RT Journal Article T1 Lifestyle recommendations for the prevention and management of metabolic syndrome: an international panel recommendation. A1 Perez-Martinez, Pablo A1 Mikhailidis, Dimitri P A1 Athyros, Vasilios G A1 Bullo, Monica A1 Couture, Patrick A1 Covas, Maria I A1 de Koning, Lawrence A1 Delgado-Lista, Javier A1 Diaz-Lopez, Andres A1 Drevon, Christian A A1 Estruch, Ramon A1 Esposito, Katherine A1 Fito, Montserrat A1 Garaulet, Marta A1 Giugliano, Dario A1 Garcia-Rios, Antonio A1 Katsiki, Niki A1 Kolovou, Genovefa A1 Lamarche, Benoit A1 Maiorino, Maria Ida A1 Mena-Sanchez, Guillermo A1 Muñoz-Garach, Araceli A1 Nikolic, Dragana A1 Ordovas, Jose M A1 Perez-Jimenez, Francisco A1 Rizzo, Manfredi A1 Salas-Salvado, Jordi A1 Schroder, Helmut A1 Tinahones, Francisco J A1 de la Torre, Rafael A1 van Ommen, Ben A1 Wopereis, Suzan A1 Ros, Emilio A1 Lopez-Miranda, Jose K1 Dietary pattern K1 Lifestyle K1 Metabolic syndrome K1 Panel recommendation AB The importance of metabolic syndrome (MetS) lies in its associated risk of cardiovascular disease and type 2 diabetes, as well as other harmful conditions such as nonalcoholic fatty liver disease. In this report, the available scientific evidence on the associations between lifestyle changes and MetS and its components is reviewed to derive recommendations for MetS prevention and management. Weight loss through an energy-restricted diet together with increased energy expenditure through physical activity contribute to the prevention and treatment of MetS. A Mediterranean-type diet, with or without energy restriction, is an effective treatment component. This dietary pattern should be built upon an increased intake of unsaturated fat, primarily from olive oil, and emphasize the consumption of legumes, cereals (whole grains), fruits, vegetables, nuts, fish, and low-fat dairy products, as well as moderate consumption of alcohol. Other dietary patterns (Dietary Approaches to Stop Hypertension, new Nordic, and vegetarian diets) have also been proposed as alternatives for preventing MetS. Quitting smoking and reducing intake of sugar-sweetened beverages and meat and meat products are mandatory. Nevertheless, there are inconsistencies and gaps in the evidence, and additional research is needed to define the most appropriate therapies for MetS. In conclusion, a healthy lifestyle is critical to prevent or delay the onset of MetS in susceptible individuals and to prevent cardiovascular disease and type 2 diabetes in those with existing MetS. The recommendations provided in this article should help patients and clinicians understand and implement the most effective approaches for lifestyle change to prevent MetS and improve cardiometabolic health. PB Oxford University Press YR 2017 FD 2017 LK http://hdl.handle.net/10668/11208 UL http://hdl.handle.net/10668/11208 LA en NO Pérez-Martínez P, Mikhailidis DP, Athyros VG, Bullo M, Couture P, Covas MI, et al. Lifestyle recommendations for the prevention and management of metabolic syndrome: an international panel recommendation. Nutr Rev. 2017 May 1;75(5):307-326 DS RISalud RD Apr 8, 2025