a not-for-profit charitable organization that funded the current study. Daren Heyland received grant funds from Metabolic Syndrome Canada for program development, study coordination and data analyses. Rupinder Dhaliwal, Andrew Day and Roger Leung were paid for their work on the study by Kingston General Hospital and Queen's University from this grant. Rupinder Dhaliwal became an employee of Metabolic Syndrome Canada after the completion of study enrolment. Lew Pliamm, Caroline Rhéuame and Doug Klein received grants as participating sites for patient enrolment and data collection from Metabolic Syndrome Canada. Paula Brauer, Dawna Royall, David Mutch and Angelo Tremblay received grants for program development from Metabolic Syndrome Canada. Khursheed Jeejeebhoy is on the board of directors for Metabolic Syndrome Canada and will be involved in discussions about fundraising for this nonprofit organization.
Roger LeungMetabolic Syndrome Canada is a not-for-profit charitable organization that funded the current study. Daren Heyland received grant funds from Metabolic Syndrome Canada for program development, study coordination and data analyses. Rupinder Dhaliwal, Andrew Day and Roger Leung were paid for their work on the study by Kingston General Hospital and Queen's University from this grant. Rupinder Dhaliwal became an employee of Metabolic Syndrome Canada after the completion of study enrolment. Lew Pliamm, Caroline Rhéuame and Doug Klein received grants as participating sites for patient enrolment and data collection from Metabolic Syndrome Canada. Paula Brauer, Dawna Royall, David Mutch and Angelo Tremblay received grants for program development from Metabolic Syndrome Canada. Khursheed Jeejeebhoy is on the board of directors for Metabolic Syndrome Canada and will be involved in discussions about fundraising for this nonprofit organization.
Andrew G DayMetabolic Syndrome Canada is a not-for-profit charitable organization that funded the current study. Daren Heyland received grant funds from Metabolic Syndrome Canada for program development, study coordination and data analyses. Rupinder Dhaliwal, Andrew Day and Roger Leung were paid for their work on the study by Kingston General Hospital and Queen's University from this grant. Rupinder Dhaliwal became an employee of Metabolic Syndrome Canada after the completion of study enrolment. Lew Pliamm, Caroline Rhéuame and Doug Klein received grants as participating sites for patient enrolment and data collection from Metabolic Syndrome Canada. Paula Brauer, Dawna Royall, David Mutch and Angelo Tremblay received grants for program development from Metabolic Syndrome Canada. Khursheed Jeejeebhoy is on the board of directors for Metabolic Syndrome Canada and will be involved in discussions about fundraising for this nonprofit organization.
Paula BrauerMetabolic Syndrome Canada is a not-for-profit charitable organization that funded the current study. Daren Heyland received grant funds from Metabolic Syndrome Canada for program development, study coordination and data analyses. Rupinder Dhaliwal, Andrew Day and Roger Leung were paid for their work on the study by Kingston General Hospital and Queen's University from this grant. Rupinder Dhaliwal became an employee of Metabolic Syndrome Canada after the completion of study enrolment. Lew Pliamm, Caroline Rhéuame and Doug Klein received grants as participating sites for patient enrolment and data collection from Metabolic Syndrome Canada. Paula Brauer, Dawna Royall, David Mutch and Angelo Tremblay received grants for program development from Metabolic Syndrome Canada. Khursheed Jeejeebhoy is on the board of directors for Metabolic Syndrome Canada and will be involved in discussions about fundraising for this nonprofit organization.
Dawna RoyallMetabolic Syndrome Canada is a not-for-profit charitable organization that funded the current study. Daren Heyland received grant funds from Metabolic Syndrome Canada for program development, study coordination and data analyses. Rupinder Dhaliwal, Andrew Day and Roger Leung were paid for their work on the study by Kingston General Hospital and Queen's University from this grant. Rupinder Dhaliwal became an employee of Metabolic Syndrome Canada after the completion of study enrolment. Lew Pliamm, Caroline Rhéuame and Doug Klein received grants as participating sites for patient enrolment and data collection from Metabolic Syndrome Canada. Paula Brauer, Dawna Royall, David Mutch and Angelo Tremblay received grants for program development from Metabolic Syndrome Canada. Khursheed Jeejeebhoy is on the board of directors for Metabolic Syndrome Canada and will be involved in discussions about fundraising for this nonprofit organization.
Angelo TremblayMetabolic Syndrome Canada is a not-for-profit charitable organization that funded the current study. Daren Heyland received grant funds from Metabolic Syndrome Canada for program development, study coordination and data analyses. Rupinder Dhaliwal, Andrew Day and Roger Leung were paid for their work on the study by Kingston General Hospital and Queen's University from this grant. Rupinder Dhaliwal became an employee of Metabolic Syndrome Canada after the completion of study enrolment. Lew Pliamm, Caroline Rhéuame and Doug Klein received grants as participating sites for patient enrolment and data collection from Metabolic Syndrome Canada. Paula Brauer, Dawna Royall, David Mutch and Angelo Tremblay received grants for program development from Metabolic Syndrome Canada. Khursheed Jeejeebhoy is on the board of directors for Metabolic Syndrome Canada and will be involved in discussions about fundraising for this nonprofit organization.
David M MutchMetabolic Syndrome Canada is a not-for-profit charitable organization that funded the current study. Daren Heyland received grant funds from Metabolic Syndrome Canada for program development, study coordination and data analyses. Rupinder Dhaliwal, Andrew Day and Roger Leung were paid for their work on the study by Kingston General Hospital and Queen's University from this grant. Rupinder Dhaliwal became an employee of Metabolic Syndrome Canada after the completion of study enrolment. Lew Pliamm, Caroline Rhéuame and Doug Klein received grants as participating sites for patient enrolment and data collection from Metabolic Syndrome Canada. Paula Brauer, Dawna Royall, David Mutch and Angelo Tremblay received grants for program development from Metabolic Syndrome Canada. Khursheed Jeejeebhoy is on the board of directors for Metabolic Syndrome Canada and will be involved in discussions about fundraising for this nonprofit organization.
Lew PliammMetabolic Syndrome Canada is a not-for-profit charitable organization that funded the current study. Daren Heyland received grant funds from Metabolic Syndrome Canada for program development, study coordination and data analyses. Rupinder Dhaliwal, Andrew Day and Roger Leung were paid for their work on the study by Kingston General Hospital and Queen's University from this grant. Rupinder Dhaliwal became an employee of Metabolic Syndrome Canada after the completion of study enrolment. Lew Pliamm, Caroline Rhéuame and Doug Klein received grants as participating sites for patient enrolment and data collection from Metabolic Syndrome Canada. Paula Brauer, Dawna Royall, David Mutch and Angelo Tremblay received grants for program development from Metabolic Syndrome Canada. Khursheed Jeejeebhoy is on the board of directors for Metabolic Syndrome Canada and will be involved in discussions about fundraising for this nonprofit organization.
Caroline RhéaumeMetabolic Syndrome Canada is a not-for-profit charitable organization that funded the current study. Daren Heyland received grant funds from Metabolic Syndrome Canada for program development, study coordination and data analyses. Rupinder Dhaliwal, Andrew Day and Roger Leung were paid for their work on the study by Kingston General Hospital and Queen's University from this grant. Rupinder Dhaliwal became an employee of Metabolic Syndrome Canada after the completion of study enrolment. Lew Pliamm, Caroline Rhéuame and Doug Klein received grants as participating sites for patient enrolment and data collection from Metabolic Syndrome Canada. Paula Brauer, Dawna Royall, David Mutch and Angelo Tremblay received grants for program development from Metabolic Syndrome Canada. Khursheed Jeejeebhoy is on the board of directors for Metabolic Syndrome Canada and will be involved in discussions about fundraising for this nonprofit organization.
Doug KleinMetabolic Syndrome Canada is a not-for-profit charitable organization that funded the current study. Daren Heyland received grant funds from Metabolic Syndrome Canada for program development, study coordination and data analyses. Rupinder Dhaliwal, Andrew Day and Roger Leung were paid for their work on the study by Kingston General Hospital and Queen's University from this grant. Rupinder Dhaliwal became an employee of Metabolic Syndrome Canada after the completion of study enrolment. Lew Pliamm, Caroline Rhéuame and Doug Klein received grants as participating sites for patient enrolment and data collection from Metabolic Syndrome Canada. Paula Brauer, Dawna Royall, David Mutch and Angelo Tremblay received grants for program development from Metabolic Syndrome Canada. Khursheed Jeejeebhoy is on the board of directors for Metabolic Syndrome Canada and will be involved in discussions about fundraising for this nonprofit organization.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMetabolic syndrome (MetS) is a medical condition with major complications and health care costs. Previous research has shown that diet and exercise can improve and reverse this condition. The goal of this study was to test the feasibility and effectiveness of implementing the Canadian Health Advanced by Nutrition and Graded Exercise (CHANGE) program into diverse family medicine practices to improve MetS.
methodsIn this longitudinal before-after study, 305 adult patients with MetS were recruited from 3 diverse family medicine team-based organizations to the CHANGE personalized diet and exercise program. Participants were followed for 12 months. Primary outcomes included feasibility and reversal of MetS. Secondary outcomes included improvement in MetS components, changes in diet quality, aerobic fitness and cardiovascular risk.
resultsParticipants attended 76% and 90% of the kinesiologist and dietitian visits, respectively. At 12 months, 19% of patients (95% confidence interval [CI] 14%-24%) showed reversal of MetS, VO2max increased by 16% (95% CI 13%-18%), and Healthy Eating Index and Mediterranean Diet Scores improved by 9.6% (95% CI 7.6%-11.6%) and 1.4% (1.1%-1.6%), respectively. In addition, the Prospective Cardiovascular Munster (PROCAM) 10-year risk of acute coronary event decreased by 1.4%, from a baseline of 8.6%.
interpretationA team-based program led by the family physician that educates patients about the risks of MetS, and with a dietitian and kinesiologist, empowers them to undertake an individualized supervised program of diet modification and exercise, is feasible, improves aerobic capacity and diet quality, reverses MetS and improves MetS components at 12 months.
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