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KMID : 1142920170010010025
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Public Health Affairs
2017 Volume.1 No. 1 p.25 ~ p.39
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Introduction and effectiveness of The Seoul Metabolic Syndrome Management
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Park Mi-Suk
Park Yun-Suk
Kim Sun-Young
Park Su-Jin
Seol Hye-Min
Woo Sun-Ok
Cho Soo-Kyoung
Lim Do-Sun
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Abstract
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Objectives: Metabolic Syndrome (MetS) is an important issue in the primary care and public health, considered a complex set of cardiovascular risk factors and strongly associated to chronic diseases. Therefore, The Seoul Metabolic Syndrome Management (SMESY) project has suggested healthy lifestyles to residents in Seoul for MetS prevention and treatment. The aims of this study were to introduce the SMESY project and to evaluate the effect of SMESY in 2015.
Methods: Our study participants who participated in the SMESY project for 2015 were 20-64 years old. A total of 69,796 subjects were included in the final analysis. Based on metabolic risk factor test, the participants were classified into four groups and consulted on health related life style. We analyzed participants who were followed up after 12 months and compared them over time.
Results: After 12months, the prevalence of the participants who had at least three of the above five risk factors decreased from 33.3% to 30.3%. The prevalence of men (▽4.3%) decreased more than women (▽2.2%). The older age of participants, the higher the prevalence. However, the prevalence of younger participants has declined more after 12months. All metabolic risk factors were significantly decreased (HDL ▽11.0%, BP ▽6.2%, TG ▽2.3%, WC ▽2.0%, FBS ▽0.7%).
Conclusions: Non-communicable diseases are closely related to chronic lifestyle and a need to improve lifestyles or practice of health behavior. The SMESY project is the first public lifestyle intervention program of municipal unit in South Korea. The policy paradigm of this project is changing from “treatment” to “prevention”. This project is effective in managing metabolic risk factors and expected to lead to great positive changes in the health of Seoul citizens.
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KEYWORD
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metabolic syndrome, lifestyle, community health services, primary health care, prevention
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