J Obes Metab Syndr.  2022 Mar;31(1):70-80. 10.7570/jomes21074.

Short-term Effects of Eating Behavior Modification on Metabolic Syndrome-Related Risks in Overweight and Obese Korean Adults

  • 1Department of Food Science and Nutrition, Dong-A University, Busan, Korea
  • 2Department of Health Science, Graduate School, Dong-A University, Busan, Korea
  • 3Center for Food and Bio Innovation, Dong-A University, Busan, Korea
  • 4Center for Silver-targeted Biomaterials, Brain Busan 21 Plus Program, Busan, Korea
  • 5Department of Dietetics, Kangbuk Samsung Hospital, Seoul, Korea


We investigated whether eating behavior modification improves metabolic syndrome (MetS)-related risks in overweight/obese Korean adults, and identified dietary factors that improve metabolic status.
Among 159 volunteers, 71 with a body mass index ≥23 kg/m2 and without other chronic diseases participated in the 8-week intervention, among which 54 participants who completed the intervention were included in the analyses. At baseline, patients were categorized either metabolically healthy obese (MHO; <3 MetS risk factors, n= 42) or metabolically unhealthy obese (MUHO; ≥3 MetS risk factors, n= 12), and then educated regarding how to choose healthy foods and meals.
Lipid profiles and anthropometric and glycemic parameters were significantly improved among all participants after the intervention. Changes in waist circumference (P= 0.025), and glycemic parameters (glucose, P= 0.046, insulin, P= 0.005, C-peptide, P= 0.041) were positively correlated with changes in calorie intake from snacks. Changes in visceral fat area were negatively correlated with changes in total calorie intake (P= 0.046), and positively correlated with those in calorie intake from dietary fats (P= 0.039). In addition, changes in insulin (P= 0.013) and C-peptide (P= 0.008) concentrations were negatively correlated with changes in dietary fiber intake at dinner. After the intervention, 83.3% of initially MUHO participants became MHO and 16.7% of MHO participants became MUHO.
Eating behavior modification may be an important strategy to improve metabolic factors in overweight/obese people.


Eating; Behavior; Overweight; Obesity; Metabolic syndrome
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