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Effectiveness of a low-intensity telephone counselling intervention on an untreated metabolic syndrome detected by national population screening in Korea: a non-randomised study using regression discontinuity design.

Yi SW, Shin SA, Lee YJ - BMJ Open (2015)

Bottom Line: Low-intensity telephone counselling was associated with decreased systolic BP (-0.85 mm Hg, 95% CI -1.02 to -0.68), decreased diastolic BP (-0.63 mm Hg, -95% CI -0.75 to -0.50), decreased triglyceride (-1.57 mg/dL, 95% CI -2.89 to -0.25), reduced waist circumference (-0.09 cm, 95% CI -0.16 to -0.02), reduced weight (-0.19 kg, 95% CI -0.24 to -0.15) and reduced BMI (-0.07 kg/m(2), 95% CI -0.09 to -0.05), when comparing the intervention and control groups.When individuals with low high-density lipoprotein cholesterol were analysed, the intervention was also associated with increased HDL cholesterol (0.90 mg/dL, 95% CI 0.51 to 1.29).However, the improvements may be very modest and the clinical relevance of these small improvements may be limited.

View Article: PubMed Central - PubMed

Affiliation: Department of Preventive Medicine and Public Health, Catholic Kwandong University College of Medicine, Gangneung, Gangwon-do, Republic of Korea.

No MeSH data available.


Related in: MedlinePlus

Flow of Metabolic Syndrome Management Programme at the National Health Insurance Service (NHIS) in Korea.
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BMJOPEN2015007603F1: Flow of Metabolic Syndrome Management Programme at the National Health Insurance Service (NHIS) in Korea.

Mentions: All those insured through employment and those insured as self-employed or contractors of all ages, and their dependants aged 40 years or older may be enrolled for regular annual (mainly for blue-collar workers) or biennial health screening examinations at a local hospital. The NHIS has been selecting participants for the MetS Management Programme who have at least one of the components of MetS every month since January 2012 based on recent health examinations reported the previous month by local hospitals (figure 1). MetS was defined by the NHIS criteria, which adopted the criteria published by the National Cholesterol Education Programme (NCEP)1 using the recommended cut-off for waist circumference in Koreans24 and additional body mass index (BMI) criteria as follows:


Effectiveness of a low-intensity telephone counselling intervention on an untreated metabolic syndrome detected by national population screening in Korea: a non-randomised study using regression discontinuity design.

Yi SW, Shin SA, Lee YJ - BMJ Open (2015)

Flow of Metabolic Syndrome Management Programme at the National Health Insurance Service (NHIS) in Korea.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4499681&req=5

BMJOPEN2015007603F1: Flow of Metabolic Syndrome Management Programme at the National Health Insurance Service (NHIS) in Korea.
Mentions: All those insured through employment and those insured as self-employed or contractors of all ages, and their dependants aged 40 years or older may be enrolled for regular annual (mainly for blue-collar workers) or biennial health screening examinations at a local hospital. The NHIS has been selecting participants for the MetS Management Programme who have at least one of the components of MetS every month since January 2012 based on recent health examinations reported the previous month by local hospitals (figure 1). MetS was defined by the NHIS criteria, which adopted the criteria published by the National Cholesterol Education Programme (NCEP)1 using the recommended cut-off for waist circumference in Koreans24 and additional body mass index (BMI) criteria as follows:

Bottom Line: Low-intensity telephone counselling was associated with decreased systolic BP (-0.85 mm Hg, 95% CI -1.02 to -0.68), decreased diastolic BP (-0.63 mm Hg, -95% CI -0.75 to -0.50), decreased triglyceride (-1.57 mg/dL, 95% CI -2.89 to -0.25), reduced waist circumference (-0.09 cm, 95% CI -0.16 to -0.02), reduced weight (-0.19 kg, 95% CI -0.24 to -0.15) and reduced BMI (-0.07 kg/m(2), 95% CI -0.09 to -0.05), when comparing the intervention and control groups.When individuals with low high-density lipoprotein cholesterol were analysed, the intervention was also associated with increased HDL cholesterol (0.90 mg/dL, 95% CI 0.51 to 1.29).However, the improvements may be very modest and the clinical relevance of these small improvements may be limited.

View Article: PubMed Central - PubMed

Affiliation: Department of Preventive Medicine and Public Health, Catholic Kwandong University College of Medicine, Gangneung, Gangwon-do, Republic of Korea.

No MeSH data available.


Related in: MedlinePlus