{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T05:00:13Z","timestamp":1770958813616,"version":"3.50.1"},"reference-count":49,"publisher":"Cambridge University Press (CUP)","issue":"14","content-domain":{"domain":["www.cambridge.org"],"crossmark-restriction":true},"short-container-title":["Public Health Nutr."],"published-print":{"date-parts":[[2017,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1368980017001458_abs1\" sec-type=\"general\"><jats:title>Objective<\/jats:title><jats:p>To evaluate whether the lifestyle intervention MetSLIM targeting individuals of low socio-economic status of Turkish, Moroccan and Dutch origin was successful in improving waist circumference and other cardiometabolic risk factors, lifestyle behaviour and quality of life.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980017001458_abs2\" sec-type=\"general\"><jats:title>Design<\/jats:title><jats:p>A quasi-experimental intervention study (Netherlands Trial Register NTR3721). The intervention group participated in a 12-month combined dietary and physical activity programme. Examinations were performed at baseline and after 12 months. Participants underwent anthropometric measurements and blood withdrawal, and completed questionnaires on dietary intake, physical activity and quality of life.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980017001458_abs3\" sec-type=\"general\"><jats:title>Setting<\/jats:title><jats:p>Socio-economically deprived neighbourhoods in two Dutch cities, involving non-blinded ethnicity-matched and gender-matched research assistants, dietitians and sports instructors.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980017001458_abs4\" sec-type=\"subjects\"><jats:title>Subjects<\/jats:title><jats:p>Mainly Turkish (49 %) and Dutch (36 %) subjects, aged 30\u201370 years, with a waist-to-height ratio of &amp;gt;0\u00b75 (intervention,<jats:italic>n<\/jats:italic>117; control,<jats:italic>n<\/jats:italic>103). Dropout was 31 %.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980017001458_abs5\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>At 12 months, the intervention group showed greater improvements than the control group in waist circumference (<jats:italic>\u03b2<\/jats:italic>=\u22123\u00b73 cm, 95 % CI \u22124\u00b77, \u22121\u00b78,<jats:italic>P<\/jats:italic>&amp;lt;0\u00b7001) and other obesity measures. Additionally, greater reductions were observed for total cholesterol (<jats:italic>\u03b2<\/jats:italic>=\u22120\u00b733 mmol\/l, 95 % CI \u22120\u00b756, \u22120\u00b710,<jats:italic>P<\/jats:italic>=0\u00b7005) and LDL cholesterol (<jats:italic>\u03b2<\/jats:italic>=\u22120\u00b735 mmol\/l, 95 % CI \u22120\u00b756, \u22120\u00b714,<jats:italic>P<\/jats:italic>=0\u00b7001). Dietary changes were significant for fibre intake (<jats:italic>\u03b2<\/jats:italic>=1\u00b75 g\/4184 kJ (1000 kcal), 95 % CI 0\u00b73, 2\u00b77,<jats:italic>P<\/jats:italic>=0\u00b7016). Compared with the control group, the intervention group reported a decrease in total minutes of physical activity (<jats:italic>\u03b2<\/jats:italic>=\u2212573 min\/week, 95 % CI \u22121126, \u221221,<jats:italic>P<\/jats:italic>=0\u00b7042) and showed improvements in the quality-of-life domains \u2018health transition\u2019 and \u2018general health\u2019.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980017001458_abs6\" sec-type=\"conclusions\"><jats:title>Conclusions<\/jats:title><jats:p>MetSLIM was shown to be effective in improving waist circumference, total and LDL cholesterol, and quality of life among Dutch and Turkish individuals living in deprived neighbourhoods.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1368980017001458","type":"journal-article","created":{"date-parts":[[2017,7,24]],"date-time":"2017-07-24T04:42:17Z","timestamp":1500871337000},"page":"2617-2628","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":14,"title":["Effectiveness of the MetSLIM lifestyle intervention targeting individuals of low socio-economic status and different ethnic origins with elevated waist-to-height ratio"],"prefix":"10.1017","volume":"20","author":[{"given":"Andrea J","family":"Bukman","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dorit","family":"Teuscher","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Agnes","family":"Meershoek","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reint Jan","family":"Renes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marleen A","family":"van Baak","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edith JM","family":"Feskens","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2017,7,24]]},"reference":[{"key":"S1368980017001458_ref39","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.0000053730.47739.3C"},{"key":"S1368980017001458_ref40","volume-title":"Nutritional Epidemiology","year":"1998"},{"key":"S1368980017001458_ref9","doi-asserted-by":"publisher","DOI":"10.1007\/s00125-005-0097-z"},{"key":"S1368980017001458_ref37","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-199206000-00002"},{"key":"S1368980017001458_ref8","doi-asserted-by":"publisher","DOI":"10.1353\/cpr.0.0111"},{"key":"S1368980017001458_ref7","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-7-249"},{"key":"S1368980017001458_ref36","doi-asserted-by":"publisher","DOI":"10.1017\/jns.2013.28"},{"key":"S1368980017001458_ref6","doi-asserted-by":"publisher","DOI":"10.2337\/dc08-2141"},{"key":"S1368980017001458_ref35","doi-asserted-by":"publisher","DOI":"10.1186\/1475-2891-11-49"},{"key":"S1368980017001458_ref5","doi-asserted-by":"publisher","DOI":"10.1097\/01.PHH.0000303410.66485.91"},{"key":"S1368980017001458_ref34","volume-title":"NEVO-online versie 2013\/4.0, Nederlands Voedingsstoffenbestand","year":"2013"},{"key":"S1368980017001458_ref4","doi-asserted-by":"publisher","DOI":"10.1111\/dme.12018"},{"key":"S1368980017001458_ref33","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-11-441"},{"key":"S1368980017001458_ref3","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.28.4.888"},{"key":"S1368980017001458_ref32","doi-asserted-by":"publisher","DOI":"10.1016\/S0895-4356(03)00220-8"},{"key":"S1368980017001458_ref2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa012512"},{"key":"S1368980017001458_ref31","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.105.169404"},{"key":"S1368980017001458_ref1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200105033441801"},{"key":"S1368980017001458_ref30","doi-asserted-by":"crossref","first-page":"499","DOI":"10.1093\/clinchem\/18.6.499","volume":"18","year":"1972","journal-title":"Clin Chem"},{"key":"S1368980017001458_ref29","first-page":"331","volume":"31","year":"2011","journal-title":"Nefrologia"},{"key":"S1368980017001458_ref25","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-015-1343-z"},{"key":"S1368980017001458_ref24","doi-asserted-by":"publisher","DOI":"10.1080\/09581596.2014.962013"},{"key":"S1368980017001458_ref23","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1071\/HE10243","volume":"21","year":"2010","journal-title":"Health Promot J Aust"},{"key":"S1368980017001458_ref22","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-14-1036"},{"key":"S1368980017001458_ref21","first-page":"1","volume":"16","year":"2012","journal-title":"Health Technol Assess"},{"key":"S1368980017001458_ref52","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMms1604593"},{"key":"S1368980017001458_ref20","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2003.07.011"},{"key":"S1368980017001458_ref51","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-13-768"},{"key":"S1368980017001458_ref50","doi-asserted-by":"publisher","DOI":"10.1080\/14635240.2014.971189"},{"key":"S1368980017001458_ref19","doi-asserted-by":"publisher","DOI":"10.1038\/oby.2011.140"},{"key":"S1368980017001458_ref18","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/ckp096"},{"key":"S1368980017001458_ref49","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0068605"},{"key":"S1368980017001458_ref17","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2004.04.009"},{"key":"S1368980017001458_ref48","doi-asserted-by":"publisher","DOI":"10.1177\/0145721715572444"},{"key":"S1368980017001458_ref16","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-789X.2011.00915.x"},{"key":"S1368980017001458_ref47","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-016-2964-6"},{"key":"S1368980017001458_ref15","doi-asserted-by":"publisher","DOI":"10.1016\/j.puhe.2005.11.003"},{"key":"S1368980017001458_ref46","volume-title":"Measuring the Netherlands. A Monitoring Study of Risk Factors in the General Population, 2009\u20132010","year":"2011"},{"key":"S1368980017001458_ref14","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2288-8-17"},{"key":"S1368980017001458_ref45","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2009.07.020"},{"key":"S1368980017001458_ref13","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyh386"},{"key":"S1368980017001458_ref44","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2008.06.035"},{"key":"S1368980017001458_ref12","doi-asserted-by":"publisher","DOI":"10.1038\/ejcn.2011.74"},{"key":"S1368980017001458_ref43","doi-asserted-by":"publisher","DOI":"10.1001\/2013.jamainternmed.987"},{"key":"S1368980017001458_ref11","doi-asserted-by":"publisher","DOI":"10.1016\/S0168-8227(03)00067-6"},{"key":"S1368980017001458_ref42","volume-title":"Statistical Analysis of Epidemiologic Data","year":"2004"},{"key":"S1368980017001458_ref10","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ijo.0802249"},{"key":"S1368980017001458_ref41","doi-asserted-by":"publisher","DOI":"10.1016\/0021-9681(62)90116-9"},{"key":"S1368980017001458_ref38","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.0000052939.59093.45"}],"container-title":["Public Health Nutrition"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1368980017001458","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,10,13]],"date-time":"2020-10-13T06:26:16Z","timestamp":1602570376000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1368980017001458\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,7,24]]},"references-count":49,"journal-issue":{"issue":"14","published-print":{"date-parts":[[2017,10]]}},"alternative-id":["S1368980017001458"],"URL":"https:\/\/doi.org\/10.1017\/s1368980017001458","relation":{},"ISSN":["1368-9800","1475-2727"],"issn-type":[{"value":"1368-9800","type":"print"},{"value":"1475-2727","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,7,24]]},"assertion":[{"value":"Copyright \u00a9 The Authors 2017\u00a0","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}}]}}