Table 1 Multidomain intervention.

Diet

Participants submitted dietary logs three times daily. A nutritionist or research nurse provided personalized feedback three times per week.

General dietary guidelines provided face-to-face twice a year.

Physical activity

Participants set personal activity goals. Feedback was provided based on goal achievement, encouraging adherence.

General physical activity recommendations provided twice a year.

Metabolic and vascular risk management

Baseline blood tests, weight, and blood pressure measurements were conducted. Monthly feedback was given based on results.

Health monitoring conducted only at baseline and follow-up.