Overview

This study aims to evaluate the effectiveness of the Lifestyle Intervention for Gentle, Healthy Transformation and Enhanced Weight Reduction-metabolic syndrome (LIGHTER-MetS) program on dietary self-regulation and cardiovascular risk among individuals with metabolic syndrome (MetS). The LIGHTER-MetS program, a community-based, grassroots-led initiative, integrates health coaching with the eTRIP© app to promote sustainable lifestyle changes focusing on diet, exercise, and emotion regulation.

Eligibility

Inclusion Criteria:

1. are between 21 to 65 years of age;
2. have a waist circumference ≥90 cm in men and ≥80 cm in women;
3. have 2 or more of the following to be classified as having metabolic syndrome:
   • triglyceride level of ≥1.7 mmol/L or on specific treatment for this lipid abnormality;
   • high density lipoprotein (HDL) cholesterol \<1.03 mmol/L in men, and \<1.29 mmol/L in women, or on specific treatment for this lipid abnormality;
   • blood pressure of ≥130/85 mmHg or on treatment of previously diagnosed hypertension;
   • fasting blood glucose level of ≥ 5.6 mmol/L or previously diagnosed type 2 diabetes;
4. are not receiving other structured lifestyle modification programs;
5. consent to audio-recording;
6. English speaking and literate.

Exclusion Criteria:

1. underwent or are scheduled for metabolic surgery within 1 year;
2. are pregnant or planning for pregnancy at the time of recruitment;
3. are unable to speak English;
4. do not own a smartphone; and
5. are unable to provide informed consent.