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.

Q2 Medicine JMIR Diabetes Pub Date : 2022-11-28 DOI:10.2196/40366
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
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引用次数: 1

Abstract

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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使用基于信息通信技术的自我管理系统DialBeticsLite治疗日本上班族腹部肥胖:前瞻性单臂先导干预研究
背景:改变生活方式是减少腹部肥胖(AO)的基本要素。为了支持生活方式的改变和自我管理,我们开发了一个基于信息和通信技术的自我管理系统- dialbeticslite -具有全自动饮食评估功能,用于治疗AO。目的:本研究的目的是评价DialBeticsLite在日本办公室工作人员AO中的初步疗效和可行性。方法:设计了一项2至3个月的前瞻性单臂先导干预研究,以评估使用DialBeticsLite进行干预的效果。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、计步器计数);数据评估;运动输入;以及食物记录和饮食评价。符合条件的受试者为年龄≥20岁且患有AO(男性腰围≥85 cm,女性腰围≥90 cm)的工人。在基线和干预后比较身体参数、血液检查、营养摄入和自我保健行为。结果:共有48名参与者提供了完整的数据供分析,研究保留率为100%。平均年龄46.8岁(SD 6.8), 92%(44/48)的参与者为男性。以至少进行一次测量的天数除以干预的天数计算,DialBeticsLite的总体平均测量率为98.6% (SD 3.4%)。总的来说,85%(41/48)的参与者报告说,他们参与这项研究帮助他们改善了生活方式。干预后BMI、腰围和内脏脂肪面积显著下降(结论:使用DialBeticsLite为用户提供了一个评估其生活方式行为的动机框架,被证明是一种可行且潜在有效的减少AO的方法。
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来源期刊
JMIR Diabetes
JMIR Diabetes Computer Science-Computer Science Applications
CiteScore
4.00
自引率
0.00%
发文量
35
审稿时长
16 weeks
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