Adherence
A six-month home-based physical activity and nutrition intervention produces significant improvements in metabolic syndrome parameters, but these benefits largely plateau and do not significantly improve further during an 18-month follow-up without additional booster interventions.
If you start a health program, expect the biggest changes in the first 6 months. To keep those gains, you cannot just stop. You need a 'maintenance mode' plan with regular check-ins, even if they are brief, to prevent your habits from slowly drifting back to old patterns.
Despite the initial improvement from t1 to t2, this did not continue, although the observed maintenance from t2 to t4 for most outcome measures is a promising result.
Why this rating
Randomized Controlled Trial with 18-month follow-up, though attrition was high (53.7%) and there was no true control group at later time points.
Source
Long‐term sustainability of a physical activity and nutrition intervention for rural adults with or at risk of metabolic syndrome
Jonine Jancey et al. · Australian and New Zealand Journal of Public Health · 2020
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