{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T07:51:45Z","timestamp":1791359505572,"version":"4.3.1"},"reference-count":35,"publisher":"Korea Society for Exercise Nutrition","issue":"3","license":[{"start":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:00:00Z","timestamp":1790726400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/2.0\/"}],"funder":[{"DOI":"10.13039\/501100011705","name":"Korea Institute of Marine Science and Technology promotion","doi-asserted-by":"publisher","award":["20220027"],"award-info":[{"award-number":["20220027"]}],"id":[{"id":"10.13039\/501100011705","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["e-pan.org"],"crossmark-restriction":true},"short-container-title":["Phys Act Nutr"],"published-print":{"date-parts":[[2026,9,30]]},"abstract":"<jats:p>[Purpose] The increasing prevalence of metabolic syndrome poses significant health risks, particularly for cardiovascular diseases and type 2 diabetes. Exercise interventions have shown promise in improving the components of metabolic syndrome, including blood pressure, lipid profiles, and glucose metabolism. Kinect-based mixed-reality exercise provides real-time feedback and personalized guidance, making it suitable for unsupervised training. Deep-sea water has beneficial effects on lipid metabolism and insulin sensitivity. However, the effects of Kinect-based mixed-reality exercise and deep-sea water on metabolic syndrome remain unclear. [Methods] Fifty-six participants aged 30-65 years with a diagnosis of metabolic syndrome were randomly assigned to four groups for an 8-week intervention: control (CG), deep-sea water consumption (WG), Kinect-based mixed-reality exercise (EG), and combined deep-sea water consumption and Kinect-based mixed-reality exercise (WEG). The intervention comprised a 40-min Kinect-based mixed-reality circuit exercise three times per week and daily consumption of 440 mL of deep-sea water. The measurements included blood pressure, body composition, blood profiles, quality of life, physical activity, diet recall, and the metabolic syndrome score.[Results] Forty-eight participants completed the study, demonstrating high compliance with the EG (98.4%) and WG (99.2%). Waist circumference significantly decreased in all intervention groups (WG, &lt;i&gt;p&lt;\/i&gt; = 0.002; EG, &lt;i&gt;p&lt;\/i&gt; &lt; 0.0001; WEG, &lt;i&gt;p&lt;\/i&gt; &lt; 0.0001), with a significant difference between CG and EG (&lt;i&gt;p&lt;\/i&gt; = 0.020). The metabolic syndrome component score decreased significantly in the EG (&lt;i&gt;p&lt;\/i&gt; = 0.004) and WEG (&lt;i&gt;p&lt;\/i&gt; = 0.002) groups, falling below the diagnostic threshold for metabolic syndrome.[Conclusion] These findings indicate the potential benefits of combining deep-sea water consumption and Kinect-based mixed-reality exercise in metabolic syndrome management.<\/jats:p>","DOI":"10.20463\/pan.2026.0046","type":"journal-article","created":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T02:23:12Z","timestamp":1790734992000},"page":"114-123","update-policy":"https:\/\/doi.org\/10.20463\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Effects of Kinect-based mixed-reality exercise and deep-sea water consumption on metabolic syndrome: a randomized controlled trial"],"prefix":"10.20463","volume":"30","author":[{"given":"Hyejung","family":"Shin","sequence":"first","affiliation":[{"name":"Health and Exercise Science Laboratory, Department of Physical Education, Seoul National University, Seoul, Republic of Korea"},{"name":"Dr. Exsol, Inc., Research Institute, Seoul, Republic of Korea"},{"name":"Institute of Sport Science, Seoul National University, Seoul, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nur Afiqah Binti","family":"Zulkifli","sequence":"additional","affiliation":[{"name":"Health and Exercise Science Laboratory, Department of Physical Education, Seoul National University, Seoul, Republic of Korea"},{"name":"Institute of Sport Science, Seoul National University, Seoul, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Byunggul","family":"Lim","sequence":"additional","affiliation":[{"name":"Institute on Aging, Seoul National University, Seoul, Republic of Korea"},{"name":"Dr. Exsol, Inc., Research Institute, Seoul, Republic of Korea"},{"name":"Institute for Advancing Health Through Agriculture, Texas A&M University, Dallas, TX, 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