The impact of 3-year changes in lifestyle habits on metabolic syndrome parameters: the D.E.S.I.R study

Eur J Cardiovasc Prev Rehabil. 2006 Jun;13(3):334-40. doi: 10.1097/01.hjr.0000214614.37232.f0.


Background: The effect of lifestyle changes in cohorts of free-living populations has been surprisingly little evaluated.

Design: A longitudinal study.

Methods: In the French Data from an Epidemiological Study on the Insulin Resistance (D.E.S.I.R) study of 1958 men and 2028 women, aged 30-65 years, the impact of 3-year changes in lifestyle habits (sporting activity, physical activity at home and at work, alcohol drinking, smoking) on metabolic syndrome parameters [insulin, glucose, high-density lipoprotein (HDL) cholesterol, triglycerides, systolic blood pressure, waist circumference] and on body mass index (BMI) were investigated.

Results: In men, 3-year increases in sporting activity were associated with a lowering of insulin, glucose, systolic blood pressure and waist circumference (all P < 0.05). For women, the only effect was on lowering waist circumference (P < 0.03). Increases in physical activity at home were beneficially associated with HDL-cholesterol, triglycerides, waist circumference and BMI changes (all P < 0.05) in men, but had no apparent effect in women. Decreases in alcohol intake only had an effect in men, with decreases in HDL-cholesterol and systolic blood pressure (P < 0.05), whereas decreasing cigarette smoking in men was associated with significant increases in insulin, glucose, triglycerides, waist and BMI (P < 0.001), and in women HDL-cholesterol, waist circumference and BMI increased (P < 0.02). These results were mainly caused by those who had stopped smoking.

Conclusions: Increases in physical activity over the 3-year period were associated with beneficial effects on syndrome parameters, particularly in men. Smoking cessation and alcohol moderation produced mixed effects on these parameters.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Alcohol Drinking / physiopathology*
  • Body Mass Index
  • Exercise / physiology*
  • Female
  • Humans
  • Life Style*
  • Longitudinal Studies
  • Male
  • Metabolic Syndrome / epidemiology
  • Metabolic Syndrome / physiopathology*
  • Middle Aged
  • Sex Factors
  • Smoking / adverse effects*