Division of Nursing Science, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima 734-8553, Japan.
Torrens Resilience Institute, Flinders University, Adelaide, SA 5001, Australia.
Int J Environ Res Public Health. 2020 Nov 4;17(21):8147. doi: 10.3390/ijerph17218147.
We investigated whether an Information and Communication Technology (ICT) application (app) motivated to increase adherence to lifestyle changes, and to improve indicators of metabolic disturbances among Japanese civil servants. A non-randomized, open-label, parallel-group study was conducted with 102 participants aged 20-65 years undergoing a health check during 2016-2017, having overweight and/or elevated glucose concentration. Among them, 63 participants chose Specific Health Guidance (SHG) and ongoing support incorporating the use of an app (ICT group) and 39 individuals chose only SHG (control group). Fifty from the ICT group and 38 from the control group completed the study. After completing the 6-month program, the control group showed a significant decrease in body mass index ( = 0.008), male waist circumference ( < 0.001), systolic blood pressure (BP) ( = 0.005), diastolic BP ( < 0.001), and glycated hemoglobin (HbA1c) ( < 0.001), and increase in high-density lipoprotein (HDL) cholesterol ( = 0.008). However, the ICT group showed a significant decrease in male waist circumference ( < 0.001), diastolic BP ( = 0.003), and HbA1c ( < 0.001), and increase in HDL cholesterol ( = 0.032). The magnitude of change for most indicators tended to be highest for ICT participants (used the app ≥5 times/month). Both groups reported raised awareness on BP and weight. The app use program did not have a major impact after the observation period. Proper action requires frequent use of the app to enhance best results.
我们研究了一种信息和通信技术（ICT）应用程序（应用程序）是否能激励人们更遵守生活方式的改变，并改善日本公务员代谢紊乱的指标。这是一项非随机、开放性、平行组研究，共纳入 102 名年龄在 20-65 岁之间的参与者，他们在 2016-2017 年期间接受健康检查，超重和/或血糖浓度升高。其中，63 名参与者选择了特定健康指导（SHG）和持续支持，包括使用应用程序（ICT 组），39 名个人仅选择了 SHG（对照组）。ICT 组有 50 人和对照组有 38 人完成了研究。完成 6 个月的项目后，对照组的体重指数（BMI）（=0.008）、男性腰围（<0.001）、收缩压（SBP）（=0.005）、舒张压（DBP）（<0.001）和糖化血红蛋白（HbA1c）（<0.001）显著下降，高密度脂蛋白（HDL）胆固醇（=0.008）显著增加。然而，ICT 组男性腰围（<0.001）、舒张压（=0.003）和 HbA1c（<0.001）显著下降，HDL 胆固醇（=0.032）显著增加。大多数指标的变化幅度在 ICT 参与者中最高（每月使用应用程序≥5 次）。两组均报告称，对血压和体重的认识有所提高。观察期后，应用程序使用项目没有产生重大影响。适当的行动需要频繁使用该应用程序，以获得最佳效果。
