Assessing The Treatment Effect in Metabolic Syndrome Without Perceptible diabeTes (ATTEMPT)

Study Overview
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Brief Summary
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The objective of this protocol is to improve awareness, treatment, and control of metabolic syndrome, within primary prevention of cardiovascular disease, by implementing guidelines, after training of the participating physicians.

Detailed Description
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Physicians from 20 hospitals or health centres (primary and secondary health care settings) were trained to implement guidelines in treating metabolic syndrome. There will be a baseline recording of patients with metabolic syndrome and then physicians will have to complete a one page form (by ticking pre-specified boxes) about the baseline status of the patients and will have to report the measures they took to improve awareness, treatment, and effective control of the metabolic syndrome. With 6 month intervals (up to 36 months at study completion) physicians will have to complete the same form. Previous training of physicians and the fact that they will have to report their success in treating metabolic syndrome will hopefully contribute to an increase in number of patients with the syndrome at treatment targets, and will minimise the target organ damage (i.e cardiovascular disease). The estimated 10-year reduction in coronary heart disease risk will be evaluated by a comparison of this risk (as evaluated by a risk engine, i.e. PROCAM) at the 6th month and at study completion with that of baseline.

Official Title
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Assessing The Treatment Effect in Metabolic Syndrome Without Perceptible diabeTes (ATTEMPT)

Conditions
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Metabolic Syndrome

Intervention / Treatment
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* Behavioral: Implementation of guidelines


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Metabolic Syndrome (NCEP ATP III Definition modified to AHA/NHLBI definition) Exclusion Criteria: Pregnancy Lactation Malignancies with small life expectancy Unwillingness to participate

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 75 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| 1 Usual Care-Lifestyle counseling<br>Metabolic syndrome | Behavioral: Implementation of guidelines<br>* Attaining targets for LDL cholesterol, arterial blood pressure, fasting [plasma flucose<br>|
| 2 Intensive care-Lifestyle counseling<br>Metabolic Syndrome Implementation of guidelines | Behavioral: Implementation of guidelines<br>* Attaining targets for LDL cholesterol, arterial blood pressure, fasting [plasma flucose<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Metabolic Syndrome, Obesity, Hyperlipidemia, High blood pressure, Diabetes