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The Use of Information and Communication Technology–Based Self-management System DialBeticsLite in Treating Abdominal Obesity in Japanese Office Workers: Prospective Single-Arm Pilot Intervention Study

BACKGROUND: Making lifestyle changes is an essential element of abdominal obesity (AO) reduction. To support lifestyle modification and self-management, we developed an information and communication technology–based self-management system—DialBeticsLite—with a fully automated dietary evaluation func...

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Autores principales: Kawai, Yuki, Waki, Kayo, Yamaguchi, Satoko, Shibuta, Tomomi, Miyake, Kana, Kimura, Shigeko, Toyooka, Tsuguyoshi, Nakajima, Ryo, Uneda, Kazushi, Wakui, Hiromichi, Tamura, Kouichi, Nangaku, Masaomi, Ohe, Kazuhiko
Formato: Online Artículo Texto
Lenguaje:English
Publicado: JMIR Publications 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9745649/
https://www.ncbi.nlm.nih.gov/pubmed/36441577
http://dx.doi.org/10.2196/40366
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author Kawai, Yuki
Waki, Kayo
Yamaguchi, Satoko
Shibuta, Tomomi
Miyake, Kana
Kimura, Shigeko
Toyooka, Tsuguyoshi
Nakajima, Ryo
Uneda, Kazushi
Wakui, Hiromichi
Tamura, Kouichi
Nangaku, Masaomi
Ohe, Kazuhiko
author_facet Kawai, Yuki
Waki, Kayo
Yamaguchi, Satoko
Shibuta, Tomomi
Miyake, Kana
Kimura, Shigeko
Toyooka, Tsuguyoshi
Nakajima, Ryo
Uneda, Kazushi
Wakui, Hiromichi
Tamura, Kouichi
Nangaku, Masaomi
Ohe, Kazuhiko
author_sort Kawai, Yuki
collection PubMed
description BACKGROUND: Making lifestyle changes is an essential element of abdominal obesity (AO) reduction. To support lifestyle modification and self-management, we developed an information and communication technology–based self-management system—DialBeticsLite—with a fully automated dietary evaluation function for the treatment of AO. OBJECTIVE: The objective of this study was to evaluate the preliminary efficacy and feasibility of DialBeticsLite among Japanese office workers with AO. METHODS: A 2- to 3-month prospective single-arm pilot intervention study was designed to assess the effects of the intervention using DialBeticsLite. The information and communication technology system was composed of 4 modules: data transmission (body weight, blood pressure, blood glucose, and pedometer count); data evaluation; exercise input; and food recording and dietary evaluation. Eligible participants were workers who were aged ≥20 years and with AO (waist circumference ≥85 cm for men and ≥90 cm for women). Physical parameters, blood tests, nutritional intake, and self-care behavior were compared at baseline and after the intervention. RESULTS: A total of 48 participants provided completed data for analysis, which yielded a study retention rate of 100%. The average age was 46.8 (SD 6.8) years, and 92% (44/48) of participants were male. The overall average measurement rate of DialBeticsLite, calculated by dividing the number of days with at least one measurement by the number of days of the intervention, was 98.6% (SD 3.4%). In total, 85% (41/48) of the participants reported that their participation in the study helped them to improve their lifestyle. BMI, waist circumference, and visceral fat area decreased significantly after the intervention (P<.001). In addition, the daily calorie intake reduced significantly (P=.02). There was a significant improvement in self-care behavior in terms of exercise and diet (P=.001). CONCLUSIONS: Using DialBeticsLite was shown to be a feasible and potentially effective method for reducing AO by providing users with a motivational framework to evaluate their lifestyle behaviors.
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spelling pubmed-97456492022-12-14 The Use of Information and Communication Technology–Based Self-management System DialBeticsLite in Treating Abdominal Obesity in Japanese Office Workers: Prospective Single-Arm Pilot Intervention Study Kawai, Yuki Waki, Kayo Yamaguchi, Satoko Shibuta, Tomomi Miyake, Kana Kimura, Shigeko Toyooka, Tsuguyoshi Nakajima, Ryo Uneda, Kazushi Wakui, Hiromichi Tamura, Kouichi Nangaku, Masaomi Ohe, Kazuhiko JMIR Diabetes Original Paper BACKGROUND: Making lifestyle changes is an essential element of abdominal obesity (AO) reduction. To support lifestyle modification and self-management, we developed an information and communication technology–based self-management system—DialBeticsLite—with a fully automated dietary evaluation function for the treatment of AO. OBJECTIVE: The objective of this study was to evaluate the preliminary efficacy and feasibility of DialBeticsLite among Japanese office workers with AO. METHODS: A 2- to 3-month prospective single-arm pilot intervention study was designed to assess the effects of the intervention using DialBeticsLite. The information and communication technology system was composed of 4 modules: data transmission (body weight, blood pressure, blood glucose, and pedometer count); data evaluation; exercise input; and food recording and dietary evaluation. Eligible participants were workers who were aged ≥20 years and with AO (waist circumference ≥85 cm for men and ≥90 cm for women). Physical parameters, blood tests, nutritional intake, and self-care behavior were compared at baseline and after the intervention. RESULTS: A total of 48 participants provided completed data for analysis, which yielded a study retention rate of 100%. The average age was 46.8 (SD 6.8) years, and 92% (44/48) of participants were male. The overall average measurement rate of DialBeticsLite, calculated by dividing the number of days with at least one measurement by the number of days of the intervention, was 98.6% (SD 3.4%). In total, 85% (41/48) of the participants reported that their participation in the study helped them to improve their lifestyle. BMI, waist circumference, and visceral fat area decreased significantly after the intervention (P<.001). In addition, the daily calorie intake reduced significantly (P=.02). There was a significant improvement in self-care behavior in terms of exercise and diet (P=.001). CONCLUSIONS: Using DialBeticsLite was shown to be a feasible and potentially effective method for reducing AO by providing users with a motivational framework to evaluate their lifestyle behaviors. JMIR Publications 2022-11-28 /pmc/articles/PMC9745649/ /pubmed/36441577 http://dx.doi.org/10.2196/40366 Text en ©Yuki Kawai, Kayo Waki, Satoko Yamaguchi, Tomomi Shibuta, Kana Miyake, Shigeko Kimura, Tsuguyoshi Toyooka, Ryo Nakajima, Kazushi Uneda, Hiromichi Wakui, Kouichi Tamura, Masaomi Nangaku, Kazuhiko Ohe. Originally published in JMIR Diabetes (https://diabetes.jmir.org), 28.11.2022. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Diabetes, is properly cited. The complete bibliographic information, a link to the original publication on https://diabetes.jmir.org/, as well as this copyright and license information must be included.
spellingShingle Original Paper
Kawai, Yuki
Waki, Kayo
Yamaguchi, Satoko
Shibuta, Tomomi
Miyake, Kana
Kimura, Shigeko
Toyooka, Tsuguyoshi
Nakajima, Ryo
Uneda, Kazushi
Wakui, Hiromichi
Tamura, Kouichi
Nangaku, Masaomi
Ohe, Kazuhiko
The Use of Information and Communication Technology–Based Self-management System DialBeticsLite in Treating Abdominal Obesity in Japanese Office Workers: Prospective Single-Arm Pilot Intervention Study
title The Use of Information and Communication Technology–Based Self-management System DialBeticsLite in Treating Abdominal Obesity in Japanese Office Workers: Prospective Single-Arm Pilot Intervention Study
title_full The Use of Information and Communication Technology–Based Self-management System DialBeticsLite in Treating Abdominal Obesity in Japanese Office Workers: Prospective Single-Arm Pilot Intervention Study
title_fullStr The Use of Information and Communication Technology–Based Self-management System DialBeticsLite in Treating Abdominal Obesity in Japanese Office Workers: Prospective Single-Arm Pilot Intervention Study
title_full_unstemmed The Use of Information and Communication Technology–Based Self-management System DialBeticsLite in Treating Abdominal Obesity in Japanese Office Workers: Prospective Single-Arm Pilot Intervention Study
title_short The Use of Information and Communication Technology–Based Self-management System DialBeticsLite in Treating Abdominal Obesity in Japanese Office Workers: Prospective Single-Arm Pilot Intervention Study
title_sort use of information and communication technology–based self-management system dialbeticslite in treating abdominal obesity in japanese office workers: prospective single-arm pilot intervention study
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9745649/
https://www.ncbi.nlm.nih.gov/pubmed/36441577
http://dx.doi.org/10.2196/40366
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