A Couple’s Personalized-Care Intervention for Weight-Loss and Diabetes based on DNA and Gut Biome Profiles: A Case Study

S. Singh-Rambiritch, Ranjan Sinha, C. Reddy, Alicia Nakamoto, C. Irudayanathan
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Abstract

Introduction The global prevalence of obesity has reached epidemic proportions. Given the negative strain that obesity and associated chronic diseases, such as type 2 diabetes, put on the healthcare system and the economy, disease management has begun evolving to help individuals change their behaviors. Obesity is often difficult to treat and even harder to maintain. Past studies have failed to show weight loss maintenance over long periods after interventions. To overcome the complexity of obesity, a multifaceted precision care treatment approach should be adopted. Aim The aim of this case study was to assess the health benefits and weight loss journey of a cohabiting Caucasian heterosexual married couple using the Digbi Health personalized obesity management program. A personalized integrative nutrition plan is created based on one’s genetic and gut microbiome obesity risk profile and incorporates daily digital tracking and lifestyle coaching. Never before has a program offered personalized data including genetic, gut microbiome and lifestyle coaching to help people understand the best plan to lose weight and keep it off long term. Method The male subject achieved a total change in weight loss of 15.94%, as well as a reduction in A1C and blood pressure levels and the female subject achieved a 13.65% change in weight loss over a period of four months. The couple have still been able to maintain their weight loss goals four months after completing the program, stating their individual and personalized approach gave them the tools long-term to maintain. Conclusion A supportive environment for cohabiting couples following a personalized weight loss program based on their genetic and gut microbiome profile may help with weight loss and long-term maintenance.
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基于DNA和肠道生物群系的一对夫妇对减肥和糖尿病的个性化护理干预:一个案例研究
肥胖症的全球患病率已达到流行病的程度。考虑到肥胖和相关的慢性疾病(如2型糖尿病)给医疗保健系统和经济带来的负面压力,疾病管理已经开始发展,以帮助个人改变他们的行为。肥胖通常很难治疗,更难以维持。过去的研究未能显示干预后长期保持减肥效果。为了克服肥胖的复杂性,应采取多方面的精准护理治疗方法。本案例研究的目的是评估使用Digbi health个性化肥胖管理程序的同居白人异性恋已婚夫妇的健康益处和减肥历程。个性化的综合营养计划是根据一个人的基因和肠道微生物群肥胖风险概况创建的,并结合了每日数字跟踪和生活方式指导。以前从来没有一个项目提供个性化的数据,包括基因、肠道微生物组和生活方式指导,帮助人们了解减肥的最佳计划,并长期保持下去。方法在四个月的时间里,男性受试者的体重减轻了15.94%,糖化血红蛋白和血压水平也降低了,女性受试者的体重减轻了13.65%。这对夫妇在完成这个项目四个月后仍然能够保持他们的减肥目标,他们说他们的个人和个性化的方法给了他们长期保持的工具。结论:为同居伴侣提供一个支持性的环境,根据他们的基因和肠道微生物群特征进行个性化的减肥计划,可能有助于减肥和长期维持。
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