Impact of Medical Nutrition Therapy and Follow-Up Frequency on Metabolic Syndrome Parameters

Hacettepe University93 enrolled

Overview

There is no study that has investigated the effects of medical nutrition therapy and more frequent follow-up via telehealth on metabolic syndrome parameters in patients with MetS who have multiple metabolic disorders such as being overweight, prediabetic/diabetic, dyslipidemic and having increased blood pressure. This study was conducted to examine the effects of medical nutrition therapy and increased follow-up via telephone calls on MetS-related parameters in individuals with MetS.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Metabolic Syndrome Metabolic Syndrome Obesity Metabolic Syndrome Parameters

Interventions

This intervention uniquely focuses on the frequency of dietitian-led follow-up visits and their impact on metabolic syndrome-related parameters. The study includes three distinct groups with varying levels of follow-up intensity (control, intervention, and intensive intervention).

calling via telephoneOTHER

The intensive intervention group involves weekly diet adherence assessments via phone calls, setting it apart from other studies that typically rely on less frequent or standardized follow-up schedules. This design allows for the evaluation of how consultation frequency influences outcomes such as weight loss, blood sugar levels, lipid profile, and metabolic syndrome components."

Eligibility

Sex: ALLMin age: 18 YearsMax age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Individuals with HbA1c values \<8.5% * Diagnosed with MetS by a physician according to the criteria declared by the consensus of the "International Diabetes Federation Task Force on Epidemiology and Prevention, National Heart, Lung, and Blood Institute, American Heart Association, World Heart Federation, International Atherosclerosis Society, and International Association for the Study of Obesity" were included. Exclusion Criteria: * Taking anti diabetic agents other then metformin * Taking anti hyperlipidemic agents * Taking anti hypertensive agents * Using food supplements (w-3, chromium, multivitamins) that could affect metabolic parameters, * Having kidney failure, * Having liver failure, * Having immune failure * Having chronic gastrointestinal system disease * Having cancer * Having type 1 diabetes * Being pregnant or breastfeeding.

Outcomes

Primary Outcomes

waist circumference

Waist circumference, which is an indicator of abdominal obesity, the central component of metabolic syndrome, was determined as the primary outcome because of its strong association with cardiometabolic risk and its correlation with other MetS components, and because it is a significant measure in reflecting the overall effect of the intervention.

Time frame: Baseline, 1 month, 2 months, and 3 months after the start of the intervention

Secondary Outcomes

fasting plasma glucose, triglyceride, HDL-C and blood pressure (Number of metabolic syndrome criteria)

The change in the number of individuals with the following metabolic syndrome criteria has been determined as a secondary outcome: * Elevated fasting plasma glucose (number of individuals with ≥100 mg/dL), * Elevated triglycerides (number of individuals with ≥150 mg/dL), * Low HDL-C (number of individuals with \<50 mg/dL in women and \<40 mg/dL in men), * Elevated blood pressure (number of individuals with systolic ≥130 mmHg and/or diastolic ≥85 mmHg). Multiple assessments with different units of measurement will be combined into a single reported value based on the change in the number of individuals meeting these conditions.