Dynamics of nutrition structure and metabolic syndrome risk factors in overweight and obese women with dietary counseling and remote monitoring

Aim. To study the effects of diet optimization and weight loss on the dynamics of metabolic syndrome and cardiovascular risk factors in women with overweight and obesity in six-month dietary counseling and remote monitoring. Material and Methods . A balanced caloric restriction by 240–250 kcal a day on average was recommended to 119 women with overweight and obesity. Actual nutrition was evaluated using special computer software “1C Nutrition Evaluation”. Results. The study showed a significant nutritional imbalance with a relatively high consumption of fats (40.4%) and low consumption of carbohydrates (39.6%), mainly due to the low consumption of starch. On the contrary, the consumption level of monoand disaccharides (20.9%) was twice as high as recommended (10%) by the World Health Organization (WHO). Dietary restriction and nutritional optimization led to a significant decrease in the values of body weight, body mass index, waist circumference, blood pressure, and lipid metabolism. As a result, the risks and probability of metabolic syndrome and cardiovascular diseases decreased. Conclusion. Correction of eating habits allowed to establish a rational and balanced approach to dietary energy restriction and nutritional structure optimization. Achieved weight loss was associated with normalization of parameters of abdominal obesity, blood pressure, and lipid metabolism. Six-month dietary intervention in women promoted control of risk factors for metabolic syndrome and cardiovascular diseases. The results of the study may be used to improve the personalized technology of distant preventive counseling in primary health care aimed at weight loss to achieve both primary and secondary prophylactics of metabolic syndrome and chronic non-infectious diseases.