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 | ✓ | ✓ | ✓ |