Overview
The objective of this study is to pilot a multifaceted, optimized intervention for metabolic syndrome (MetS) in emergency department patients to establish feasibility. Participants (n=20) will be randomized to intervention or control (usual care). The composite intervention will include an educational video outlining the adverse effects of MetS and the benefit of walking, a written exercise prescription with a defined goal of walking 150 minutes per week, a Fitbit accelerometer device, resources for healthy eating practices, periodic text message reminders, and an urgent referral to primary care and our health system's Healthy Me clinic for follow-up visit. Investigators hypothesize that this approach will change patient understanding and motivation to increase physical activity and healthy eating habits.
Eligibility
Inclusion Criteria:
- Ambulatory adults (18 years of age) presenting to the emergency department setting
- BMI 30 kg/m2
- Prior diagnosis of at least one additional comorbid component of metabolic syndrome: hypertension, hyperglycemia, dyslipidemia
- Clinical plan for discharge
Exclusion Criteria:
- Age <18 years
- Pregnant patients
- Unable to safely ambulate (including patient or family perception of inability to safely ambulate)
- Lack of access to smart phone
- Unable or unwilling to wear Fitbit accelerometer device
- Unable to obtain informed consent