Showing 26 results for Metabolic Syndrome
Leila Azadbakht, Masoud Kimiagar, Yadolah Mehrabi, Ahmad Esmaeil Zadeh,
Volume 6, Issue 4 (6-2007)
Abstract
Background: Recently on the metabolic syndrome is considered as an inflammatory disease. So factors affecting inflammation are important in this condition.
Methods: This randomized cross-over clinical trial was undertaken on 42 postmenopausal women with metabolic syndrome. Participants were randomly assigned to consume a control diet (Dietary Approaches to Stop Hypertension= DASH), soy protein diet, or soy nut diet, each for eight weeks. Inflammatory markers were measured by ELISA.
Results: The difference from the control diet for E-selectin (an inflammatory markers which shows the endothelial function) was -11.4% (P<0.01) on the soy nut consumption and -4.7% (p=0.19) on the soy protein diets. Soy nut consumption reduced interleukin-18 compared to the control diet (difference from the control diet: -9.2%, p<0.01). For C-reactive protein the difference from the control diet was -8.9% (P<0.01) on the soy nut diet and -1.6% (P<0.01) on the soy protein diet.
Conclusion: Short-term soy nut consumption reduced some markers of inflammation and increased plasma nitric oxide levels in postmenopausal women with the metabolic syndrome.
Azadeh Zabetian, Farzad Hadaegh, Maryam Tohidi, Farhad Sheikholeslami, Feridoun Azizi,
Volume 7, Issue 1 (7-2007)
Abstract
Background: The aim of this study was to examine the prevalence of the metabolic syndrome (MetS) and its association with coronary heart disease (CHD) in Iranian older individuals.
Methods: In this cross-sectional study, the prevalence of the MetS was determined according to the Third Adult Treatment Panel (ATPIII), the World Health Organization (WHO) and the International Diabetes Federation (IDF) definitions in 720 men and women aged≥65 years. Logistic regression analysis was used to estimate the Odds Ratio (OR) of developing CHD in model 1 an age adjusted model, in model 2 adjusted for age, smoking status, premature history of CHD and LDL cholesterol and in model 3 adjusted for mentioned variables in model 2 plus the components of the MetS according to each definition.
Results: The prevalence of MetS was 50.8%, 41.9% and 41.8% by ATPIII, IDF and the WHO definitions, respectively. IDF had high agreement with the ATPIII definition. In model 2, the ATPIII and the WHO definitions of MetS were associated with CHD by the odds ratio of 1.6 (1.1-2.2) and 1.7 (1.9-2.4), respectively. In model 3, obesity (WHO definition) and high blood pressure (ATPIII and WHO definitions) were associated with CHD.
Conclusion: As defined by the ATPIII and WHO definitions, the MetS was associated with CHD even after adjustment for the conventional CHD risks, but after further adjustment for their components none of these definitions showed association with CHD.
Leila Azadbakht, Masoud Kimiagar, Yadolah Mehrabi, Ahmad Esmaeil Zadeh,
Volume 7, Issue 1 (7-2007)
Abstract
Background: Little evidence exists regarding the effects of soy consumption on the metabolic syndrome in humans. We aimed to determine the effects of soy consumption on components of the metabolic syndrome, plasma lipids, lipoproteins, insulin resistance and glycemic control in postmenopausal women with the metabolic syndrome.
Methods: This randomized cross-over clinical trial was undertaken on 42 postmenopausal women with the metabolic syndrome. Participants were randomly assigned to consume a control diet (Dietary Approaches to Stop Hypertension= DASH), soy protein diet, or soy nut diet, each for eight weeks. Red meat in the DASH diet was replaced by soy protein in the soy protein period and by soy nut in the soy nut period.
Results: Total cholesterol was significantly reduced compared to the control (P<0.01) and soy protein groups (P<0.01). The results were the same regarding the fasting insulin serum (P<0.01 compared with the control and soy protein group), HOMA-IR (P<0.01 compared with the control and soy protein group), Fasting blood sugar (P<0.01 compared with the control and soy protein group), and LDL cholesterol (P<0.01 compared with the control and P<0.05 compared with the soy protein group). Both soy nut and soy protein reduced Apo B100 compared to the control group (P<0.01).
Conclusion: Short-term soy nut consumption improved glycemic control and lipid profiles in postmenopausal women with the metabolic syndrome
Zinat Salem, Reza Vazirinejad,
Volume 7, Issue 2 (9-2007)
Abstract
Background: Obesity is the most common cause of insulin resistance and metabolic syndrome (MS). These are the most important risk factors for CHD. The present study aims to evaluate the prevalence of obesity and metabolic syndrome, the two most important risk factors for CHD, in adolescent girls in Rafsanjan
Methods: In this cross sectional study 1221 respondents were randomly selected using a multiphase sampling method. The individual questionnaire was completed after receiving a written consent form. The weight, height, waist circumference (WC) and blood pressure were measured using standard equipments. Five ml blood sample were taken for measuring TG, HDL-C and FBS of the obese volunteer after detecting obese subjects (n=76). We determined MS according to the latest ATP3 criteria.
Results : Mean age of respondents was 14.3 ± 1.7 years ,and 11.2 % (95 % CI = 9.4% -12.9 % ) and 2.4 % ( 95 % CI = 1.5 % - 3.3 % ) of subjects were overweight and obese respectively . Based on our findings about 1.2% (95% CI= 0.6%-1.8%) of respondents counted as abdominal obesity. According to ATPIII criteria 3.9 %( CI95 % = 2.8 % -5 %) of respondents encounter with MS.
Conclusion: This study showed high prevalence obesity and metabolic syndrome among adolescent girls of Rafsanjan. Therefore researchers suggest screening test also for children aged 6-11 years .The results will help with planning to control the problem in the future.
Ahmad Esmaillzadeh, Leila Azadbakht,
Volume 7, Issue 2 (9-2007)
Abstract
Background: Although hypertriglyceridemic waist (HW) phenotype has received much attention over recent years for its association with other metabolic abnormalities, it remains unknown whether its effects are mediated through changes in plasma concentrations of inflammatory markers. We aimed to evaluate the association between hypertriglyceridemic waist (HW) phenotype and markers of systemic inflammation and endothelial dysfunction among women.
Methods: Anthropometric and biochemical measurements were assessed in a cross-sectional study of 507 Iranian women aged 40-60 years. HW phenotype was defined as serum triacylglycerol concentration ≥150 mg/dl and concurrent waist circumference ≥89.
Results: The prevalence of hypertriglyceridemic waist (HW) phenotype was 32.2% (95% CI: 28.7, 35.7) among women. Individuals with HW phenotype had higher anthropometric measures, were older and less physically active. After control for potential confounding variables, women in different categories of WC had significantly different levels of CRP (WC main effect: P=0.001), TNF-α (P=0.01), IL-6 (P=0.001), E-selectin (P=0.007), sICAM-1 (P=0.01) and sVCAM-1 (P=0.02, 2-factor ANOVA for all). When the models were further adjusted for BMI, the difference in sICAM-1 and sVCAM-1 ceased to be significant. Significant differences in CRP (TG main effect: P=0.01), TNF-α (P=0.008), SAA (P=0.03), IL-6 (P=0.01), E-selectin (P=0.02) and sICAM-1 (P=0.01, 2-factor ANOVA for all) were found between categories of TG concentration after control for confounders. Most of these differences remained significant even after additional adjustments for BMI, except for E-selectin. There was a significant interaction between WC and TG concentration with regard to CRP, IL-6, SAA, and E-selectin.
Conclusion: This study provides evidence showing a positive association between HW phenotype and markers of systemic inflammation and endothelial dysfunction.
Samaneh Azizi, Haleh Sadrzadehyeganeh, Seid Mostafa Hosseini, Milad Daneshimaskooni,
Volume 13, Issue 2 (1-2014)
Abstract
Background: Food insecurity refers to the inability to afford enough food for an active, healthy life.
The metabolic syndrome, otherwise known as syndrome X or the insulin resistance syndrome, is a
collection of cardiovascular risk factors including hypertriglyceridemia, lowered HDL-cholesterol,
glucose intolerance, abdominal obesity and hypertension. Recent studies indicate widespread
prevalence of food insecurity and metabolic syndrome in various regions of Iran. No studies have been
conducted so far to investigate the relationship between food insecurity and the metabolic syndrome in
Iran. This study was conducted to investigate the relationship between food insecurity and metabolic
syndrome in women.
Methods: In this study, 130 women 30 to 60 years old with metabolic syndrome as cases and 130
women without metabolic syndrome as controls referred to clinics affiliated to Shiraz University of
Medical Sciences were selected. The USDA household food security questionnaire was used to assess
food insecurity status. The metabolic syndrome was defined according to the criteria of the Adult
Treatment Pane l II (ATP III).
Results: The prevalence of food insecurity was 69.2% in cases and 45.4% in controls (P< 0.001).
After multiple logistic regression and removal of potential confounders, food insecurity was
significantly associated with metabolic syndrome (OR3.2&CI 95%: 1.9-5.6)(P<0.05).
Conclusion: Given that food insecurity is an important risk factors for metabolic syndrome, Planners
should reduce food insecurity in society, especially women through measures to improve the economic
situation and dietary patterns of households.
Parvin Mirmiran, Zahra Bahadoran, Firoozeh Hosseini-Esfahani, Fereidoun Azizi,
Volume 13, Issue 2 (1-2014)
Abstract
Background: There are growing concern globally regarding fast food consumption and its
related cardiometabolic outcomes. In this study we investigated whether fast food
consumption could affect the occurrence of metabolic syndrome after 3-years of follow-up in
adults or not.
Methods: This longitudinal study was conducted in the framework of Tehran Lipid and
Glucose Study on 1476 adults, aged 19-70 years old. The usual intakes of participants were
measured using a validated semi-quantitative food frequency questionnaire at baseline.
Biochemical and anthropometric measurements were assessed at baseline (2006-2008) and 3
years later (2009-2011). Multiple logistic regression models were used to estimate the
incidence of the MetS in each quartile of fast food consumption.
Results: The mean age of participants was 37.8±12.3 years old, and the mean BMI was
26.0±4.5 kg/m2
at baseline. Participants in the highest quartile of fast food consumption were
significantly younger (33.7 vs. 43.4 years, P <0.01). Higher consumption of fast food was
accompanied with more increment in serum triglyceride levels after the 3-year follow-up
(10.6±2.3 vs. 4.4±2.3 percent in the fourth and first quartile, respectively, P<0.01). After
adjustment for all of the potential confounding variables, the risk of metabolic syndrome, in
the highest quartile of fast foods compared with the lowest, was 1.85 (95% CI= 1.17-2.95).
Conclusion: We demonstrated that higher consumption of fast foods had undesirable effects
on metabolic syndrome after 3-years of follow-up in Iranian adults.
Mohammad Jafar Mahmoudi, Soodabeh Alataab, Farshad Sharifi, Farhang Derakhshan, Hossein Fakhrzadeh,
Volume 13, Issue 6 (9-2014)
Abstract
Background: Metabolic syndrome is a cluster of disorders which altogether increase the risk of cardiovascular disease and type 2 Diabetes. We evaluated the effect of consumption of Omega-3 Fatty Acids on different components of this syndrome.
Methods: This was a double blind placebo controlled clinical trial on 199 elderly residents of Kahrizak charity foundation in Tehran. Participants were divided into two groups of intervention and control, consisting of 100 and 99 persons, respectively. The intervention group was given the Omega-3 Fatty Acid capsules contain 180 mg EPA and 120 mg DHA once daily. The control group was given placebo once per day. The duration of the study was 6 months in the beginning and after 6 months of the study, blood pressure, waist circumference and Serum levels of ESR, hs-CRP, APO B, APO A1 and Insulin were measured.
Results: The study was completed in 89 and 87 participants in the intervention and control groups, respectively. The mean age of intervention and control groups were 74.13 ± 9.96 and 75.17 ± 8.70 years, respectively. Consumption of Omega-3 Fatty Acids could decrease diastolic blood pressure (P = 0.001) and serum Triglyceride levels (P = 0.01) significantly compared to control group. No change was observed in other measured parameters.
Conclusion: Consumption of Omega-3 Fatty Acids with dosage used in this study could probably improve symptoms of Metabolic syndrome in the elderly.
Maryam Farahmand , Fahimeh Ramezani Tehrani, Mahnaz Bahri Khomami, Fereidoun Azizi,
Volume 14, Issue 1 (1-2015)
Abstract
Background: The present study was conducted to assess the association between duration of oral contraceptive pills consumption and metabolic syndrome.
Methods: Study subjects were selected among 5532 of women 15-45 years old aged participating in Tehran Lipid and Glucose Study (TLGS). TLGS questionnaires were used for data collection.
Results: Metabolic syndrome and its components did not significantly differ between study sub groups after adjustment for confounders.
Conclusion: OCPs duration of consumption does not affect prevalence of metabolic syndrome among non menopausal women.
Maryam Sadat Daneshpour, Bahareh Sedaghatikhayat, Mehdi Hedayati, Fereidoun Azizi,
Volume 14, Issue 4 (5-2015)
Abstract
Background: The prevalence of non-communicable disorders such as metabolic syndrome (MetS) is high in developing countries. Metabolic syndrome is a disorder of energy utilization and storage, diagnosed by a co-occurrence of three out of five of the following medical conditions: abdominal (central) obesity, elevated blood pressure, elevated fasting plasma glucose, high serum triglycerides, and low high-density cholesterol (HDL) levels. The present review aims to discover the genetic variant reported in association with MetS. Methods: The database for genotypes and phenotypes (dbGaP) and the database for genetic associations and human genome (HuGE navigator) were utilized in order to search for genes and their corresponding polymorphisms related to MetS. Additionally, an electronic literature search for other Iranian studies and the genetic aspect of TLGS was completed using PubMed. Results: For phenotype selection in PheGenI, 30 traits were chosen and after the analysis, 21 of them were in common results with MetS. After finding the common variation between traits and MetS, omitting the repeated SNPs, 173 variations were remained. Finally, results distinguished six of the most important genetic regions found to have strong association with MetS. Conclusion: Identifying major genes that are responsible for the metabolic syndrome may improve the medical care for treating individuals with metabolic syndrome, and eventually may lead to personalized medicine in which treatment is tailored genetically to the patient’s needs. The present candidate regions is a respectable start to replicate genetic studies in large affected Iranian individual which we hope leads us to improve our medical care in this field.
Maryam Karkhaneh, Ehsaneh Taheri, Mostafa Qorbani, Mohamad Reza Mohajeri Tehrani, Saeed Hoseini,
Volume 14, Issue 4 (5-2015)
Abstract
Background: A unique subset of Individuals with normal body mass index (BMI= 18.5-24.9 kg/m2) and high body fat percentage (above 30% in women and 23% in men) that are termed as normal weight obese, are at increased risk for development of the metabolic syndrome and chronic diseases because the adipose mass and the excess of fat mass are an important source of proinflammatory cytokines. The aim of the present study was based on this hypothesis that women with high body fat percentage and normal body mass index are at increased risk for the metabolic syndrome in compared to healthy non obese women. Methods: This was as case-control study in which 40 obese women with normal weight (BMI= 18.5-24.9 kg/m2) and body fat percentage above 30% (FM> 30%) and 30 non-normal weight obese women (BMI= 18.5-24.9 kg/m2) and fat percentage less than 25% (FM <25%) who were matched for age (mean age = 28 years) recruited for this study. The components of metabolic syndrome including Anthropometric variables, blood pressure and fasting plasma concentrations of total cholesterol, LDL cholesterol, HDL cholesterol, triglycerides, glucose and insulin were measured. Results: The anthropometric measurements including waist and hip circumferences in NWO was higher than non-NWO (respectively 74.78±4.81 vs. 70.76±2.91 and 99.12±4.32 versus 93.16±2/91, Pvalue<0.001), while the waist-to-hip ratio did not differ between the two groups (p=0.448).Also no significant differences were observed in concentrations of total cholesterol, LDL cholesterol, HDL cholesterol, triglycerides, fasting plasma glucose, systolic and diastolic pressure between groups. Fasting serum insulin and insulin resistance was higher in NOW compared to non NWO (Pvalue<0.05) and insulin sensitivity in NWO was lower than non NWO (0.357 versus 0.374, pvalue = 0.043). Conclusion: Because of the higher serum insulin concentration and the lower insulin sensitivity, obese women with normal body mass index but high body fat percentage can be associated with a higher risk for metabolic dysregulation and metabolic syndrome compared to healthy women with the same body mass index and normal body fat percentage
Zeinab Alizade, Leila Azadbakht,
Volume 15, Issue 3 (2-2016)
Abstract
Background: The clustering of cardiovascular risk factors , known as the metabolic syndrome , greatly increases the risk of developing diabetes and cardiovascular disease .individuals with the metabolic syndrome are also at increased risk for premature death from cardiovascular disease or all–cause mortality . Although is a particular importance, its epidemiology in Iran has not been studied systematically. Aim of this review of published data was to describe epidemiology of metabolic syndrome in Iran.
Methods: We searched MEDLINE, sid, magiran, iranmedex, and irandoc databases through 2014, and examined the reference lists of pertinent articles, limited to studies in humans.
Results: Total 45 studies were eligible (25 English and 20 Farsi). The findings show the high prevalence of metabolic syndrome in both sexes according to three criteria. The prevalence of metabolic syndrome was more in women than men. We found that differences in screening programs and diagnostic criteria or various ethnic groups make it difficult to compare frequencies of metabolic syndrome among various populations. Nevertheless, factors that increase risk of metabolic syndrome were age, sex, body mass index, low HDL and high triglyceride.
Conclusion: High prevalence of metabolic syndrome and relevant risk factors suggest the identification of the risk factors should be attempted to prevent syndrome acquisition.
Gholam Reza Azizi Azar Sharabyani, Mozhgan Ahmadi, Saeedeh Shadmehri,
Volume 18, Issue 3 (3-2019)
Abstract
Background: High oxidative stress in pregnant women leads to pathogenesis or progression of disease in newborns. The aim of this study was to investigate the Effect of Endurance Training in Maternal Metabolic Syndrome with Metformin on Oxidant and antioxidant Capacity in their Neonates.
Methods: To implementation of this experimental research, 16 female Wistar rats weighing 100 ± 20 gr randomly were divided into 4 groups including metabolic syndrome + control; metabolic syndrome + metformin; metabolic syndrome + endurance training; metabolic syndrome + metformin + endurance training. The metabolic syndrome model was performed using dietary change and confirmed by the Lee index. Metformin 500 mg was also given at a dose of 100 mg/kg, as well as by daily water intake to the rats. endurance training performed at 5 days a week for 15-40 min with speed of 10-25m/min on treadmill for 8 weeks. Pregnancy was confirmed in rats after vaginal plaque was observed After the pregnancy and delivery period of the rats, newborn babies (4 newborns from each mother as the main sample) were prepared one week after birth for explanation.
Results: The results showed that metformin had no significant effect on superoxide dismutase (SOD) and malondialdehyde (MDA) in comparison with control group, but endurance training and endurance training with metformin resulted in increased SOD and MDA reduction in neonatal heart tissue (p=0.000).
Conclusion: According to the results, it seems that the endurance training of mothers with metabolic syndrome has a protective effect on oxidative and antioxidant systems in their offspring.
Zahra Nourollahi, Vahid Valipour Dehnou, Rasoul Eslami,
Volume 18, Issue 4 (4-2019)
Abstract
Background: Physical activity is an effective stimulant for improving the health of elderly people with metabolic syndrome by increasing energy consumption and thus reducing body fat. The purpose of this study was to investigate the effect of 8 weeks of high intensity circuit training (HICT) on serum BDNF and Irisin levels and body weight in elderly women with metabolic syndrome in Khorramabad city.
Methods: In this semi-experimental study, 18 females (age 71.00 ± 6.17 years; weight 62.22 ± 9.18 kg; height 153.67 ± 3.27 cm) with metabolic syndrome voluntarily participated. During their daily routine, the subjects participated in an 8-week HICT protocol that performed 3 sessions per week. 24 hours before the training protocol and 48 hours after the training protocol, the fasting blood sample was taken by the laboratory expert between 7:30 minutes to 8 hours. ELISA kits were used to measure serum levels of BDNF and Irisin. The paired-Samples T test was used to identify any significant differences and statistical significance was set at p < .05.
Results: The results showed a significant increase in serum BDNF (p = .001) and Irisin (p = .033) levels and significant decrease in body weight (p = .001) in comparison with pre-test values in elderly women with metabolic syndrome.
Conclusion: High intensity circuit training in elderly women with metabolic syndrome increases serum BDNF and Irisin concentrations and possibly, the increase in these two factors can have beneficial effects on the lipid profile and finally body weight of these individuals.
Mahnaz Omidi, Parya Vismoradi,
Volume 21, Issue 6 (3-2022)
Abstract
Background: Adipulin is a hormone secretd by fat cells that acts as a metabolic regulator with anti-inflammatory properties and is reduced through obesity, diabetes and inflammation. Therefore, the aim of this study was to compare the effect of high and moderate intensity aerobic exercise on serum adipolin levels and some indicators of metabolic syndrome in obese women.
Methods: In this quasi-experimental study, 36 people were randomly divided into three groups of 12 people (2 experimental groups and one control group). Aerobic exercise group with an intensity of 85-95% of maximum heart rate performed intermittent walking and running on the treadmill for 33 minutes per session and exercise group with an intensity of 50-70% of maximum heart rate walked continuously for 41 minutes. (Training duration for 2 groups was 8 weeks and 3 sessions per week, The control group was not active during this period). One-way analysis of variance statistical and Bonferroni post hoc tests were used at the significant level (P> 0.05).
Results: High intensity aerobic exercise significantly increased serum adipolin levels (P= 0.001) and decreased total cholesterol (P= 0.020), triglyceride (P= 0.021) and insulin resistance (P= 0.001). The results also showed no significant differences in the levels of high-density lipoprotein (P= 0.615), low-density lipoprotein (P= 0.604), and blood pressure (P= 0.269) in the three groups. Medium-intensity aerobic exercise had no effect on serum adipoline levels (P= 0.192), only glucose, (P= 0.025), triglycerides (P= 0.010), systolic blood pressure (P= 0.028) and insulin (P= 0.043) decreased and the levels of cholesterol, low-density lipoprotein and high-density lipoprotein did not change significantly.
Conclusion: In the end, it can be said that it seems that individuals can use high-intensity aerobic exercise to increase the amount of adipolin as an indicator of improving insulin sensitivity and also improving the indicators of metabolic syndrome.
Bahman Hasanvand, Ahmad Mohammadi Moghaddam, Rohollah Geravand,
Volume 22, Issue 1 (4-2022)
Abstract
Background: The aging process is usually accompanied by a decrease in the function of the body's systems and physiological capacity, along with an increase in susceptibility to diseases, especially metabolic syndrome. This study looked at the effect of eight weeks of resistance training on levels of Irisin, IL-15, CRP, and Cholesterol in elderly men with metabolic syndrome.
Methods: The statistical population was elderly men in Khorramabad, of whom 18 were selected and randomly divided into two experimental groups and control (65/2±2/2, 65/4±2/1). The exercise program included leg presses, chest presses, row movements, bending the knees, head, back of the arm, opening of the knees and front of the arm. The above program started with 30% of a maximum repetition and reached 50% of a maximum repetition at the end of the eighth week. Blood samples were taken 48 hours before and after the training sessions. Correlated t-test and independent t-test were used to examine the research data. The level of significance was also considered (P<0.05).
Results: Eight weeks’ resistance exercise significant increase in Irisin (P=0.01) and interleukin-15 (P=0.007), as well as a significantly decreased levels of CRP (P=0.007) and total cholesterol(P=0.02) in elderly men with metabolic syndrome.
Conclusion: Finding non-pharmacological solutions to improve metabolic indicators is very important. Based on the results of research, doing resistance exercises is recommended as a low-cost and non-pharmacological solution for the treatment of metabolic syndrome in elderly men.
Donya Chamani, Eskandar Rahimi, Mehrzad Moghdisi,
Volume 25, Issue 3 (7-2025)
Abstract
Background: Metabolic syndrome is characterized by a cluster of conditions such as abdominal obesity, high triglycerides, high blood pressure, high blood sugar, and low levels of healthy fat. Therefore, this study aimed to investigate the effect of endurance training on PGC1α protein content, glycosylated hemoglobin and metabolic syndrome indices in obese rats with type 2 diabetes.
Methods: Eighteen male Wistar rats with an average weight of 200±20 g were selected and placed on a high-fat diet for four weeks. Then 12 rats were randomly selected and induced type 2 diabetes by injecting nicotinamide (110 mg/kg) and streptozotocin (50 mg/kg) solutions. Diabetic rats were randomly divided into two groups of training and control patients. The samples of the training group performed endurance training on the treadmill for 8 weeks and 5 sessions every week with an intensity of about 50 to 70% of the maximum speed. 48 hours after the last training session, mice were sacrificed and variables were measured. To analyze the data, one-way ANOVA and Tukey's post hoc tests were performed in SPSS software version 29.
Results: Endurance training led to a significant decrease in fasting blood sugar levels, HbA1c and triglyceride levels (P= 0.0001). On the other hand, it did not show any effect on HDL levels (P= 0.087). On the contrary, it led to an increase in the intracellular amount of PGC-1α (P= 0.0001).
Conclusion: The results show that endurance training can be considered as an adjuvant drug by regulating the factors related to metabolic syndrome.
Mansoureh Karimi, Fatemeh Sharafifard, Fatemeh Kazeminasab,
Volume 25, Issue 6 (1-2026)
Abstract
Background: Metabolic syndrome in obese children and adolescents raises the risk of cardiovascular disease and type 2 diabetes. Research suggests that exercise training may improve cardiometabolic health in this population. This meta-analysis aims to evaluate the impact of exercise on these risk factors in children and adolescents with metabolic syndrome., and behavioral outcomes in children and promoting awareness, self-care skills, and quality of life in families.
Methods: A systematic search of English and Persian articles was conducted from PubMed, Web of Science, and Scopus databases without time limits until May 2024. In data analysis, a random-effects model was used to calculate the weighted mean difference (WMD), standardized mean difference (SMD) and 95% confidence interval (CI). Also, heterogeneity of studies was assessed with the I² test.
Results: The results of 6 studies involving 1,761 participants demonstrated that exercise training led to significant reductions in body weight [WMD = −6.32 kg, P=0.001], waist circumference [WMD = −9.11 cm, P=0.001], LDL [WMD = −0.52 mmol/L, P=0.001], TC [WMD = −0.65 mmol/L, P=0.001], serum TG [WMD = -0.56 mmol/L, P=0.001)], fasting glucose [WMD = −0.19 mmol/L, P=0.03], fasting insulin [SMD = −1.01, P=0.001], and HOMA-IR [WMD = −1.60, P=0.001] compared to the control group in obese children and adolescents with metabolic syndrome.
Conclusion: Exercise interventions significantly reduce body weight, waist circumference, and blood pressure, while improving lipid profiles, including serum LDL, TC, and TG levels, in obese children and adolescents with metabolic syndrome. However, these interventions exhibited no significant impact on serum HDL concentrations. Consequently, to reduce cardiovascular risk factors and improve metabolic conditions, it is essential to implement long-term exercise interventions.
Najmeh Seifi, Niloufar Abdollahpour, Gelare Koochakpoor, Nioosha Samadi, Habibollah Esmaily, Majid Ghayour-Mobarhan,
Volume 26, Issue 2 (7-2026)
Abstract
Background: Dietary acid load is thought to contribute to the development of metabolic syndrome through effects on acid–base balance with evidence being inconsistent. This study aimed to examine the associations between dietary acid load indices, Dietary Acid Load (DAL), Potential Renal Acid Load (PRAL), and Net Endogenous Acid Production (NEAP) and risk of metabolic syndrome and its components in an Iranian adult cohort.
Methods: 6,482 adults aged 35-65 years were enrolled from the Mashhad Stroke and Atherosclerosis Study. Dietary intake was assessed using a validated food frequency questionnaire, and dietary acid load indices were calculated. Participants were followed for nearly 10 years. Logistic regression models were used to evaluate associations of DAL, PRAL, and NEAP with the incidence of metabolic syndrome, diabetes, hypertension, and dyslipidemia, adjusting for major confounders.
Results: Following adjustment, no significant associations were found between DAL indices and the incidence of metabolic syndrome or its components. DAL odds ratio (OR) for the highest versus lowest tertile was 0.984 [95% confidence interval (CI): 0.815–1.188; p= 0.868]. For PRAL, the OR was 1.024 (95% CI: 0.865–1.212; p= 0.782), and for NEAP, the OR was 0.902 (95% CI: 0.763–1.066; p= 0.227). None of the indices were significantly related to new cases of diabetes, hypertension, or dyslipidemia (all p> 0.05).
Conclusion: In this Iranian adult cohort, DAL indices were not associated with the risk of metabolic syndrome or its components. Further studies in populations with different dietary habits are needed to clarify potential threshold effects or effect modifiers.
Yunus Soleymani, Javad Hatami, Moloud Payab, Ata Pourabbasi,
Volume 26, Issue 2 (7-2026)
Abstract
Background: Metabolic syndrome (MetS) is associated with a higher risk of cognitive dysfunction and brain structural alterations, yet the specific contributions of its components and underlying mechanisms remain unclear.
Methods: This narrative review integrates findings from neuroimaging, clinical, and molecular studies to provide a conceptual understanding of how MetS affects cognition. A non-systematic and targeted search was conducted up to June 2025 using terms such as metabolic syndrome, cognition, and magnetic resonance imaging (MRI). Studies were selected based on their relevance and conceptual contribution.
Results: Evidence converges on inflammation, oxidative stress, vascular injury, and insulin resistance as key mechanisms linking MetS to gray and white matter changes and cognitive impairment. Structural and functional MRI studies demonstrate disrupted brain connectivity and reduced hippocampal volume in individuals with MetS. Gender and genetic differences may also influence the strength of this association. The coexistence of metabolic syndrome and cognitive dysfunction is linked to reduced health-related quality of life.
Conclusion: The narrative synthesis highlights how metabolic and vascular factors jointly drive neurocognitive decline and underscores the need for longitudinal and mechanistic research.
