Effects of an internet-based lifestyle intervention on cardio-metabolic risks and stress in Korean workers with metabolic syndrome: A controlled trial
Abstract
Objective This study examined the effects of an Internet-based Best Exerciser Super Trainer (BEST) program on cardio-metabolic risks and stress among workers with metabolic syndrome.Methods This study utilized a non-randomized, pretest, and posttest, controlled design with a convenience sample of 48 Korean male workers. The workers in the BEST group participated in a 16-week Internet-based program: 150 min of regular physical activity per week, 200- to 300-kcal reduced daily diet for weight control, one-on-one counseling, and mobile phone text messages. Workers in the Education group received text messages and an educational booklet.Results There were significant group by time interactions in cardio-metabolic risks: body weight (p = .022), visceral fat mass (p = .033), and waist circumference (p = .037). There was no group by time interaction in stress (p > .05); however, the BEST group showed a significantly greater reduction in health-related stress than those in the Education group (p = .025).Conclusion This study yielded evidence of the beneficial impact of the Internet-based BEST program for workers with metabolic syndrome on selected cardio-metabolic risks and health-related stress.Practice implications Internet-based one-on-one counseling and mobile phone text messages can assist individuals with targeted lifestyle modifications for metabolic syndrome.
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The internet-based BEST program was modeled on the transtheoretical (stages of change) model of behavior change.
“One study34) drew upon the theoretical foundation of psychological capital, namely hope, optimism, efficacy, and resilience, while the internet-based BEST program, a multicomponent intervention that targeted cardiovascular fitness and stress was modeled on the transtheoretical (stages of change) model of behavior change59).”
From Web-based interventions for the management of stress in the workplace: Focus, form, and efficacy (2017) · cites this paper as [59]
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- Authors
- Kim, C.-J., Schlenk, E. A., Kang, S.-W., & Park, J.-B.
- Affiliations
- Ajou University (KR)
- University of Pittsburgh (US)
- Dong-Eui University (KR)
- Corresponding author
- Kim, Chun-Ja
- Venue
- Patient Education and Counseling
- Publisher
- Elsevier BV
- Published
- 2015-01
- Volume
- 98
- Issue
- 1
- Pages
- 111-119
- ISSN
- 0738-3991 (ISSN-L)
- OpenAlex
- W2061138016
- Cited by
- 19
- References
- 63
- Citations by year
- 2025: 2 · 2024: 1 · 2022: 3 · 2021: 2 · 2020: 3 · 2019: 3 · 2018: 1 · 2017: 3 · 2015: 1
- FWCI
- 2.41
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Patient Education and Counseling (publishedVersion)
- PubMed (publishedVersion)
- AJOU Open Repository (Ajou University) (submittedVersion)
- Funders
- National Research Foundation of Korea
- Ministry of Education, Science and Technology (20100015339)
- Ajou University
- Topics
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Health Professions › General Health Professions › Workplace Health and Well-being
- Keywords
- metabolic syndrome, cardiometabolic risk, health stress, physical activity, visceral fat, waist circumference, text messaging, individual counseling, male workers, Korean workers
- MeSH terms
- Adult, Behavior Therapy, Cardiovascular Diseases, Health Promotion, Humans, Life Style, Male, Middle Aged, Motor Activity, Prospective Studies, Stress, Psychological, Weight Loss, Exercise, Internet, Metabolic Syndrome, Cell Phone, Asian People, Overweight, Text Messaging
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