Effectiveness of Self-Management Skills for Metabolic Syndrome Fatty Liver Disease Adults

The Effectiveness of Self-Management Skills and Technology in Individuals Who Have Both Metabolic Syndrome in Community

The multidimensional self-management intervention program focusing on healthy dietary habit and exercise effectively prevents metabolic syndrome. Thus, the purpose of this study was to assess the efficacy of multidimensional self-management intervention program on metabolic syndrome subjects in Taiwan.

The study is a 2-parallel groups' randomized controlled trial. Participants with metabolic syndrome (three or more risk factors - triglycerides (TG) >150 mg/dL, systolic blood pressure (SBP) ≥130 mm Hg, diastolic blood pressure (DBP) ≥85 mm Hg, or fasting blood glucose≥100 mg/dL; high-density lipoprotein cholesterol<50 mg/dL, or waist circumference ≥80 cm) are enrolled. The four community units are randomized to receive a lifestyle intervention (intervention arm) or an education leaflet (control arm). The parameters are obtained from physical examination and biochemical assessments by well-trained case manager at baseline and each follow visit (6th months and 18th months). All participants complete a structured questionnaire, including basic information, physical activity, and food-frequency.

lifestyle modification, goal setting, coaching and peer support, problem-solving, and self-monitoring

changes in triglycerides, high-density lipoprotein cholesterol, systolic blood pressure, diastolic blood pressure, fasting blood glucose, waist circumference

adult women with age ≥ 50 years, low education, defined as having less than 6 years of education or being primary school graduates

Inclusion Criteria: adult women with age ≥ 50 years low education, defined as having less than 6 years of education or being primary school graduates presence of metabolic syndrome community-dwelling no hearing and visual acuity difficulties Exclusion Criteria: Unconscious Cognitive impairment or dementia