The Metabolic Fitness Program LIFESTYLE MODIFICATION FOR THE METABOLIC SYNDROME USING THE RESOURCES OF CARDIAC REHABILITATION

Melvyn Rubenfire; Lynette Mollo; Sangeetha Krishnan; Sandra Finkel; Martha Weintraub; Theresa Gracik; Daniel Kohn; Elif A. Oral

doi:10.1097/HCR.0b013e318220a7eb

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The Metabolic Fitness Program LIFESTYLE MODIFICATION FOR THE METABOLIC SYNDROME USING THE RESOURCES OF CARDIAC REHABILITATION

Journal article

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The Metabolic Fitness Program LIFESTYLE MODIFICATION FOR THE METABOLIC SYNDROME USING THE RESOURCES OF CARDIAC REHABILITATION

Melvyn Rubenfire, Lynette Mollo, Sangeetha Krishnan, Sandra Finkel, Martha Weintraub, Theresa Gracik, Daniel Kohn and Elif A. Oral

Journal of cardiopulmonary rehabilitation and prevention, Vol.31(5), pp.282-289

09/01/2011

DOI: 10.1097/HCR.0b013e318220a7eb

PMID: 21734589

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Abstract

PURPOSE: To describe and assess the effectiveness of a lifestyle intervention program (Met Fit) designed to treat the metabolic syndrome (MetSyn) in a cardiac rehabilitation setting. METHODS: Met Fit is a physician referred and patient pay ($350) program consisting of 12 weekly sessions of 45 minutes of exercise and 45 minutes of education with target exercise recommendations of 150 to 200 minutes weekly and 5% loss in body weight using a Mediterranean-style diet. Primary outcomes are compliance with program recommendations and secondary outcomes effecting MetSyn components. RESULTS: Patients (N = 126) were enrolled between June 2005 and July 2009 averaging 9 per class. Mean (SD) age was 51(12) years, body mass index 38(6.9) kg/m(2), high density lipoprotein-cholesterol for men 37(9.4) mg/dL and women 46(10) mg/dL, glucose 121(39) mg/dL, and homeostatic model assessment of insulin resistance 7.2(6.1). For the 93 (73.8%) patients for whom there was complete data, mean weight loss was 6.2(6.9) kg, 63.4% lost at least 4 kg, and 19.4% lost more than 5% of weight. Significant reductions were observed in the waist circumference and body fat, and systolic and diastolic blood pressure. Triglycerides decreased significantly in both diabetics and nondiabetics but glucose decreased significantly only in diabetics. At baseline, 51% had evidence of depression, which decreased to 24.7% at 12 weeks. At program completion, 18 patients (19.4%) no longer had the MetSyn and 39 (41.9%) lost at least 1 criterion (P < .0001). CONCLUSIONS: A 12-week patient-pay lifestyle interventional program conducted in a cardiac rehabilitation setting can result in a highly significant benefit to patients with the MetSyn.

Cardiac & Cardiovascular Systems

Cardiovascular System & Cardiology

Life Sciences & Biomedicine

Science & Technology

Details

Title: Subtitle: The Metabolic Fitness Program LIFESTYLE MODIFICATION FOR THE METABOLIC SYNDROME USING THE RESOURCES OF CARDIAC REHABILITATION
Creators: Melvyn Rubenfire - University of Michigan
Lynette Mollo - University of Michigan
Sangeetha Krishnan - University of Michigan
Sandra Finkel - University of Michigan
Martha Weintraub - University of Michigan
Theresa Gracik - University of Michigan
Daniel Kohn - University of Michigan
Elif A. Oral - University of Michigan
Resource Type: Journal article
Publication Details: Journal of cardiopulmonary rehabilitation and prevention, Vol.31(5), pp.282-289
DOI: 10.1097/HCR.0b013e318220a7eb
PMID: 21734589
NLM abbreviation: J Cardiopulm Rehabil Prev
ISSN: 1932-7501
eISSN: 1932-751X
Publisher: Lippincott Williams & Wilkins
Number of pages: 8
Grant note: Cardiovascular Medicine Preventive Cardiology Research Fund
Language: English
Date published: 09/01/2011
Academic Unit: Surgery
Record Identifier: 9984701656302771

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