Nutritional, Metabolic, Endocrine
Conditions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Eligible subjects were 18–70-year-old adults. 2. Patients who had been diagnosed with MetS The diagnostic criteria were based on at least three or more of the following characteristics of the MetS by NCEP-ATP III: Below are the diagnostic criteria -Central obesity (waist circumference =102 cm for men and =88 cm for women). -Elevated triglycerides =1.7 mmol/l (or on pharmacological therapy). -Reduced HDL-cholesterol <1.0 mmol/l for men and <1.3 mmol/l for women - or on pharmacological therapy) -Raised BP =130/85 mmHg (or on pharmacological therapy). -Elevated fasting plasma glucose =5.6 mmol/l. (or on pharmacological therapy) 3. Patients who were receiving dietary counseling at Manhyia District Hospital (the intervention group) and those who were not receiving any dietary counseling but receiving their standard treatment at Ejisu Government Hospital (the control group). 4. Patients who gave their consent to be part of the study and were willing to follow a dietary counseling regimen for three months.
Exclusion criteria
Exclusion criteria: Exclusion criteria included all those who; 1. Were below 18 years of age and did not meet the NCEP-ATP III criteria of MetS. 2. Were diagnosed with MetS less than a year ago and did not attend any of the hospitals under study. 3. Were non-ambulatory critically ill MetS patients whose conditions (from the patient hospital record book or folder) such as cancer, liver disease, asthma, and inflammatory disorders contribute immensely to oxidative stress. 4. MetS subjects with impaired memory or cognitive functions or the presence of mental illness causing an inability to give an appropriate or logical response to questions with the help of a psychiatrist. 5. Individuals with MetS who were on any antioxidant therapy or supplements one month prior to the study. 6. Refused to give their consent to be part of the study and refused to follow COVID-19 protocols.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The provision of dietary counseling to participants in the intervention group resulted in reduced odds of high BP, hyperglycemia, hypercholesterolemia, and high low-density lipoprotein compared to participants in the control group. Dietary lifestyle change could be effective in improving the MetS parameters of patients. Moreover, the mean dietary intake of vitamins A and C significantly improved marginally among the intervention group. Adherence to dietary counseling by the participants in the intervention group was associated with increased dietary vitamin E intake at the end of the intervention. | — |
Secondary
| Measure | Time frame |
|---|---|
| Dietary counseling intervention recipients experienced reductions in abdominal fat as evidenced by changes in their waist circumference. Also, they saw a reduction in blood pressure, and total cholesterol, and an improvement in the level of physical activity. | — |
Countries
Ghana
Contacts
Supervisor