Metabolic Syndrome
Conditions
Keywords
metabolic syndrome, exercise training, employees, workplace, operational health service
Brief summary
Hypothesis: An occupational 6 months physical exercise training will lead to better health behaviour and improve the severity of the metabolic syndrome. 312 subjects will be assigned to either an intervention or a waiting-control-group. The intervention group will receive instructions with the aim to perform 150 min exercise training per week. Exercise consists of endurance, strength and coordination training. A feedback system guided by sports scientists will be installed for all subjects in the intervention group using activity monitoring (wearable). After 6 months training subjects from the intervention group will be assigned to one of the following groups for follow-up observation from month 6 to months 12: * training with personal/individual feedback from sport scientist * training with automated feedback using activity monitoring Tools (wearable) * training without further feedback Subjects assigned to the control group will be provided with information on low intensity motion exercises. After 6 months in the control group subjects will be provided with the same exercise intervention as the intervention for a duration of 6 months. Study visits will be conducted at month 0, month 6, month 12, and a long-term follow-up at month 24..
Interventions
Exercise training will consist of 3 - 6 sessions per week and will cumulate in 150 min net exercise time per week. Heart rates during exercise sessions will be monitored with the aim of physical activities at moderate-intensity. Exercises will be individualized to reach the best possible improvements to the cardiovascular and musculoskeletal system. Possible disciples will include but are not limited to: cycling, rowing (ergometer), swimming, walking, nordic-walking, running, arm-cycle-ergometer or cross-trainer as well as fitness courses offered from occupational or private providers. Everyday activities which reach an effective heart rate range can account for exercise training on a home-based basis . Advise on complementary individual strength and coordination exercises will be added to the training program. A nutrition analyses will be completed by every subject to account for special needs of the metabolic syndrome.
Sponsors
Study design
Eligibility
Inclusion criteria
* 3 out of 5 parameters of the metabolic syndrome
Exclusion criteria
* ongoing participation in occupational health service * clinical relevant acute or chronic infections * pregnancy * surgery dating back less than 8 weeks * artificial joint replacement dating back less than 6 months * tumor disease dating back less than 5 years * every other disease or relevant functional disorder not allowing to participate in regular physical exercise
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline in Metabolic Syndrome (MetS) -Z-score | 6 months 12 months, 24 months | Z-Score (arbitrary unit, ranging from -2 to 2), assessed and calculated from the 5 established components of the metabolic syndrome: triglycerides, HDL cholesterol, fasting glucose, waist circumference, and systolic blood pressure. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline in Health-related quality of live: score of SF36 questionnaire | 6 months, 12 months, 24 months | score of SF36 questionnaire (outcomes: physical component score: Minimum 1 Point, Maximum 100 Points, mental component score: Minimum 1 Point, Maximum 100 Points) |
| Change from baseline in Pmax | 6 months | Maximum workload reached in an graded exercise test (watt/kg Body Weight). |
| Change from baseline in Body weight | 6 months | kg |
| Change from baseline in Work-Ability-Index (WAI) | 6 months, 12 months, 24 months | score of WAI questionnaire, (Outcome work ability score: Minimum 1 Point, Maximum 49 Points) |
| Change from baseline in adherence to training program | 6 months, 12 months, 24 months | percentage (%) of time (150 min per week) spend on exercising (minutes) |
| Change from baseline in Anxiety- and depression severity | 6 months, 12 months, 24 months | Hospital Anxiety and Depression Scale, (outcomes: amxiety severity: Minimum 1 Point, Maximum 21 Points, Depression severity: Minimum 1 Point, Maximum 21 Points) |
| Change from baseline in body composition | 6 months, 12 months, 24 months | fat mass (kg), fat free mass (kg), visceral fat mass (kg) |
Countries
Germany