Department of Metabolic Medicine, Graduate School of Medicine, Osaka University, Suita, Japan.
Department of Lifestyle Medicine, Graduate School of Medicine, Osaka University, Suita, Japan.
Front Public Health. 2023 Dec 7;11:1258434. doi: 10.3389/fpubh.2023.1258434. eCollection 2023.
This pilot study examined the feasibility of a new lifestyle modification program involving a "Teaching Kitchen" in Japan. Our goal was to explore (1) feasibility of the program; (2) acceptability for class frequency (weekly vs. bi-weekly); and (3) changes in biometrics, dietary intakes, and lifestyle factors.
A total of 24 employees with obesity in a Japanese company were recruited. Participants were randomly divided into two groups (weekly or bi-weekly group), each attending the program consisting of four two-hour classes (lectures on nutrition, exercise, mindfulness, and culinary instructions). Participants were observed for changes in dietary intakes, biometrics, and health related quality of life over the subsequent 3 months. We tested the between-group differences in changes using linear mixed-effect models.
The program completion rates were 83.3% in total (91.7% for weekly group and 75.0% for bi-weekly group). From baseline to post-intervention, significant decreases were observed in weight ( < 0.001), body mass index ( < 0.001), diastolic blood pressure ( = 0.03), body fat mass ( < 0.001), and dietary intakes in total fat ( = 0.03) and sodium ( = 0.008) among 17 participants who were available for measurements. Improvements in biometrics remained significant 1 month after the intervention (all ≤ 0.03 in 14 participants). Participants' health related quality of life was significantly improved in bodily pain, general health, vitality, and mental component score (all ≤ 0.047).
The new Japanese Teaching Kitchen program is feasible with high program completion rates in Japanese office workers with obesity. While this was a small feasibility study, significant multiple improvements in dietary intakes, biometrics, and health related quality of life suggest that this line of inquiry warrants further exploration to address obesity and obesity-related diseases in Japan.
本研究旨在检验日本新型生活方式干预项目(“教学厨房”)的可行性。我们旨在探索:(1)项目的可行性;(2)课程频率(每周 vs. 每两周)的可接受性;(3) 生物标志物、饮食摄入和生活方式因素的变化。
共招募了 24 名日本企业肥胖员工参与。参与者被随机分为两组(每周或每两周组),分别参加为期四个两小时的课程(营养、运动、正念和烹饪指导讲座)。在接下来的 3 个月中,观察参与者的饮食摄入、生物标志物和健康相关生活质量的变化。我们使用线性混合效应模型检验组间变化的差异。
总完成率为 83.3%(每周组为 91.7%,每两周组为 75.0%)。与基线相比,干预后参与者的体重(<0.001)、体重指数(<0.001)、舒张压(=0.03)、体脂肪量(<0.001)和总脂肪(=0.03)、钠(=0.008)的饮食摄入量显著降低。17 名可进行测量的参与者中,生物标志物的改善在干预后 1 个月仍保持显著(14 名参与者均为 <0.03)。参与者的健康相关生活质量在身体疼痛、总体健康、活力和心理成分评分方面显著提高(所有均为 ≤0.047)。
新型日本教学厨房项目在日本肥胖上班族中具有较高的完成率,具有可行性。虽然这是一项小型可行性研究,但饮食摄入、生物标志物和健康相关生活质量的多项显著改善表明,值得进一步探索该研究方向,以解决日本的肥胖和肥胖相关疾病问题。