Research studies have clearly demonstrated the power of lifestyle modification for long-term behavioral change. The DPP provided excellent evidence of the potential of lifestyle modification intervention for the reduction of risk in individuals with the dysmetabolic syndrome. Weight loss is the key for most individuals with the syndrome. Lifestyle change strategies, including self-monitoring, stimulus control, cognitive restructuring, stress management, relapse prevention, social support, and contracting, increase the chances for adoption of a healthy diet and a habit of regular physical activity. The frequency of self-monitoring is an especially important strategy for continued success. Lifestyle modification appears effective in delaying or preventing the development of the dysmetabolic syndrome [27].

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