Population Approaches Targeting Metabolic Syndrome Focusing on Japanese Trials

• Published in: Nutrients Vol. 11; no. 6; p. 1430
• Main Authors: Nishizawa, Hitoshi, Shimomura, Iichiro
• Format: Journal Article
• Language: English
• Published: Switzerland MDPI AG 25.06.2019; MDPI
• Subjects: Abdomen; Adiposity; adults; Arteriosclerosis; Atherosclerosis; Body fat; Body mass index; Cardiovascular Diseases - epidemiology; Cardiovascular Diseases - physiopathology; Cardiovascular Diseases - prevention & control; Clinical Trials as Topic; Communication; Community Health Services - organization & administration; counseling; Delivery of Health Care, Integrated - organization & administration; Diabetes; Germany; Glucose; guidelines; Health Knowledge, Attitudes, Practice; health status; Healthy Lifestyle; Humans; Hypertension; Intervention; Intra-Abdominal Fat - physiopathology; issues and policy; Japan; Japan - epidemiology; lifestyle; Males; Mass Screening - organization & administration; Medical screening; Metabolic disorders; Metabolic syndrome; Metabolic Syndrome - epidemiology; Metabolic Syndrome - physiopathology; Metabolic Syndrome - therapy; motivation; Motivational Interviewing - organization & administration; Obesity; Obesity, Abdominal - epidemiology; Obesity, Abdominal - physiopathology; Obesity, Abdominal - therapy; Pathogenesis; Patient Education as Topic - organization & administration; Prevention; Primary Health Care - organization & administration; Prognosis; Protective Factors; public health; Risk Factors; Risk Reduction Behavior; screening; United States; Veins & arteries; visceral fat; Weight control; Japan; East Asia; United States > US; Europe; United States; Germany; city planning; health guidance; visceral fat accumulation; atherosclerotic cardiovascular disease; universal public health screening program; health check-up
• ISSN: 2072-6643; 2072-6643
• DOI: 10.3390/nu11061430

The clinical importance of assessment of metabolic syndrome lies in the selection of individuals with multiple risk factors based on visceral fat accumulation, and helping them to reduce visceral fat. Behavioral modification by population approach is important, which adds support to the personal approach. The complexity of visceral fat accumulation requires multicomponent and multilevel intervention. Preparation of food and physical environments could be useful strategies for city planners. Furthermore, actions on various frameworks, including organizational, community, and policy levels, have been recently reported. There are universal public health screening programs and post-screening health educational systems in Japan, and diseases management programs in Germany. Understanding one’s own health status is important for motivation for lifestyle modification. The U.S. Preventive Services Task Force recommends that primary care practitioners screen all adults for obesity and offer behavioral interventions and intensive counseling. Established evidence-based guidelines for behavioral counseling are needed within the primary care setting.