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Table 2 Key lifestyle elements included in the TRIMS education programme

From: The Reversal Intervention for Metabolic Syndrome (TRIMS) study: rationale, design, and baseline data

Modifiable lifestyle factors Key lifestyle elements Source of evidence
   MetS systematic review MetS specific guidelines & recommendations Other guidelines & recommendations
PHYSICAL ACTIVITY Increase physical activity
WEIGHT/WAIST SIZE Sustained weight loss
  Moderate calorie restriction
DIETARY FACTORS Dietary consumption:    
Fibre Increase wholegrains (reduce refined carbohydrates)
  Increase legumes
  Increase fruit and vegetables
Fats Moderate reduction in total fat
  Reduce saturated fat
  Increase mono-unsaturated fat
Omega-3 Increase fish/oily fish
Salt Reduce salt
Alcohol Alcohol in moderation
SMOKING Cessation of smoking
  1. References: MetS systematic review [31]; MetS specific guidelines & recommendations [5, 6, 37, 38]; Other guidelines & recommendations [3236].