Advancing age presents a myriad of interrelated diseases. Metabolic syndrome is a term relating several cardiovascular risk factors, including dyslipidemia, hypertension, obesity and insulin resistance(Reference Huang1). As age can independently increase cardiometabolic risk, it is vital that modifiable risks are managed and minimised(Reference Nichols, Horberg and Koebnick2). Lifestyle interventions such as dietary and exercise regimes, can reduce the prevalence of metabolic syndrome, therefore reducing the risk of cardiovascular disease (CVD) and type 2 diabetes (T2D)(Reference Yamaoak and Tango3).
The aim of this study was to examine the effects of a 16-week dietary and/or exercise intervention on cardiometabolic health in older adults (n = 100). One hundred older adults aged 60-83 years were randomly allocated to one of four intervention groups; control (n = 31), nutrition (n = 23), exercise plus nutrition (n = 22) or exercise (n = 24). Outcome measures were metabolic parameters, as outlined and defined by the National Cholesterol Education Program (NCEP) Adult Treatment Panel (III)(Reference Grundy, Cleeman and Daniels4); waist circumference >88 cm (females) and >102 cm (males), triglycerides ≥ 150mg/dL; high density lipoprotein cholesterol <40 mg/dL (male) and <50 mg/dL (female); systolic blood pressure >130 mmHg; diastolic blood pressure >85 mmHg; fasting glucose ≥ 100 mg/dL.
Although there were reductions observed over time for systolic blood pressure, diastolic blood pressure and fasting glucose, the between group comparisons did not show any significant difference after 16-weeks. Lower than desired adherence with the supplement groups (50-80 %), intervention duration and baseline health status of participants may be contributing factors to the findings.
Values are shown as median (interquartile range)
To conclude, interventions that involve exercise and dietary adaptations are critical in tackling cardiometabolic risk factors, particularly in ageing populations. Long duration interventions with community level application and all-round benefits are greatly warranted.
