Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Brief Communication
  • Published:

Lifestyle interventions in Muslim patients with metabolic syndrome—a feasibility study

Abstract

Obesity, metabolic syndrome, and type-2 diabetes mellitus are common in Muslim patients living in Germany, most of whom are of Turkish origin. Lifestyle interventions must be tailored to religion and ethnicity. We tested the body weight-reducing effect of a 30% calorie-reduced intake diet, adjusted to individual energy expenditure, eating habits, and food preferences in a Turkish-background cohort. Eighty subjects were randomized to activity advice only or to a step-count device to monitor and document physical activity before and after the 12-week intervention. Fifty-three patients completed the study. Lifestyle interventions were effective in these Muslim subjects. Body weight was reduced by 6%; activity monitoring provided a modestly increased effect to 8%. Blood glucose, HbA1c, triglycerides and cholesterol improved also substantially. Subjects receiving metformin could reduce their dosage. Our data show that Muslim Turkish patients respond to interventions if these are tailored to their needs.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Fig. 1

References

  1. Chan JC, Gregg EW, Sargent J, Horton R. Reducing global diabetes burden by implementing solutions and identifying gaps: a Lancet Commission. Lancet. 2016;387:1494–5.

    Article  Google Scholar 

  2. Steinhilber A, Dohnke B. Adolescent Turkish migrants’ eating behavior in Germany: a comparison to nonmigrants in the home and host countries based on the prototype-willingness model. Cultur Divers Ethn Minor Psychol. 2016;22:114–25.

    Article  Google Scholar 

  3. Porsch-Oezcueruemez M, Bilgin Y, Wollny M, Gediz A, Arat A, Karatay E, et al. Prevalence of risk factors of coronary heart disease in Turks living in Germany: the Giessen Study. Atherosclerosis. 1999;144:185–98.

    Article  CAS  Google Scholar 

  4. Freak-Poli R, Wolfe R, Brand M, de Courten M, Peeters A. Eight-month postprogram completion: change in risk factors for chronic disease amongst participants in a 4-month pedometer-based workplace health program. Obesity. 2013;21:E360–8.

    PubMed  Google Scholar 

  5. Al-Bannay HR, Jongbloed LE, Jarus T, Alabdulwahab SS, Khoja TA, Dean E. Outcomes of a type 2 diabetes education program adapted to the cultural contexts of Saudi women. A pilot study. Saudi Med J. 2015;36:869–73.

    Article  Google Scholar 

  6. Al Sifri S, Rizvi K. Filling the knowledge gap in diabetes management during Ramadan: the evolving role of trial evidence. Diabetes Ther. 2016;7:221–40.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Michael Boschmann.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Supplementary information

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Aktas, M.F., Mähler, A., Hamm, M. et al. Lifestyle interventions in Muslim patients with metabolic syndrome—a feasibility study. Eur J Clin Nutr 73, 805–808 (2019). https://doi.org/10.1038/s41430-018-0371-z

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/s41430-018-0371-z

This article is cited by

Search

Quick links