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
Department of Biomedical Informatics, Graduate School of Medicine, The University of Tokyo, Bunkyo-ku, Tokyo, Japan.
Department of Medical Science and Cardiorenal Medicine, Yokohama City University Graduate School of Medicine, Yokohama, Japan.
JMIR Diabetes. 2022 Nov 28;7(4):e40366. doi: 10.2196/40366.
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.
The objective of this study was to evaluate the preliminary efficacy and feasibility of DialBeticsLite among Japanese office workers with AO.
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.
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).
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.
改变生活方式是减少腹部肥胖（AO）的关键要素。为了支持生活方式的改变和自我管理，我们开发了一种基于信息通信技术的自我管理系统——DialBeticsLite，它具有用于治疗AO的全自动饮食评估功能。
本研究的目的是评估DialBeticsLite在患有AO的日本上班族中的初步疗效和可行性。
设计了一项为期2至3个月的前瞻性单臂试点干预研究，以评估使用DialBeticsLite进行干预的效果。该信息通信技术系统由4个模块组成：数据传输（体重、血压、血糖和计步器计数）；数据评估；运动输入；以及食物记录和饮食评估。符合条件的参与者为年龄≥20岁且患有AO（男性腰围≥85厘米，女性腰围≥90厘米）的上班族。在基线和干预后比较了身体参数、血液检查、营养摄入和自我护理行为。
共有48名参与者提供了完整的数据用于分析，研究保留率为100%。平均年龄为46.8（标准差6.8）岁，92%（44/48）的参与者为男性。通过将至少有一次测量的天数除以干预天数计算得出的DialBeticsLite的总体平均测量率为98.6%（标准差3.4%）。总共有85%（41/48）的参与者报告说，参与该研究有助于他们改善生活方式。干预后，体重指数、腰围和内脏脂肪面积显著下降（P<.001）。此外，每日卡路里摄入量显著减少（P=.02）。在运动和饮食方面的自我护理行为有显著改善（P=.001）。
使用DialBeticsLite被证明是一种可行且可能有效的减少AO的方法，它为用户提供了一个评估其生活方式行为的激励框架。
